9 results
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... ) Deficiency - Diagnosis ... and Management Diagnosis ... nystagmus) • Cerebellar ... dysfunction (e.g. gait
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... Deficiency Clinical Diagnosis ... nystagmus) - Cerebellar ... dysfunction and gait ... @gabifpucci #Wernicke
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Wernicke's Encephalopathy ... is often under diagnosed ... GAIT ATAXIA (23% ... Primarily: Stance & gait ... Unlike Alcoholic Cerebellar
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
- Differential Diagnosis ... #Differential #Diagnosis ... syndromes #beriberi #nutrition ... #pathophysiology ... #wernickes #korsakoff
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... Nephrotic syndrome • Wernicke ... Refeeding #Syndrome #Nutrition ... #Differential #Diagnosis ... #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 ... Bypass #vitamin #nutrition ... #differential #diagnosis
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
- Little or no nutritional ... Thiamine - Wernicke-Korsakoff ... Refeeding #Syndrome #diagnosis ... #pathophysiology
DANISH Mnemonic for Cerebellar Signs of Disease

D - Dysdiadochokinesia / Dysmetria - Impaired ability to perform
DANISH Mnemonic for Cerebellar ... Dysdiadochokinesia / Dysmetria ... A - Ataxia - Gait ... DANISH #Mnemonic #Cerebellar ... #Signs #Diagnosis
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
range of motion, gait ... Examples: - Cerebellar ... Clues: Ataxia, dysmetria ... falling, functional gait ... Recurrent #Falls #Diagnosis