Question:
A 55 years aged chronic alcoholic male, presented with irrelevant talks, tremor and sweating. He had his last drink 3 days back. What will the probable diagnosis ?
A 55 years aged chronic alcoholic male, presented with irrelevant talks, tremor and sweating. He had his last drink 3 days back. What will the probable diagnosis ?
Updated On: Jul 11, 2025
- Delirium tremens
- Korsakoff psychosis
- Post-Acute withdrawal syndrome
- Discontinuation syndrome
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The Correct Option is A
Solution and Explanation
To diagnose the condition of the patient described, we must analyze the symptoms and the timeline of events:
- Patient Background: A 55-year-old chronic alcoholic male.
- Symptoms: Irrelevant talks, tremor, and sweating.
- Timeline: Symptoms appeared 3 days after the last drink.
Given this information, the most probable diagnosis is Delirium tremens. Here's why:
- Delirium Tremens: This condition typically manifests in chronic alcoholics who have stopped drinking. Symptoms include confusion, tremors, and autonomic instability (e.g., sweating), usually appearing 48-96 hours after cessation.
- Korsakoff Syndrome: Usually follows Wernicke's encephalopathy and is characterized by memory issues, particularly anterograde amnesia, rather than acute tremors and confusion.
- Post-Acute Withdrawal Syndrome (PAWS): Involves emotional and psychological challenges over a prolonged period after withdrawal, not as acute as the symptoms described.
- Discontinuation Syndrome: Refers to withdrawal from medications such as antidepressants, not relevant to alcohol cessation.
Based on the analysis, the patient's symptoms align closely with Delirium tremens.
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