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Alcohol Tremor

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81. Alcoholism (Overview)

. The following are signs and symptoms of alcohol withdrawal: Nausea and vomiting Diaphoresis Agitation and anxiety Headache Tremor Seizures Visual and auditory hallucinations: Many patients who are not disoriented—and who therefore do not have delirium tremens—have hallucinations The following are signs of delirium tremens (ie, alcohol withdrawal delirium): Tachycardia and hypertension Temperature elevation Delirium The following are signs of chronic alcoholism: Gynecomastia Spider angiomata Dupuytren (...) is withdrawn, the central nervous system experiences increased excitability. Persons who abuse alcohol over the long term are more prone to alcohol withdrawal syndrome than persons who have been drinking for only short periods. Brain excitability caused by long-term alcohol ingestion can lead to cell death and cerebellar degeneration, Wernicke-Korsakoff syndrome, tremors, alcoholic hallucinosis, delirium tremens, and withdrawal seizures. Opiate receptors are increased in the brains of recently abstinent

2014 eMedicine.com

82. Alcoholic Ketoacidosis (Follow-up)

be considered only in the face of severe, life-threatening acidosis (ie, pH < 7.1) that is unresponsive to fluid therapy. Previous Next: Management of Alcohol Withdrawal Syndrome Evaluate the patient for signs of alcohol withdrawal syndrome, which may include the following: Tremors Agitation Diaphoresis Tachycardia Hypertension Tremors Agitation Seizures Delirium Exclude other causes of autonomic hyperactivity and altered mental status. If the diagnosis of alcohol withdrawal syndrome is established (...) Alcoholic Ketoacidosis (Follow-up) Alcoholic Ketoacidosis Treatment & Management: Approach Considerations, Treatment of Severe Acidosis, Management of Alcohol Withdrawal Syndrome Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine.com

83. Alcoholism (Diagnosis)

. The following are signs and symptoms of alcohol withdrawal: Nausea and vomiting Diaphoresis Agitation and anxiety Headache Tremor Seizures Visual and auditory hallucinations: Many patients who are not disoriented—and who therefore do not have delirium tremens—have hallucinations The following are signs of delirium tremens (ie, alcohol withdrawal delirium): Tachycardia and hypertension Temperature elevation Delirium The following are signs of chronic alcoholism: Gynecomastia Spider angiomata Dupuytren (...) is withdrawn, the central nervous system experiences increased excitability. Persons who abuse alcohol over the long term are more prone to alcohol withdrawal syndrome than persons who have been drinking for only short periods. Brain excitability caused by long-term alcohol ingestion can lead to cell death and cerebellar degeneration, Wernicke-Korsakoff syndrome, tremors, alcoholic hallucinosis, delirium tremens, and withdrawal seizures. Opiate receptors are increased in the brains of recently abstinent

2014 eMedicine.com

84. Alcohol-Related Psychosis (Diagnosis)

Alcohol-Related Psychosis (Diagnosis) Alcohol-Related Psychosis: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMjg5ODQ4LW92ZXJ2aWV3 processing > Alcohol-Related Psychosis (...) Updated: Dec 01, 2017 Author: Zhongshu Yang, MD, PhD; Chief Editor: Ana Hategan, MD, FRCPC Share Email Print Feedback Close Sections Sections Alcohol-Related Psychosis Overview Background Alcohol-related psychosis is a secondary psychosis that manifests as prominent hallucinations and delusions occurring in a variety of alcohol-related conditions. For patients with alcohol use disorder, previously known as alcohol abuse and alcohol dependence, psychosis can occur during phases of acute intoxication

2014 eMedicine.com

85. Alcohol and Substance Abuse Evaluation (Diagnosis)

population. The emergeny physician must also be aware of the specific symptoms of withdrawal from various substances. Alcohol withdrawal Many alcoholics experience "the shakes" approximately 12-24 hours after their last drink. The shakes are tremors caused by overexcitation of the CNS. Tremor may be accompanied by tachycardia, diaphoresis, anorexia, and insomnia. After 24-72 hours, the alcoholic may have rum fits (ie, generalized seizures). (DT) begins 3-5 days after the last drink. DT is characterized (...) Alcohol and Substance Abuse Evaluation (Diagnosis) Alcohol and Substance Abuse Evaluation: Overview, Epidemiology, Clinical Presentation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA1MDg0LW92ZXJ2aWV3

