Case Presentation: A 54-year-old woman with type 2 diabetes mellitus with hyperglycemia and hypertension presented to our hospital with new fevers, nausea, vomiting.Four days prior, the patient was found to have a diabetic foot infection and started on trimethoprim/sulfamethoxazole (TMP-SMX) and metronidazole as an outpatient. At this time, her sodium was 133, corrected to 139 [...]

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 [...]

Case Presentation: A sixty-eight year-old woman presented with two days of confusion and lethargy following two weeks of worsening abdominal pain, nausea and emesis. Medical history was significant for chronic pain, depression, hypertension, and a remote history of alcohol withdrawal seizures. There was no reported dyspnea, cough, or chest pain. She was a one pack [...]

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 [...]

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 [...]

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 [...]

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 [...]

Case Presentation: A 63-year-old male presents to the hospital with complaints of one-day history of weakness, dizziness. His outpatient blood work demonstrated a serum sodium level of 124 mEq/L, and a creatinine of 3.1 mg/dL. His medical history was significant for high-grade urothelial bladder carcinoma status post radical cysto-prostatectomy, neobladder urinary diversion, and MVAC (methotrexate, [...]

Case Presentation: 83 year old female with a history of SLE, rheumatoid arthritis, B-cell lymphoma in remission, hypothyroidism presented with a 4 day history of atraumatic lower back pain, rash to left lower back, nausea, retching, few episodes of small volume, clear vomitus and fatigue. She also reported one year of 25 pound unintentional weight [...]

Case Presentation: A 62-year-old man with a history of diabetes presented to the emergency department with altered mental status (AMS) and increased urinary frequency. The patient was conscious but oriented only to self. Initial evaluation revealed hyponatremia (serum sodium: 125 mmol/L) with mild hyperglycemia (186 mg/dL). Further assessment of hyponatremia showed a serum osmolality of [...]