Alcohol Withdrawal

Chief Compliant: The patient is a 50 year old white male with alcoholism who presents with tremor and agitation after discontinuing alcohol 12 hours prior to admission.

History of the Present Illness: Determine the amount and frequency of alcohol use and other drug use in the past month, week, and day. Time of last alcohol consumption; tremors, anxiety, nausea, vomiting; diaphoresis, agitation, fever, abdominal pain, headaches; hematemesis, melena, past withdrawal reactions; history of delirium tremens, hallucinations, chest pain. Age of onset of heavy drinking.

Determine whether the patient ever consumes five or more drinks at a time (binge drinking). Drug abuse.

Effects of the alcohol or drug use on the patient's life, including problems with health, family, job or financial status or the legal system.

History of blackouts or motor vehicle crashes.

Past Medical History: Gastritis, ulcers, GI bleeding; hepatitis, cirrhosis, pancreatitis, drug abuse.

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