Episode 115.0 – Wernicke’s Encephalopathy - a podcast by Core EM

from 2017-10-02T11:00:13

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This week we sit down with toxicologist Meghan Spyres to talk about Wernicke's Encephalopathy.







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Show Notes

Take Home Points



* Consider the diagnosis in all patients with nutritional deficiencies, not just alcoholics.

* Look for ophthalmoplegia, ataxia and confusion in patients that have risk factors for thiamine deficiency.

* Don’t think that it can’t be Wernicke’s because the triad isn’t complete; any two of the components (dietary deficiency, oculomotor abnormalities, cerebellar dysfunction or altered mental status) makes the diagnosis.

* Treat Wernicke’s with an initial dose of 500 mg of thiamine IV and admit for continued parenteral therapy.



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