https://padlet.com/drthevigr/j9l981fel5feu97j en-us 2023-05-14 14:22:54 UTC 2023-05-15 01:36:58 UTC hello@padlet.com drthevigr https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590334307 2023-05-14 23:11:17 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590334307 drthevigr https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590334393 2023-05-14 23:11:31 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590334393 drthevigr https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590334481 2023-05-14 23:11:44 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590334481 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590392361 1. Heart felt like skipping a beat or sometimes beat too fast 
2. Two months duration]]> 2023-05-15 00:35:14 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590392361 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590399244

]]> 2023-05-15 00:41:45 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590399244 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590402431 1. asthma
2. syncopal attack 
3. pneumonia
4. valvular stenosis
5. hyperthyroidism
6. renal disease 
7. drugs
8. electrolyte imbalance
9. premature atrial contraction 
10. premature ventricular contraction 
11. anxiety, panic disorders
12. diets- caffeine

]]> 2023-05-15 00:44:24 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590402431 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590405657 Further questioning
1. SOCRATES (onset, characteristic, radiation, associated symptoms-(cough, fatigue, runny nose, sputum, asthma),duration, alleviating factor
2. Past medical history- syncopal attack (pengsan), premature atrial contraction, any past surgery/procedure
3. Drug history - previous medication
4. Family history
5. social history -alcohol intake, smoking, travel history, occupation

]]> 2023-05-15 00:47:25 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590405657 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590409895 1. rapid palpitation at night
2. SOB
3. Recurrent episode of fever & joint pain & sore throat]]> 2023-05-15 00:51:19 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590409895 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590410876 1. rapid palpitation at night
2. SOB
3. Recurrent episode of fever & joint pain & sore throat]]> 2023-05-15 00:52:09 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590410876 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590411258
1. Rheumatic fever
2. asthma
3. pneumonia
4. valvular stenosis
5. premature atrial contraction 
6. premature ventricular contraction 




]]> 2023-05-15 00:52:34 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590411258 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590415727 1. vital sign- temp, BP, pulse
2.PE- CVS examination-percussion/palpation/auscultation( systolic murmur)
3. Xray- infection?
4.ECG- abnormal rhythm

]]> 2023-05-15 00:57:04 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590415727 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590422198 1. Diastolic rumble : abnormal heart sound - to make a cont low sound (rumble pan-systolic)]]> 2023-05-15 01:02:31 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590422198 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590427388 1. Tachycardia
2. Borderline respiratory rate
3. No hypertension
4. Loud first sound, Diastolic rumble
5. Pulmonic valve sound
6.  Bilateral crackles (Pulmonary edema - fluid acumulates at the lungs)
7. Elevated JV distention to 12 cm H2O
8. Bilateral pitting edema (indicates failure of right ventricle - cannot sleep - oxygen low)]]> 2023-05-15 01:07:15 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590427388 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590427617 1. Tachycardia
2. Borderline respiratory rate
3. No hypertension
4. Loud first sound, Diastolic rumble
5. Pulmonic valve sound
6.  Bilateral crackles (Pulmonary edema - fluid acumulates at the lungs)
7. Elevated JV distention to 12 cm H2O
8. Bilateral pitting edema (indicates failure of right ventricle - cannot sleep - oxygen low)]]> 2023-05-15 01:07:29 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590427617 drthevigr https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590428185 2023-05-15 01:07:58 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590428185 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590428801 1. Valvular disease (Congestive HF)]]> 2023-05-15 01:08:29 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590428801 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590442483 1. Echocardiogram - for valvular heart disease pt (to check how the valve function)
2. Chest X-ray - to check whether pt hv pulmonary edema
3. FBC - check for the symptoms of anemia (O2 decreased - viral/bacterial infection - look at neutrophils, lymphocyte count)
4. Lipid profile
5. Cardiac biomarkers - Troponin I & T, ALT, BNP, ANP (heart muscle work harder- release more ANP)
6. ECG - to look for AFib result (due to elevated JVP)
Findings : Irregularly irregular heart rhythm, no P waves
7. Renal profile - Na, K, urea, creatinine level]]> 2023-05-15 01:19:03 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590442483 drthevigr https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590456620 2023-05-15 01:28:53 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590456620 https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590466156 1. hypokinetic
2. severe mitral stenosis
3. beta blocker-redyce palpitation
cardiac glycoside
diuretic- reduce eodema]]> 2023-05-15 01:36:58 UTC https://padlet.com/drthevigr/j9l981fel5feu97j/wish/2590466156