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
MKSAP 16 Holiday Special: Save 10%
Use MKSAP 16® to earn MOC points, prepare for ABIM exams and assess your clinical knowledge. For a limited time save 10% when you use priority code MK16TOP2!
Will You be Stumped? Try the Consult Guys and Earn Free CME
The Consult Guys have another stumper!