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Is the anxiety intermittent or constant? Intermittent anxiety suggests the possibility of psychomotor epilepsy, a pheochromocytoma, or insulinoma. It is also possible that the patient is suffering from an ... DIAGNOSTIC WORKUP
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Is there loss of consciousness? If there is loss of consciousness, the differential diagnosis for syncope should be considered.
Are there other neurologic signs and symptoms? Focal neurologic signs and symptoms should make one think of ... DIAGNOSTIC WORKUP
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Anxiety includes symptoms of physiologic arousal (e.g., autonomic hyperactivity, increased motor tension) and psychological arousal (e.g., excessive worry, increased vigilance). It may present as a primary psychiatric condition or secondary to a broad variety of medical and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... It is simple enough to administer a sedative and refer the emotionally distressed patient to a psychiatrist, but the astute diagnostician will want to rule out an organic disease first. Almost every endocrine disease is associated with emotional
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... In drop attacks, the patient, usually elderly, experiences the sudden giving away of his or her legs and falling to the floor without loss of consciousness. The fact that the patient remains conscious distinguishes drop attacks from syncope or the
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... Agitation refers to a state of hyperarousal, increased tension, and irritability that can lead to confusion, hyperactivity, and overt hostility. Agitation can result from a toxic (poisons), metabolic, or infectious cause; brain injury; or a psychiatric... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Anxiety is the most common psychiatric symptom and can result in significant impairment. A subjective reaction to a real or imagined threat, anxiety is a nonspecific feeling of uneasiness or dread. It may be mild, moderate, or severe. Mild... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Clammy skin — moist, cool, and usually pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands,... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Anxiety is a feeling of apprehension that some describe as an exaggerated feeling of impending doom, dread, or uneasiness. Unlike fear — a reaction to danger from a specific external source — anxiety is a reaction to an internal threat, such as an unacceptable... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Characterized by recurrent episodes of intense apprehension, terror, and impending doom, panic disorder represents anxiety in its most severe form. Initially unpredictable, panic attacks may become associated with specific situations or tasks. The disorder... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Agitation refers to a state of hyperarousal, increased tension, and irritability that can lead to confusion, hyperactivity, and overt hostility. Agitation can result from a toxic (poisons), metabolic, or infectious cause; brain injury; and psychiatric and various other disorders. It can also... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Anxiety is the most common psychiatric symptom and can result in significant impairment. A subjective reaction to a real or imagined threat, anxiety is a nonspecific feeling of uneasiness or dread. It may be mild, moderate, or severe. Mild anxiety may cause... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Clammy skin—moist, cool, and usually pale—is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands,... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Thomas L. Campbell
Anxiety disorders, which are among the most common problems seen in primary care, occur in approximately 10% of patients. Anxiety disorders are associated with significant impairments in physical and emotional... Approach. ... History. ... Physical examination. ... Testing. ... Diagnostic assessment. ... Pictures
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... Differential Overview
❑ Situational/characterologic
❑ Post-traumatic stress disorder
❑ Drugs/withdrawal
❑ Generalized... Diagnostic Approach ... Clinical Findings
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... Anxiety is a feeling of apprehension that some describe as an exaggerated sensation of impending doom, dread, or uneasiness. Unlike fear — a reaction to danger from a specific external source — anxiety is a reaction to an internal threat, such as an... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Panic disorder represents anxiety in its most severe form and is characterized by recurrent episodes of intense apprehension, terror, and impending doom. Initially unpredictable, these panic attacks may come to be associated with specific... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Clammy skin — moist, cool, and commonly pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands,... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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... Agitation refers to a state of hyperarousal, increased tension, and irritability that can lead to confusion, hyperactivity, and overt hostility. Agitation can result from a toxic (poisons), metabolic, or infectious cause; brain injury; or a... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A subjective reaction to a real or imagined threat, anxiety is a nonspecific feeling of uneasiness or dread. It may be mild, moderate, or severe. Mild anxiety may cause slight physical or psychological discomfort. Severe anxiety may be... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Clammy skin — moist, cool, and usually pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands,... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Agitation refers to a state of hyperarousal, increased tension, and irritability that can lead to confusion, hyperactivity, and overt hostility. It can result from a toxic (poisons), metabolic, or infectious cause; brain injury; or a psychiatric disorder.... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Anxiety is the most common psychiatric symptom and can result in significant lifestyle impairment. A subjective reaction to a real or imagined threat, anxiety is a nonspecific feeling of uneasiness or dread. It may be mild, moderate, or severe. Mild anxiety may cause slight... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Clammy skin—moist, cool, and usually pale—is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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It is simple enough to administer a sedative and refer the emotionally
distressed patient to a psychiatrist, but the astute diagnostician will want
to rule out an organic disease first. Almost every endocrine disease is
associated with emotional disturbances, all
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In drop attacks, the patient, usually elderly, experiences the sudden
giving away of his or her legs and falls to the floor without loss of
consciousness. The fact that the patient remains conscious distinguishes
drop attacks from syncope or the vasovagal attack and... Pictures
... READ EXCERPTS »