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Alcohol Tremor

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81. Alcohol-Related Psychosis (Overview)

Alcohol-Related Psychosis (Overview) 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

82. 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

83. 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

84. 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

85. 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

86. 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

87. 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

88. 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

89. 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

90. Alcohol in essential tremor and other movement disorders. (PubMed)

Alcohol in essential tremor and other movement disorders. Many patients with essential tremor (ET) report transient improvement of symptoms after drinking alcohol. However, the brief duration of action, subsequent rebound, and the risk of developing alcohol addiction make the use of alcohol as a treatment for ET inappropriate. Whether excessive alcohol consumption is a risk for or a consequence of ET has been a subject of some controversy. In this review, we critically examine the mechanism (...) of action of alcohol and its role in ET and other movement disorders.

2010 Movement Disorders

91. [Cytoflavin in the detoxification of alcohol-dependent patients]. (PubMed)

[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

92. 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)

93. 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

94. My hands shake. Classification and treatment of tremor

s i t i v e f a m i l y h i s t o r y a n d improvement with alcohol. Physiologic tremor A l l p e o p l e e x h i b i t p h y s i o l o g i c t r e m o r – a b e n i g n h i g h f r e q u e n c y , l o w a m p l i t u d e , p o s t u r a l t r e m o r . T h i s m a y b e d e m o n s t r a t e d w h e n h o l d i n g a p i e c e o f p a p e r o n t h e o u t s t r e t c h e d h a n d a f t e r e x e r c i s e o r w h e n Table 1. Characteristics of different tremors Type of tremor Frequency (Hz (...) , thyrotoxicosis, hypoglycemia, Cushing syndrome, alcohol withdrawal, neuropathy and drugs Simple kinetic V ariable (3–10) Does not change with target directed movements Simple movements of the limb Essential tremor , dystonic tremor , enhanced physiological tremor Intention Low (<5) Increases with target directed movements Target directed movements Cerebellar lesions (multiple sclerosis, stroke, mass lesion), drugs, chronic alcoholism Isometric Medium V ariable Muscle contraction against stationary object

2008 The Royal Australian College of General Practitioners

95. Alcohol dependence: provisional description of a clinical syndrome. (PubMed)

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

Full Text available with Trip Pro

1976 British medical journal

96. Comparative Clinical Evaluation of Chlordiazepoxide and Promazine in Treatment of Alcohol-withdrawal Syndrome (PubMed)

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

Full Text available with Trip Pro

1965 British medical journal

97. Essential tremor

and imaging studies point to an involvement of the and/or circuits. Changes in the cerebellum could also be mediated by alcoholic beverage consumption. are especially susceptible to ethanol . Impairment of Purkinje synapses is a component of cerebellar degradation that could underlie essential tremor. Some cases have in the . ET cases that progress to Parkinson's disease are less likely to have had cerebellar problems. Recent post mortem studies have evidenced alterations in ( Leucine rich repeat and Ig (...) of Toxicology and Environmental Health. Part A . 70 (12): 1014–9. : . . . Louis ED, Keating GA, Bogen KT, Rios E, Pellegrino KM, Factor-Litvak P (2008). . Neuroepidemiology . 30 (3): 161–6. : . . . Louis ED, Vonsattel JP (January 2008). . Movement Disorders . 23 (2): 174–82. : . . . ^ Mostile G, Jankovic J (October 2010). "Alcohol in essential tremor and other movement disorders". Movement Disorders . 25 (14): 2274–84. : . . Louis ED (October 2009). . Archives of Neurology . 66 (10): 1202–8. : . . . Louis

2012 Wikipedia

98. Tremor

is the teeth chattering, usually induced by cold temperatures or by fear. Contents Causes [ ] Tremor can be a symptom associated with disorders in those parts of the brain that control muscles throughout the body or in particular areas, such as the hands. Neurological disorders or conditions that can produce tremor include , , , and a number of that damage or destroy parts of the or the , being the one most often associated with tremor. Other causes include the use of drugs (such as , , , , ) or alcohol (...) , , or the withdrawal of drugs such as alcohol or . Tremors can also be seen in infants with (PKU), or . Tremors can be an indication of , along with palpitations, sweating and anxiety. Tremor can also be caused by lack of , lack of , or increased . Deficiencies of magnesium and have also been known to cause tremor or shaking, which resolves when the deficiency is corrected. See . Some forms of tremor are inherited and run in families, while others have no known cause. Tremors can also be caused by some spider

2012 Wikipedia

99. Alcohol Toxicity and Withdrawal

physical activity (LTPA)... SOCIAL MEDIA Add to Any Platform Loading Topic Resources Alcohol (ethanol) is a CNS depressant. Large amounts consumed rapidly can cause respiratory depression, coma, and death. Large amounts chronically consumed damage the liver and many other organs. Alcohol withdrawal manifests as a continuum, ranging from tremor to seizures, hallucinations, and life-threatening autonomic instability in severe withdrawal (delirium tremens). Diagnosis is clinical. (See also .) About half (...) intake. A mild alcohol withdrawal syndrome includes tremor, weakness, headache, sweating, hyperreflexia, and GI symptoms. Tachycardia may be present and blood pressure can be slightly elevated. Symptoms usually begin within about 6 h of cessation. Some patients have generalized tonic-clonic seizures (called alcoholic epilepsy, or rum fits) but usually not > 2 in short succession. Seizures generally occur 6-48 h after cessation of alcohol. Alcoholic hallucinosis (hallucinations without other

2013 Merck Manual (19th Edition)

100. Fetal Alcohol Syndrome

Fetal Alcohol Syndrome Fetal Alcohol Syndrome - Pediatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your knowledge Cerebral Palsy (CP (...) ) Syndromes Cerebral palsy syndromes are categorized based on which parts of the CNS are malformed or damaged. Spastic syndromes occur in > 70% of cases. Which of the following is a typical symptom in spastic cerebral palsy syndromes? Athetoid movements Intention tremor A scissors gait A wide-based gait NEWS & VIDEOS AAD: Isotretinoin Exposure for Acne Not Linked to Depression Risk FRIDAY, March 1, 2019 (HealthDay News) -- For patients with acne, exposure to isotretinoin is not associated

2013 Merck Manual (19th Edition)

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