A 47yo man who is a chronic alcoholic with established liver damage, has been brought to the
hospital after an episode of heavy drinking. His is not able to walk straight and is complaining of
double vision and is shouting obscenities and expletives. What is the most likely dx?
a. Korsakoff psychosis b. Delirium tremens
c. Wernickes encephalopathy
d. Tourettes syndrome
e. Alcohol dependence
Ans. The key is C. Wernicke’s encephalopathy. [triad of i) ophthalmoplegia, ii) ataxia iii) confusion].
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