Delirium tremens laboratory findings: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Delirium tremens}} | |||
{{CMG}} {{AE}} {{VVS}} {{ZMalik}} | |||
==Overview== | |||
[[Laboratory findings]] consistent with the [[diagnosis]] of delirium tremens include [[hypoglycemia]], [[hypomagnesemia]], [[hypophosphatemia]], and [[severe]] [[dehydration]]. | |||
== Laboratory Findings == | == Laboratory Findings == | ||
=== Electrolyte and Biomarker Studies === | === Electrolyte and Biomarker Studies === | ||
* [[Complete blood count]], [[differential count]] | * [[Complete blood count]], [[differential count]] | ||
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* [[Osmolal gap]] | * [[Osmolal gap]] | ||
* Serum levels of following electrolytes<ref name="pmid7348088">{{cite journal |author=Blay SL, Ferraz MP, Calil HM, Novo NF |title=[Plasma electrolyte changes in chronic alcoholic patients with and without delirium tremens] |language=Portuguese |journal=Acta Psiquiatr Psicol Am Lat |volume=27 |issue=4-5 |pages=311–4 |year=1981 |pmid=7348088 |doi= |url=}}</ref> | * Serum levels of following electrolytes<ref name="pmid7348088">{{cite journal |author=Blay SL, Ferraz MP, Calil HM, Novo NF |title=[Plasma electrolyte changes in chronic alcoholic patients with and without delirium tremens] |language=Portuguese |journal=Acta Psiquiatr Psicol Am Lat |volume=27 |issue=4-5 |pages=311–4 |year=1981 |pmid=7348088 |doi= |url=}}</ref> | ||
** [[Bicarbonate]] - decrease | ** [[Bicarbonate]] - decrease | ||
** [[Blood urea nitrogen]] (BUN) - may increase | ** [[Blood urea nitrogen]] (BUN) - may increase | ||
** [[Chloride]] - may remain unchanged | |||
** [[Creatine phosphokinase]] - Some patients develop [[rhabdomyolysis]] | |||
** [[Creatinine]] - may increase | ** [[Creatinine]] - may increase | ||
** [[Ketones]] | |||
** [[Lipase]] - | |||
** [[Liver function tests]] - abnormal | |||
** [[Magnesium]] - decrease | ** [[Magnesium]] - decrease | ||
** [[ | ** [[Potassium]] - decreased | ||
** [[ | ** [[Sodium]] - decreased | ||
* [[CSF]] examination - ruling out infections of the brain | * [[CSF]] examination - ruling out infections of the brain | ||
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{{WS}} | {{WS}} | ||
[[Category:Substance abuse]] | [[Category:Substance abuse]] | ||
[[Category:Alcohol abuse]] | |||
[[Category:Abuse]] | [[Category:Abuse]] | ||
[[Category:Psychiatry]] | [[Category:Psychiatry]] |
Latest revision as of 15:45, 8 August 2023
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2] Zehra Malik, M.B.B.S[3]
Overview
Laboratory findings consistent with the diagnosis of delirium tremens include hypoglycemia, hypomagnesemia, hypophosphatemia, and severe dehydration.
Laboratory Findings
Electrolyte and Biomarker Studies
- Complete blood count, differential count
- Drug screening
- Blood lactate levels
- Osmolal gap
- Serum levels of following electrolytes[1]
- Bicarbonate - decrease
- Blood urea nitrogen (BUN) - may increase
- Chloride - may remain unchanged
- Creatine phosphokinase - Some patients develop rhabdomyolysis
- Creatinine - may increase
- Ketones
- Lipase -
- Liver function tests - abnormal
- Magnesium - decrease
- Potassium - decreased
- Sodium - decreased
- CSF examination - ruling out infections of the brain