A 45-year old woman exhibits several symptoms including autonomic hyperactivity, hand tremor, and nausea following cessation of prolonged and heavy alcohol use. A diagnosis of Alcohol Withdrawal Delirium would be more appropriate than a diagnosis of Alcohol Withdrawal if the woman also exhibits:
- psychomotor agitation.
- tonic-clonic seizures.
- impaired attention and awareness.
- tardive dyskinesia.
The Correct Answer is C.
The key to identifying the correct answer to this question is to know that disturbances in attention and awareness are essential features of Delirium. Alcohol Withdrawal Delirium is also known as delirium tremens (DT’s) and may include vivid hallucinations, delusions, autonomic hyperactivity, and agitation.
Answer A: Psychomotor agitation is characteristic of Alcohol Withdrawal.
Answer B: In extreme cases, Alcohol Withdrawal may involve tonic-clonic seizures.
Answer D: Tardive dyskinesia is not a symptom of Delirium.