tag:blogger.com,1999:blog-4078711896790515112.post2163561178395589127..comments2024-02-25T17:46:00.407-08:00Comments on Welcome to gpexamsupport.com.au: CASE 5: Standard Consult Alcohol Problem (8 mins)Perpetual Healthhttp://www.blogger.com/profile/08370965026844641346noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-4078711896790515112.post-14252625579072176402011-10-01T23:26:17.026-07:002011-10-01T23:26:17.026-07:00Yes, they might be the cause other than consequenc...Yes, they might be the cause other than consequences<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-44090034830229609272011-09-28T05:19:41.102-07:002011-09-28T05:19:41.102-07:00Should you include Depression and Anxiety as part ...Should you include Depression and Anxiety as part of your possible Differential Diagnosis and if so why?<br /><br />Dr Vinh TranPerpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-26630455561402740772011-09-24T18:35:12.090-07:002011-09-24T18:35:12.090-07:00Other problem lists-
recreation drug use
smoking
h...Other problem lists-<br />recreation drug use<br />smoking<br />healthy diet, exercise<br />immunisation<br /><br />triciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-46644174768070378502011-09-21T19:18:46.554-07:002011-09-21T19:18:46.554-07:00DEAR TRICIA ,
fOLLOWING MY LAST COMMENT REGARDING ...DEAR TRICIA ,<br />fOLLOWING MY LAST COMMENT REGARDING ASKING FOR A PARTNET FOR ROLE PLAYING.my,email is IMANBAHREINI@YAHOO.COM<br />I talked to Dr Tran already about it.<br />cheersAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-60607154478355330212011-09-20T05:47:13.174-07:002011-09-20T05:47:13.174-07:00What else is important to include in the problem l...What else is important to include in the problem list/DDX?Perpetual Healthhttps://www.blogger.com/profile/08370965026844641346noreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-38378777043124000602011-09-20T02:03:03.493-07:002011-09-20T02:03:03.493-07:00possible problem list -
1. adverse effect of alco...possible problem list - <br />1. adverse effect of alcohol including physical effects and psychological and social issues, such as liver damage, GI symptoms, CVS problem, brain damage, insomnia, depression/anxiety, relationship problem, sexual dysfunction<br />2. road safety , safety of working as a forklift driver, safety of driving<br />3. the effect of his excessive alcohol drinking on his children<br />4. finance issue, <br /> <br />what notes are you going to put down -<br />In addition to routine Hx, P/E, I would particularly advise the safety of driving issue, I would advise not to drive (both private and work as a forklift driver) if the history and physical examination indicate he is not safe to drive. <br /> <br />what examination findings are you interested in eliciting-<br /> <br />1. CAGE, expect to have positive answers <br />2. red puffy face, red eyes, alcohol smelling, telangiectasia, rosacea<br />3. possible jaundice, palm erythema, wasting of thena, spider naevus, bruise, gum bleeding, epistaxis, tremor, poor balance<br />4. arrhythmia, HTN. obesity<br />4. enlarged liver or spleen, ascites<br />5. depressed mood, anxious, <br /> <br />what are the possible investigations you may need to order-<br />FBC, LFT, UEC, Vit B12, folate, fasting lipids and glucose, ECG, USS abdo<br />May need CXR, gastroscopy<br />Blood alcohol level<br /> <br />how are you going to manage this -<br />1. supportive and nonjudgmental, better including wife to support him, refer to ATODS, AA meeting<br /><br />2. assess the degree of risk asso with his alcohol drinking level and give feedback, and outline the benefit of reducing drinking<br /><br />3. assess readiness of change<br /><br />4. set goals of alcohol consumption and work out strategies to achieve the goals<br /><br />5. regular F/U or phone call F/U<br />6. give thiamine and Vit B complex<br />7. Manage alcohol induced/related illness, may need specialists help – gastroenterologist, cardiologist, Psychiatrist<br />8. Manage withdrawal and hangover symptoms<br /><br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-83176619735403593352011-09-17T17:18:16.466-07:002011-09-17T17:18:16.466-07:00possible problem list -
1. adverse effect of alco...possible problem list - <br />1. adverse effect of alcohol including physical effects and psychological and social issues, such as liver damage, GI symptoms, CVS problem, brain damage, insomnia, depression/anxiety, relationship problem, sexual dysfunction<br />2. road safety , safety of working as a forklift driver, safety of driving<br />3. the effect of his excessive alcohol drinking on his children<br />4. finance issue, <br /> <br />what notes are you going to put down -<br />In addition to routine Hx, P/E, I would particularly advise the safety of driving issue, I would advise not to drive (both private and work as a forklift driver) if the history and physical examination indicate he is not safe to drive. <br /> <br />what examination findings are you interested in eliciting-<br /> <br />1. CAGE, expect to have positive answers <br />2. red puffy face, red eyes, alcohol smelling, telangiectasia, rosacea<br />3. possible jaundice, palm erythema, wasting of thena, spider naevus, bruise, gum bleeding, epistaxis, tremor, poor balance<br />4. arrhythmia, HTN. obesity<br />4. enlarged liver or spleen, ascites<br />5. depressed mood, anxious, <br /> <br />what are the possible investigations you may need to order-<br />FBC, LFT, UEC, Vit B12, folate, fasting lipids and glucose, ECG, USS abdo<br />May need CXR, gastroscopy<br />Blood alcohol level<br /> <br />how are you going to manage this -<br />1.supportive and nonjudgmental, better including wife to support him, refer to ATODS, AA meeting<br /><br />2.assess the degree of risk asso with his alcohol drinking level and give feedback, and outline the benefit of reducing drinking<br /><br />3.assess readiness of change<br /><br />4.set goals of alcohol consumption and work out strategies to achieve the goals<br /><br />5.regular F/U or phone call F/U<br />6.give thiamine and Vit B complex<br />7.Manage alcohol induced/related illness, may need specialists help – gastroenterologist, cardiologist, Psychiatrist<br />8.Manage withdrawal and hangover symptoms<br /><br />TriciaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4078711896790515112.post-31924867370590036992011-09-16T21:21:09.837-07:002011-09-16T21:21:09.837-07:00This comment has been removed by a blog administrator.Anonymousnoreply@blogger.com