Core IM | Internal Medicine Podcast "Best of" | Hyponatremia Diagnostics 5 Pearls
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Jul 27, 2022 AI Snips
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Misleading History
- A patient presented with a sodium level in the low 120s and a history of vomiting, suggesting hypovolemia.
- After fluid administration, her sodium dropped further, highlighting that history can be misleading.
Importance of Labs
- Always obtain diagnostic labs for hyponatremia, even if the patient received fluids.
- These labs, like urine and serum studies, offer a snapshot of the patient's physiological state.
Hyponatremia Approach
- Approach hyponatremia by considering ADH level and intravascular volume status.
- This two-axis approach helps understand the patient's physiological state rather than seeking a single etiology.