Alcohol and Drug Abuse as Encountered in Office Practice

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CRC Press, Nov 26, 1990 - Medical - 336 pages
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This book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners.
 

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Contents

Chapter
1
Chapter 4
19
Similarities Between Alcohol and Drug Abuse
21
Receptors Tolerance and Antagonists
29
References
36
Chapter
37
Chapter 8
43
Useful Components of a Drug History
46
Chapter 15
99
Chapter 16
105
Chapter 33
110
Chapter 17
113
Peripheral Neuropathy
119
References
126
Psychiatric Problems in Addicts
127
References
133

References
52
Constellation of Findings
58
Chapter 18
61
Withdrawal
66
Assessment of Emergency
68
References
69
Chapter 11
71
Laboratory Tests Commonly Abnormal in Addiction
72
Urine Testing
73
Blood and Other Body Fluid Testing
74
Screening Tests
75
References
76
Chapter 12
77
Confirmation of Diagnosis
78
Major Health Problems Unrelated to the Addiction
79
Use of the Laboratory for Screening
80
B Men Over Age 45
81
Chapter 13
83
B Diazepam
85
Phenytoin
86
Haloperidol
87
Nicotine Chewing Gum Nicorettes
88
Clonidine Catapres
89
Chapter 14
93
Recognition of Opiate Abuse
139
Chapter 20
145
Chapter 21
151
Chapter 22
157
Chapter 24
169
Emergencies
175
References
182
Screening for Presence of Severity of and Treatment Requirements
189
References
197
Goals and Measures of Progress After Detoxification
203
Chapter 30
213
Inpatient Treatment Programs
216
Chapter 32
229
Crises in Treatment
237
Return to Limited and Nonabusive Substance Use
243
References
249
Chapter 36
257
Problems of Addiction During Pregnancy and Problems in the Child
263
Chapter 38
271
Chapter 39
277
Chapter 40
285
RecentOrigin European Cultures
289
References
296
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