Author: Sonia Haris / Editor: Sarah Edwards / Codes: NeuC5, NeuP1, SLO1, SLO2, SLO3 / Published: 11/07/2022
A 70-year-old male presents to the Emergency Department (ED) with a history of acute onset confusion and twitching which started at the end of his haemodialysis session. His wife noticed that he got confused and unsteady on his feet when he tried to get up after the session. He began twitching all over.
He has a past history of hypertension, chronic kidney disease and was recently started on haemodialysis.
Initial observations: HR125 bpm, BP-121/86, Sp02-95% RR-18
When you look at him, he is pale, unable to follow commands, randomly moving all his extremities, pupils equally reacting to light. He has clonus during ankle reflex testing.