Rapid Review: Wernicke Encephalopathy
- Patient will be a chronic alcoholic
- Complaining of ataxia and confusion
- PE will show nystagmus
- Most commonly caused by thiamine (B1) deficiency
- Treatment is aggressive thiamine repletion
- Comments: replace thiamine BEFORE glucose
A 53-year-old woman with chronic alcohol use presents with confusion and blurred vision. Her vital signs are normal. Physical examination reveals a wide-based gait, inability to abduct her right eye fully, nystagmus and difficulty with memory. Her alcohol level is 0 mg/dl. Which of the following is most likely to diagnose this patient’s disease?