RT Book, Section A1 Bedell, David A. A2 Wilbur, Jason K. A2 Graber, Mark A. A2 Ray, Brigit E. SR Print(0) ID 1151883708 T1 Substance Use Disorders T2 Graber and Wilbur's Family Medicine Examination & Board Review, 4e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259585333book LK accessmedicine.mhmedical.com/content.aspx?aid=1151883708 RD 2024/03/28 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.