The MKSAP Challenge
A 36-year-old man with long history of heavy alcohol use presents within 24 hours of his last drink. He states that he "needs help with the withdrawal." He denies any other drug use.
On examination, his pulse rate is 120/min and blood pressure is 172/96 mm Hg. He is moderately tremulous and is having visual hallucinations.
What is the most appropriate management?
A. Admit the patient and give clonidine, 1 mg
B. Admit the patient and give diazepam, 20 mg
C. Prescribe outpatient chlordiazepoxide, 50 mg
D. Prescribe outpatient lorazepam, 2 mg
E. Prescribe outpatient atenolol, 50 mg
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Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health, 2nd Edition
This new edition reflects recent clinical and social changes and continues to present the important issues facing practitioners and their LGBT patients. Read more about the Guide. Also see ACP’s recent policy position paper on LGBT health disparities.
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