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diagnosis differential alcohol causes pathophysiology psychiatry signs symptoms timeline addiction alcoholusedisorder algorithm arrhythmias buprenorphine comparison complexes deliriumtremens generalized management medications
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... THERAPEUTIC DRUG WITHDRAWAL ... • METABOLIC DISORDER ... PSYCHIATRIC • ANXIETY ... Differential #Diagnosis #Cardiology
Alcohol Withdrawal Timeline Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
Alcohol Withdrawal ... Timeline Minor withdrawal ... Tremulousness, mild anxiety ... , diaphoresis, palpitations ... #Timeline #etoh
Alcohol Use Disorder: Pathogenesis and Clinical Findings • Tolerance (reduced sensitivity to effects of EtOH) •
Alcohol Use Disorder ... to effects of EtOH ... exacerbated by EtOH ... • Withdrawal ... , seizure, and anxiety
Arrhythmias - Differential Diagnosis Algorithm May present as: palpitations, dizziness, syncope, chest discomfort Cardiac Causes: - Structural
Algorithm May present as ... : palpitations, ... • Generalized Anxiety ... Disorder #Arrhythmias ... #Cardiology #Differential
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Medications/Toxins: • ETOH ... Tobacco • Recent withdrawal ... Psychiatric: • Panic disorder ... associated with anxiety ... #Cardiology #Differential
Sinus Tachycardia - Differential Diagnosis Framework Autonomic System: • Excess Stimulation: Nicotine, Caffeine, Sympathomimetics, Anticholinergics • Withdrawal:
Anticholinergics • Withdrawal ... • Cardiogenic: ACS ... : Fever, Pain, Anxiety ... Differential #Diagnosis #cardiology
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager Scoring Alcohol Withdrawal Syndrome (AWS): • PAWSS • CIWA-Ar •
Syndrome (AWS) ... Syndrome (AWS): ... Tremulousness, anxiety ... , diaphoresis, palpitations ... treatment #management #etoh
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Psych: Depression, anxiety ... statin, chemo), EtOH ... Polyneuropathy, ALS ... ), NMJ disorder
Panic Disorder: Pathogenesis and clinical findings Social Factors • Parenting and infant attachment • Childhood illness/abuse •
Panic Disorder: ... heritability >> Panic Disorder ... chest pain, heart palpitations ... carrying anti-anxiety ... #BehavioralDisorder
Time course of events during the alcohol withdrawal syndrome. The signs and symptoms that manifest earliest
during the alcohol withdrawal ... manifest earliest are anxiety ... insomnia, tremor, palpitations ... earliest symptoms (anxiety ... #alcohol #withdrawal
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