2014 eMedicine Emergency Medicine

86. Alcoholic Ketoacidosis (Diagnosis)

suspected toxic alcohol ingestion with the alcohol dehydrogenase inhibitor, fomepizole. [ , ] When considering other co-ingestants, note that alcoholic ketoacidosis can cause a mildly elevated osmolar gap (approximately 20 mmol/kg). [ ] Evaluate the patient for signs of , which may include tremors, agitation, diaphoresis, tachycardia, hypertension, seizures, or delirium. Exclude other causes of autonomic hyperactivity and altered mental status. If the diagnosis of alcohol withdrawal syndrome (...) Alcoholic Ketoacidosis (Diagnosis) Emergent Treatment of Alcoholic Ketoacidosis: Overview, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzY1ODU2LW92ZXJ2aWV3 processing

2014 eMedicine Emergency Medicine

87. Alcohol and Substance Abuse Evaluation (Overview)

population. The emergeny physician must also be aware of the specific symptoms of withdrawal from various substances. Alcohol withdrawal Many alcoholics experience "the shakes" approximately 12-24 hours after their last drink. The shakes are tremors caused by overexcitation of the CNS. Tremor may be accompanied by tachycardia, diaphoresis, anorexia, and insomnia. After 24-72 hours, the alcoholic may have rum fits (ie, generalized seizures). (DT) begins 3-5 days after the last drink. DT is characterized (...) Alcohol and Substance Abuse Evaluation (Overview) Alcohol and Substance Abuse Evaluation: Overview, Epidemiology, Clinical Presentation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA1MDg0LW92ZXJ2aWV3

2014 eMedicine Emergency Medicine

88. Alcoholic Ketoacidosis (Overview)

suspected toxic alcohol ingestion with the alcohol dehydrogenase inhibitor, fomepizole. [ , ] When considering other co-ingestants, note that alcoholic ketoacidosis can cause a mildly elevated osmolar gap (approximately 20 mmol/kg). [ ] Evaluate the patient for signs of , which may include tremors, agitation, diaphoresis, tachycardia, hypertension, seizures, or delirium. Exclude other causes of autonomic hyperactivity and altered mental status. If the diagnosis of alcohol withdrawal syndrome (...) Alcoholic Ketoacidosis (Overview) Emergent Treatment of Alcoholic Ketoacidosis: Overview, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzY1ODU2LW92ZXJ2aWV3 processing

2014 eMedicine Emergency Medicine

89. Alcoholic Ketoacidosis (Follow-up)

suspected toxic alcohol ingestion with the alcohol dehydrogenase inhibitor, fomepizole. [ , ] When considering other co-ingestants, note that alcoholic ketoacidosis can cause a mildly elevated osmolar gap (approximately 20 mmol/kg). [ ] Evaluate the patient for signs of , which may include tremors, agitation, diaphoresis, tachycardia, hypertension, seizures, or delirium. Exclude other causes of autonomic hyperactivity and altered mental status. If the diagnosis of alcohol withdrawal syndrome (...) Alcoholic Ketoacidosis (Follow-up) Emergent Treatment of Alcoholic Ketoacidosis: Overview, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzY1ODU2LW92ZXJ2aWV3 processing

2014 eMedicine Emergency Medicine

90. Alcohol and Substance Abuse Evaluation (Follow-up)

population. The emergeny physician must also be aware of the specific symptoms of withdrawal from various substances. Alcohol withdrawal Many alcoholics experience "the shakes" approximately 12-24 hours after their last drink. The shakes are tremors caused by overexcitation of the CNS. Tremor may be accompanied by tachycardia, diaphoresis, anorexia, and insomnia. After 24-72 hours, the alcoholic may have rum fits (ie, generalized seizures). (DT) begins 3-5 days after the last drink. DT is characterized (...) Alcohol and Substance Abuse Evaluation (Follow-up) Alcohol and Substance Abuse Evaluation: Overview, Epidemiology, Clinical Presentation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA1MDg0LW92ZXJ2aWV3

2014 eMedicine Emergency Medicine

91. Alcohol and Substance Abuse Evaluation (Treatment)

population. The emergeny physician must also be aware of the specific symptoms of withdrawal from various substances. Alcohol withdrawal Many alcoholics experience "the shakes" approximately 12-24 hours after their last drink. The shakes are tremors caused by overexcitation of the CNS. Tremor may be accompanied by tachycardia, diaphoresis, anorexia, and insomnia. After 24-72 hours, the alcoholic may have rum fits (ie, generalized seizures). (DT) begins 3-5 days after the last drink. DT is characterized (...) Alcohol and Substance Abuse Evaluation (Treatment) Alcohol and Substance Abuse Evaluation: Overview, Epidemiology, Clinical Presentation Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA1MDg0LW92ZXJ2aWV3

