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Mr. Wilko is a 40-year-old salesperson with a wife and three teenage children. H

ID: 265622 • Letter: M

Question

Mr. Wilko is a 40-year-old salesperson with a wife and three teenage children. He has recently begun to have a beer at lunch and a few drinks after work to reduce his work- related stress. An economic downturn in the housing industry has reduced the need for new home appliances and his income and sales record has been affected. Several other salespeople have been laid off at his firm. He has been told that if his sales and attendance records do not improve he will be fired. He and his wife are constantly arguing about finances and the children's increasing demands for money. His drinking has increased to several beers at lunch and continued drinking after dinner. When he returns to work with alcohol on his breath, he is dismissed from his job. He continues to consume alcohol during the day as he attempts a job search. His wife is very concerned, as are his teenage children. . Mr. Wilko states he is a social drinker and "can stop at any time." How accurate is his self-assessment? What stressors are present in Mr. Wilko's case? . Why does Mr. Wilko continue to increase his alcohol intake? . What changes in liver function can Mr. Wilko expect if he continues to drink large .Mr. Wilko complains to his wife that all the stress is causing "indigestion. How do . Why is Mr. Wilko at greater risk of trauma? amounts of alcohol? stress and alcohol consumption affect Gl function? e here to search

Explanation / Answer

Ans1.Mr Wilson was initially not addicted to alcohol but consumed it only to release his stress of work and financially supporting his family. His assessment may be accurate if he quits drinking or reduce his excessive drinking habit to ocassional after the stressors are removed.

Ans2. Initially work but later joblessness.

Ans3. Since he could not cope up with his work stress, he increased his alcohol consumption (since alcohol is a depressant)

Ans4. Fatty liver, hepatocyte injury, liver fibrosis, ultimately leading to liver cirrhosis.

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