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 Palpitations and SOB  
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Author7 Posts
  #1

45 yo male c/o episodic palpitations and Shortness of breath. He says that these attacks come randomly without warning, nothing specific triggers them. He feels like his heart begins  to race during these attacks. What is the most like dx?

a. Anxiety disorder

b. Malingaring

c. STEMI

d. hyperthyrodism

e. WPW SX




  #2

Sounds like its A bc of no precipitating cause and episodic nature of the sx. doubtful abt B b/c there is nothing he's going to gain from it...thanks for the q's smiling face


Edited by CKreflux on Aug 10, 2011 - 5:27 PM

  #3

How about D


  #4

doesn't seem like it could be D bc of the episodic nature of the dyspnea and palpitations, hyperthyroid would give sx that are continuous and i don't think they could occur in attacks (never know though medicine has too many if and buts) but i don't think its Dwink


  #5

it's A final answer!!!


  #6

Drlc wrote:
45 yo male c/o episodic palpitations and Shortness of breath. He says that these attacks come randomly without warning, nothing specific triggers them. He feels like his heart begins  to race during these attacks. What is the most like dx?

a. Anxiety disorder

b. Malingaring

c. STEMI

d. hyperthyrodism

e. WPW SX

It's definitely A!


  #7

Sounds like panic attacks to me, so will go with closest answer choice: anxiety





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