Hallucinations - Revision history

Rossdonaldson1: /* See Also */

2021-01-12T23:32:14Z

Rossdonaldson1: /* Management */

2021-01-12T23:31:54Z

Management

← Older revision		Revision as of 23:31, 12 January 2021
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	*If hallucinations distressing, can trial dose of PO [[antipsychotic]]		*If hallucinations distressing, can trial dose of PO [[antipsychotic]]
	*In the case of alcohol withdrawal hallucinosis, no standard therapy has been established,<ref> Neuroleptic treatment of alcohol hallucinosis: case series. PMID 18030655</ref> although treatment with neuroleptics (e.g. Haldol) has shown some benefit. <ref>Alcohol-induced hallucinosis. Clinical aspects, pathophysiology and therapy. PMID 9064548</ref> Also continue to treat the [[Alcohol Withdrawl \|alcohol withdrawal]].		*In the case of alcohol withdrawal hallucinosis, no standard therapy has been established,<ref> Neuroleptic treatment of alcohol hallucinosis: case series. PMID 18030655</ref> although treatment with neuroleptics (e.g. Haldol) has shown some benefit. <ref>Alcohol-induced hallucinosis. Clinical aspects, pathophysiology and therapy. PMID 9064548</ref> Also continue to treat the [[Alcohol Withdrawl \|alcohol withdrawal]].

			==Disposition==

	==See Also==		==See Also==

Rossdonaldson1: /* Differential Diagnosis */

2021-01-12T21:06:35Z

Differential Diagnosis

← Older revision		Revision as of 21:06, 12 January 2021
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Hallucinogen types}}		{{Hallucinogen types}}
	~~{{Sedatve/hypnotic toxicity types}}~~

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2021-01-12T21:04:28Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Hallucinogen types}}		{{Hallucinogen types}}
			{{Sedatve/hypnotic toxicity types}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2021-01-12T21:03:19Z

Differential Diagnosis

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 ==Differential Diagnosis==
 {{Hallucinogen types}}
 ==Evaluation==

Rossdonaldson1 at 20:45, 12 January 2021

2021-01-12T20:45:26Z

← Older revision		Revision as of 20:45, 12 January 2021
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	==Background==		==Background==
	*The perception of auditory, visual, tactile, or gustatory sensations without an actual stimulus
	*Etiology may be from underlying psychiatric disorder or organic cause.		*Etiology may be from underlying psychiatric disorder or organic cause.

	==Clinical Features==		==Clinical Features==
			*The perception of auditory, visual, tactile, or gustatory sensations without an actual stimulus

			==Differential Diagnosis==
			{{Hallucinogen types}}

	~~==Differential Diagnosis==~~
	===Organic causes===		===Organic causes===
	*[[Delirium]]		*[[Delirium]]
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	*[[Dementia]]		*[[Dementia]]
	*[[Parkinson's Disease]]		*[[Parkinson's Disease]]

	~~{{Hallucinogen types}}~~

	{{Sedatve/hypnotic toxicity types}}		{{Sedatve/hypnotic toxicity types}}

	~~{{Dissociative drugs types}}~~

	====Other Toxicologic Causes====		====Other Toxicologic Causes====

ClaireLewis: /* Other Toxicologic Causes */

2019-10-03T03:02:30Z

Other Toxicologic Causes

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	*[[Hydrocarbon toxicity]]		*[[Hydrocarbon toxicity]]
	*[[Heavy metal toxicity]]		*[[Heavy metal toxicity]]
	*Multiple medications: [[montelukast]], [[doxapram]], [[hyoscyamine]], [[tizanidine]], [[peramivir]], [[amantadine]], [[rimantadine]], [[bromocriptine]], [[methylergonovine]], [[benztropine]], [[doxepin]], [[voriconazole]], [[~~aciclovir~~]], [[valacyclovir]], [[ganciclovir]], [[cimetidine]], [[penicillin G ~~procaine~~]], [[clarithromycin]], [[metoclopramide]]		*Multiple medications: [[montelukast]], [[doxapram]], [[hyoscyamine]], [[tizanidine]], [[peramivir]], [[amantadine]], [[rimantadine]], [[bromocriptine]], [[methylergonovine]], [[benztropine]], [[doxepin]], [[voriconazole]], [[acyclovir]], [[valacyclovir]], [[ganciclovir]], [[cimetidine]], [[penicillin G Procaine]], [[clarithromycin]], [[metoclopramide]]
	*[[Inhalant abuse]]		*[[Inhalant abuse]]


