Question

A 52-year-old man with a history of heavy alcohol use presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate treatment?

Accepted Answer

Give intravenous Thiamine before any glucose

Answer

Start high-dose oral Thiamine

Answer

Give intravenous glucose before Thiamine

Answer

Start Diazepam for likely alcohol withdrawal

Answer

Prescribe oral multivitamins only

Practice question

A 52-year-old man with a history of heavy alcohol use presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate treatment?