History of excessive drinking

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Reference no: EM133794837

Question

A 29-year-old man presents to your office with a history of excessive drinking over the past 12 months. One month ago, he had a motor vehicle collision as a result of driving under the influence, in which no one was badly injured. He has tried to stop drinking several times but so far has been unsuccessful. The patient has no significant past medical or psychiatric history, and he does not take any regular medications. His father, grandfather, and grandmother were all heavy drinkers who died from liver failure. Vital signs include BP 134/86 mm Hg, HR 81 bpm, and T 98.4°F. Physical examination shows an increased abdominal circumference, hepatosplenomegaly, gynecomastia, and palmar erythema. Which of the following would be most diagnostic of alcohol use disorder in this patient? A history of more than four drinks per day Blood alcohol level ≥ 0.08 g/dL Loss of a job due to drinking Serum gamma-glutamyltransferase > 30 U/L.

Reference no: EM133794837

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