Approach to trauma and stressor-related disorders Quiz: Ace Your Exams
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A 33-year-old man presents to the emergency department with a severe panic attack lasting three hours. He describes recurrent panic attacks occurring three times a week following a car accident eight months ago, which resulted in the amputation of his right arm. These panic attacks are often triggered by intrusive thoughts or nightmares about losing his left arm. He also experiences persistent anxiety, avoids social interactions, and feels "not real" at times. His temperature is 37.0°C (98.6°F), pulse is 105/min, respirations are 18/min, and blood pressure is 140/90 mmHg. The musculoskeletal exam reveals normal strength and sensation in the left upper extremity. Dermatological exam shows well-healing scar tissue overlying a recent amputation on his right upper extremity. On mental status examination, he is anxious and diaphoretic with a limited range of facial expressions. Which of the following is the most likely diagnosis?
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