SUMMARY PSYCHIATRIC
Patient Name
: Lewis Tate
Patient ID:
16-3978
Age:
40
Gender:
Male
Date of Birth:
7 / 5
Date of Admission
: 12 /15
Day of Discharge:
12 /18
IDENTIFYING INFORMATION: Patient is a 40-year-old white married male who has two children
from a previous marriage.
CHIEF COMPLANT: “the alcohol brought me here.”
HISTORY OF PRESENT ILLNESS: According to Information obtained from the chart review, the
patient was brought in with an affidavit stating he has a drinking problem. “ It would be better off
for everyone if I wasn't here.” Patient states he was thinking about “down in my whole bottle of
Xanax.” The patient reported that he has a long-standing history of drinking and had treatments in
the past, but the longest variety he had was a year ago. He reported he has been drinking almost two
pints of whiskey per day lately. The patient reported he has a history of delirium tremens but denies
any history of withdrawals or seizures. He has tried to cut down but has been unable to. The patient
You've reached the end of your free preview.
Want to read both pages?
- Fall '17
- Psychiatry, Schizophrenia, Benzodiazepine
