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Presentation comparison
Emergency4 of 8 diagnoses compared
| CriteriaComparison detail | AlcoholEmergency |
|---|
Toxidrome clues: pupils, respiratory rate, nystagmus, tremor, diaphoresis, sympathetic overdrive.
Clinical reference — not validated decision support. Review before use.
| OpioidsEmergency |
|---|
| HallucinogensEmergency |
|---|
| MethamphetamineEmergencyNot selected |
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| BenzodiazepinesEmergencyNot selected |
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| GHBEmergencyNot selected |
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| InhalantsEmergencyNot selected |
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| Why it fits | Slurred speech, ataxia, disinhibition, aggression, nystagmus | Conjunctival injection, slowed time perception, anxiety, paranoia, derealisation | Pinpoint pupils, sedation, reduced respiratory rate, reduced consciousness | Visual distortion, synaesthesia, altered perception, panic | Agitation, paranoia, pressured speech, insomnia, tachycardia, hypertension, dilated pupils | Sedation, ataxia, slurred speech, disinhibition, amnesia | Rapid sedation, fluctuating consciousness, amnesia, sudden sleep | Euphoria, confusion, ataxia, nystagmus, perioral rash |
|---|---|---|---|---|---|---|---|---|
| What argues against | Applies to the whole presentationReview locally. | |||||||
| Must-not-miss | Head injury, aspiration, hypoglycaemia, respiratory depression | Severe panic, paranoia, self-harm, psychosis | Apnoea, aspiration, hypoxia, mixed overdose | Severe agitation, accidents, prolonged psychosis | ||||
| 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
Conjunctival injection, slowed time perception, anxiety, paranoia, derealisation
Severe panic, paranoia, self-harm
Pinpoint pupils, sedation, reduced respiratory rate, reduced consciousness
Apnoea, aspiration, hypoxia
Visual distortion, synaesthesia, altered perception, panic
Severe agitation, accidents, prolonged psychosis
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
| Respiratory depression if combined with opioids/alcohol. |
| Airway compromise, aspiration, mixed overdose |
| Arrhythmia, sudden sniffing death, trauma |