10+ Year Member
May 6, 2009
Medical Student
Med student here.

Would like attending opinion on this. Educational question.

If you encounter a patient with long-term illicit drug use who demonstrates signs of brain damage on imaging but who is otherwise asymptomatic and has no complaints, does anything need to be done for such a patient? does it really matter? preventing the patient from further engaging in drug use is obvious, but let's say this guy has completely given up drugs and is living a healthy lifestyle now, would you need to do anything for him? or would you just send him home and tell him he's fine?