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Hepatorenal syndrome-AKI — RCPSC IM MCQ

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HardGastroenterology/HepatologyHepatorenal syndrome-AKIRCPSC IM

A patient has tremor, diaphoresis, hypertension and prior alcohol-withdrawal seizures six hours after last alcohol use. He is alert with no focal deficit or ocular signs. What is the most appropriate treatment plan?

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Correct answer: D — Use monitored benzodiazepines with thiamine assessment

Prior complicated alcohol withdrawal needs monitored benzodiazepine-based treatment and assessment for thiamine deficiency. Antipsychotics alone do not prevent seizures; glucose alone, waiting for alcohol clearance, and naloxone do not treat alcohol withdrawal.

Reference: CAMH, Managing alcohol withdrawal: https://www.camh.ca/en/professionals/treating-conditions-and-disorders/alcohol-use/alcohol-use---treatment/treatment---managing-alcohol-withdrawal