ALCOHOL DEPENDENCE SYNDROME
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Pt came c/o Alcohol consumption since 25 years (daily)
an increase in quantity & daily since (25 units per day everyday)
2. HISTORY OF PRESENT ILLNESS
Patient was apparently asymptomatic 25 yrs back then started consuming alcohol daily. • Increased consumption since (25 units) per day everyday).
pt experiences tremors, sleeplessness, fearfulness, palpitations, excessive sweating if he does not consume alcohol
cravings +eye opener since 5 yrs,
Denies presence of any stressors
No h/0 head injury, seizure like activity
No Hlo blood in stool/ vomits
No pervasive low mood, suicidal thoughts,
suspiciousness, repitative thoughts, over realistic actions.
?hlo hearing of voices when intoxicated, when he is about to fall asleep
PAST HISTORY
No h/0 HTN, DM, asthma, epilepsy
PERSONAL HISTORY
Diet - mixed
Sleep - adequate
Appetite- normal
Bowel & bladder- regular
Alcohol addiction-
Alcohol consumption since 25 years
( 25 units per day every day)
General examination
Patient is c/c/c
Oriented to time ,place , person
No pallor, icterus , cyanosis, clubbing, koilonychia , lymphadenopathy,edema
Vitals
BP- 110/80 mmHg
PR-72 Bpm
RR -16cpm
Temp-98.6F
Systemic examination
CVS - S1S2+,NO Murmurs
RS -BAE+,NVBS HEARD
P/A-SOFT ,NON TENDER,NO ORGANOMEGALY
CNS - NAD
INVESTIGATIONS
1)Tab Librium 25mg po/od
2)Tab Bacfen XL-20mg po/od
3)Tab Benfomete plus po/od
4) Tab Pan 40mg po/od
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