A 55-year-old man with a history of alcohol excess presents with confusion, ataxia, and ophthalmoplegia (nystagmus and bilateral abducens palsy). What...

Question

A 55-year-old man with a history of alcohol excess presents with confusion, ataxia, and ophthalmoplegia (nystagmus and bilateral abducens palsy). What is the most appropriate immediate treatment?

Accepted Answer

Intravenous Pabrinex (High-dose B vitamins)

Answer

Oral Thiamine 100mg TDS

Answer

Intravenous Lorazepam

Answer

Intravenous Dextrose 50%

Answer

CT Head Scan

ukmla MCQ (SBA): Wernicke's Encephalopathy

A 55-year-old man with a history of alcohol excess presents with confusion, ataxia, and ophthalmoplegia (nystagmus and bilateral abducens palsy). What is the most appropriate immediate treatment?