B vitamin names
"The Rhythm Nearly Proved Contagious":
· In increasing order: Thiamine (B1) Riboflavin (B2) Niacin (B3) Pyridoxine (B6) Cobalamin (B12)

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question:
A 47-year-old woman who is semi-comatose comes into the clinic; order Dextrose 5%/Normal saline to be hung.. then all of a sudden, the patient develops confusion, nystagmus, eye weakness; your eyes are wide-open, and wondered what the crap did you just do????? What happened and why??... explain the mechanism please.

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You forgot to give B1 before glucose,

Now I get a little confuse with wernickel syndrome
wernickel kostokof syndrome



Mechanism I live that to you guys I dont want to be the only one having fun answering

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what area of the brain will this patient have damage?

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Wernicke syndrome--ataxia, nystagmus, and confusion whereas Korsakoff's is memory deficits...;

Mechanism--the little thiamine that this person had got used up when the glucose went to pyruvate to acetyl CoA... needed to give IV thiamine before the IV fluids...

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more bumping ahead

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nice discussion ..

nice thread, very useful

thanks for the mnemonic .its very useful