Panic

Chest tightness, paraesthesias, dizziness, derealisation, tremor in threat states

RoutineReview due

Compare (7)

At a glance

High-risk causes: 6
Related differentials: 6

Safety snapshot

ACS, PE, arrhythmia, asthma, seizure, stimulant exposure.

Watch forACSPEarrhythmiaasthma

Presentation hinge

Driven by excessive time, energy, and distress around symptoms, not by symptoms being fake.

Separates the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group. It is not specific to Panic.

Clinical review

Rows marked “Whole group”: Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group — not specific to Panic

Why it fits

Chest tightness, paraesthesias, dizziness, derealisation, tremor in threat states

Key features

Must-not-miss

ACS, PE, arrhythmia, asthma, seizure, stimulant exposure.

High-risk causes6 causes

ACS
PE
arrhythmia
asthma
seizure
stimulant exposure

Bedside question

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

Driven by excessive time, energy, and distress around symptoms, not by symptoms being fake.

Helpful clues

Immediate action

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Priority steps

Investigations

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Core tests

Mimics / overlap

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.