thiamine leads to the disease beriberi, a disease affecting the heart and nervou
ID: 147144 • Letter: T
Question
thiamine leads to the disease beriberi, a disease affecting the heart and nervous system. Alcoholic Admission PRESENT ILLNESS: This 45-year-old white female was admitted to Betty Ford Clinic on 1-14-xx because of uncontrolled "fits. The patient has a long medical history that includes bilateral past surgeries for carcinoma 15 to 20 years ago, with no evidence of recurrence. She has also had several skin cancers that required removal and has a long history of alcoholism. She has recently begun to drink rather regularly again. She has over the past 8 to 9 days become progressively more difficult to handle and has hacd several grand mal-type seizures. She was brought into the emergency department and admitted for therapy and evaluation. The patient was seen in neurology consultation and it was the neurologist's opinion that the patient showed evidence of early Korsakoff psychosis and that her seizure disorder was secondary to her chronic alcoholism. She was started on thiamine and began to show progressive improvement mentally though slow. Her affect was inappropriately pleasant and Tlat, with very little evidence of emotional reaction or awareness of what was happening. The patient was not well oriented to time but did seem to be reasonably oriented to place and persons. She was uncharacteristically cooperative. In the latter part of her hospital stay arrangements were made for her to be seen at the alcohol clinic for counseling, which she had previously refused. On the 14th of February when, she was to have been seen, she suddenly returned to her old self and adamantly refused to undertake any sort of alcohol control program, stating that she could take care of it by herself. She was at that time ambulatory and able to take care of herself and was therefore discharged home with the instruction to pursue outpatient follow-up. She was informed that unless she had some sort of help and was able to remain free of alcohol, her prognosis was poor In the hospital she was shown to have some hepatomegaly and moderate elevation of alkaline phosphatase, SGPT and SGOT FINAL DIAGNOSESs 1. Chronic alcoholism with malnutrition 2. Seizure disorder secondary to number 1 3. Chronic liver disease secondary to number 1 4. Anemia, normocytic, secondary to number 1Explanation / Answer
1.she has also had several skin cancers that required removal and has a long history of alcoholism.
2.korsakoff psychosis is the seizure that she suffer from.
3. Hepatomegaly is the condition of having an enlarged liver
,that causes symptoms of yellowing of skin,fatigue and weakness, nausea , weight Loss.
4.Because of long history of alcoholism,she diagnosed with malnutrition.
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