Background: Acquired hyponatremia and hypernatremia are common in hospitalized patients and correcting dysnatremia may improve outcomes. Nephrology assistance with dysnatremia may help optimize management, but specialist resources are limited. Targeted Automatic e-Consultation (TACo), a model of selective e-consultation based on automated identification of patients from the electronic health record, has been applied for glycemic management [...]

Case Presentation: A 70-year-old woman visiting from India with history of hypothyroidism and adrenal insufficiency presented with four days of profuse diarrhea and fever. She was admitted for sepsis secondary to Rotavirus gastroenteritis with initial sodium level 132 (135-145 mmol/L). On day 2 of hospitalization, sepsis resolved with isotonic fluids and stress dose steroids, but [...]

Case Presentation: A 68-year-old female with non-Hodgkin’s lymphoma treated with R-ICE (rituximab, ifosfamide, carboplatin, etoposide) and recent autologous stem cell transplantation, who presented with poor oral intake due to mucositis and diarrhea. Initial labs revealed sodium (Na) 146 mmol/L, potassium (K) 2.4 mmol/L, phosphorus (Pi) 2.3, and creatinine (Cr) 1.40 mg/dL comparing to baseline 1.2 [...]

Case Presentation: A 46-year-old, previously healthy woman of Korean descent initially developed heartburn associated with thirst and frequent urination. Two months later, she presented to the Emergency Department with epigastric pain and persistent thirst. She appeared euvolemic, and her initial workup was notable for a serum sodium (SNa) of 144 mmol/L and urine specific gravity [...]

Case Presentation: LF is a 63 year-old female with a history of schizoaffective disorder, gastroparesis, and stage III chronic kidney disease (CKD) who was initially admitted to the inpatient psychiatric unit for psychosis with suicidal and homicidal ideation in the context of medication nonadherence. Mental status exam was remarkable for persecutory delusions and auditory hallucinations. [...]

Case Presentation: A 40-year-old male with no medical history presented to the ED for confusion. His partner revealed that the patient had been drinking his own urine with salt, part of a home detoxification regimen. His partner denied any prior episodes of confusion and denied any known family history or genetic disorders. He was afebrile [...]