Brittany Merrick's Palpitation Case Study

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Brittany Merrick is a 17 year old female who presents with for evaluation of palpitation. Palliatiosn started 3-4 years ago and recently have become more frequent and lasts relatively longer than usual. Her palpitation episodes occur mainly when she is setting down and never happened with exccrecsing. These episodes last for 10 seconds with associated dizziness and sometimes shaking in her hands. It happens ~ once/month. No alleviating or excerebration factors. No associated chest pain and she never passed out. She denies heat intolerance, diarrhea, recent weight loss and excessive sweating. She denies excessive caffinated beverage intake. She is on OCP for irregular menstrual periods.
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