Severe Hyponatremia with High Urine Sodium and Osmolality/Commentary/Commentary

[...] it illustrates the diagnostic challenges of severe hyponatremia with high urine sodium and osmolality. [...] it illustrates quite strikingly how atypical the presentation of adrenal insufficiency can be. The presenting symptoms in this case patient already posed a challenge, because nausea and...

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Bibliographic Details
Published in:Clinical chemistry (Baltimore, Md.) Md.), 2009-11, Vol.55 (11), p.1905
Main Authors: van der Hoek, Joost, Hoorn, Ewout J, de Jong, Gijs M T, Janssens, Emile N W, de Herder, Wouter W, Hortin, Glen L, Harris, Neil S, Winter, William E, Richardson, Robert
Format: Article
Language:English
Subjects:
Adrenal glands
Alcohol use
Colleges & universities
Edema
Heart failure
Hospitals
Hypothyroidism
Liver cirrhosis
Nausea
Patients
Risk factors
Sodium
Urine
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Summary:[...] it illustrates the diagnostic challenges of severe hyponatremia with high urine sodium and osmolality. [...] it illustrates quite strikingly how atypical the presentation of adrenal insufficiency can be. The presenting symptoms in this case patient already posed a challenge, because nausea and vomiting can be symptoms of both adrenal insufficiency and early cerebral edema. Because symptoms had been present for more than 2 days, the patient was judged to have chronic hyponatremia, and serum sodium was not corrected aggressively.
ISSN:0009-9147
1530-8561