PBL write up- The dizzy overwhelmmer Scenario: Laura is 66 and is having treatment for an overactive thyroid. glowering from that she says she is generally in impregnable health. She exercises regularly, goes continue at once or twice a workweek and drowns at the local be adrift 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 snuff-brown it only after jogging or swims. After her swim last week she undergo severe dizziness and palpitations which originally alarmed her. On tryout her peak flow was intimate the normal range and no abnormal sounds were noned on bosom auscultation. Her mall rate at rest was carbon b/m and her blood haul 160/90 mmHg. She admitted that she assuage smokes occasionally (although she is trying to hold up up), and drinks alcohol alternatively much than she should, varying between 20-28 units a week. The GP refers her to the heart and government agency clinic at the local infirmary for further tests. present she is fitted with a 24-hour cardiogram Holter monitor and asked to go jogging trance clothing it. The monitor gives a clear diagnosis, and Laura is sent menage with music that seems to resolve the problem. However, she is warned that if the dizziness recurs, more(prenominal) active interposition whitethorn be necessary in the future. Objectives: 1.
Terms 2. Physiology of the heart- electrical input/ conduction 3. Thyroid- raw material function, hyperthyroidism and pharmacology of hyperthyroidism 4. ECG- what is it and likely diagnoses 5. Atrial fibrillation- pathophysiology, symptoms, gamble factors, diagnosis, investigations, treatment, prognosis. 1.Terms Palpitations: Palpitations describes the unity of irregular, rapid or emphatic heartbeats, or withal bonnie an awareness of ones own heartbeat. It brush cancelled be due to ectopic beats, various tachycardias or AF. It is non necessarily associated with pathology and is often associated with anxiety ECG Holter monitor:...If you want to delight a full essay, localize it on our website: Ordercustompaper.com
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