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
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:
Arrange an urgent CT scan of his head
Treat with diazepam
Treat with intravenous thiamine
Treat with intramuscular haloperidol
Check his blood glucose levels