Fast Five Quiz: Alcohol Use Disorder

Stephen Soreff, MD

Disclosures

September 02, 2020

The following are signs of chronic alcohol use disorder:

  • Gynecomastia (caused by alcohol damage to the liver)

  • Spider angiomata

  • Dupuytren contractures (also may be congenital)

  • Testicular atrophy

  • Enlarged or shrunken liver

  • Enlarged spleen

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

  • Status epilepticus

Read more about the presentation of alcoholism.

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