Asterixis (flapping tremor) in uremia on Physical Exam Asterixis (flapping tremor) in a patient with AKI, azotemia and confusion = uremia. Immediate RRT planned. (Posted with permission) - Dr. Juan Carlos Q Velez @VelezNephHepato #Asterixis #tremor #PhysicalExam #neurology #uremia #clinical #video #hands