Answer Page: Medicine - Acute Pain in

Substance Use Disorder

Patient Details

Physical Exam Findings

Task Answers

External Reference

Physical Examination Card

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Physical Examination Card

Patient's Details

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Opening statement

Occasionally smoke cigarettes

Frequently touching or holding cheek

Questions ask to the doctor

Expectations from the doctor

DockRoach™ Approach

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Key Concepts Here

Key concepts continued

Hollistic approach

Utilize support system

Reading time techniiques

Reading time techniques (continued)

Introduce your self

Sign post to start the first task

Time course/timing

Fever or chills

Leisure or relaxation

Drinking alcohol

Suicide/Depression

Family medical conditions

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Guide for online exam candidates

Anxiety and discomfot

Listen for heart sounds

Check for needle marks

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Task 3 continued

Pupils are mildly dilated

Primary diagnostic

Referral to a Dentist

Pain management

Doctor explaining

Antidepressants

Urgent dental appointment

Continuation of current methadone

Behavioral therapy

Comprehensive pain management plan

Regular assessments

End with empathy and reassurance, understanding check and thank you.

Additional References:

Click on link below.

Patient Information

Explaining topic to patient

Drug facts: Heroin (Adf.org.au)

Drug facts: Methadone (Yourroom.health.nsw.gov AU)

Taking opioid medicines safely (Healthdirect.gov.au)

Reliable online resources for learning on this topic.

Quick Notes

See diagrams or notes on topic

Opioid misuse and dependence for Medical Professionals (Patient.info UK)

Pain and pain relief for Medical Professionals (Patient.info UK)

Opioid substitution prescribing for Medical Professionals (Patient.info UK)

Clinical Opiate Withdrawal Scale (Mhc.wa.gov.au)

Useful online resources for learning on this topic.

Guidelines & Articles

Diagnosis and management on topic

Acute Pain Management in Opioid Dependent Patients (Ncbi.nlm.nih US)

Opioid dependence Management in general practice (Racgp.org.au)

CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022 (Cdc.gov US)

Clinical Practice Guidelines (CPG) on this topic from the official website.

UpToDate

Detailed reading on topic

Nonopioid pharmacotherapy for acute pain in adults

Management of acute pain in patients with opioid use disorder

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Tip Here:

Always address the patient's pain and substance use history with empathy, prioritize non-opioid analgesics, and ensure a multidisciplinary approach for comprehensive care.

This website has used the following for reference in preparing the contents.

Australian Medical Council (AMC) Handbook of Clinical Assessment reprinted 2018 edition

John Murtagh's General Practice 8th edition

Tally O'Conner's Clinical Examination 8th edition

Better Heath Channel

The Royal Women's Hospital Victoria Australia

Gynecology by Ten Teachers 20th edition

Obstetrics by Ten Teachers 20th edition

Paediatric Handbook 10th edition

Suggested reading material for examination preparation by the AMC

The Royal Australian College of General Practitioners

Therapeutic Guidelines (eTG)