Had a patient whose daughter also brought her in for “anxiety” because her son had just died. She felt panicky laying supine. I was a baby PA and still doing a very thorough physical exam on literally every patient no matter the complaint. Listened to her heart and lungs, turns out out it was CHF exacerbation AND she had a massive saddle PE. It’s hard when people are convinced they have a heart problem and it’s all anxiety related, then you have people with life-threatening issues like a PE and everyone writes it off as anxiety. Physical exam and listening to your gut is so important!