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'Organic Anxiety' in a Middle-aged Man Presenting with Dyspnoea: a Case Report
- Source :
- 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)
- Publication Year :
- 2019
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 22247041
- Volume :
- 29
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- 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
- Accession number :
- edsair.doi.dedup.....3b62a368932ca5de644ad5d2c23c0eed