A homeless person is found wandering on the street. He had ataxic gait, nystagmus and opthalmoplegia. He looked unkempt and his clothes had a sweaty odour. He had a dry mucous membrane with a BP=118/70mmHg and PR=90bpm. Blood sugar level=8. Alcohol breath test= -ve. What would the most imp initial inv?
a. IV insulin
b. Vit B complex
c. Bolus IV 0.9%NS
d. IV dextrose
e. Antibiotics
Answer: B
Wernicke's encephalopathy: thiamine is a Vitamin B complex.
The question at the end of it is probably a bad recall of best management. No need for IV fluids/Sugar/Insulin since his heart rate, blood pressure and sugar are all fine.
No signs of infection.
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