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An 82-year-old woman was admitted to the hospital with confusion. Her sodium level was 121 mEq/L, down from 130 four weeks ago. She had recently been started on HCTZ and had poor appetite and weight loss over the past year. Her urine osmolality was 280 mosm/kg and urine sodium was 30 mEq/L. Potential causes of her hyponatremia include her recent use of HCTZ, possible underlying SIADH indicated by her inappropriately high urine osmolality, recent nausea/vomiting and volume loss, and a poor diet low in solute

Author

preethi.rayan455

Language

EN