Renal & Urinary System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young man has presented with dysarthria and left-sided weakness for several days, in a background of constitutional symptoms. His medical history is notable for end-stage chronic kidney disease (CKD), without proper treatment or followup.\n \nExamination shows him to be drowsy and confused, with bilateral asterixis, a left-sided upper motor neuron type facial nerve palsy, and generalized left-sided weakness.\n \nStroke is an immediate concern. Other etiologies to consider include encephalitis, cerebral venous thrombosis, a subdural hematoma, hypertensive encephalopathy, uremic encephalopathy, and sepsis. Drug-induced neurotoxicity can present similarly, but can be excluded based on the history.\n \nHypertensive encephalopathy is unlikely, gi"}]}

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