Session Type
Meeting
Search Results for Hyponatremia
Abstract Number: 244
Hospital Medicine 2020, Virtual Competition
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 […]
Abstract Number: 415
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Pt was a FT 2wk old boy. At his 1st clinic appointment, he was 9% below birthweight. Mom reported appropriate feeding volume but he was sleeping throughout the day and needed to be woken for feeds. He was stooling 1-2 times per day with 4-5 wet diapers and no vomiting or fevers. At […]
Abstract Number: 442
SHM Converge 2023
Case Presentation: A 49-year-old male presented for evaluation of an umbilical hernia. Past medical history was remarkable for alcohol misuse; the patient had ceased all alcohol consumption three years earlier. Physical exam revealed a protuberant, non-tender abdomen with a 4×4 cm reducible umbilical hernia. Pre-operative laboratory exam was remarkable for serum sodium of 137 mmol/L, […]
Abstract Number: 487
Hospital Medicine 2019, March 24-27, National Harbor, Md.
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 […]
Abstract Number: 491
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: Mr. M is a 66 year old man with a history of a kidney transplant and extensive coronary disease with a recent myocardial infarction and code blue arrest 2 months prior to admission. He presented to an outside facility with altered mental status and seizures attributed to severe hyponatremia (Na 115). The patient […]
Abstract Number: 506
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 51 year old Haitian male with a history of hypertension and what he described as “low sodium” presented to the emergency room with 4 days of dizziness, frontal headache, and nausea preceded by a 2 week onset of dry mouth and malaise. He had been prescribed hydrocortisone on a previous hospitalization, which […]
Abstract Number: 567
Hospital Medicine 2020, Virtual Competition
Case Presentation: 66 year old man with a history of eosinophilic granulomastosis with polyangiitis presented with ascending numbness and unsteadiness that worsened over two days and finally manifested as paraesthesia and weakness in all extremities, gait imbalance, and diplopia. Three weeks prior to presentation, the patient had received the flu vaccine. Neurology was consulted upon […]
Abstract Number: 608
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: This is the case of a 57-year-old lady with rapidly progressive stage IV pulmonary adenocarcinoma who presented two months after diagnosis with findings of significant hyponatremia. Upon admission, she was afebrile, hypotensive and tachycardic. Sodium was 119 mEq/L, potassium 2.4 mEq/L, chloride 67 mEq/L, serum osmolality 246 mosm/kg, urine osmolality 684 mosm/kg and […]
Abstract Number: 608
SHM Converge 2023
Case Presentation: A 40-year-old woman with diabetes mellitus type 2 and severe malnutrition presented to our institution with symptoms of altered mental status and dysuria. Initial evaluation was most notable for a capillary blood glucose of 1113 mg/dL and initial sodium of 125 mEq/L (which corrected for glucose level was within the normal range of […]
Abstract Number: 638
SHM Converge 2021
Case Presentation: A 59 year-old female with past medical history significant for chronic hyponatremia and tobacco use presented to the hospital with complaints of dyspnea and neck pain for 2 weeks. She reported blurry vision and swelling in her neck, face and axillae. Initial vitals were stable. Admission labs were significant for sodium 125, baseline […]