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Establishing the diagnosis 

Establishing the diagnosis
Chapter:
Establishing the diagnosis
DOI:
10.1093/med/9780198714750.003.0005
Page of

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date: 14 November 2019

Chapter 5 of Addiction Medicine covers how patients with substance use disorders may present in different areas of medical practice and provides definitions and diagnostic criteria for the main diagnostic entities that are included in the international diagnostic and classification systems. With this as background, the principles and practice of eliciting a substance use history effectively are outlined including the measures of use of the substance, the medical and psychiatric history, and antecedent factors. Findings on clinical examination both in general terms and through systematic examination of body systems are presented, together with the key elements of the mental state examination aids the diagnosis includes screen instruments and assessment and diagnostic schedules, and examples of these are noted. The place of diagnosis as the foundation stone for management is emphasized.

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