A 56 year old male with altered sensorium and CKD
A 56 Yr old male R/o Miryalaguda, dialy labourer by occupation came to hospital on 19 November 2021 for his dialysis Hopi : Patient was apparently asymptomatic 2 years back when he was diagnosed with CKD when he had c/o bilateral pedal edema Patient has come to the hospital for his regular dialysis session on 19 Nov, after running regular tests he was told he requires blood transfusion. Dialysis session was delayed due to blood transfusion ( the last dialysis session was 14 days back). Patient developed fever since 3 days associated with chills and rigors and increased during night. No associated vomiting, diarrhea, shortness of breath. Patient's relative noticed slurring of speech and not responding to commands since 1 day Past history : H/o hypertension and diabetes mellitus since 4 years. Diagnosed with CKD 2 years back, for which he is on dialysis twice a week H/o blood transfusions 2 times in the past, recent one is ...