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
Provisional diagnosis:- Alcohol Dependence Syndrome.

Treatment
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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