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July 23, 2023

HPI: WG is a 41-year-old female who brought herself into the ER last night asking to “detox from vodka.”

General Questions

HPI: WG is a 41-year-old female who brought herself into the ER last night asking to “detox from vodka.” She tells you she has a long-standing history of alcohol dependence with multiple relapses. She also reports that she has experienced alcohol withdrawal seizures before.

Current CIWA-Ar is 17.

PMH: She denies any past medical history

Labs: Indicates hepatic insufficiency (LFTs x3 ULN). All other lab work is normal.

Current Medications: She denies taking any medications.

Group 2

In what setting will she be managed and how will you manage this patient’s withdrawal syndrome? (Please be specific. Do not give vague or generalized treatment plans; choose a treatment and explain why you chose it instead of any other options)

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