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Anxiety

  • Common ddx

    • hyperthyroidism (heat intolerance), caffeine, hypoglycemia (PMH diabetes, insulin usage), asthma attack, panic attack
  • Serious ddx

    • heart attack, PE, pheochromocytoma (episodic symptoms with tachycardia)
  • Labs

    • glucose
    • TSH
    • EKG if elderly
    • urine metanephrines, catecholamines for pheochromocytoma
    • holter monitor for paroxysmal arrhythmia
    • psych consult if psychiatric
  • Psych ddx

    • acute stress disorder, GAD, panic disorder, PTSD, OCD, social phobia, specific phobia
  • HPI

    • onset
    • triggering events
    • severity
    • alleviates, aggravates
  • ROS

    • heat intolerance
    • dyspnea, chest pain
    • tachycardia, episodic nature
    • depression, hallucinations
  • PMH

    • psych diseases
    • thyroid disease
    • diabetes
    • asthma
  • FH

    • psych diseases
    • cardiac diseases
  • SH

    • recent stressor
    • caffeine usage
    • hx of life-threatening trauma
  • Meds

    • insulin usage
    • inhaler usage
  • Allergies

  • Px

    • vitals
    • mental status
    • cardio
    • pulm
  • Psych tx

    • CBT
    • SSRI/SNRI
    • BZD for acute episodes

  • Print | Citations

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