SAQ 771 – Neurology – Wernicke encephalopathy in altered mental state

A 38-year-old woman presents with altered mental state, ataxia and nystagmus. She has a history of frequent attendances related to alcohol intoxication.

List five (5) important aspects of her history.

(Marked out of 5.0)

Observation	Value
HR	110 bpm
BP	100/80 mmHg
RR	12/min
Temperature	38.8 C
GCS	10 (E3 M3 V4)

/ 5

List four (4) investigations with a rationale for each.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Investigation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Rationale</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">4</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

Your junior registrar suspects Wernicke encephalopathy. List two (2) ocular findings associated with Wernicke encephalopathy.

(Marked out of 2.0)

/ 2

Prescribe your specific treatment for Wernicke encephalopathy.

(Marked out of 1.0)

/ 1

Total Score: 0 / 12

Percentage: 0%