Saturday, June 24, 2017

Q: What are the five Key features of alcoholic hallucinosis?

Answer: Alcoholic hallucinosis (AH)  is a different clinical scenario from delirium tremens (DT) with following key features

  1. The onset of AH is usually between 12 to 24 hours of alcohol abstinence and tends to resolve within 24 to 48 hours. In contrast, DT starts around 48-72 hours.
  2. AH has mostly visual hallucinations (auditory and tactile hallucinations are less frequent)
  3. Patients are aware that they are hallucinating!
  4. AH is not associated with delirium - unlike DT, and it is a hallucination specific phenomenon.
  5. It does not effect hemodynamics.

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