Background: UNC’s hospitalist service admits on average 9 patients per week with alcohol use disorder (AUD). UNC does not have a standardized inpatient screening tool for assessing risk of Alcohol Withdrawal Syndrome (AWS) nor standardized treatment protocol for AWS. In the 6 months prior to our study, 30% of inpatients at UNC with AUD in [...]

Case Presentation: A 34-year-old female with a history of alcohol use disorder presented with severe withdrawal symptoms approximately one hour after receiving her first dose of naltrexone, which was prescribed for the management of alcohol cravings. The symptoms included excessive yawning, anxiety, irritability, tachycardia, generalized muscle cramps, and discomfort. Laboratory investigations revealed a blood alcohol [...]