	===Psychiatric Causes <ref>Visual Hallucinations: Differential Diagnosis and Treatment. PMID PMC2660156</ref>===		===Psychiatric Causes <ref>Visual Hallucinations: Differential Diagnosis and Treatment. PMID PMC2660156</ref>===

ClaireLewis at 03:01, 3 October 2019

2019-10-03T03:01:41Z

← Older revision		Revision as of 03:01, 3 October 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
			===Organic causes===
			*[[Delirium]]
			*[[Intracranial mass]] to occipital or temporal lobes
			*[[Encephalitis]], [[limbic encephalitis]], [[anti-NMDA receptor encephalitis]]
			*[[Migraine]]
			*[[Seizure]]
			*[[Hypocalcemia]]/[[Hypercalcemia]]

			*[[Rift valley fever]]
			*[[Rabies]]
			*[[Syphilis]]
			*[[Vitamin B7 deficiency]]
			*[[Pellagra]]
			*[[Dementia]]
			*[[Parkinson's Disease]]

	{{Hallucinogen types}}		{{Hallucinogen types}}

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	{{Dissociative drugs types}}		{{Dissociative drugs types}}

	===Other ~~Organic~~ Causes===		====Other Toxicologic Causes====
	*[[Alcohol Withdrawal]]		*[[Alcohol Withdrawal]]
	*[[Anticholinergic Toxicity]]		*[[Anticholinergic Toxicity]]
	*[[Tricyclic (TCA) Toxicity]]		*[[Tricyclic (TCA) Toxicity]]
	*[[~~Ertapenem~~]] ~~Toxicity~~		*[[Synthetic cannabinoids]]
	*[[~~Encephalitis~~]]		*[[Inhalant abuse]]
	*[[~~Hypocalcemia~~]]/[[~~Hypercalcemia~~]]		*[[Nitrogen narcosis]]
			*[[GHB withdrawal]]
			*[[Hydrocarbon toxicity]]
			*[[Heavy metal toxicity]]
			*Multiple medications: [[montelukast]], [[doxapram]], [[hyoscyamine]], [[tizanidine]], [[peramivir]], [[amantadine]], [[rimantadine]], [[bromocriptine]], [[methylergonovine]], [[benztropine]], [[doxepin]], [[voriconazole]], [[aciclovir]], [[valacyclovir]], [[ganciclovir]], [[cimetidine]], [[penicillin G procaine]], [[clarithromycin]], [[metoclopramide]]
			*[[Inhalant abuse]]


	===Psychiatric Causes <ref>Visual Hallucinations: Differential Diagnosis and Treatment. PMID PMC2660156</ref>===		===Psychiatric Causes <ref>Visual Hallucinations: Differential Diagnosis and Treatment. PMID PMC2660156</ref>===
	*Schizophrenia, schizo-affective Disorder		*[[Schizophrenia]], [[schizoaffective disorder]], [[schizophreniform disorder]]
	*[[~~Dementia~~]]		*[[Depression]] with psychotic features
	*[[~~Delirium~~]]		*[[Bipolar disorder]]
	*[[~~Migraine~~]]
	*[[~~Seizure~~]]
	*[[~~Parkinson's Disease~~]]
	*Charles Bonnet Syndrome (in the visually impaired)		*Charles Bonnet Syndrome (in the visually impaired)

	==Evaluation==		==Evaluation==
	*Workup should be targeted toward specific diagnosis. ~~Cranial imaging generally only indicated for focal neurological findings or [[Headache Red Flags\|headache red flags]]~~		*Workup should be targeted toward specific diagnosis.
	*In non-auditory hallucinations, assume organic pathology until proven otherwise.		*In non-auditory hallucinations, assume organic pathology until proven otherwise.
			*New diagnosis of psychiatric disease as cause of hallucinations should generally not be made in ED without first ruling out organic pathology
	*If concern for suicidal or unknown toxic ingestion:		*If concern for suicidal or unknown toxic ingestion:
	**Acetaminophen level		**Acetaminophen level
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	==Management==		==Management==
	*Treat the underlying pathology.		*Treat the underlying pathology.
			*If hallucinations distressing, can trial dose of PO [[antipsychotic]]
	*In the case of alcohol withdrawal hallucinosis, no standard therapy has been established,<ref> Neuroleptic treatment of alcohol hallucinosis: case series. PMID 18030655</ref> although treatment with neuroleptics (e.g. Haldol) has shown some benefit. <ref>Alcohol-induced hallucinosis. Clinical aspects, pathophysiology and therapy. PMID 9064548</ref> Also continue to treat the [[Alcohol Withdrawl \|alcohol withdrawal]].		*In the case of alcohol withdrawal hallucinosis, no standard therapy has been established,<ref> Neuroleptic treatment of alcohol hallucinosis: case series. PMID 18030655</ref> although treatment with neuroleptics (e.g. Haldol) has shown some benefit. <ref>Alcohol-induced hallucinosis. Clinical aspects, pathophysiology and therapy. PMID 9064548</ref> Also continue to treat the [[Alcohol Withdrawl \|alcohol withdrawal]].

