Concluded Case

On off tachycardia

Female patient of age 25 Chief Complaints On off घबराहट Sleeplessness on off History History of long term Suffer due to fissurectomy twice in 6 months On taking detail history patient tell she has some conflicts with their colleagues Overthinking on every event Vitals Bp:120/70 Pupse:98 Physical Examination Normal Investigations Nad Diagnosis Anxiety?? Schizophrenia?? Management I give tab:ciplar 10 mg bd for saveral weeks in tappering dose she feel relief 6 months ago But symptoms relapsed What yout opinion????

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Concluded answer

Anxiety give Tab Dizral AZM one bd, Tab ZOLFRESH 10 one at 8 pm

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Panic disorder ...rule out anxiety spectrum. With clearly to define other symptoms. If patients was some conflicts which should be relieved ...so to perform relationship therapy.. Can start Tab. Impramine 25 mg BD. Differential diagnosis 1) personality disorders 2)GAD with panic disorder.

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Generalized Anxietý Disorder Needs councelling Rule out hyperthyroidism, PSVT Suggest thyroid profile, cardiac evaluation, Holter monitor

Hello sir Sir thyroid profile normal
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Anxiety give Tab Dizral AZM one bd, Tab ZOLFRESH 10 one at 8 pm

Thank you doctor
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Treat fiserctomy properly with ANO RECTAL SURGEON LIKE KIRAN SHAH . GIVE MUCH ASSURANCH. IF NECCESSARY TAKE COUNCELLING SESSION WITH CLINICAL PSY COLOGIST.

Anxiety disorder. Will require Both pharmacotherapy n psychotherapy

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