Summary of Opioid dependence
Flashcards on Opioid dependence
A patient who is consistently seeking opioid medication without any physical symptoms of need, or a patient who seeks opioid prescriptions from multiple different providers may have .
Questions on Opioid dependence
A 25-year-old woman comes to the emergency department because of intense abdominal pain. She describes it as a sharp pain and rates it as a 10 on a 10-point scale. She says it started last night and cannot identify any triggers. She denies nausea, vomiting, diarrhea, or menstrual abnormalities. She reports having had previous episodes that have been relieved with oxycodone and requests this for the pain.
Vital signs show she is afebrile, her pulse is 72/min, respirations are 16/min, and blood pressure is 120/80 mm Hg.Physical examination shows bowel sounds are present, and there is diffuse tenderness to palpation in all four quadrants of the abdomen, without rebound tenderness or guarding. There is no organomegaly or masses noted. She declines a pelvic exam. Blood tests show CBC, UEC, TFT, LFTs, amylase, and lipase are all normal. Urine beta-HCG is negative. Which of the following is the most likely diagnosis?