Diagnosis by treatment

Abstract

The approach to clinical conundrums by an expert clinician is revealed through the presentation of an actual patient's case in an approach typical of a morning report. Similarly to patient care, sequential pieces of information are provided to the clinician, who is unfamiliar with the case. The focus is on the thought processes of both the clinical team caring for the patient and the discussant. This icon represents the patient's case. Each paragraph that follows represents the discussant's thoughts.

Thiamine prescribing practices within university‐affiliated hospitals: A multicenter retrospective review

“…The brain uses glucose as its main source of energy and is susceptible to injury due to acute thiamine deficiency. Petechial hemorrhage and demyelination within periventricular structures (thalami, mammillary bodies, ocular motor nuclei, and cerebellar vermis) account for the classical triad of Wernicke's encephalopathy (WE), including confusion/encephalopathy, ophthalmoplegia, and ataxia . Additional symptoms and signs are reported in WE, implicating more widespread consequences of thiamine deficiency …”