Presents for employment physical for first job

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Reference no: EM133808576

Question

Case Study A: "I'm here for my work physical" 22 year old male, new patient, presents for employment physical for first job out of college. Everything is "great." No complaints. No past medical/psychiatric history, or medications. He drinks "socially" and denies using drugs/tobacco. Further questioning reveals that he drinks on Friday and Saturday nights, typically 6 "mixed drinks" at the bar. He has never had any alcohol-related problems, including blackouts (except once in college). He also smokes a cannabis vaporizer pen 1-2 nights per week with friends. (He does not consider marijuana a "drug.") How would you approach discussing alcohol and cannabis use? Which screening tool(s) would you use? Does he need brief intervention or referral to treatment? What is his current "stage of change"? If he returns with increased alcohol use and a DUI, what should come next?

Case Study B: "I'm depressed and my belly hurts." 54 year old female presents for follow-up for hypertension treatment. She previously saw a different provider for 10 years in your clinic, and now her care is transferred to you after her doctor's retirement. Per records, hypertension

Reference no: EM133808576

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