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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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Alcohol Withdrawal Calculator

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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]

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

  1. 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).
  2. 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.