Presentation
History
Early symptoms of uremic encephalopathy include the following:
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Anorexia
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Nausea
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Restlessness
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Drowsiness
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Diminished ability to concentrate
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Slowed cognitive functions
More severe signs and symptoms of uremic encephalopathy include the following:
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Vomiting
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Emotional volatility
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Decreased cognitive function
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Disorientation
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Confusion
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Bizarre behavior
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Stupor, coma
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Physical
Physical examination findings may include the following:
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Altered mental status (confusion)
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Cranial nerve signs (nystagmus)
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Papilledema
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Hyperreflexia, clonus, asterixis
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Altered gait
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Stupor
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Coma (occurs only if uremia remains untreated and progresses)
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