Mild Clinical Manifestations in a Patient with Severe Uremia

Nowadays, it is rare to treat anyone patients with very severe uremia. Most of them are monitored by a doctor and long before they reach the end stage of chronic kidney failure they smoothly end up in some method of dialysis. However, there are also some cases who are not monitored, who appear with some symptoms, usually metabolic acidosis, hyperkalemia, or vomiting’s, in which case uremia is usually not very severe, and the cause diagnosed by laboratory exams. A young patient was brought to our hospital by his relatives, because during his sleep he developed tonic-clonic spasms and loss of consciousness, without any other particularly subjective or objective findings. It is presented because of the very severe laboratory picture it had and its mild clinical semiology.