A 26-year-old woman visits the emergency department for a follow-up visit for chest pain. The chest pain came on while she was driving, and she felt an abrupt onset of a pounding heart, a sense of choking, and breathlessness, and she feared that she would die. She called emergency services from her car and was taken by ambulance to the emergency department. By the time of arrival, her symptoms had improved. Her blood pressure was 118/70, and her pulse was 70. ECG was normal.
TSH, CBC, and electrolytes were normal. Urine drug screening was negative. She has not driven since the incident and requests a work release from the doctor. She has never been diagnosed with a psychiatric illness but reports she frequently worries “about everything, but especially driving.” ##Disclaimer## The content provided on Docplexus is intended for educational purposes only. While we strive to ensure its…
