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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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A question for "Dr David"

Customer Question

a question for "Dr David"
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. David replied 1 year ago.

This is Dr. David

Ed is drinking too much alcohol

1. have you tried to cut down on the alcohol you are drinking? are you able to cut down on the alcohol? are you willing to ask for help to cut down on the alcohol you are drinking?

2. alcohol dependence, vitamin deficiency, viral infection, mononucleosis, depression.

3. liver, kidney, blood and bone marrow system.

3. blood tests, CBC, CMP blood test, liver enzymes GGTP levels, B12 folate levels, mononucleosis blood tests.

Customer: replied 1 year ago.
what are we looking at for differentials?
Expert:  Dr. David replied 1 year ago.

alcohol dependence, vitamin deficiency, viral infection, mononucleosis, depression

Customer: replied 1 year ago.
i hear...Based on your differential diagnosis list, identify what body systems you’d examine along with pertinent positive/negatives in each system.
Expert:  Dr. David replied 1 year ago.

alcohol dependence: liver, kidney, bone marrow, vitamin levels, blood tests for liver enzymes, BUN, creatinine, B12 and folate levels.

viral infection: blood system, immune system, CBC, antibody testing for viral infection.

depression: mental health. signs of depression, anhedonia.

Customer: replied 1 year ago.
but what body system?
Expert:  Dr. David replied 1 year ago.

I told you there.

Customer: replied 1 year ago.
meaning cardiac, respiratory etc?
Expert:  Dr. David replied 1 year ago.

I'm not sure what you mean.

Customer: replied 1 year ago.
what body systems, when you do an exam you go through HEENT, cardiac, respiratory system etc... so which ones would we go through with this patient...
Expert:  Dr. David replied 1 year ago.

liver, kidney, circulatory system, immune system, mental health.