Approach to anxiety disorders Quiz: Ace Your Exams
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A 20-year-old man comes to the emergency department for evaluation of 1 hour of chest pain, nausea, and numbness around his lips. This is his third emergency department visit in over six months for similar episodes. He states that these episodes are not brought on by any specific situations. He has no significant past medical history and no family history of coronary artery disease. Temperature is 37.0°C (98.6°F), pulse is 115/min, respirations are 15/min, and blood pressure is 135/85 mmHg. Mental status exam reveals an anxious and diaphoretic man with a soft tone of voice. Cardiopulmonary examination is normal. Neurologic exam is normal. Electrocardiogram shows sinus tachycardia but does not show ischemia. Troponins are negative. Which of the following additional symptoms would help confirm a diagnosis of panic disorder in this patient?
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