PBL write up- The dizzy overwhelmmer Scenario: Laura is 66 and is having treatment for an overactive thyroid. heterogeneous from that she says she is generally in good health. She exercises regularly, goes jogging once or twice a week and submerges at the local drift pool about once a week. She goes to see her GP because of bouts of dizziness and shortness of breath. On questioning her he establishes that these sniffle it only after jogging or swims. After her swim last week she experienced severe dizziness and palpitations which to begin with alarmed her. On examination her peak flow was privileged the normal range and no abnormal sounds were noned on government agency auscultation. Her mall rate at rest was carbon b/m and her blood pressure 160/90 mmHg. She admitted that she allay smokes occasionally (although she is trying to give up), and drinks alcohol alternatively more than she should, varying between 20-28 units a week. The GP refers her to t he heart and dressing table clinic at the local hospital for further tests. present she is fitted with a 24-hour ECG Holter monitor and asked to go jogging trance have on it. The monitor gives a definite diagnosis, and Laura is sent menage with medicine that seems to resolve the problem. However, she is warned that if the dizziness recurs, more active interposition whitethorn be necessary in the future. Objectives: 1.
Terms 2. Physiology of the heart- electrical stimulant/ conduction 3. Thyroid- basic function, hyperthyroidism and pharmacology of hyperthyroidism 4. ECG- what is i t and contingent diagnoses 5. Atrial! fibrillation- pathophysiology, symptoms, gamble factors, diagnosis, investigations, treatment, prognosis. 1.Terms Palpitations: Palpitations describes the sensation of irregular, rapid or impetuous heartbeats, or withal just an awareness of ones own heartbeat. It brush off be due to ectopic beats, various tachycardias or AF. It is not necessarily associated with pathology and is often associated with care ECG Holter monitor:...If you want to channel a beat essay, order it on our website: BestEssayCheap.com
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