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Presentation comparison
Emergency1 of 8 diagnoses compared
| CriteriaComparison detail | Benzodiazepine withdrawalEmergency |
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Timing after last drink plus autonomic overdrive and tremor are classic.
Clinical reference — not validated decision support. Review before use.
| Alcohol withdrawalEmergencyNot selected |
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| Opioid withdrawalEmergencyNot selected |
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| Stimulant withdrawalEmergencyNot selected |
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| GHB withdrawalEmergencyNot selected |
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| Nicotine withdrawalEmergencyNot selected |
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| Cannabis withdrawalEmergencyNot selected |
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| Antidepressant discontinuation syndromeEmergencyNot selected |
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| Why it fits | Anxiety, tremor, perceptual disturbance, insomnia, agitation, seizures | Tremor, sweating, anxiety, agitation, insomnia, seizures after cessation | Yawning, lacrimation, rhinorrhoea, piloerection, diarrhoea, cramps, myalgia, anxiety | Fatigue, hypersomnia, low mood, anhedonia, irritability, psychomotor slowing | Agitation, tremor, anxiety, delirium, autonomic instability, insomnia | Irritability, anxiety, craving, poor concentration, restlessness, insomnia | Irritability, insomnia, decreased appetite, low mood, restlessness | Dizziness, insomnia, nausea, flu-like symptoms, "brain zaps" |
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| What argues against | Applies to the whole presentationReview locally. | |||||||
| Must-not-miss | Seizures, delirium, severe autonomic instability | Seizures, delirium tremens, severe autonomic instability, Wernicke risk | Severe dehydration, intense suicidality, missed concurrent overdose risk | Suicidality, psychosis persisting beyond expected crash | ||||
| Bedside question | Applies to the whole presentationTiming after last drink plus autonomic overdrive and tremor are classic. | |||||||
| Immediate action | Applies to the whole presentationCIWA-Ar if suitable, vitals, BGL, electrolytes, seizure and DTs risk, thiamine need Use medical-first, trauma-informed withdrawal pathway | |||||||
| Investigations | Applies to the whole presentationBlood glucose, Vitals, oxygen saturation, Urea, electrolytes, creatinine | |||||||
| 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.
Timing after last drink plus autonomic overdrive and tremor are classic.
CIWA-Ar if suitable, vitals, BGL, electrolytes, seizure and DTs risk, thiamine need Use medical-first, trauma-informed withdrawal pathway
Blood glucose, Vitals, oxygen saturation, Urea, electrolytes, creatinine
Review overlap locally.
Anxiety, tremor, perceptual disturbance, insomnia, agitation, seizures
Seizures, delirium, severe autonomic instability
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Last updated: Pending review
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Create a concise comparison summary for documentation or handoff.
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Last updated: Pending review
| Severe behavioural escalation in dependent smokers. |
| Severe sleep loss, relapse, worsening depression |
| Severe distress, relapse confusion, falls in older adults |