A 65-year-old man with a history of alcohol use disorder presents with confusion, ataxia and nystagmus. According to Canadian internal medicine practi...

Question

A 65-year-old man with a history of alcohol use disorder presents with confusion, ataxia and nystagmus. According to Canadian internal medicine practice, what is the most appropriate immediate treatment?

Accepted Answer

Intravenous thiamine before glucose administration.

Answer

Intravenous glucose followed by thiamine.

Answer

Oral multivitamins only.

Answer

No treatment; observe for improvement.

Answer

Intravenous benzodiazepines only.

ca-mccqe1 MCQ (SBA): Wernicke encephalopathy

A 65-year-old man with a history of alcohol use disorder presents with confusion, ataxia and nystagmus. According to Canadian internal medicine practice, what is the most appropriate immediate treatment?