A 23-year-old female presented to the hospital as she felt she could not breathe at night. She had visited the hospital two weeks ago, complaining of a lump in her throat and difficulty breathing. On both occasions, the examination was recorded as normal, and she was reassured. She appeared nervous, with timid behavior and poor initial eye contact. She further added that it had been going on for nearly a month and the ‘attacks’ were becoming more frequent.
The patient also felt as if something was in her neck that was not letting her breathe properly. It was more prominent at night. It was more prominent at night. Physical examination Pulse rate: 80 beats/min and regular BP: 112/72 mmHg Heart sounds normal, chest clear, normal throat examination, no neck lumps palpable and no thyroid masses disposition No specific medical history Which differentials do you suggest? (Answer is posted in…
