'Organic Anxiety' in a Middle-aged Man Presenting with Dyspnoea: a Case Report
Autor: | Man-fung Kenneth Wong, Chi-ming Leung, Man-wai Meranda Leung |
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Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Physical examination Anxiety Seizures medicine Humans Medical history Diagnostic Errors Psychiatry medicine.diagnostic_test Anxiety attacks business.industry Not Otherwise Specified Middle Aged medicine.disease Anxiety Disorders Pulmonary embolism Substance Withdrawal Syndrome Dyspnea Psychiatric diagnosis medicine.symptom business Pulmonary Embolism Anxiety disorder |
Zdroj: | East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan. 29(3) |
ISSN: | 2224-7041 |
Popis: | We report a case of pulmonary embolism in a patient who presented with repeated anxiety attacks and psychotic symptoms and was misdiagnosed as having withdrawal seizure or anxiety disorder not otherwise specified. This case highlighted the nonspecific clinical features of pulmonary embolism and the principles in making psychiatric diagnosis. Careful history taking, thorough physical examination, appropriate investigation, and a high index of suspicion led to the correct diagnosis. The principle of hierarchy of psychiatric diagnosis (ie, organic over non-organic) and the possibility of comorbidities should always apply. |
Databáze: | OpenAIRE |
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