Guys, if you’re in #emergencymedicine please do not even put anxiety on your differential until you have done a very thorough medical workup AND the patient has reported feeling anxious. It is a diagnosis of exclusion. “Anxiety” is the diagnosis on the chart the day before the patient dies from their blood clot, arrhythmia, thyroid storm, sepsis, hemorrhagic shock, or overdose. It is a bullshit diagnosis unless you have a clear patient-reported history of anxiety.