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A 25-Year-Old Man Is Brought to the Emergency Department by His

question 219

Multiple Choice

A 25-year-old man is brought to the emergency department by his wife after vomiting at a party. The patient admits to drinking 4 glasses of wine and some vodka and says he feels better now. Temperature is 37.8 C (100 F) , blood pressure is 100/50 mm Hg, pulse is 106/min, and respirations are 14/min. Physical examination is remarkable for blood-tinged vomitus on the patient's shirt and shoes. Abdominal examination reveals epigastric tenderness on palpation. On mental status examination, the patient is alert, cooperative, and fully oriented. Blood alcohol level is 70 mg/dL (0.07% blood alcohol content) . The physician recommends laboratory evaluation, including complete blood count, comprehensive metabolic panel, amylase, and lipase. The patient insists that he is fine and wants to go home. Which of the following is the most appropriate course of action?

Definitions:

Electroconvulsive Therapy

A psychiatric treatment in which seizures are electrically induced in patients to provide relief from severe mental disorders.

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A tendency within scientific research to publish results that are positive or significant while neglecting negative or inconclusive findings.

Antidepressant Drug Therapy

The use of prescribed medications to manage and treat symptoms of depression, working to balance neurotransmitters in the brain.

Unipolar Depression

A major depressive disorder characterized by a persistent feeling of sadness or a lack of interest in external stimuli, leading to a significant impact on daily functioning.