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diagnosis symptoms alcohol withdrawal pathophysiology management syndrome algorithm differential timeline addiction altered ams causes criticalcare monotherapy phenobarbital protocol psychiatry pulmcrit
Alcohol Withdrawal Timeline Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
and normal vital signs ... • Delirium tremens ... to 96 hours) - Delirium ... Withdrawal #Timeline #etoh
The Hot and Altered Patient in the ED - Differential Diagnosis Framework • Heat Stroke •
Sympathomimetic Toxidrome • ETOH ... Differential #Diagnosis #delirium
Phenobarbital monotherapy algorithm for alcohol withdrawal ** EDIT - SEE UPDATED ALGORITHM HERE: https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit -Phenobarbital monotherapy has numerous advantages
Alternative causes of delirium ... withdrawal, the current shortage ... Management #Alcohol #EtOH
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 Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
CNS: Agitation, Delirium ... Cardiovascular and vital sign ... Symptoms #spectrum #signs
Alcohol Use Disorder: Pathogenesis and Clinical Findings • Tolerance (reduced sensitivity to effects of EtOH) •
to effects of EtOH ... exacerbated by EtOH ... recovering from EtOH ... desire to use EtOH ... Pathophysiology #Diagnosis #Signs
Hypomagnesemia (Serum level < 1.7 mg/dL) Neuromuscular manifestations • Tremor, tetany, seizures • Weakness
• Apathy • Delirium ... Hypomagnesemia #Signs
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Seizures/NCSE • Delirium ... Drug (-): • ETOH
Osteoporosis: Pathogenesis and risk factors • Age > 30 (post-peak bone mass) • Post-menopausal women ->
Factors - smoking, etoh ... pathophysiology #signs
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Evaluation of New-Onset Delirium ... assessment - Vital signs ... especially if* - Delirium ... #Checklist #Delirium
Symptoms of Hypophosphatemia • CNS: Seizures, Delirium, Paresthesias, Central & extrapontine myelinolysis, Hallucinations, Fatigue • Hematologic:
CNS: Seizures, Delirium ... Phosphate #Symptoms #Signs
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