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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 for dialysis after 2 mont

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