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ADDICTED INMATES

Practice Points

Error Sources in Diagnosis of Inmate Sepsis

1. Soft-tissue infection on admission
2. Sepsis misdiagnosed as withdrawal
3. Guard and caregiver attitudes

Features of serious generalised infection that may mimic narcotic-withdrawal:

1. rapid pulse
2. fever
3. muscle cramps
4. nausea

Why physicians may provide substandard care to drug abusers

1. moral judgments
2. anger and resentment
3. fear of confronting the patient
4. apathy and indifference
5. physician's own drug/alcohol use

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