2014 eMedicine Emergency Medicine

92. Alcoholic Ketoacidosis (Treatment)

suspected toxic alcohol ingestion with the alcohol dehydrogenase inhibitor, fomepizole. [ , ] When considering other co-ingestants, note that alcoholic ketoacidosis can cause a mildly elevated osmolar gap (approximately 20 mmol/kg). [ ] Evaluate the patient for signs of , which may include tremors, agitation, diaphoresis, tachycardia, hypertension, seizures, or delirium. Exclude other causes of autonomic hyperactivity and altered mental status. If the diagnosis of alcohol withdrawal syndrome (...) Alcoholic Ketoacidosis (Treatment) Emergent Treatment of Alcoholic Ketoacidosis: Overview, Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzY1ODU2LW92ZXJ2aWV3 processing

2014 eMedicine Emergency Medicine

93. [Cytoflavin in the detoxification of alcohol-dependent patients]. (Abstract)

[Cytoflavin in the detoxification of alcohol-dependent patients]. Cytoflavin was used in the complex detoxification of 30 alcohol-dependent patients and 30 patients of the comparison group who did not receive this drug. It has been shown that cytoflavin promotes the regression of alcohol withdrawal symptoms, including arterial hypertension, tachycardia, nausea, vomiting, hyperhydrosis, tremor, the severity of head and headache. At the same time, cytoflavin significantly reduces the total score (...) on the CIWA-Ar scale and severity of an autonomic component of pathological alcohol craving to the fifth day of treatment. It has been concluded that cytoflavin is effective and safe for the complex detoxification of alcohol-dependent patients.

2013 Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova / Ministerstvo zdravookhraneniia i meditsinskoi promyshlennosti Rossiiskoi Federatsii, Vserossiiskoe obshchestvo nevrologov [i] Vserossiiskoe obshchestvo psikhiatrov Controlled trial quality: uncertain

94. Alcohol Withdrawal

) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Alcohol Withdrawal Delirium (C0001957) Definition (MSH) An acute organic mental disorder induced by cessation or reduction in chronic alcohol consumption. Clinical characteristics include CONFUSION; DELUSIONS; vivid HALLUCINATIONS; TREMOR; agitation; insomnia; and signs of autonomic hyperactivity (e.g., elevated blood pressure and heart rate, dilated pupils, and diaphoresis). This condition may (...) occasionally be fatal. It was formerly called delirium tremens. (From Adams et al., Principles of Neurology, 6th ed, p1175) Definition (PSY) Acute alcoholic, psychotic condition characterized by intense tremors, anxiety, hallucinations, and delusions. Concepts Disease or Syndrome ( T047 ) MSH ICD9 291.0 ICD10 SnomedCT 192211007 , 154853008 , 8635005 DSM4 291.0 English Delirium Tremens , Delirium, Alcohol Withdrawal , Men & behav dis due alcohl: withdrawl state with delirium , Mental and behavioral

2015 FP Notebook

95. Alcohol dependence: provisional description of a clinical syndrome. Full Text available with Trip Pro

Disorders Sweating Syndrome Tremor etiology 20 1976 5 1 1976 5 1 0 1 1976 5 1 0 0 ppublish 773501 PMC1639901 J Pharmacol Exp Ther. 1970 Oct;175(1):94-112 4319478 Q J Stud Alcohol. 1972 Dec;33(4):1028-42 4648623 Q J Stud Alcohol. 1974 Mar;35(1 pt A):176-95 4438564 (...) Alcohol dependence: provisional description of a clinical syndrome. 773501 1976 08 02 2018 11 13 0007-1447 1 6017 1976 May 01 British medical journal Br Med J Alcohol dependence: provisional description of a clinical syndrome. 1058-61 Edwards G G Gross M M MM eng Journal Article Review England Br Med J 0372673 0007-1447 3K9958V90M Ethanol AIM IM Alcoholism diagnosis Compulsive Behavior Drug Tolerance Ethanol blood Humans Nausea etiology Research Substance Withdrawal Syndrome Substance-Related

1976 British medical journal

96. Comparative Clinical Evaluation of Chlordiazepoxide and Promazine in Treatment of Alcohol-withdrawal Syndrome Full Text available with Trip Pro

