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: 
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