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	*[[Alcohol withdrawal]]		*[[Alcohol withdrawal]]
	*[[Hallucinogens]]		*[[Hallucinogens]]
			*[[Psychosis]]

	==References==		==References==

Mholtz at 03:55, 9 July 2017

2017-07-09T03:55:03Z

← Older revision		Revision as of 03:55, 9 July 2017
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	==Clinical Features==		==Clinical Features==


	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	''Workup should be targeted toward specific diagnosis. Cranial imaging is only ~~useful if localized~~ neurological findings or [[Headache Red Flags \| headache red flags]] ''		*Workup should be targeted toward specific diagnosis. Cranial imaging generally only indicated for focal neurological findings or [[Headache Red Flags\|headache red flags]]
			*In non-auditory hallucinations, assume organic pathology until proven otherwise.
	''In non-auditory hallucinations, assume organic pathology until proven otherwise.''		*If concern for suicidal or unknown toxic ingestion:
	*If ~~concerned~~ for suicidal or unknown toxic ingestion:		**Acetaminophen level
	**~~Aspirin~~		**Salicylate level
	**~~Tylenol~~ level
	**[[ECG]]		**[[ECG]]

	==Management==		==Management==
	*Treat the underlying pathology.		*Treat the underlying pathology.
	*In the case of ~~Alcohol Withdrawl Hallucinosis~~, no standard therapy has been established,<ref> Neuroleptic treatment of alcohol hallucinosis: case series. PMID 18030655</ref> although treatment with neuroleptics (e.g. Haldol) has shown some benefit. <ref>Alcohol-induced hallucinosis. Clinical aspects, pathophysiology and therapy. PMID 9064548</ref> Also continue to treat the [[Alcohol Withdrawl \|alcohol withdrawal]].		*In the case of alcohol withdrawal hallucinosis, no standard therapy has been established,<ref> Neuroleptic treatment of alcohol hallucinosis: case series. PMID 18030655</ref> although treatment with neuroleptics (e.g. Haldol) has shown some benefit. <ref>Alcohol-induced hallucinosis. Clinical aspects, pathophysiology and therapy. PMID 9064548</ref> Also continue to treat the [[Alcohol Withdrawl \|alcohol withdrawal]].

	==See Also==		==See Also==
	*[[General ~~Psych Workup~~]]		*[[General psychiatric approach]]
	*[[Alcohol ~~Withdrawal~~]]		*[[Alcohol withdrawal]]
	*[[Hallucinogens]]		*[[Hallucinogens]]

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	<references/>		<references/>

	[[Category:Neurology]][[Category:Toxicology]]		[[Category:Neurology]]
			[[Category:Toxicology]]

ClaireLewis: /* Differential Diagnosis */

2016-10-23T23:49:15Z

Differential Diagnosis

← Older revision		Revision as of 23:49, 23 October 2016
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	===Psychiatric Causes <ref>Visual Hallucinations: Differential Diagnosis and Treatment. PMID PMC2660156</ref>===		===Psychiatric Causes <ref>Visual Hallucinations: Differential Diagnosis and Treatment. PMID PMC2660156</ref>===
	*Schizophrenia		*Schizophrenia, schizo-affective Disorder
	*Schizo-affective Disorder
	*[[Dementia]]		*[[Dementia]]
	*[[Delirium]]		*[[Delirium]]

← Older revision		Revision as of 23:32, 12 January 2021
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	==See Also==		==See Also==
	*[[General psychiatric approach]]		*[[General psychiatric approach]]
	*[[Alcohol withdrawal]]
	*[[Hallucinogens]]
	*[[Psychosis]]		*[[Psychosis]]

			==External Links==

	==References==		==References==