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substance abuse...case 1 - zkadhem
#21
sorry for interrupting:
But regarding best approach to alcoholic pt (Q2)

According to UW:

The approach to a patient with alcoholism is a stepwise process.

Step 1: Inquire about current and past alcohol use, and about a family history of alcohol problems.
Step 2: Obtain information regarding the type, quantity and frequency of alcohol use. This is useful to distinguish between moderate and heavy drinkers.
Step 3: Use a standard screening questionnaire such as CAGE.
Step 4: Ask more specific questions based upon steps 1 to 3 in patients with suspected alcohol problems.

Studies have shown screening questionnaires to be superior to both laboratory testing and inquiries about quantity or frequency of drinking in evaluating individuals for alcohol abuse or dependence. Appropriate

Screening questionnaires include CAGE, AUDIT, and TWEAK.
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