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Wernicke’s Encephalopathy — Emergency Recognition

A 48-year-old man with chronic alcoholism presents with confusion, ophthalmoplegia, and ataxia. Outline the emergency management.

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Recognize triad of confusion, ophthalmoplegia, ataxia

Monitor for clinical improvement

Address alcohol use disorder and nutrition

Give IV thiamine before glucose

Administer IV glucose if hypoglycemic

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