Hyponatremia – Minilecture低钠血症.pptVIP

Approach to Hyponatremia  Core Topic UCI Internal Medicine Residency, 2012 Clinical Scenario 74-year-old man p/w recent gastroenteritis characterized by n/v/d x 5 days, in addition to fatigue and headache. CT head (-) in ED. No focal neurologic deficits found. He looks dry on physical exam, with no evidence of fluid overload. BMP significant for Na+ of 118, baseline unknown. Serum osmolality is 266. Urine osmolality is 377. Urine sodium is 8. How would you approach this patient’s hyponatremia? How would your approach be different if this patient presented with new-onset seizures