Question

A 45-year-old man with a long history of alcohol misuse presents with confusion, ataxia and ophthalmoplegia. He has low body mass index and poor diet. What is the most appropriate immediate treatment?

Accepted Answer

Intravenous Thiamine before any glucose

Answer

High-dose oral Thiamine tablets

Answer

Intravenous glucose followed by Thiamine

Answer

Oral Diazepam and discharge

Answer

Intravenous Prednisolone

Practice question

A 45-year-old man with a long history of alcohol misuse presents with confusion, ataxia and ophthalmoplegia. He has low body mass index and poor diet. What is the most appropriate immediate treatment?