One of the things I needed to counsel patients on is their alcohol intake. This is very important, esp. in primary care settings. You have to do this screening every day for every NEW patient you see. Therefore, it's very important that you commit this to your memory.
Resources - I strongly recommend that you print this out guide out and put in your pocket to help you review. Tho I'd say try to commit it to your memory so you don't need to memorize it. However, it's good to carry this if you're not already familiar with the stats and how to conduct it: http://pubs.niaaa.nih.gov/publications/Practitioner/PocketGuide/pocket.pdf
BATES: Ask: “How many times in the past year have you had 4 or more drinks a day (women), or 5 or more drinks a day (men)?”
Resources - I strongly recommend that you print this out guide out and put in your pocket to help you review. Tho I'd say try to commit it to your memory so you don't need to memorize it. However, it's good to carry this if you're not already familiar with the stats and how to conduct it: http://pubs.niaaa.nih.gov/publications/Practitioner/PocketGuide/pocket.pdf
Epidemiology (who to screen?): adolescent, adult, pregnant women.
Stats#: 8.5% US population or 15-20mil. ppl have problem with alcohol abuse for
12-month prevalence
Screening:
Social
Clues: h/o pancreatitis, family
h/o alcoholism, arrest for intoxicated drinking.
Physical
examination clues:
hepatosplenomegaly, ascites, caput medusa; others – spider angiomas, palmar
erythema & peripheral edema
Interview: Ask about heavy drinking, then Cutting down,
Annoyance when criticized, Guilty feelings, & Eye openers (CAGE), then
Alcohol Use Disorders Identification Test (AUDIT)
Consequences
(Severity): ER, trauma, addiction,
fatal car accidents, family disruptions, violence, HTN, cirrhosis, hemorrhagic
stroke, upper GI & liver malignancies
1 standard drink = 12 oz regular beer
or wine cooler, 8oz malt liquor, 5oz wine, 1.5 oz of 80-proof spirits
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