Even if someone says “I’m always anxious, it’s probably my anxiety.”, I want to know why they came in. They don’t usually come sit 3 hours in a hard chair next to vomiting humans, so what was different?
I always do labs, and get an ECG.
I never, ever, diagnose anxiety in the ER. I rarely state it in my chart in a way that might get snatched up by crawlers or by other providers doing a quick review. It creates bias in the chart forever.
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