Question

A 45-year-old man with known alcohol dependence presents to the Emergency Department confused and ataxic. On examination, he has nystagmus and ophthalmoplegia (bilateral abducens palsy). What is the most appropriate immediate treatment?

Accepted Answer

Intravenous Pabrinex (high-potency B vitamins)

Answer

Oral Thiamine

Answer

Intravenous Lorazepam

Answer

Intravenous Glucose 50%

Answer

Intravenous Haloperidol

Practice question

A 45-year-old man with known alcohol dependence presents to the Emergency Department confused and ataxic. On examination, he has nystagmus and ophthalmoplegia (bilateral abducens palsy). What is the most appropriate immediate treatment?