Q:

A 53 year old man was admitted to the hospital for investigation of hemoptysis. 3 days after admission he developed alternating state of consciousness, ataxic gait and some visual problems. What is the most appropriate management of this patient?

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A 53 year old man was admitted to the hospital for investigation of hemoptysis. 3 days after admission he developed alternating state of consciousness, ataxic gait and some visual problems. What is the most appropriate management of this patient?


  1. Acamprosate
  2. Chlordiazepoxide
  3. Diazepam
  4. High potent vitamins
  5. Disulfiram

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The key is D. High potent vitamins. [This is a case of Wernicke’s encephalopathy (as hospital admission prevented him from consuming alcohol) and the treatment for this is high potent vitamins].

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