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Updated: Aug 11, 2026

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
Severe muscle weakness due to hyperkalemia
S Tapiawala1, S V Badve, N More
1Dept. of Medicine and Nephrology, PD Hinduja National Hospital and Medical Research Centre, Mumbai.
Abstract:
Hyperkalemia is a commonly encountered electrolyte disturbance in patients with renal insufficiency. It develops very rapidly when potassium is supplemented while a patient is on a potassium-sparing diuretic. Most often it remains asymptomatic and manifests in the form of electrocardiographic changes. Muscle weakness and paralysis although described is seldom observed in clinical practice. We report one such case.
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