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