47M with Altered sensorium secondary to Uremic with Diabetes since 10years and Ckd since 1 years
A 47 years old male who is a Mason,by occupation resident of lakkaram ,Choutuppal,married 30 years ago to a agricultural labourer,both resides in lakkaram,who used to go to work from 9 to 6pm,was apparently assymptomatic 10 years ago,and then he had nocturia for 1 week(Wakes up 3-4 times/night,and his wife observed ants 🐜 on his urine and thought that he is having diabetes)and got tested and was known to be having diabetes and was on OHA since then. And on regular checkup for every 6mnths,and since 5mnths he had episodes of increased sweating once in every 1month,the first episode was 5 mnths ago where his wife saw him sweating excessively and made him to take buttermilk and used to resume his work after 5-10 minutes,no history of palpitations and chestpain at that time,and 4 months ago he had an episode of irrelevant talk and not oriented to time and place,and had tonic posture of upperlimbs and lowerlimbs for 1 hour associated with up rolling of eyeballs and increased sweating duri