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Old 08-15-2010
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Question ANSWER THIS QUESTION.......... i would tell you ans next day.

On examination in emergency department, 32 yr old male has an unsteady gait, mild B/L oculoparesis and spider angiomas. He is confused and agitated. Which of the following agents is the best immediate pharmacological treatment?
A. Anticoagulants
B. AChE inhibitor
C. Pentobarbital
D. Salicylates
E. Thiamine
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Old 08-15-2010
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E.Thiamine
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Old 08-15-2010
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Yes - I agree - thymine for an alcoholic. You want to avoid Wernicke Korsakoff.
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Old 08-15-2010
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thiamine- !!
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Old 08-15-2010
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Thumbs Up u r right.

Quote:
Originally Posted by khushboo View Post
E.Thiamine
yes................................
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Old 08-16-2010
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Sorry for this stupid question but what led you to believe it was an alcoholic?
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Old 08-16-2010
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I think the presence of "spider angiomas" is the only clue which points towards a liver cirrhosis.

If u combine this symptom with other neurological symptoms the pt has.... u can rule out the other options and u r left with Thiamine only.
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Old 09-12-2011
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Post Wernicke-Korsakoff Syndrome

Thiamine Deficiency in Alcoholics:

----------Triad of Confusion + Ataxia + Ophthalmoplegia (Wernicke traid)
----------Memory loss and confabulation (Korsakoff part)


This patient exhibits Wernicke triad.
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