Alcohol

Card Set Information

Author:
trincam2008
ID:
275067
Filename:
Alcohol
Updated:
2014-05-22 03:23:11
Tags:
psy alcohol
Folders:
Psychiatry
Description:
Alcohol history, dependence, disorder
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  1. History q? TRAP
    • TRAP
    • - types (beer, spirit, wine)
    • - route of admission
    • - amount
    • - pattern of use (describe a regular day, night/day)
  2. Dependence
    • - primary / prioritise
    • - compulsion / craving
    • - withdrawal 
    • - use despite ill harm
    • (physical health, mental health, relationship, work, finances, forensic)
    • (physical: head injury, blackout, fit, liver prob, heart prob)
    • (mental: depression, anxiety, exacerbation of other mental health)
  3. CAGE
    • C:
    • Have you ever felt you should Cut down on your drinking?
    • A:
    • Have people Annoyed you by criticizing your drinking?
    • G:
    • Have you ever felt bad or Guilty about your drinking?
    • E:
    • Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover (Eye opener)?
  4. Complications of alcohol abus
    • 1. Wernicke's encephalopathy: 
    • thiamin deficiency leading to mammillary body damage
    • - Ataxia
    • - Nystagmus
    • - Opthalmoplegia
    • - Acute confusional state


    • 2.  Korsakoff's psychosis:
    • from untreated long term Wernick's
    • - Anterograde amnesia
    • - Confabulation
    • (unconscious filling in of gaps in memory by telling imaginary experiences)

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