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6 Cards in this Set

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  • Back
Alcoholism: HPI questions
1. When did you start drinking?
2. On average, how many drinks do you have per day?
3. On average, how many days per week do you drink alcohol?
4. Who referred you here?
5. Have you ever tried to cut down on your drinking?
6. Has anyone ever told you to cut down on your drinking?
7. Have you ever felt bad or guilty about drinking?
8. Have you ever had a drink the first thing in the morning?
9. How is your mood?
10. Do you have any marital or sexual problems?
11. Do you have any problems with your family?
12. Do you have any financial problems?
Alcoholism: PMHx questions
1. Do you have any other medical problems such as PUD?
2. Have you ever been admitted to the hospital?
3. What medications do you take?
Alcoholism: SHx questions
1. Do you smoke?
2. Do you use any recreational drugs?
Alcoholism: PE steps
1. Wash your hands
2. Drape properly
3. Examine the skin
4. Check the conjuctiva for pallor and jaundice
5. Check the oral cavity and teeth
6. Auscultate the lungs and heart
7. Palpate and percuss the abdomen. Check for hepatomegaly. Rule out ascites and hepatic tenderness.
8. Examine the extremities for edema.
Alcoholism: Workup
1. CBC
2. LFTs
3. GGT
Alcoholism: Counseling
1. Review the quantity and frequency of current drinking
2. Explain risks associated with alcoholism
3. Inform the patient about available resources and support groups
4. Set-up follow-up appointment