4th November 2020

A 62-year-old man has been brought to A&E by a concerned member of the public

A 62-year-old man has been brought to A&E by a concerned member of the public. He was found wandering in a hayfield in the early hours of the morning and appears to be very confused. He seems to be unbalanced when he walks, and the member of the public did wonder whether he had just been drinking, as he smells slightly of alcohol. The patient has had many different attendances for alcohol intoxication at A&E – the doctor suspects he may have Wernicke’s encephalopathy.

Which of the following tools could be used to screen for cognitive impairment in this setting?

Select the SINGLE most appropriate diagnosis from the list below. Select ONE option only.