Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • alcohol use
  • change in mental status
  • seizures
  • hallucinations
  • delusions

Other diagnostic factors

  • tremor
  • nausea and vomiting
  • hypertension
  • tachycardia
  • hyperthermia

Risk factors

  • history of alcohol withdrawal syndrome (AWS) and delirium tremens
  • abrupt withdrawal of alcohol

Diagnostic investigations

1st investigations to order

  • BUN and serum creatinine
  • Liver function tests
  • toxicology screen
  • electrolyte panel
  • CBC
  • CT head
  • chest x-ray
Full details

Treatment algorithm

ACUTE

Contributors

Authors VIEW ALL

Assistant Professor

Interim Medical Director of Maryland Poison Center

Department of Emergency Medicine

University of Maryland School of Medicine

Baltimore

MD

Disclosures

HK declares that he has no competing interests.

Assistant Professor

Division of Emergency Medicine

Medical University of South Carolina

Charleston

SC

Disclosures

NJC declares that he has no competing interests.

Peer reviewers VIEW ALL

Associate Director

International Emergency Medicine

Long Island Jewish Hospital

New York

NY

Disclosures

KS declares that he has no competing interests.

Royal Prince Alfred Hospital and Discipline of Medicine

The University of Sydney

Sydney

Australia

Disclosures

PSH is an author of a reference cited in this monograph.

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