Medical Complications of Addiction

Question 1

Patients who inject pills may get ____ ___- the filler of the pill shreds up their retinal capillaries and they see flashes

Answer 1

talk flashes

Question 2

Patients with ___ cancer should stop drinking because of an estrogen related mechanism

Answer 2

breast

Question 3

Alcoholics’ livers first become ___, then become ____ ( known as ____)

Answer 3

fatty; scar tissue (cirrhosis)

Question 4

A danger of cirrhosis is ____ ____, which can pop once the blood flow in the liver backs up

Answer 4

esophageal varices

Question 5

Wernicke’s encephalopathy is a medical emergency- caused by a ____ deficiency. Three major symptoms

Answer 5

Thiamine
Altered mental status, ataxic gait, ocular dysfunction
BEER- balance, eyes, retardation (mental)

Question 6

Korsakoff’s syndrome has ___ bodies and ____ when you speak to them

Answer 6

mamillaries; confabulation

Question 7

Alcohol withdrawal presents with ____ ANS symptoms and treated with ____. This lasts ___ days

Answer 7

sympathetic; benzos; 3-5

Question 8

___ ___ is severe alcohol withdrawal caused by the compensation of the body to the increased ___ tone caused by alcohol (essentially there is no ___ tone left)

Answer 8

Delirium Tremens; GABA

Question 9

DT can cause __ ___, usually of things the patient fears

Answer 9

visual hallucinations

Question 10

Three signs of the non-serious opiate withdrawal

Answer 10

Blown, fixed pupils, rhinorrhea, and piloerection

Question 11

OD of opiates is fatal because of ___ and decreased sensitivity to ___

Answer 11

respiratory depression; CO2

Question 12

Cocaine causes ___ (vascular) which can cut off the blood supply to organs

Answer 12

vasospasms

Question 13

Cocaine causes ____ (CNS) which increase over time

Answer 13

seizures

Question 14

A common, odd way stimulants kill people is

Answer 14

hyperthermia

Question 15

Cocaine (stimulants) causes ___ (vascular) which can cut off the blood supply to organs

Answer 15

vasospasms

Question 16

Cocaine uniquely stimulates ___ putting people at risk for STDs

Answer 16

libido

Question 17

Cocaine can cause ____ because patients are always on their feet

Answer 17

rhabdomyolysis

Question 18

Think cocaine if you see an __ in a young person

Answer 18

MI

Question 19

Coke plus alcohol = _____ which is very cardiotoxic

Answer 19

cocaethylene

Question 20

Cocaine causes ____ (CNS) which increase over time (kindling)

Answer 20

seizures

Question 21

Acute barbiturate intoxication will show ___ on lateral gaze

Answer 21

nystagmus

Question 22

Barbiturate detox is ____

Answer 22

retracted (takes a long time)