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Presentation comparison
Emergency6 of 8 diagnoses compared
| CriteriaComparison detail | AlcoholEmergency |
|---|
Clinical reference — not validated decision support. Review before use.
| MethamphetamineEmergency |
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| BenzodiazepinesEmergency |
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| OpioidsEmergency |
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| HallucinogensEmergency |
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| GHBEmergency |
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| CannabisEmergencyNot selected |
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| InhalantsEmergencyNot selected |
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| Why it fits | Slurred speech, ataxia, disinhibition, aggression, nystagmus | Agitation, paranoia, pressured speech, insomnia, tachycardia, hypertension, dilated pupils | Sedation, ataxia, slurred speech, disinhibition, amnesia | Pinpoint pupils, sedation, reduced respiratory rate, reduced consciousness | Visual distortion, synaesthesia, altered perception, panic | Rapid sedation, fluctuating consciousness, amnesia, sudden sleep | Conjunctival injection, slowed time perception, anxiety, paranoia, derealisation | Euphoria, confusion, ataxia, nystagmus, perioral rash |
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| What argues against | Applies to the whole presentationReview locally. | |||||||
| Must-not-miss | Head injury, aspiration, hypoglycaemia, respiratory depression | Hyperthermia, chest pain, arrhythmia, stroke, violent agitation | Respiratory depression if combined with opioids/alcohol. | Apnoea, aspiration, hypoxia, mixed overdose | ||||
| Bedside question | Applies to the whole presentationToxidrome clues: pupils, respiratory rate, nystagmus, tremor, diaphoresis, sympathetic overdrive. | |||||||
| Immediate action | Applies to the whole presentationDo not assume alcohol explains everything, especially after trauma Cannabis can produce anxiety, psychosis, and depersonalisation | |||||||
| Investigations | Applies to the whole presentationBlood glucose | |||||||
| Mimics / overlap | Applies to the whole presentationReview overlap locally. | |||||||
Scroll horizontally to review more candidate differentials. Clinical reference — not validated decision support. Review before use.
Review locally.
Toxidrome clues: pupils, respiratory rate, nystagmus, tremor, diaphoresis, sympathetic overdrive.
Do not assume alcohol explains everything, especially after trauma Cannabis can produce anxiety, psychosis, and depersonalisation
Blood glucose
Review overlap locally.
Slurred speech, ataxia, disinhibition, aggression, nystagmus
Head injury, aspiration, hypoglycaemia, respiratory depression
Agitation, paranoia, pressured speech, insomnia, tachycardia, hypertension, dilated pupils
Hyperthermia, chest pain,
Sedation, ataxia, slurred speech, disinhibition, amnesia
Respiratory depression if combined with opioids/alcohol.
Pinpoint pupils, sedation, reduced respiratory rate, reduced consciousness
Apnoea, aspiration, hypoxia
Visual distortion, synaesthesia, altered perception, panic
Severe agitation, accidents, prolonged psychosis
Rapid sedation, fluctuating consciousness, amnesia, sudden sleep
Airway compromise, aspiration, mixed overdose
Based on current selection
Create a concise comparison summary for documentation or handoff.
Source pending review
v10 | Local content only
Last updated: Pending review
Open a selected differential to review its clinical record.
Based on current selection
Create a concise comparison summary for documentation or handoff.
Source pending review
v10 | Local content only
Last updated: Pending review
| Airway compromise, aspiration, mixed overdose |
| Severe panic, paranoia, self-harm, psychosis |
| Arrhythmia, sudden sniffing death, trauma |