18 results
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Acute Thiamine (B1 ... ) Deficiency Clinical ... Encephalopathy #Thiamine #B1 ... #Deficiency #diagnosis ... #criteria #neurology
Wernicke's Encephalopathy vs Korsakoff Syndrome - Thiamine Deficiency

Wernicke's encephalopathy is a neurological condition due to longstanding
thiamine (vitamin B1 ... of confusion, ataxia ... (broad-based gait ... #vitaminB1 #B1 # ... #comparison #neurology
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
- Acute B1 (Thiamine ... ) Deficiency - Diagnosis ... syndrome (chronic B1 ... Encephalopathy #B1 ... #neurology #nutrition
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
Clinically Important ... , ataxia • Vitamin ... • Thiamine B1 ... - Beri-beri, Wernicke-Korsakoff ... #differential #diagnosis
Wernicke Encephalopathy - Triad

Encephalopathy 
 • Disorientation 
 • Indifference 
 • Inattentiveness 
Ocular motor dysfunction
gaze palsies Ataxia ... • Gait • ... Syndrome #Triad #Diagnosis ... #Neurology #Thiamine ... #Deficiency
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
• Thiamine - Nausea ... and vomiting, Wernicke's ... oculomotor dysfunction, gait ... • Vitamin B12 ... #differential #diagnosis
Korsakoff Syndrome
Clinical Findings:
 • Confabulation: Usually initial phase of the disease
 • Anterograde amnesia: Memory impairment
Korsakoff Syndrome Clinical ... • Anterograde amnesia ... presentation of Thiamine deficiency ... Korsakoff #Syndrome #neurology ... #diagnosis
Wernicke's Encephalopathy 
CLINICAL TRIAD: only seen in 1/4 pts 
W.E. is often under diagnosed 
1. ENCEPHALOPATHY
Wernicke's Encephalopathy ... CLINICAL TRIAD ... is often under diagnosed ... GAIT ATAXIA (23% ... #triad #neurology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... • Common Causes ... intrinsic factor, IF) Clinical ... parasthesias, gait ... #Cobalamin #Deficiency
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... Most cases diagnosed ... • Pernicious anemia ... /B12 deficiency ... ) - Waddling gait