Sam is a 38-year-old Asian male who was initially found passed out on the street. He was take to the ED and was found to be acutely intoxicated. He had no recollection of how he wound up on the street, being transferred to the ED or why he was hospitalized. He was allowed to sober up and then was transferred to this inpatient clinic for detox and treatment. On meeting with Sam on the third day

Question

after his arrival, he presented with a disheveled appearance. His clothes appeared clean, but he was unshaven and his hair was matted. He had difficulty making eye contact and was difficult to engage. He answered most questions with single word answers, or as few words as possible and consistently avoided interacting verbally. He again said he had no idea how or why he wound up at the ED and was not sure why he was at this clinic. He kept asking when he could have a beer. When asked about his past, he said he was a Navy veteran and had been discharged after serving in the first Gulf war. According to Sam, he does not drink too much, and can quit anytime he wants – he just "doesn't want to quit." He blames a string of bad luck for winding up on the streets and thinks the government should take care of him because, "after all, I am a veteran." He consistently refuses to take responsibility for his actions. He really has no memory of the past several months, and kept asking where he was and why he was there.

Dx: Amnesia due to alcohol; alcoholism

First-listed diagnosis: ________
Secondary diagnoses: ________

Answer 1

First-listed diagnosis: ________
Answer: Alcohol-induced amnesia, alcohol dependence – F10.26

Secondary diagnoses: ________
Answer: None