A 53-year-old man with a long history of alcohol misuse presents with confusion, ataxia and ophthalmoplegia. He is malnourished. What is the most appr...

Question

A 53-year-old man with a long history of alcohol misuse presents with confusion, ataxia and ophthalmoplegia. He is malnourished. What is the most appropriate immediate management?

Accepted Answer

Give high-dose intravenous thiamine before glucose

Answer

Give oral multivitamins only

Answer

Discharge him with advice to reduce alcohol

Answer

Give high-dose intravenous glucose before thiamine

Answer

Start long-term antipsychotics

uk-plab-1 MCQ (SBA): Wernicke encephalopathy

A 53-year-old man with a long history of alcohol misuse presents with confusion, ataxia and ophthalmoplegia. He is malnourished. What is the most appropriate immediate management?