Ask her about other drug use

She seems to rally a bit with that question but becomes quite irate. "I would never use that shit," she says. "I saw enough of what that did to my pupils. How dare you even ask that?!"

She continues to deny any drug use either prescription or illicit and her brother did not notice anything except alcohol in the house.

Move on to physical exam
Screen for mood disorders
Family history
Current medications
Tell her you are going to ask her a few questions to test her memory

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    • Ask her about other drug use

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