ABPM Addiction Medicine case studies
ABPM Addiction Medicine · Put your knowledge to work in context.
Addiction Medicine is a subspecialty certification offered by the American Board of Preventive Medicine (ABPM), an ABMS member board. Per the ABPM, the subspecialty is concerned with the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction, of those with substance-related health conditions, and of people who show unhealthy use of substances including nicotine, alcohol, prescription medications and other licit and illicit drugs; physicians in this subspecialty also help family members whose health and functioning are affected by a loved one's substance use or addiction. The ABPM Addiction Medicine case studies are 5 cases and about 2,122 words.
1Postoperative Pain Management in a Patient with Opioid Use Disorder
A 42-year-old man with a history of severe opioid use disorder (OUD) is admitted for an emergency appendectomy. He has been in sustained remission for 3 years on buprenorphine/naloxone 16/4 mg daily.
511 words, about 3 min2Alcohol Withdrawal in a Patient with Liver Cirrhosis
A 55-year-old woman with a history of alcohol use disorder (AUD) and Child-Pugh class B cirrhosis is admitted with nausea, tremor, and confusion. She reports heavy drinking (about 1 pint of vodka daily) until 2 days ago.
337 words, about 2 min3Adolescent with Cannabis Use Disorder and Comorbid Depression
A 16-year-old boy is brought by his parents due to declining school performance, social withdrawal, and frequent marijuana use. He admits to using cannabis daily for the past year, starting before school and using throughout the day.
355 words, about 2 min4Pregnant Woman with Opioid Use Disorder and Limited Access to Care
A 28-year-old woman at 24 weeks gestation presents to the emergency department with signs of opioid withdrawal (yawning, rhinorrhea, piloerection, abdominal cramps). She reports using heroin intravenously daily and has had no prenatal care.
460 words, about 2 min5Benzodiazepine Taper in a Patient with Anxiety and Substance Use History
A 38-year-old woman with generalized anxiety disorder and a history of alcohol use disorder (in remission for 2 years) has been taking alprazolam 1 mg three times daily for 5 years, prescribed by her primary care physician. She wants to stop because she is planning pregnancy.
459 words, about 2 min