By Malcolm Lader and IssaC. Marks (Auth.)
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Extra resources for Clinical Anxiety
Whil e hi s bloo d pressur e was bein g measure d th e patien t suddenl y becam e extremel y anxious , was restles s an d sweaty , an d would not li e down. He cringe d when he stoo d up an d sa t down cryin g weakl y "help , help" . He trie d o t tea r th e sphygmo manometer cuf f fro m hi s arms , saying t i was painful . Bloo d pressur e was 130/8 0 min s at thi s time , puls e rat e remainin g at 116/minute . Afte r thre e o t fou r minute s he calme d down agai n but wante d o t remai n sittin g n i an eas y chair .
The CLINICAL ANXIETY 39 precipitating circumstances were clear. Earlier in the year the town had received widespread adverse publicity during an epidemic of polio. Immediately before the epidemic of anxiety the schoolgirls went to a cathedral to attend a ceremony under Royal patronage. The ceremony was delayed by 3 hours due to late arrivals, and the girls waited in parade mainly outside the building. Twenty of them felt faint and had to break ranks to lie down. The next morning there was much chatter about fainting.
Primar y alcoholis m woul d be suspecte d wher e anxiet y appear s o t follo w withdrawa l rathe r tha n preced e it , or o t follo w excessiv e alcoho l intake . Acute anxiet y state s coul d be confuse d wit h a fe w physica l dis 444 Tachycardi a ca n occu r bot h n i anxiet y state s an d n i paroxysorders. mal tachycardia. Durin g paroxysma l tachycardi a patient s ca n experienc e grea t anxiet y an d extrem e exhaustion . Wit h ver y fas t rate s ther e may be sweating , pallo r an d faintness .