A person is consuming alcohol since 10 years is brought to hospital emergency with complains of fearfulness, misrecognition, self talking and seeing snakes and reptiles all around him. Physical dependence is present since last 2 years. He has an intense craving for alcohol and from last 1 year, he is having behavioural changes and experiencing different family and social issue. Sometimes he is said to have few tremors during night. The person is suffering from:March 2013 (b, d, f)
A person is consuming alcohol since 10 years is brought to hospital emergency with complains of fearfulness, misrecognition, self talking and seeing snakes and reptiles all around him. Physical dependence is present since last 2 years. He has an intense craving for alcohol and from last 1 year, he is having behavioural changes and experiencing different family and social issue. Sometimes he is said to have few tremors during night. The person is suffering from:March 2013 (b, d, f)
💡 Explanation
**Core Concept**
The person is exhibiting symptoms of a chronic and severe substance use disorder, specifically related to alcohol consumption, characterized by physical dependence, tolerance, withdrawal, and behavioral changes.
**Why the Correct Answer is Right**
The person's symptoms are indicative of Alcohol Use Disorder (AUD), which is a pattern of alcohol use leading to significant impairment or distress. The presence of physical dependence, craving, and behavioral changes are key features of AUD. The person's experience of tremors during the night is likely a symptom of alcohol withdrawal, which can occur when a person with AUD abruptly stops or significantly reduces their alcohol consumption.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not provided.
* **Option B:** While this option might seem plausible, it does not accurately describe the person's symptoms and history. The person's symptoms are more consistent with AUD than with anxiety disorder.
* **Option C:** This option is not provided.
* **Option D:** This option is not provided.
**Clinical Pearl / High-Yield Fact**
The CAGE questionnaire (Cut down, Annoyed, Guilty, Eye-openers) is a useful tool for screening AUD. It consists of four questions that can help identify individuals who may have a problem with alcohol consumption.
**Correct Answer:** B.
✓ Correct Answer: B. Delirium tremens
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