Bedside
Rounds

Case #164Nephrology

Sudden Weakness in Both Legs with Palpitations

Sudden Weakness in Both Legs with Palpitations
At a glance
HR 52 bpm BP 158/94 SpO2 96% Potassium: 7.2 mEq/L

"62M with leg weakness, K+ 7.2 mEq/L & peaked T waves."

Patient History

A 62-year-old male with Stage 4 CKD presents with acute bilateral lower limb weakness and palpitations after consuming high-potassium foods and taking NSAIDs.

Clinical Examination & Labs

Serum potassium is 7.2 mEq/L and ECG demonstrates tall peaked T waves with QRS widening, indicating life-threatening hyperkalemia.

Diagnostic Management Pathway

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