Clinical Daignosis: Confusion in an Alcoholic Patient

General
1

A 45-year-old chronic alcoholic presents with confusion, ataxia, and nystagmus. What is the most likely diagnosis?
A. Hepatic encephalopathy
B. Wernicke’s encephalopathy
C. Delirium tremens
D. Korsakoff syndrome

Hint: It’s reversible if caught early.
Bonus: What’s the first-line treatment?

Comment below—let’s see how many of you remember this classic triad!

2

Most likely it’d be Wernicke’s Encephalopathy a classic traid of confusion, ataxia ,nystagmus in alcoholics

3

A 45-year-old chronic alcoholic with confusion, ataxia, and nystagmus most likely has B. Wernicke’s encephalopathy—a reversible condition if treated early.
First-line treatment is IV thiamine.