12.07.2015 Views

Process - Physician - Fraser Health Authority

Process - Physician - Fraser Health Authority

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Medical ConsiderationsMost Common Medical Conditions That Mimic Anxiety• Endocrine: Thyroid, menopause, adrenal disorders• Cardiovascular: Congestive heart failure, mitral valve prolapse, angina,pulmonary embolus• Respiratory: Asthma, COPD• Metabolic: Diabetes, hypoglycemia• CNS: Migraines, temporal lobe epilepsy, vestibular dysfunction• Hematologic: Vitamin B12 deficiency, anemia• Drugs: Caffeine, nicotine, alcohol, discontinuation syndromes, stimulants,some prescription meds like asthma medicationBaseline Lab Investigations• CBC• Fasting glucose• Electrolytes, calcium, magnesium• Liver enzymes• Urinalysis, urine toxicology for substance abuse• TSH• ECG if indicated• Pregnancy test if indicatedPatient Empowerment Anxiety Manual VIHA.March.2010 82

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