Patient presents with signs and symptoms consistent with uremic encephalopathy, a neurological complication of chronic kidney disease (CKD) and acute kidney injury (AKI).  Clinical manifestations include altered mental status, ranging from mild confusion and disorientation to delirium and coma.  The patient exhibits [Specify level of consciousness e.g., lethargy, somnolence, obtundation].  Neurological examination reveals [Document specific findings e.g., asterixis, myoclonus, tremors].  Cognitive impairment is evident, with deficits in attention, memory, and executive function.  Laboratory results indicate elevated blood urea nitrogen (BUN) and creatinine levels, confirming renal dysfunction.  The patient's glomerular filtration rate (GFR) is significantly reduced, indicative of advanced CKD stage [Specify stage if known].  Treatment focuses on managing the underlying renal failure through dialysis (hemodialysis or peritoneal dialysis).  Further management includes electrolyte correction and blood pressure control.  Differential diagnosis includes other metabolic encephalopathies, such as hepatic encephalopathy and hypernatremia.  Patient education regarding medication adherence, dietary restrictions, and dialysis compliance is crucial.  ICD-10 code N19 for CKD and G93.4 for uremic encephalopathy are considered for coding and billing purposes. Prognosis depends on the response to dialysis and the management of underlying renal disease.  Continued monitoring of neurological status and renal function is essential.