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Emergency medicine questions (EMQs)
Miscellanea
Theme: Alcohol
  1. Michael Davey1,2
  1. 1Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia
  2. 2Division Acute Care Medicine, University of Adelaide, South Australia, Australia
  1. Correspondence to Michael Davey, Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia; michael.davey{at}health.sa.gov.au

https://doi.org/10.1136/emj.2010.108753

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    Question 1

    Which of the following are true regarding clinical signs and symptoms of alcohol withdrawal?

    1. Signs of alcohol withdrawal usually begin 24–36 h after a decrease in the patient's usual intake of alcohol and last 2–7 days.

    2. Severe alcohol withdrawal is characterised by irritability, sedation, tremor, hypertension, tachycardia, hyper-reflexia and fever.

    3. Schizophrenic patients will typically describe visual hallucinations, whereas the alcoholic patient in withdrawal will most often describe tactile hallucinations.

    4. Coma is uncommon with a blood alcohol level below 0.20 mg% (200 mg/dl) and the lethal level for 50% of the non-ethanol-dependent population is 0.45 mg% (450 mg/dl).

    Question 2

    Which of the following are true regarding alcohol-related seizures?

    1. Electroencephalograms …

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    Footnotes

    • Provenance and peer review Not commissioned; not externally peer reviewed.