Session Type
Meeting
Search Results for Hyponatremia
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 […]
Abstract Number: 638
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 60 year old female with past medical history of chronic migraines presents with chief complaint of nausea and vomiting, with associated headache and malaise. She reports recent emergency room visit two weeks prior at an outside hospital for a “cold” with stomach pain. She was told she had a urinary tract infection […]
Abstract Number: 672
SHM Converge 2021
Case Presentation: A 41-year old female was hospitalized for management of SIADH causing refractory hyponatremia. Her medical history was notable for generalized anxiety disorder and cosmetic silicone bilateral breast implant. She was up to date on age appropriate cancer screening, and was not taking any prescription medications or supplements. The patient had been in usual […]
Abstract Number: 694
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: 75 year-old male with nasal NK/T non-Hodgkin lymphoma (stage II B) in second relapse on salvage Pembrolizumab (checkpoint inhibitor) presented with fatigue, skin irritation and arthralgias. Initial blood work showed hyponatremia. Patient had a low plasma osmolality and was euvolemic on exam. Urine sodium was 96MeQ/L. Patient had a low serum cortisol which […]
Abstract Number: 762
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Our patient is a 63-year-old Caucasian male with a past medical history of schizophrenia on risperidone, psychogenic polydipsia and chronic hyponatremia. He presented to the emergency department after being discovered unresponsive in a personal care home. He was tachycardic with a heart rate of 110, hypertensive with a blood pressure of 194/95 mmHg […]
Abstract Number: 772
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: Mr. R, a 52 year old man with history of nasopharyngeal carcinoma in remission for 14 years, presented for an elective total laryngectomy. He was doing well post-operatively however had been experiencing uncontrolled anxiety for a few months that was previously controlled by sertraline 100mg. Therefore the medicine team recommended increasing his sertraline […]
Abstract Number: 782
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 71-year-old man with metastatic melanoma on pembrolizumab, presented with loss of appetite, nausea, vomiting, fatigue, and lightheadedness over the preceding three weeks. He was found to have orthostatic hypotension with dry mucus membranes on physical exam. Laboratory investigation revealed a sodium of 121 mmol/L. An 8am cortisol was checked and found to […]
Abstract Number: 785
Hospital Medicine 2020, Virtual Competition
Case Presentation: 72 yo male with history of cerebral artery aneurysm, COPD, and Stage 3 CKD presented to the hospital for elective angiography of a cerebral aneurysm. He developed PEA arrest in the preprocedural setting and ROSC was achieved after 5 minutes of CPR. Patients condition improved initially but prior to planned discharge he developed […]
Abstract Number: 806
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 40 year old man was brought in by ambulance after having a 30 second tonic-clonic seizure witnessed by his mother. He was intubated on route to the hospital for airway protection. On arrival he was afebrile and hemodynamically stable. Neurological exam was notable for GCS of 8. Pupils were mildly anisocoric and […]
Abstract Number: 814
SHM Converge 2023
Case Presentation: A 34-year-old man with hypertension on chlorthalidone and recent COVID-19 infection treated with Paxlovid presented to the ED with three days of shortness of breath, dizziness, and diarrhea. On exam, he was alert, neurologically non-focal, and underweight by BMI. Initial lab work was significant for severe hyponatremia (< 100 mmol/L) and hypokalemia (2.3 […]