Management of alcohol withdrawal on the USMLE exam

by / Saturday, 24 July 2010 / Published in Internal Medicine

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1stTHIAMINE

Given to prevent the progression of Wernicke’s encephalopathy (addition of glucose after thiamine)

2ndBENZODIAZEPINE (Lorazepam or Diazepam)

Wernicke’s Encephalopathy presents with – Ataxia, Confusion, Nystagmus

Korsakoff’s – This presents with confabulations most commonly, and will almost always be in the question.

Korsakoff Psychosis РThis condition can precipitate if you give glucose before thiamine.  This is why we always give Thiamine before Glucose.

THIS IS WHAT SEVERE ALCOHOL WITHDRAWAL LOOKS LIKE – SEIZURES/DELIRIUM TREMENS/COMA



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