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diagnosis differential causes pathophysiology psychiatry signs symptoms algorithm dizziness dizzy neurology palpitations alcoholusedisorder buprenorphine chestpain comparison complexes criteria generalized lightheadedness
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
• SINUS ARRYTHMIA ... • METABOLIC DISORDER ... PSYCHIATRIC • ANXIETY ... DISORDER • SOMATISATION ... Differential #Diagnosis #Cardiology
Arrhythmias - Differential Diagnosis Algorithm May present as: palpitations, dizziness, syncope, chest discomfort Cardiac Causes: - Structural
Arrhythmias - Differential ... • Generalized Anxiety ... Disorder #Arrhythmias ... #Cardiology #Differential
Post-Traumatic Stress Disorder (PTSD) Neurochemical abnormalities • Hyper-vigilance • Emotional hyper-arousal • Exaggerated startle reflex • Anxiety
Post-Traumatic Stress Disorder ... startle reflex • Anxiety ... StressDisorder #PTSD #BehavioralDisorder
Alcohol Use Disorder: Pathogenesis and Clinical Findings • Tolerance (reduced sensitivity to effects of EtOH) •
Alcohol Use Disorder ... to effects of EtOH ... exacerbated by EtOH ... desire to use EtOH ... , seizure, and anxiety
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm Lightheaded, unsteady, disoriented - Non-vertigo Organic Disease • Presyncope/Vasodepressor
Syncope • Cardiac Arrhythmia ... Depression • Anxiety ... • Panic Disorder
Dizziness - Differential Diagnosis Framework Vertigo: • Peripheral: Labyrinthitis, BPPV, Meniere's disease, Alternobaric • Central: CVA/TIA -
Vasovagal reaction, Arrhythmia ... vision Other: • Anxiety ... disorder, Panic ... disorder, Schizophrenia ... , Bipolar disorder
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Psych: Depression, anxiety ... statin, chemo), EtOH ... Polyneuropathy, ALS), NMJ disorder
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Medications/Toxins: • ETOH ... Psychiatric: • Panic disorder ... /Anxiety • Somatization ... associated with anxiety ... #Palpitations #Cardiology
Panic Disorder: Pathogenesis and clinical findings Social Factors • Parenting and infant attachment • Childhood illness/abuse •
Panic Disorder: ... heritability >> Panic Disorder ... carrying anti-anxiety ... Anticipatory Anxiety ... #BehavioralDisorder
Chest Pain - Differential Diagnosis Algorithm Cardiovascular Causes: - Outflow Obstruction • Aortic
Psychiatric • Anxiety ... • Somatoform Disorder ... ChestPain #Noncardiac #Cardiology
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