Back to delirium

Last month, this post gave some memory tools for delirium. If you recall, the “W” in the mnemonic “I WATCH DEATH” stands for withdrawal. Alcohol withdrawal may lead to an acute episode of delirium called delirium tremens. “DT’S HELL” summarises the signs and symptoms that may be found in this condition.

D = Delirium, which is often worse at night
T = Tremor (aka “the shakes”)
S = Sympathetic overactivity (i.e. fever, tachycardia, hypertension, sweating)

H = Hallucinations (which are often visual or tactile)
E = ESR (raised)
L = Leucocytosis
L = LFTs (impaired)

That’s all for this week!

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 Thanks for reading. In the coming weeks, The WM will return to the “Triads, pentads, and classic presentations” series. If you have any to share, please do! Click here to share a mnemonic for a future edition of The Weekly Mnemonic.

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