A 50-year-old electrician presents to the emergency department with a 3-day history of an unsteady gait and double vision when looking to the right. He appears confused and gives a history of severe vomiting over the past 10 days with significant weight loss over the past few months. He has been abusing alcohol for 30 years and has been diagnosed with alcohol dependence. He underwent partial gastrectomy for carcinoma of the stomach 12 years ago. He has no other previous medical or psychiatric history. Mental state examination His eye contact is variable.
He is disorientated. He has poor orientation in time and does not know where he is but is able to recognize his wife who accompanies him. He is drowsy, has poor concentration but is readily rousable. He scores 14/30 on mini-mental state examination. A thorough mental state examination is difficult due to his condition. But he does not…
