Question

A 25 year old alcoholic presented with edema,hypertension, ocular disturbance,and changes in mental state was observed, diagnosis of high output cardiac failure was made with Wet Beri Beri, this is due to deficiency of?

• A. Vit B3
• B. Vit B6
• C. Vit B9
• D. Vit B1

Answer 1

The Correct Option is D

The condition described in the scenario is Wet Beri Beri, which is associated with high-output cardiac failure. This is due to a deficiency of Vitamin B1, also known as Thiamine. Thiamine plays a critical role in carbohydrate metabolism and is essential for normal nerve and cardiac function. Without sufficient Thiamine, the body experiences disrupted energy metabolism, ultimately leading to cardiovascular complications such as those observed in Wet Beri Beri.

Nutrient	Deficiency Syndrome
Vitamin B1 (Thiamine)	Beriberi, Wernicke-Korsakoff syndrome
Vitamin B3 (Niacin)	Pellagra
Vitamin B6 (Pyridoxine)	Peripheral neuropathy, sideroblastic anemia
Vitamin B9 (Folate)	Megaloblastic anemia, birth defects

In summary, the symptoms such as edema, hypertension, ocular disturbances, and changes in mental state in the context of Wet Beri Beri highlight the critical need for Thiamine, making Vitamin B1 deficiency the correct answer.