By Henrietta N. Barnes, Mark D. Aronson, Thomas L. Delbanco, Julius B. Richmond, A. Abrams, M.D. Aronson, H.N. Barnes, R.D. Bayog, M. Bean-Bayog, J. Bigby, B. Bush, M.G. Cyr, J. Daley, T.L. Delbanco, J. Ende, A.W. Fox, P.A. Friedman, M.E. Griner, P.F. Griner
Based at the Commonwealth Harvard Alcohol learn and educating software, this clinically orientated paintings is designed to provide internists and first care practitioners the information and abilities essential to realize and take care of sufferers with alcoholism.
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Extra resources for Alcoholism: A Guide for the Primary Care Physician
I In a larger social context, ready availability of alcohol-low cost relative to other goods or a low legal drinking age-and cultural preference for highproof alcoholic beverages tend to increase the risk of alcohol abuse. In summary, the identification of multiple risk factors for alcohol abuse is consistent with its multifactorial etiology. Obtaining information on family history, cultural background, and occupation will enable physicians to offer advice about the risk of developing alcoholism and may help patients modify some of those risks.
3. The Etiology and Natural History of Alcoholism 19 Is There a Typical Pre-alcoholic Personality? Any clinician can describe the typical alcoholic: a person who is anxious and depressed, emotionally inconsistent, and irresponsible, someone who manifests hostility and sociopathic tendencies and has difficulty with interpersonal relationships. Psychologic and psychiatric studies confirm the practitioner's impressions9 but leave unanswered the question of whether these personality characteristics predate alcoholism or are the consequence of it.
At high doses, ethanol is a nonspecific depressant of the CNS. Reduction in level of consciousness and in the vigor of all reflexes and depression of the vasomotor and respiratory centers may be seen. Ethanol inhibits the release of antidiuretic hormone (ADH) from the neurohypophysis, resulting in water diuresis. 10 There is no effective diuresis of sodium, however, and ethanol has no therapeutic use as a diuretic. Peripheral Nervous System Concentrations of ethanol of 5% to 10% are required to interrupt peripheral nerve conduction effectively.
Alcoholism: A Guide for the Primary Care Physician by Henrietta N. Barnes, Mark D. Aronson, Thomas L. Delbanco, Julius B. Richmond, A. Abrams, M.D. Aronson, H.N. Barnes, R.D. Bayog, M. Bean-Bayog, J. Bigby, B. Bush, M.G. Cyr, J. Daley, T.L. Delbanco, J. Ende, A.W. Fox, P.A. Friedman, M.E. Griner, P.F. Griner