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IHUMAN CASE STUDY: ALCOHOL
WITHDRAWAL
**DIAGNOSIS & TREATMENT PLAN | 2026/2027
EDITION**
*HIGH-YIELD | CLINICAL REASONING | EXAM-
READY*
**GRADED A+ FOR STUVIA**
# Part 1: Case Presentation
## Patient Demographics
- **Name:** John M. (or as assigned in iHuman)
- **Age:** 54 years
- **Gender:** Male
- **Chief Complaint:** *“I feel shaky, sweaty, and I can’t sleep. My
heart is racing.”*
## History of Present Illness (HPI)
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- **Onset:** Symptoms began approximately **12 hours after last
alcoholic drink**
- **Last drink:** 24 hours ago (heavy beer drinker, ~12–15 beers/day
for 20+ years)
- **Symptoms:**
- Tremors (hands shaking, unable to hold a cup)
- Diaphoresis (soaking night sweats)
- Anxiety, irritability
- Insomnia (awake for past 36 hours)
- Nausea, vomiting (3 episodes in past 8 hours)
- Palpitations (feels like heart “pounding out of chest”)
- Headache (diffuse, non-pulsatile)
- Auditory hallucinations (“I hear buzzing and muffled voices” – denies
command hallucinations)
- **Denies:** Chest pain, shortness of breath, suicidal ideation, seizure
activity, visual hallucinations
## Past Medical History (PMH)
- **Alcohol use disorder** (severe, daily heavy use × 20 years)
- **Hypertension** (on lisinopril, irregular adherence)
- **Gastroesophageal reflux disease (GERD)**
- **Gout**
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- **Liver disease** (suspected alcoholic fatty liver – no cirrhosis
documented)
- **Previous alcohol withdrawal** (2 prior episodes, managed
outpatient; no DTs or seizures)
## Past Surgical History
- None
## Medications
- Lisinopril 10 mg daily (takes intermittently)
- Omeprazole 20 mg daily
- Ibuprofen 600 mg PRN for gout
## Allergies
- No known drug allergies (NKDA)
## Social History
- **Alcohol:** 12–15 beers/day (regular strength, 5% ABV) × 20 years.
Last drink 24 hours ago. No other substance use. Denies IV drug use.
IHUMAN CASE STUDY: ALCOHOL
WITHDRAWAL
**DIAGNOSIS & TREATMENT PLAN | 2026/2027
EDITION**
*HIGH-YIELD | CLINICAL REASONING | EXAM-
READY*
**GRADED A+ FOR STUVIA**
# Part 1: Case Presentation
## Patient Demographics
- **Name:** John M. (or as assigned in iHuman)
- **Age:** 54 years
- **Gender:** Male
- **Chief Complaint:** *“I feel shaky, sweaty, and I can’t sleep. My
heart is racing.”*
## History of Present Illness (HPI)
,2|Page
- **Onset:** Symptoms began approximately **12 hours after last
alcoholic drink**
- **Last drink:** 24 hours ago (heavy beer drinker, ~12–15 beers/day
for 20+ years)
- **Symptoms:**
- Tremors (hands shaking, unable to hold a cup)
- Diaphoresis (soaking night sweats)
- Anxiety, irritability
- Insomnia (awake for past 36 hours)
- Nausea, vomiting (3 episodes in past 8 hours)
- Palpitations (feels like heart “pounding out of chest”)
- Headache (diffuse, non-pulsatile)
- Auditory hallucinations (“I hear buzzing and muffled voices” – denies
command hallucinations)
- **Denies:** Chest pain, shortness of breath, suicidal ideation, seizure
activity, visual hallucinations
## Past Medical History (PMH)
- **Alcohol use disorder** (severe, daily heavy use × 20 years)
- **Hypertension** (on lisinopril, irregular adherence)
- **Gastroesophageal reflux disease (GERD)**
- **Gout**
, 3|Page
- **Liver disease** (suspected alcoholic fatty liver – no cirrhosis
documented)
- **Previous alcohol withdrawal** (2 prior episodes, managed
outpatient; no DTs or seizures)
## Past Surgical History
- None
## Medications
- Lisinopril 10 mg daily (takes intermittently)
- Omeprazole 20 mg daily
- Ibuprofen 600 mg PRN for gout
## Allergies
- No known drug allergies (NKDA)
## Social History
- **Alcohol:** 12–15 beers/day (regular strength, 5% ABV) × 20 years.
Last drink 24 hours ago. No other substance use. Denies IV drug use.
