Alcohol misuse: Difference between revisions

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====Withdrawal=====
====Withdrawal====
Uncomplicated withdrawal:
Uncomplicated withdrawal:



Revision as of 10:44, 13 May 2008

Definition

Alcohol misuse, abuse or alcoholism are catch-all terms for use alcohol of alcohol despite negative consequences. Alcohol dependence is specifically defined as physical dependence on alcohol.

Epidemiology

The prevalence of alcohol dependence is 5% in England and Wales (8% men, 2% women). As of 2001, 27% of men and 15% of women over 16 drunk more than their weekly recommended allowance. The same is true for 39% of men's and 22% of women's daily allowance.

Pathophysiology

There are a variety of genetic, psychological, social and environmental factors which contribute to alcohol misuse.

Risk Factors

  • High-Risk Occupations:
    • Publicans
    • Doctors
    • Journalists
    • Shipping And Travel Industries
  • Unskilled Worker
  • Unemployed
  • Lower Social Class

Clinical Features

Alcohol Dependence Syndrome

Withdrawal

Uncomplicated withdrawal:

  • Shakes
  • Sweating
  • Nausea/Vomiting
  • Mood disturbance
  • Hyperacusis
  • Autonomic symptoms
  • Agitation

Delirium

  • Perceptual Disturbances
    • 8-12 hours after cessation
    • Illusions or Hallucinations
  • Seizures
    • Up to 2 days after cessation
    • Generalised tonic-clonic
    • 5-15% of dependant drinkers
    • Predisposed in: previous history, epiplepsy, low potassium/magnesium

Investigations

Management

Prognosis