When a patient gets admitted with hyponatremia, you need to ask following questions:-
1) What is his volume status?
2) Is the hyponatremia chronic? any previous results available?
3) Any history of vomiting or diarrhoea?
4) Any history of renal, heart failure, cirrhosis or nephrotic syndrome?
5) any history or symptoms of hypothyroidism or adrenal insufficiency?
6) Is patient taking medications that could cause low sodium?
7) Does patient suffer from any pulmonary disease or CNS disease?
8) Is there history suggestive of neoplasm?
9) is there history suggestive of hyperlipaedemia or hyperproteinemia?
10) Is the lab value correct?
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Hyponatremia
May 27, 2008
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