We appreciate your visit to A 44 year old homeless male develops confusion and ophthalmoplegia Upon review of the medical record you discover that he has been admitted to the. This page offers clear insights and highlights the essential aspects of the topic. Our goal is to provide a helpful and engaging learning experience. Explore the content and find the answers you need!
Answer :
Final answer:
The patient is likely suffering from Wernicke's encephalopathy due to chronic alcohol abuse resulting in impaired thiamine synthesis and utilization.
Explanation:
The symptoms presented by the patient point to a syndrome called Wernicke's encephalopathy, which is often seen in individuals with chronic alcohol abuse. The underlying biochemical process of this condition is a deficit in thiamine (vitamin B1). In medical terms, the crucial reaction that is likely impaired in this patient is the enzymatic conversion required for the synthesis of thiamine diphosphate, an essential cofactor for several enzymes involved in glucose metabolism. This impairment can be attributed to alcohol interfering with the absorption and use of thiamine, hence characterizing the symptoms like confusion and ophthalmoplegia.
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