10 results
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Wernicke Encephalopathy ... - Acute Thiamine ... Deficiency Clinical Diagnosis ... nystagmus) - Cerebellar ... dysfunction and gait
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's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
Korsakoff Syndrome - Thiamine ... to longstanding thiamine ... ataxia (broad-based gait ... vitaminB1 #B1 #thiamine ... Korsakoff #Syndrome #diagnosis
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
- Differential Diagnosis ... Syndrome: • Wernicke's ... #Differential #Diagnosis ... beriberi #nutrition #pathophysiology ... #wernickes #korsakoff
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
Wernicke Encephalopathy ... Ataxia • Gait ... • Stance #Wernicke ... Syndrome #Triad #Diagnosis ... #Neurology #Thiamine
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
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Vitamin deficiency (thiamine ... Nephrotic syndrome • Wernicke ... arrhythmias • Thiamine ... #Differential #Diagnosis ... #Pathophysiology
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Metabolism -> Decr Thiamine ... - Wernicke-Korsakoff ... Refeeding #Syndrome #diagnosis ... #pathophysiology
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Water-Soluble Vitamins: • Thiamine ... and vomiting, Wernicke's ... oculomotor dysfunction, gait ... #differential #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