Diagnosis of Intoxication

DIAGNOSIS OF INTOXICATION

Sober

The individual is not, or is only minimally under the influence of alcohol and shows no signs of intoxication on examination.

Slightly intoxicated

The individual has a flushed face, dilated pupils and is euphoric with a loss of inhibitions.

Moderately intoxicated

The individual will, in addition to the above, display delayed pupillary reaction, in coordination of fine movements, Rhombergism, thick speech and a tendency to stumble when turning.

Strongly under the influence

The individual will now also have dilated pupils with very slow reaction, nystagmus, incoordination of movements, and a stumbling gait with exaggerated reactions when required to perform unexpected movements.

Very strongly under the influence

In addition to all the above-mentioned features, the face may be either flushed or pale, the pupils may be pinpoint or dilated, the person may be apathetic and show intellectual clouding and disorientation. Pronounced incoordination and pronounced Rhombergism are evident and vomiting may occur.

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