Dysequilibrium syndrome: Difference between revisions
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*Muscle Cramps | *Muscle Cramps | ||
==Differential Diagonsis | ==Differential Diagonsis== | ||
{{uremia}} | {{uremia}} | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 01:29, 14 April 2017
Background
- Characterized by neurological symptoms that is thought to be secondary to cerebral edema affecting dialysis patients
- Tends to occur in patients who are initially started on dialysis, particularly with high initial BUN
- Symptoms are thought to be secondary to the development of cerebral edema possibly due to urea removal during dialysis and from a decreased in pH in the cerebral intracelluar environment
Clinical Features
- Signs and symptoms develop during or after dialysis or during renal replacement therapy, usually self limited but can occasionally progress
- Headache
- Nausea
- Visual disturbances
- Asterixis
- Altered mental staus
- Seizures
- Coma
- Muscle Cramps