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diagnosis differential neurology encephalopathy nutrition thiamine syndrome b1 pharmacology signs symptoms wernickes causes chf clinical criteria iron korsakoff management mri
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... Thiamine (B1) Deficiency ... dysfunction and gait ... ataxia is only ... @gabifpucci #Wernicke
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency Wernicke's encephalopathy is a neurological condition due to longstanding
Syndrome - Thiamine Deficiency ... thiamine (vitamin B1) deficiency ... of confusion, ataxia ... (broad-based gait ... #B1 #thiamine #deficiency
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... dysfunction (e.g. gait ... ataxia - usually ... thiamine can worsen Wernicke ... @neudrawlogy #Wernicke
Wernicke Encephalopathy - Triad Encephalopathy • Disorientation • Indifference • Inattentiveness Ocular motor dysfunction
Wernicke Encephalopathy ... gaze palsies Ataxia ... • Gait • ... Stance #Wernicke ... Neurology #Thiamine #Deficiency
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations Causes of Thiamine Deficiency: • Poor intake: - Diets
Thiamine Deficiency ... Syndrome: • Wernicke's ... Ophthalmoplegia - Ataxia ... beriberi #nutrition #pathophysiology ... #wernickes #korsakoff
Clinically Important Vitamins and Vitamin Deficiency States Fat-soluble Vitamins: • Vitamin A - Xerophthalmia, night blindness,
Vitamins and Vitamin Deficiency ... Haemolytic anaemia, ataxia ... B1 - Beri-beri, Wernicke-Korsakoff ... #Vitamins #Deficiency
Wernicke's Encephalopathy CLINICAL TRIAD: only seen in 1/4 pts W.E. is often under diagnosed 1. ENCEPHALOPATHY
Wernicke's Encephalopathy ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... no upper limb ataxia ... vestibular #Wernickes
Causes of Gait Disturbance - Differential Diagnosis Algorithm Sporadic • Vascular • Infection • Toxic • Nutrition
Causes of Gait Disturbance ... • Friedrich's Ataxia ... Childhood Catalytic Deficiency ... Childhood Catalytic Deficiency ... Niemann-Pick Disease #Gait
Anticonvulsants as Mood Stabilizers: Mechanism and Side-effect Examples: Valproate, Carbamazepine, Lamotrigine • Mild anticholinergic effect -> Drowsiness
Dose-dependent tremor, ataxia ... dizziness, diplopia, ataxia ... pruritus, weight gain ... #SideEffects #Pathophysiology
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
and vomiting, Wernicke's ... oculomotor dysfunction, gait ... ataxia), Korsakoff ... sensory neuropathy, ataxia
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