- Unhealthy alcohol use is a catch-all term meant to describe a spectrum of drinking ranging from risky use all the way to alcohol use disorder.
- The DSM-IV terms alcohol abuse and dependence have been replaced by the DSM-5 term alcohol use disorder, which is defined as a problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by psychosocial, behavioral, or physiologic features
- According to National Institute on alcohol Abuse and Alcoholism (NIAAA), risk for alcohol use disorder is thought of as daily and weekly alcohol limits:
- For men less than 65 years: more than 4 drinks/day or 14 drinks/week for
- For women and men over 65 years: more than 3 drinks/day or 7 drinks/week
- The United States Preventive Services Task Force (USPSTF) has recommended that all adults in primary care be screened for unhealthy alcohol use
- The AUDIT-C tool is the recommended screening tool for unhealthy alcohol use, and consists of the following questions:
- How often did you have a drink containing alcohol in the last year?
- How many drinks containing alcohol did you have on a typical night when you were drinking?
- How often did you have six or more drinks on one occasion in the past year?
- A single-item screening question has also been validated. It is the most sensitive question for unhealthy alcohol use.
- For men, how many times in the last year, have you had more than four drinks in a day?
- For women, how many times in the last year, have you had more than three drinks in a day?
- The negative health impacts of alcohol include most types of cancer with the exception of thyroid cancer.
- Patients are often diagnosed with comorbid medical conditions that may be reversible if the underlying alcohol use disorder is diagnosed and treated appropriately
- Labs values can be a useful tool for assessing alcohol use and educating patients on end-organ damage; however, they are not recommended for routine diagnosis of the disease
Follow Tom On:
- Determining Pediatric Developmental Milestones From PedsCases
- Is It A Brief Resolved Unexplained Event (BRUE) In The Infant Or Something More Serious?
- Link To “How to Add Hollywood Special Effects to Your Videos” From The New York Times
- “#98: [Chronic] Knee Pain: History, exam, bracing, x-rays, and injectables” From The Curbsiders
- “#149 Hip Pain For Primary Care” From The Curbsiders – Another Awesome Podcast
- “Diagnostic point-of-care ultrasound (POCUS) for gastrointestinal pathology” – Links, Excerpts, And Additional Resources
- Normal Pediatric Ultrasound Values From Radiology Assistant
- Pediatric Pain Or Vomitting – A Reminder From Dr. Fox And Additional Resources
- “Rhabdomyolysis: Pathogenesis, Diagnosis, and Treatment” – Links With Excerpts
- “IBCC chapter & cast: Acute Kidney Injury” – Links And Ecerpts
- Link To “Community acquired urosepsis” From The Internet Book Of Critical Care
- Eye Care Equipment For Morning Medicine
- Link To “Invasive Group A Streptococcal Infections – CPS Podcast” From PedsCases With Additional Resources
- Link To The Antibiotics Chapter Of The Internet Book Of Critical Care With Excerpts
- Neurocutaneous Syndromes From PedsCases With Additional Resources
- Links To The PedsCases Website And To Individual Podcasts
- Pulmonary Hypertension: Emergency Management, Primary Care Diagnosis, And Echocardiographic Evaluation
- Introduction To Speckle Tracking Echocardiography – YouTube Videos With Additional Resources
- A Link To Frequently Asked Questions About Measles From The CDC
- High Deductible Health Insurance Plans
- “Community-Onset Pneumonia” From Dr. Farkas’ Internet Book of Critical Care – Awesome
- Hemophagocytic Lymphohistiocytosis (HLH)
- Excerpts From The 2018 ISDA Influenza Guidelines
- Excerpts From And Links To Some Resources On How Much Healthcare Services Cost
- Links To 2017 APA Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents.