TY  - CHAP
M1  - Book, Section
TI  - Substance Use Disorders
A1  - Bedell, David A.
A2  - Wilbur, Jason K.
A2  - Graber, Mark A.
A2  - Ray, Brigit E.
PY  - 2018
T2  - Graber and Wilbur's Family Medicine Examination & Board Review, 4e
AB  - A  45-year-old  male  presents  to  your  clinic  to  establish  care  for  his  chronic  back  and  leg  pain.  He  denies  any  other  medical  conditions.  He  reports  being  injured  at  work  approximately  5  years  ago,  at  which  time  he  was  started  on  oxycodone.  He  reports  being  on  a  stable  dose  for  the  last  few  years.  He  appears  slightly  drowsy  during  the  appointment,  has  small  pupils,  and  is  having  moderate  difficulty  describing  his  injury  and  previous  treatments.  He  reports  his  mood  as  okay,  but  becomes  irritable  when  you  begin  to  ask  specifics  about  his  injury.  He  has  not  been  able  to  keep  a  job  for  the  last  year  because  "everyone  fires  me."  He  states  that  he  needs  the  oxycodone  to  function  and  that  he  ran  out  of  his  medication  1  week  ago.  He  does  report  occasional  alcohol  use,  although  he  states  the  he  knows  not  to  mix  alcohol  with  his  oxycodone.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1151883708
ER  -