Palpitations
Onset prior to evaluation
Onset while:

Discomfort (0=none, 10=severe)
Location:
Radiation:
Severity now (0-10):
Severity at worst (0-10):
Duration:
Frequency:
Characterized as: .

Modifiers
Relieved with
Worse with
exertional

Key Symptoms
<-- rapid heart beat
<-- slow heart beat
<-- irregular heart beat

Associated Symptoms
<-- Complete Loss of Consciousness
<-- Near loss of consciousness
<-- chest pain
<-- shortness of breath
<-- hyperventilation (lip numbness, hand paresthesias)
<-- Falls

Exposures
<-- Low blood sugar
<-- Excessive alcohol
<-- Drug abuse
<-- Caffeine

Pertinent ROS
<-- fever
<-- dizziness
<-- cough
<-- nausea/vomiting
<-- abdominal pain
<-- abnormal bleeding (menorrhagia, gastrointestinal)
<-- unilateral leg swelling
<-- recent prolonged travel, recent trauma, hypercoagulable state, hormonal therapy

Pertinent PMH:
<-- Arrhythmia
<-- Pacemaker
<-- Valve Disorder
<-- Coronary Artery Disease
<-- Thyroid disease
<-- Diabetes Mellitus
<-- Anxiety disorder
<-- COPD
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Result - Copy and paste this output: