Differential Diagnosis
- Single most likely diagnosis
- Cannabis-induced panic disorder or anxiety disorder: The patient's symptoms started after smoking legal weed, and the feeling of being "not in his body" could be related to depersonalization, a common symptom in anxiety disorders.
- Other Likely diagnoses
- Hypothyroidism: Cold hands and feet, as well as pain in the liver, could be related to hypothyroidism, which can cause a range of systemic symptoms.
- Anxiety disorder (not specifically cannabis-induced): The patient's symptoms, such as cold hands and feet, could be related to anxiety, which can cause vasospasm and other physiological symptoms.
- Depression with somatic symptoms: The patient's symptoms, such as pain in the liver, could be related to depression, which can cause a range of somatic symptoms.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Endocarditis: Although unlikely, the patient's symptoms, such as pain in the liver, could be related to endocarditis, which can cause embolic phenomena and systemic symptoms.
- Vasculitis: The patient's symptoms, such as cold hands and feet, could be related to vasculitis, which can cause a range of systemic symptoms and can be life-threatening if not treated promptly.
- Pheochromocytoma: Although rare, the patient's symptoms, such as cold hands and feet, could be related to pheochromocytoma, which can cause episodic hypertension and other systemic symptoms.
- Rare diagnoses
- Mitochondrial myopathy: The patient's symptoms, such as cold hands and feet, could be related to a mitochondrial myopathy, which can cause a range of systemic symptoms and can be difficult to diagnose.
- Porphyria: The patient's symptoms, such as pain in the liver, could be related to porphyria, which can cause a range of systemic symptoms and can be life-threatening if not treated promptly.
- Complex regional pain syndrome: The patient's symptoms, such as cold hands and feet, could be related to complex regional pain syndrome, which can cause a range of systemic symptoms and can be difficult to diagnose.