22nd February 2024

A 22-year-old visits A&E as her lip appears to be drooping and she is worried that she is having a stroke.

A 22-year-old visits A&E as her lip appears to be drooping and she is worried that she is having a stroke. She feels heavy in the chest and often experiences palpitations. She has a constant feeling that something is wrong with her, her dad died suddenly at a young age and she’s worried the same will happen to her.  She has been feeling really anxious over the last 7 months about her relationship with her now ex-boyfriend and problems with her job.  On examination, there is no evidence of a stroke and her bedside examinations are normal. She denies having any other health conditions.

Which of the following conditions is most likely?

Select the SINGLE most appropriate option from the list below. Select ONE option only.