goodduck

1. minor withdrawal  symptoms (CNS hyperactivity)

    a. timing: within 6hr; if no pregress -> cessation in 24-48hr

    b. symptoms: insomnia, anxiety ; palpitation, diaphoresis, tremor ; GI upset, anorexia

2. alcoholic hallucination

    a. timing: within 12-24 hr ; cessation in 24-48hr

    b. symptoms: most common -> visual (VH)

    c. DDx: alcoholic hallucination v.s DT => timing! / sensorium! (global clouding?)

3. withdrawal seizure

    a. timing: 12-48hr

    b. symptoms: generalized tonic-clonic ; single or short period!

4. Delirium Tremens (DT)

    a. timing: at least 24hr ; typical 48 -96 hr

    b. "syndrome":

    agitation, disorientation, hallucination <- ie: consciousness /mental status ;

    tachycardia, hypertension, fever, diaphoresis, hyperventilation <- ie: T/P/R/BP

    # autonomic instability!

    # respiratory alkalosis -> cerebral blood flow decreased!               #  hypovolemia

    c. "lab data": hypokalemia, hypomagnesemia

    d. clinical importance: "Mortality"~5%

[極簡易版]

Tremor -> psychosis   ->  seizure    ->  delirium   : TPSD (PTSD, post tramatic stress disorder前兩個字相反)

(6-8hr)       (8-12hr )    (12-24hr )  (3days-7days)