beriberi…

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thiamine deficiency, vitamin b1 deficiency, beriberi, vitamin deficiency disease, inadequate bodily stores of thiamine, vitamin b1, damage the heart, nervous system, two major manifestations of thiamine deficiency, cardiovascular disease, wet beriberi, nervous system disease, "dry beriberi", wernicke-korsakoff syndrome, types, most often, excessive alcohol consumption, symptoms of dry beriberi include pain, tingling, loss of sensation in hands, feet, peripheral neuropathy, muscle wasting, loss of function, paralysis, the lower extremities, potential brain damage, death, wet beriberi is characterized by swelling, increased heart rate, lung congestion, enlarged heart related to congestive heart failure, beriberi has, become rare, most foods, vitamin-enriched, that a normal diet contains adequate amounts of thiamine, beriberi now occurs primarily in patients who abuse alcohol, drinking heavily, lead to malnutrition, poor absorption, storage of thiamine, the cause of wernicke-korsakoff syndrome, is alcohol-related brain damage affecting language, thinking, beriberi, occur in breast-fed infants, the mother has an inadequate intake of thiamine, affect infants fed unusual formulas, inadequate thiamine supplements, others at risk, beriberi include patients undergoing dialysis, patients receiving high doses of diuretics, people in developing countries, limited diets who consume milled rice, rare condition known, genetic beriberi, an inherited condition, affected people lose the ability to absorb thiamine from foods, happen slowly over time, manifest, an adult, beriberi, not be considered in nonalcoholics, diagnosis, missed, nervous system symptoms, degeneration of nerve fibers, insulation, myelin sheath, heart failure, most common cause of death, beriberi, early neurologic symptoms, complaints of symmetric tingling, burning pain, in the extremities, numbness, in the extremities, vomiting, strange eye movements, nystagmus, later neurologic symptoms, wernicke's encephalopathy, mental confusion/speech difficulties, difficulty walking, coma, death, a patient, wernicke's encephalopathy receives thiamine replacement, language problems, unusual eye movements, walking difficulties, subside, replaced by korsakoff's syndrome, includes memory loss, impaired ability to learn, confabulation, making up stories to explain behavior, little relation to reality, heart failure symptoms, shortness of breath, exertion, symmetric swelling, the lower legs, awakening at night short of breath, a physical examination, signs of congestive heart failure, symmetrically swollen lower legs, fluid, in the lungs, elevated neck veins, labored breathing, a rapid heartbeat, an enlarged heart, late-stage beriberi confused, have memory loss, delusions, neurological examination, a loss of vibratory sensation, person is less able to sense vibration, decreased reflexes, loss of coordination, gait changes, nystagmus, drooping, the eyelids, inability to move the eye outwards, measurement of blood thiamine, whole-blood, erythrocyte transketolase activity, measurement of urinary thiamine excretion, clinical response to administered thiamine, symptoms improve, person is given thiamine supplements, thiamine, administered by injection, pills, patients should also receive therapeutic doses of other water-soluble vitamins, following thiamine treatment, symptoms should improve rapidly, cardiac damage, reversible, not permanent, full recovery is expected, acute heart failure has already occurred, outlook is poor, nervous system damage is also reversible, caught early, memory loss, not be completely recovered, untreated, beriberi, fatal, psychosis, coma, congestive heart failure, death, beriberi is extremely rare, family's diet is inadequate, poorly balanced, children have any, the described symptoms, adequate intake of thiamine, prevent beriberi, nursing mothers should make sure that diet is adequate in all vitamins, sure that infant formulas contain thiamine, people who drink heavily should try to cut, quit, supplement diets, b-vitamins to ensure appropriate intake of thiamine.