Oesophageal Varices

[@shangren176]

Beastly Mnemonics as always Mr T

[@townsendteaching]

Thank you!

[@PotooBurd]

This is so informative! Great job, fantastic reporting!🌻🌼🐝 Keep it up 🙌

[@townsendteaching]

Thank you!

[@senioracademia1947]

Thank you ❤

[@townsendteaching]

Thank you!

[@Zaina959]

I didn't get the idea why we used thiamine...?

[@townsendteaching]

Patients presenting with alcohol related portal hypertension and oesophageal varices as a complication would be high risk for B1 deficiency. It's something easy to forget to give and this population may be at risk. In some ways, I guess its slightly presumptuous but I like to have it in my memory as a reflexive prompt - is this patient likely to be at risk of wernicke-korsakoff syndrome?

[@Zaina959]

The answer is YES. Wernicke-Korsakoff syndrome is commonly associated with "thiamine (vitamin B1) deficiency," which is prevalent in patients with chronic alcohol use. These patients are at risk because alcohol impairs thiamine absorption and utilization. Given that the patient mentioned that he is presenting with alcohol-related complications like portal hypertension and oesophagal varices, they are indeed likely to be at risk for Wernicke-Korsakoff syndrome due to their higher likelihood of thiamine deficiency...