case of a 38 year old male patient with a chief complaint of involuntary movements in both upper and lower limbs

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Here is a case which I have seen:-

A 38 year old male patient has come to the opd. He had 2 episodes of involuntary movements of both upper limb and lower limb with frothiness from mouth, up rolling of eyes which lasted for 2 minutes.

No h/o involuntary micturition and tongue bite.

No h/o chest pain, shortness of breath, weakness and deviation of mouth.

The patient had been on maintenance hemodialysis since 10 days.

H/o HTN since 10 days,

He is not a k/c/o asthma, TB, CAD, CVA, epilepsy.

GENERAL EXAMINATION-

Patient is conscious, coherent and cooperative.

Moderately built and nourished.

Vitals -

Temp- Afebrile

Bp- 150/90mmHg

PR- 92bpm