Patient presents with signs and symptoms suggestive of hypochloremia, a low chloride level.  Presenting complaints include muscle weakness, twitching, or cramps, fatigue, and in severe cases, confusion or seizures.  Relevant medical history includes recent vomiting, diarrhea, or excessive sweating, potential causes of chloride loss.  Current medications include diuretics, which may contribute to electrolyte imbalances.  Physical examination reveals potential signs of dehydration, such as dry mucous membranes.  Laboratory results confirm low serum chloride levels below the normal reference range.  Differential diagnoses considered include metabolic alkalosis, cystic fibrosis, and Addison's disease.  Diagnosis of hypochloremia is established based on clinical presentation, history, and laboratory findings.  Treatment plan includes addressing the underlying cause of chloride loss and correcting the electrolyte imbalance with oral or intravenous chloride supplementation, as indicated.  Patient education provided regarding the importance of hydration, dietary chloride intake, and medication management.  Follow-up laboratory testing scheduled to monitor chloride levels and treatment efficacy.  ICD-10 code E87.1, electrolyte disturbance, is documented for medical billing and coding purposes.  Patient's prognosis is good with appropriate management and treatment.