28/M with UREMIC ENCEPHALOPATHY with CRF
A 28 year old male who is a sales man in cloth store, presented to casualty ( on 22/12/21).with h/o seizures since last night. H/o seizures 3 episodes around 3am, 7am, 11am. Each episode lasting for 3-5 min a/w uprolling of eyeballs, frothing from mouth. Not a/w toungue bite, involuntary micturition, involuntary defecation, lethal cry. Followed by post ictal confusion lasting for 15-20 mins H/o sob since 10 days, grade II - III. H/o fever 1 week back a/w chills . No H/o hematuria . No h/o frothy urine. No h/o nausea, vomiting, loose stools. No h/o decreased urine output, pedal edema. Pt was apparently asymptomatic 10 (February 2021)months back then he noticed sudden loss of weight of about 10-15kgs, in a span of 1 & 1/2 months for which he consulted local doctor where he was diagnosed to have CKD for which he was advised to undergo dialysis I /v/o high creatinine levels. He came to our hospital for dialysis , here he tested COVID + , then he came back f...
