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Old 08-16-2011
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Question Vitamin Deficiency in this alcoholic!

A 55-year-old alcoholic male presents to the emergency room complaining of loss of memory. The intern orders an MRI of his brain, which shows destruction of his mammillary bodies. Which of the following deficiencies does he have?
A. Vitamin B2
B. Vitamin B3
C. Vitamin B12
D. Vitamin B1
E. Vitamin B6
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  #2  
Old 08-16-2011
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Is it thiamine?
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Old 08-16-2011
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yap thiamine (vit b1)
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Old 08-16-2011
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D. Vitamin B1
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Old 08-17-2011
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d. vitamin b1
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Old 08-17-2011
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Agreed. Would this only be Werneke's? There is no information that would help us rule out Korsokoff's
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Old 08-18-2011
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it is vit b1 thiamine
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Old 08-18-2011
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Unhappy mixed up...need help

ok can anyone tell me an easier way to learn the diff vit b n their deficiences
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Old 09-12-2011
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Post Wernicke-Korsakoff Manifestation

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Originally Posted by samstar View Post
ok can anyone tell me an easier way to learn the diff vit b n their deficiences
These symptoms are related to thiamine (B1) deficiency in chronic alcoholism. Chronic alcoholism and B1 deficiency cause Wernicke-Korsakoff syndrome:

Manifestation: Degenerative changes in the brain stem and diencephalon + Hemorrhagic lesions of cortical and bilateral paramedian masses of gray matter and the mamillary bodies.

Symptoms:
----------Triad of Confusion + Ataxia + Ophthalmoplegia (Wernicke traid)
----------Memory loss and confabulation (Korsakoff part)
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Old 09-12-2011
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Vitamin B1 is the main commonly called thymine is the deficient due to consumption of alcohol.
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  #11  
Old 09-12-2011
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D. Vitamin B1
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