Hallucinations: Difference between revisions
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===Organic Causes=== | ===Organic Causes=== | ||
*[[Alcohol Withdrawl]] - hallucinosis without altered sensorium, predominately auditory & usually begins 24-48 hours after last drink | *[[Alcohol Withdrawl]] - hallucinosis without altered sensorium, predominately auditory & usually begins 24-48 hours after last drink | ||
*[[Anticholinergic Toxicity]] | |||
*[[GHB]] Intoxication | |||
*[[Mushroom Poisoning]] | |||
*[[Bath Salts]] | |||
*[[Tricyclic (TCA) Toxicity]] | |||
*[[Methanol]] Intoxication | *[[Methanol]] Intoxication | ||
*[[Salvia]] Intoxication | *[[Salvia]] Intoxication | ||
*[[Ertapenem]] Toxicity | |||
===Psychiatric Causes=== | ===Psychiatric Causes=== | ||
Schizophrenia | *Schizophrenia | ||
*[[Dementia]] | |||
==Workup== | ==Workup== | ||
Utox | *Utox | ||
Consider | *Consider | ||
**Chem | |||
**CBC | |||
**PT/PTT (especially in pts on anticoagulants) | |||
==Management== | ==Management== | ||
Treat the underlying pathology. | Treat the underlying pathology. | ||
Revision as of 05:48, 26 March 2014
Background
- The perception of auditory, visual, tactile, or gustatory sensations that are not present
- Etiology may be from underlying psychiatric disorder or organic cause.
- In non-auditory hallucinations, assume organic pathology unit proven otherwise.
Clinical Features
Differential Diagnosis
Organic Causes
- Alcohol Withdrawl - hallucinosis without altered sensorium, predominately auditory & usually begins 24-48 hours after last drink
- Anticholinergic Toxicity
- GHB Intoxication
- Mushroom Poisoning
- Bath Salts
- Tricyclic (TCA) Toxicity
- Methanol Intoxication
- Salvia Intoxication
- Ertapenem Toxicity
Psychiatric Causes
- Schizophrenia
- Dementia
Workup
- Utox
- Consider
- Chem
- CBC
- PT/PTT (especially in pts on anticoagulants)
Management
Treat the underlying pathology. In the case of Alcohol Withdrawl Hallucinosis, no standard therapy has been established, although tx with neuroleptics (e.g. Haldol) has shown some benefit in small studies
Disposition
See Also
Sources
Tintinalli