Document 0767
 DOCN  M9470767
 TI    Management of hospitalized intravenous drug users: role of the
       internist.
 DT    9409
 AU    O'Connor PG; Samet JH; Stein MD; Department of Medicine, Yale University
       School of Medicine, New; Haven, Connecticut 06520-8025.
 SO    Am J Med. 1994 Jun;96(6):551-8. Unique Identifier : AIDSLINE
       MED/94288081
 AB    Intravenous drug users present significant clinical challenges to
       internists. In this paper, we review common clinical dilemmas faced by
       internists when managing intravenous drug users in the inpatient
       hospital setting. Articles were identified through a MEDLINE search and
       bibliographies of published articles. Studies and reviews were selected
       for information relevant to the management of hospitalized intravenous
       drug users. Seventy-three papers were selected for this review. We
       summarize data and information from the relevant literature concerning
       common presenting medical problems (fever, musculoskeletal pain, and
       dyspnea), the importance of knowing patients' HIV status, common
       behavioral issues, special concerns of women, and the diagnosis and
       management of drug withdrawal in intravenous drug users. We also offer
       recommendations for hospital discharge planning. With appropriate
       knowledge of the epidemiology and management of important medical and
       substance use problems among intravenous drug users, internists may more
       effectively care for them in the hospital setting.
 DE    Dyspnea/THERAPY  Fever/THERAPY  Hospitalization  Human  *Internal
       Medicine  Musculoskeletal Diseases/THERAPY  Pain/THERAPY  Patient
       Discharge  *Physician's Role  Substance Abuse,
       Intravenous/*COMPLICATIONS  Substance Withdrawal
       Syndrome/ETIOLOGY/*THERAPY  JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

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