Patient presented at the ED stating she was having severe chest pain and dyspnea. She is highly anxious to the point of crying. She describes the pain as like a "two ton weight on my chest." She denies any radiation of the pain. EKG showed sinus tachycardia, but was otherwise WNL. Cardiac enzymes were WNL. After being given anti-anxiety medication, she calmed down and said the chest pain was
subsiding. Because all the cardiac measures were normal, she is being diagnosed with anxiety reaction. She was instructed on all the symptoms of myocardial infarction and told to call 911 should any of the symptoms occur or recur. She was given a prescription for anxiolytics and instructed to contact her PCP for follow-up.
First-listed diagnosis: ________
Answer: Anxiety reaction – F41.1
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