Alcoholism Alcohols Biomedical Research Blood Pressure Determination Chlordiazepoxide Diet Drug Therapy Galvanic Skin Response Humans Hypotension Mental Disorders Placebos Promazine Psychoses, Alcoholic Sleep Statistics as Topic Substance Withdrawal Syndrome Tremor ALCOHOLISM BLOOD PRESSURE DETERMINATION CHLORDIAZEPOXIDE CLINICAL RESEARCH DIET DRUG THERAPY DRUG WITHDRAWAL SYMPTOMS GALVANIC SKIN RESPONSE HYPOTENSION PLACEBOS PROMAZINE PSYCHOSES, ALCOHOLIC SLEEP STATISTICS TREMOR 1965 1 9 1965 1 9 0 1 1965 (...) Comparative Clinical Evaluation of Chlordiazepoxide and Promazine in Treatment of Alcohol-withdrawal Syndrome 14218487 1996 12 01 2018 12 01 0007-1447 1 5427 1965 Jan 09 British medical journal Br Med J COMPARATIVE CLINICAL EVALUATION OF CHLORDIAZEPOXIDE AND PROMAZINE IN TREATMENT OF ALCOHOL-WITHDRAWAL SYNDROME. 92-7 SERENY G G KALANT H H eng Journal Article England Br Med J 0372673 0007-1447 0 Alcohols 0 Placebos 6RZ6XEZ3CR Chlordiazepoxide O9M39HTM5W Promazine OM Alcohol-Induced Disorders

1965 British medical journal

97. Tremor

) and amplitude of movement (fine or coarse). Etiology Physiologic tremor Physiologic tremor occurs in otherwise healthy people. It is an action or postural tremor that tends to affect both hands about equally; amplitude is usually fine. It is often noticeable only when certain stressors are present. These stressors include Anxiety Fatigue Exercise Sleep deprivation Withdrawal of alcohol or certain other CNS depressant drugs (eg, benzodiazepines, opioids) Certain disorders (eg, hyperthyroidism), when (...) Action tremor* Alcohol or drug withdrawal (eg, of benzodiazepines or opioids) Agitation and fine tremor starting 24–72 h after the last use of alcohol or the drug (eg, a benzodiazepine) Sometimes hypertension, tachycardia, or fever, especially in hospitalized patients Clinical evaluation History of drug use Amelioration of tremor after stopping the drug Endocrinologic, metabolic, and toxic abnormalities: Anoxic encephalopathy Heavy metal poisoning Hypoparathyroidism Uremic encephalopathy Tremor plus

2013 Merck Manual (19th Edition)

98. Octanoic Acid for Essential Tremor

: Background: - Essential tremor (ET) is a condition of out-of-control shaking. Several drugs are used to treat ET. However, they are often only partly helpful and can have side effects. Many people with ET get some relief from drinking alcohol. Octanol, a food additive similar to alcohol, can improve tremor in animals and is less likely to make people feel drunk. One form of octanol, called 1-octanol, has been shown to improve tremor in some people and had few side effects. 1-octanol is converted (...) to octanoic acid, and research suggests that octanoic acid itself might suppress ET with no significant side effects such as drunkenness. Researchers want to see what dose of octanoic acid is most useful in reducing ET. Objectives: - To test different doses of octanoic acid to treat essential tremor. Eligibility: Individuals at least 21 years of age who have ET that responds to treatment with alcohol. Participants must be able to stop taking certain ET medications during the study. Design: This study

2011 Clinical Trials

99. Switching Study of Kidney Transplant Patients With Tremor to LCP-Tacro (STRATO)

Switching Study of Kidney Transplant Patients With Tremor to LCP-Tacro (STRATO) Switching Study of Kidney Transplant Patients With Tremor to LCP-Tacro (STRATO) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Switching Study of Kidney Transplant Patients With Tremor to LCP-Tacro (STRATO) (STRATO) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01438710 Recruitment Status : Completed First Posted : September 22, 2011 Results First Posted : May 8, 2015 Last Update Posted : October 1, 2015 Sponsor: Veloxis

2011 Clinical Trials

100. Fragile X-associated tremor/ataxia phenotype in a male carrier of unmethylated full mutation in the FMR1 gene. (Abstract)

Fragile X-associated tremor/ataxia phenotype in a male carrier of unmethylated full mutation in the FMR1 gene. The Fragile X syndrome is caused by a CGG repeat expansion >200 in the promoter of the Fragile X mental retardation 1 (FMR1) gene termed full mutation (FM). These alleles are silenced through methylation of the FMR1 promoter, leading to deficit of the FMR1 protein (FMRP), and neurodevelopmental changes. However, occasional FM individuals have a complete lack of methylation, and those (...) typically have only minor deficit of FMRP levels compared with normal controls and their intelligence may be in the normal range. FM alleles are generated through expansion of the CGG repeat from the premutation (PM) range of 55-200 repeats, linked to the late onset Fragile X-associated tremor/ataxia syndrome (FXTAS). This disorder has been attributed to a 'toxicity' of the FMR1 mRNA, which is significantly elevated in male carriers of PM alleles and of unmethylated FM alleles. This is the first report

2011 Clinical Genetics

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