Question

A 63-year-old man with chronic alcohol misuse presents with confusion and ataxia. Nystagmus is noted. What is the most appropriate immediate management?

Accepted Answer

IV thiamine (Pabrinex®) before glucose

Answer

IV dextrose then thiamine

Answer

Oral thiamine only

Answer

No vitamin therapy; arrange CT head first

Answer

High-dose steroids

Practice question

A 63-year-old man with chronic alcohol misuse presents with confusion and ataxia. Nystagmus is noted. What is the most appropriate immediate management?