20 results
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... - Acute B1 (Thiamine ... dysfunction (e.g. gait ... ataxia - usually ... #B1 #Thiamine #
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Acute Thiamine (B1 ... ) Deficiency Clinical ... dysfunction and gait ... ataxia is only ... #Thiamine #B1 #
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
thiamine (vitamin B1 ... ) deficiency, commonly ... of confusion, ataxia ... (broad-based gait ... #vitaminB1 #B1 #
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
Clinically Important ... Vitamins and Vitamin Deficiency ... Haemolytic anaemia, ataxia ... • Thiamine B1 ... signs #symptoms #nutrition
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... - Triad Encephalopathy ... gaze palsies Ataxia ... • Gait • ... Neurology #Thiamine #Deficiency
Causes of Gait Disturbance - Differential Diagnosis Algorithm
Sporadic
 • Vascular
 • Infection
 • Toxic
 • Nutrition
Causes of Gait Disturbance ... • Toxic • Nutrition ... Childhood Catalytic Deficiency ... Childhood Catalytic Deficiency ... Niemann-Pick Disease #Gait
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
(encephalopathy ... oculomotor dysfunction, gait ... ataxia), Korsakoff ... sensory neuropathy, ataxia ... Bypass #vitamin #nutrition
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... may cause severe clinical ... syndrome • Wernicke encephalopathy ... • Vitamin D deficiency ... Differential #Diagnosis #Pathophysiology
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
CLINICAL TRIAD ... ENCEPHALOPATHY ( ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... no upper limb ataxia
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Framework and Clinical ... • Wernicke's Encephalopathy ... Ophthalmoplegia - Ataxia ... syndromes #beriberi #nutrition ... #pathophysiology