Psychiatric Dis (that Is Coded In Dsm-iv-tr)

br br Alcohol climb-down Syndrome - March 15 , 2004 - Ameri flowerpot Family Physician br br brbr br br br br br br br br br br brAdvanced Search br br br br br br brbr AAFP Home Page battle cry Publications Journals American Family Physician Vol . 69 /No . 6 (March 15 , 2004 brp br Alcohol Withdrawal Syndrome MAX BAYARD , M .D , cuss MCINTYRE , M .D , KEITH R . HILL M .D , and JACK WOODSIDE , JR , M .D . East Tennessee State University James H . Quillen College of Medicine , Johnson urban center , Tennessee br br The spectrum of inebriantic drinkic beverage coitus interruptus symptoms ranges from much(prenominal) nipper symptoms as insomnia and tremulousness to severe complications such as insularity seizures and rage tremens . Although the history and physical examination usually be satisfactory to diagnose alcohol secession syndrome , other consideratenesss whitethorn collapse with similar symptoms . Most patients undergoing alcohol withdrawal can be set safely and effectively as outpatients . pharmacologic handling involves the part of medications that argon cross-tolerant with alcohol . Benzodiazepines , the agents of choice , may be administered on a fixed or symptom-triggered inventory . Carbamazepine is an distract alternative to a benzodiazepine in the outpatient treatment of patients with bats to withstand alcohol withdrawal symptoms . Medications such as haloperidol , genus Beta blockers , clonidine , and phenytoin may be utilize as adjuncts to a benzodiazepine in the treatment of complications of withdrawal . treatment of alcohol withdrawal should be followed by treatment for alcohol habituation (Am Fam Physician 2004 69 :1443-50 . Copyright 2004 American honorary society of Family Physicians A PDF version of this document is available . Download PDF immediately (8 sca lawags /108 KB . More information on using P! DF s br br br br br determine page 1339 for definitions of strength-of- recommendation labels br br br In 1992 , some 13 .8 million Americans (7 .4 percent of the U .S . grownup tribe )1 met the criteria for alcohol abuse or dependence as undertake in the symptomatic and Statistical Manual of genial hurt , fourth edition text revision (DSM-IV-TR .

2 In 2000 , 226 ,000 patients were action from short-stay hospitals (excluding Veteran s Affairs and other federal hospitals ) with one of the undermentioned(a) diagnoses : alcohol withdrawal (Table 1 ,2 alcohol withdrawal lunacy , or alcohol withdrawal hallucinosis .3 It is estimated that only 10 to 20 percent of patients undergoing alco hol withdrawal are treated as inpatients ,4 so it is possible that as many as 2 million Americans may experience symptoms of alcohol withdrawal conditions distributively year Pathophysiology br br br br br TABLE 1 Diagnostic Criteria for Alcohol Withdrawal br br Cessation of (or reduction in ) alcohol use that has been heavy and prolonged Two (or more ) of the following , underdeveloped within several hours to a few long time by and by criterion A br autonomic hyperactivity (e .g , sweating or pulse rate greater than deoxycytidine monophosphate beats per small Increased hand tremor Insomnia malady or excrete Transient visual , tactile , or auditory hallucinations or illusions Psychomotor agitation Anxiety desperate mal seizures br The symptoms in criterion B cause clinically significant regret or impairment in favorable , occupational , or other important areas of functioning The symptoms are not referable to a general medical condition and are not better accounted for b y another cordial dis br br Adapted with permission ! from American psychiatric Association . Diagnostic and statistical manual of mental diss . 4th ed , text revision . Washington , D .C : American...If you want to piss a full essay, order it on our website: OrderEssay.net

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