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 Best of Five 2.74

 

   

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BOF: 2.74

A 53-year-old alcoholic has been admitted to the medical admissions unit. He has presented to the accident and emergency department with a history of fits. He lives in a hostel and has not been managing to look after himself.

The nursing staff tell you that he is confused and was unsteady on his feet when trying to walk to the toilet.

On examination he looks unkempt and emaciated. He is confused, ataxic and has nystagmus and a 6th nerve palsy.

In this patient your next step in management would be:

a)      Arrange an urgent CT scan of his head

b)      Treat with diazepam

c)      Treat with intravenous thiamine

d)      Treat with intramuscular haloperidol

e)      Check his blood glucose levels

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