A 45-year-old woman complains of a two-month history of fast heart rate and palpitations.

History

A 45-year-old woman comes into your office complaining of a two-month history of fast heart rate and palpitations. She also notes sweating and nervousness. In addition, she complains of a swelling in the lower portion of her neck. Examination reveals a diffuse goiter.

Thyroid Stimulating Hormone (TSH) is reduced. Thyroid levels t3 and t4 are elevated.

Take a Blood Pressure Reading

Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 11/9/2021

Sources

Heart Sounds and Murmurs Across the Lifespan (with CD) Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
How to measure blood pressure using a manual monitor
Mayo Foundation for Medical Education and Research (MFMER)
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
Manual Blood Pressure Measurement
Vital Sign Measurement Across the Lifespan