1 The nurse reviews the history and physical, the nurses’

A 32-year-old well-dressed woman presents to the emergency room at 3:00am complaining of “terrible anxiety.” She is obviously distressed and nervous and is constantly looking around and peering at the walls. The emergency room staff are exasperated with her, but she is beside herself with anxiety and cannot explain why. She will not stay in her room and is pacing the halls. The patient is diaphoretic and tachycardic and has pupils which are mildly dilated. She swears she is on no medications and takes no OTC supplements. She has never had this happen before. What is the next step in ruling out the most important possible cause of anxiety in this patient? A. Benzodiazepine administration for delirium tremens • B. Beta-blocker or benzodiazepine for panic attack • C. Toxicology analysis for cocaine overdose • D. No acute treatment available for hypochondriasis

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