Question

A 35-year-old man was brought to the emergency room for a lower limb open fracture after a motor vehicle accident. He has a history of alcohol abuse and liver disease. Three days after his hospitalization, he becomes agitated and demands to leave; he states that his bed has bugs crawling on his skin. His blood pressure is 155/92 mm Hg, pulse is 122/min, respirations are 18/min, and temperature is 37.6°C (99.7°F). On physical examination, the patient is diaphoretic, tremulous, and disoriented. There are mild hand tremors but no other neurological abnormalities. Which of the following is the most likely diagnosis? A. Alcohol intoxication B. Withdrawal shakes C. Withdrawal Seizures D. Alcohol Hallucinosis E. Delirium tremens

          A 35-year-old man was brought to the emergency room for a lower limb open fracture after a motor vehicle accident. He has a history of alcohol abuse and liver disease. Three days after his hospitalization, he becomes agitated and demands to leave; he states that his bed has bugs crawling on his skin. His blood pressure is 155/92 mm Hg, pulse is 122/min, respirations are 18/min, and temperature is 37.6°C (99.7°F). On physical examination, the patient is diaphoretic, tremulous, and disoriented. There are mild hand tremors but no other neurological abnormalities. Which of the following is the most likely diagnosis?
 A. Alcohol intoxication
 B. Withdrawal shakes
 C. Withdrawal Seizures
 D. Alcohol Hallucinosis
 E. Delirium tremens

Added by John H.

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