Alcohol withdrawal overview: Difference between revisions
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'''For patient information click [[Alcohol withdrawal (patient information)|here]].''' | '''For patient information click [[Alcohol withdrawal (patient information)|here]].''' | ||
{{CMG}}; {{AE}} {{ADI}} | {{CMG}}; {{AE}} {{SHA}} {{ADI}} | ||
== Overview == | == Overview == | ||
Alcohol withdrawal refers to symptoms that can occur when a person who has been drinking [[alcohol]] every day suddenly stops drinking alcohol. | Alcohol withdrawal refers to symptoms that can occur when a person who has been drinking [[alcohol]] every day suddenly stops drinking alcohol. | ||
==Overview== | |||
==Historical Perspective== | |||
==Classification== | |||
Stages of Alcohol Withdrawal Syndrome (AWS) may be classified as:<ref name="pmid32256131">{{cite journal| author=Wolf C, Curry A, Nacht J, Simpson SA| title=Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives. | journal=Open Access Emerg Med | year= 2020 | volume= 12 | issue= | pages= 53-65 | pmid=32256131 | doi=10.2147/OAEM.S235288 | pmc=7093658 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32256131 }} </ref> | |||
* Uncomplicated withdrawal (first 6 hours) | |||
* Alcohol [[Hallucination|hallucinosis]] (8-12 hours) | |||
* Alcohol withdrawal [[Seizure|seizures]] (12-24 hours) | |||
* Alcohol withdrawal [[delirium]] (24-72 hours) | |||
==Pathophysiology== | |||
==Causes== | |||
==Differentiating Xyz from Other Diseases== | |||
==Epidemiology and Demographics== | |||
==Risk Factors== | |||
==Screening== | |||
==Natural History, Complications, and Prognosis== | |||
==Diagnosis== | |||
===Diagnostic Study of Choice=== | |||
===History and Symptoms=== | |||
===Physical Examination=== | |||
===Laboratory Findings=== | |||
Routine laboratory tests should include:<ref name="pmid25666543">{{cite journal| author=Mirijello A, D'Angelo C, Ferrulli A, Vassallo G, Antonelli M, Caputo F | display-authors=etal| title=Identification and management of alcohol withdrawal syndrome. | journal=Drugs | year= 2015 | volume= 75 | issue= 4 | pages= 353-65 | pmid=25666543 | doi=10.1007/s40265-015-0358-1 | pmc=4978420 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25666543 }} </ref> | |||
* [[Blood]] or breath [[alcohol]] concentration | |||
* [[Complete blood count |Complete blood count (CBC)]] | |||
* [[Electrolytes]] | |||
* [[Glucose]] | |||
* [[Liver function tests]] | |||
* [[Renal function tests]] | |||
* [[Urinalysis]] | |||
* Urine [[toxicology]] | |||
===Electrocardiogram=== | |||
===X-ray=== | |||
===Echocardiography and Ultrasound=== | |||
===CT scan=== | |||
===MRI=== | |||
===Other Imaging Findings=== | |||
===Other Diagnostic Studies=== | |||
==Treatment== | |||
===Medical Therapy=== | |||
=== Interventions === | |||
===Surgery=== | |||
===Primary Prevention=== | |||
===Secondary Prevention=== | |||
==References== | ==References== |
Revision as of 13:50, 3 November 2020
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For patient information click here.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2] Aditya Govindavarjhulla, M.B.B.S. [3]
Overview
Alcohol withdrawal refers to symptoms that can occur when a person who has been drinking alcohol every day suddenly stops drinking alcohol.
Overview
Historical Perspective
Classification
Stages of Alcohol Withdrawal Syndrome (AWS) may be classified as:[1]
- Uncomplicated withdrawal (first 6 hours)
- Alcohol hallucinosis (8-12 hours)
- Alcohol withdrawal seizures (12-24 hours)
- Alcohol withdrawal delirium (24-72 hours)
Pathophysiology
Causes
Differentiating Xyz from Other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications, and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Routine laboratory tests should include:[2]
- Blood or breath alcohol concentration
- Complete blood count (CBC)
- Electrolytes
- Glucose
- Liver function tests
- Renal function tests
- Urinalysis
- Urine toxicology
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT scan
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Interventions
Surgery
Primary Prevention
Secondary Prevention
References
- ↑ Wolf C, Curry A, Nacht J, Simpson SA (2020). "Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives". Open Access Emerg Med. 12: 53–65. doi:10.2147/OAEM.S235288. PMC 7093658 Check
|pmc=
value (help). PMID 32256131 Check|pmid=
value (help). - ↑ Mirijello A, D'Angelo C, Ferrulli A, Vassallo G, Antonelli M, Caputo F; et al. (2015). "Identification and management of alcohol withdrawal syndrome". Drugs. 75 (4): 353–65. doi:10.1007/s40265-015-0358-1. PMC 4978420. PMID 25666543.