Snapshot A 38-year-old man is brought to the emergency department after being in a motor vehicle accident. The patient fractured his femur and required surgery. On postoperative day 2, the patient reports trouble falling asleep, palpitations, and feeling anxious. Medical history is significant for hypertension and alcohol use disorder. His blood pressure is 165/98 mmHg, pulse is 105/min, and respirations are 20/min. Physical exam is significant for tremulousness and diaphoresis. He is started on lorazepam. Introduction Definition login to view 1 more bullet Epidemiology login to view 2 more bullets Pathogenesis login to view 2 more bullets Associated conditions login to view 9 more bullets Prognosis login to view 1 more bullet Presentation Symptoms/physical exam login to view 11 more bullets Studies Labs login to view 4 more bullets Withdrawal Alcohol Withdrawal Time (Hours) Syndrome Clinical Findings 6-36 Minor withdrawal Anxiety Tremulousness Diaphoresis Palpitations 6-48 Seizures Tonic-clonic seizures short post-ictal period 12-48 Alcoholic hallucinosis Visual, auditory, and/or tactile hallucinationsnormal vital signs intact orientation normal vital signs 48-96 Delirium tremens Delirium Agitation Tachycardia Hypertension Fever Diaphoresis Treatment Medical login to view 8 more bullets Complications Cardiac arrhythmia Delirium tremens Tonic-clonic seizures