Alcohol Abuse Flashcards Preview

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Flashcards in Alcohol Abuse Deck (9):
1

You are the FY2 doing a GP job

You suspect that the patient has a substance abuse and initiate a CAGE screen after relevant SOCRATES

What does CAGE stand for?

C - cut down have you ever felt the need to cut down
A - annoyed by the criticism
G - have you ever felt guilty about drinking
E - Do you need a drink to help you get up in the morning

2

You are the FY2 doing a GP job

A 23 year old girl admits to having difficulty controlling how much alcohol she drinks.

Take a STRUCTURED HxPC
(technically SHx)

CAGE Screen
TOP ERA

T - How long have you been drinking
T - What is your drinking pattern during the day
T - What is your drinking pattern during the week
O - how did it start
P - Increasing / Decreasing / Staying the same

E - have you tried to stop
R -
A - sweating
A - vomiting
A - tremor
A - seizure
A - agitation
A - anxiety

Associated Symptoms Rule out
- Depression

3

You are the FY2 doing a GP job

A 29 year old man admits to having difficulty controlling how much alcohol he drinks.

Take a STRUCTURED PMHx

Ongoing medical conditions?
GP regularly?
Past Mental Health?

4

You are the FY2 doing a GP job

A 29 year old man admits to having difficulty controlling how much alcohol he drinks.

Take a STRUCTURED FHx

FHx - alcohol or substance misuse

5

You are the FY2 doing a GP job

A 29 year old man admits to having difficulty controlling how much alcohol he drinks.

Take a STRUCTURED DHx

Any Medications?
If yes
- Name
- Dose
- Frequency
- reason
Over the counter?
Allergies?

6

You are the FY2 doing a GP job

A 56 year old man admits to having difficulty controlling how much alcohol he drinks.

Take a STRUCTURED SHx

Smoking?
illicit drugs?
Impact on social life?
if yes
- mood
- sleep
- appetite
- concentration

7

You are the FY2 doing a GP job

A 56 year old man admits to having difficulty controlling how much alcohol he drinks.

You have finished the main elements of the history taking what should you do now?

Summary
Risk Assessment
Relevant Examination

8

You are the FY2 doing a GP job

A 40 year old businessman admits to having difficulty controlling how much alcohol he drinks.

You are worried about him and decide to do a risk assessment
What should you ask?

Spiel - Often time alcohol related problems can accompany mental health problems so I just want to ask a few questions.

Suicidal thoughts?
Self harm?
Violent towards others?

9

You are the FY2 doing a GP job

A 40 year old businessman admits to having difficulty controlling how much alcohol he drinks.

You have completed a risk assessment and deem him to be low risk. You have examined him.
What should you do know?

Management Plan

Igx - bloods to check vitamin level

Treatment for amount
- NHS specialisits services

If experiencing withdrawal
- chlordiazepoxide
- acamprosate

Vitamin deficiency
- pabrinex