CARDIOVASCULAR EXAM 100%
ACCURATE.
, Established chief complaint - ANSWERHave you ever had palpitations?
Finding:
Reports recent episodes of palpitations
Have you had any problems with your heart?
Finding:
Describes heart rate during episodes as feeling "faster than usual"
"I'm sorry to hear you're experiencing those symptoms; they can be very uncomfortable.
I'll ask you some questions to learn more about your symptoms, and we will try to
determine what's causing you to feel this way."
Asked about onset - ANSWERHow long ago did you start having palpitations?
Finding:
Reports first episode a month ago
Asked about frequency and duration of fast heartbeat episodes - ANSWERWhen do the
palpitations occur?
Finding:
Reports episodes occur "about once a week"
How many palpitation episodes have you had?
Finding:
Reports 3-4 episodes total
How long do your palpitations last?
Finding:
Reports fast heartbeat episodes last 5-10 minutes
Asked about character of palpitations - ANSWERHow does your heart feel during the
palpitations?
Finding:
Describes palpitations as "thumping" or "pounding"
Do you feel anxious during the palpitations?
Finding:
Reports episodes accompanied by mild anxiety
Asked about aggravating factors - ANSWERWhen do you feel the palpitations?
Finding:
Reports that palpitations seem to occur more often in the morning
Do the palpitations get worse with exertion?