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Wernicke's Encephalopathy

Aka: Wernicke's Encephalopathy
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  1. Cause
    1. Thiamine deficiency associated with Alcoholism
  2. Signs
    1. Ataxia
    2. Confusion
    3. Internal Strabismus
    4. Vertical and horizontal Nystagmus
  3. Complications
    1. Korsakoff's Disease
  4. Management: Emergent Thiamine Dosing
    1. Start: Thiamine 50 mg IV and 50 mg IM now
    2. Later: Thiamine 50 mg PO or IM qd

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