Internal Medicine - The Beauty of Medicine

The patient has a rapid shift from being hypo osmolar to hyperosmolar, which usually occurs in the context of over correction of hypometrema. And so that's required, that you need to have had a rapid shift in your osms. The presentation is usually days after the actual insult. So patients come in and they have symptoms of demilination a few days after. But i think the key, as you said, resa is that a lot of patients actually come in after they were discharged, whits these nerological symptoms.