b- Neuromuscular:
The following are the common neuromuscular manifestations of
uraemia:
- Flabbing tremors (asterixis) and proximal myopathy with paradoxically
brisk tendon reflexes. - Peripheral neuropathy is usually mixed (motor and sensory) and mainly
affecting legs. Patients present mainly with parasthesia. - Muscle twitches and convulsions are mainly due to hypokalaemia and
hypocalcaemia. - Muscle weakness is due to hyperkalaemia, hyponatraemia and
hypovitaminosis D.