nuiz557
Forum Newbie
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An old alcoholic male pt presents with confusion, disorientation to time and place. What is the most like cause?
a. Wernicke’s encephalopathy
b. Subdural haematoma
c. Alcoholic cerebellar degeneration
d. Korsakoff’s psychosis
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| usmleasr
Forum Guru
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subdural hematoma 
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| vyseerx
Forum Guru
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IT IS KORSAKOFF PSYCHOSIS
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vyseerx
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| nuiz557
Forum Newbie
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Could explain a bit more, vyseerx? why not a or b? Thanks
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| usmleasr
Forum Guru
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actually korsakoff pyshosis...patient will confuse us rather than confused himself...becos of confabulation to fill up his memory deficits...wernickes encephalopathy is acute condition..of ophthalmoplegia.. added i think..
please explain me if i am wrong
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| vyseerx
Forum Guru
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for subdural haematoma to be answered, the clinical vignette must specify truamatic experience. that is actually an advantage of taking a standardized test. in real life anything could be anything, but on a standardized test(USMLE), they must specify trauma, for you to consider subdural haemorrhage. while wernicke encephalopathy is charecterised by peripheral neuropathy, which is not specified in vignette. and importantly look what question is asking, what is MOST COMMON in alcoholics. that is clearly korsakoff psychosis.
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vyseerx
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