A 55-year-old man with chronic alcohol misuse presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate management?...

Question

A 55-year-old man with chronic alcohol misuse presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate management?

Accepted Answer

Intravenous Thiamine before glucose

Answer

Oral Thiamine once daily

Answer

Give 50% dextrose immediately then Thiamine

Answer

Start Haloperidol for agitation only

Answer

Reassure and discharge

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