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
Internist Archives Quick Links
Internal Medicine 2014 Advance Program Now Online
Details about Internal Medicine 2014's robust offerings are now available on our Website! Use the online Schedule Planner to build and save your own schedule.
New from ACP: Free High Value Care Cases
Free MOC and CME Credit with easy online submission
HVC Cases provide:
Get started now with your ACP user name and password!