Hypernatremia

There's also things that stimulate impaired water intake so you need both of these in order to have hypernatremia. In this patient my biggest thing would be if she's had a history of fevers and then how she's able to get free water and how she gets her feeds. Then again you want to think about the things that could be causing losses. So what has their urine output been like? And certainly we want to get some urine studies that we'll discuss. Have they had knee vomiting or diarrhea? It doesn't necessarily sound like this is the case for this patient but it sounds like probably has a UTI.