The Etiology and Natural History of Alcoholism
JL, a middle-aged real estate broker, is brought to the emergency room for evaluation of possible internal injuries following a motor vehicle accident. He is under arrest for driving while intoxicated. Alternately belligerent and morose, he states that recent marital difficulties have “driven him to drink,” just like his father before him. Other than intoxication, physical examination is remarkable for an enlarged liver, with liver function tests compatible with alcoholic hepatitis. After telling Mr L that if he does not stop drinking he will die of liver disease, the emergency room physician walks away shaking her head about another hopeless alcoholic.
KeywordsAlcohol Abuse Drinking Behavior Alcoholic Hepatitis Alcoholic Patient Alcoholic Anonymous
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