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Alcohol History
Started drinking alcohol at the age of 20 due to peer
pressure.
His last drink was in September (two months ago).
Prior to that , he had been drinking 2 3 bottles (1/4
litres) of samsu a day for almost 30 years. Denies
increased consumption.
Continued to drink despite knowledge of his medical
condition.
Easily upset or angry when his wife refused to give him
money to buy alcohol.
Craving or strong desire to drink no successful
attempts to cut down
Continued
Family History
No family history of psychiatric illnesses
Both his parents passed away due to old
age.
Social History
Lives with his wife and three children in
Bahau, Negeri Sembilan.
Currently unemployed stopped working
because of health reasons.
Does not smoke.
CAGE questionnaire
Physical Examination
Vital signs stable
Not pale or jaundiced
Clubbing , palmar erythema , scleral
icterus , gynaecomastia , bilateral pedal
oedema
Abdomen is distended liver & spleen not
palpable
Cerebellar examination normal