Question

A 40-year-old man with chronic heavy alcohol use presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous thiamine before glucose

Answer

Intravenous glucose before thiamine

Answer

Diazepam only

Answer

Oral multivitamins

Answer

No specific treatment is necessary; this is likely intoxication alone

Practice question

A 40-year-old man with chronic heavy alcohol use presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate treatment?