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Anxiety: What do you need to consider

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Journal Article - Open Access

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59th Medical Wing San Antonio United States

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Case Presentation A 55-year-old male with a previous medical history significant for hypertension and diabetes presents to the emergency department ED with the chief complaint of chest discomfort and shortness of breath. The patient reports the onset of his symptoms to be about one hour ago while at dinner with family. Review of systems is remarkable for palpitations and generalized weakness. The patient denies nausea, dizzinesslightheadedness, headache, and history of blood clots. As you review his vital signs, the patient states that he has had this feeling before and was diagnosed with anxiety. Although difficult to resist the inclination to assume it is a recurrence of his anxiety, you must first eliminate the possibility of life-threatening conditions. Because no lab test or imaging study can definitely diagnose anxiety and there are numerous medical conditions that mimic anxiety, a complete and thorough history and physical examination must be done.

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  • Medicine and Medical Research

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