26 yrs married f suffering from pain chest,sob, restlessness since 4 yrs on & off, no dm no htn cxr,ecg,usg of w/A , NORMAL diagnosed as anxiety neurosis suggest ur opinions plz
Rule out eosinophilia and chest involvement
Pl ask about sleep disorder n sleep hygiene Rule out triggers associated acute bronchitis/ asthma PL get nutritional deficiency evaluation
Anxiety neurosis
Treat anxiety eith pharmacological intervention with alprazolam or propanol ... then assess the cause of anxiety with psychological test fir underlying fear .. treat with psychotherapy n Rtms therapy if available ... even thennnot improved then refer for in depth assessment to mental health professional
Cardiac neurosis
Advised psychiatric check up
Hysteria
Anxiety neurosis with Psychosomatic drugs . Tab Opipramol 50 mg is a good drug for psychosomatic symptoms . Add Opipramol 50 mg to clonazepam 0.25 which the patient is already taking .
TFT Psychiatrist opinion
It may be a case of costochondritis.
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