Severe Hyponatremia with Hypouricemia in a Patient with Medullary Hemorrhage: A Case Report

Severe Hyponatremia with Hypouricemia in a Patient with Medullary Hemorrhage: A Case Report

Hyponatremia is the commonest electrolyte abnormality in hospitalized patients and occurs due to various causes. Here we present a case of SIADH who was diagnosed using commonly available biochemical tests. This case report also discusses the interaction of the laboratory physician with the treating...

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Bibliographic Details
Published in:EJIFCC Vol. 23; no. 1; pp. 2 - 4
Main Authors: Chakraborty, Sutirtha, Banerjee, Tapas K
Format: Journal Article
Language:English
Published: Italy The Communications and Publications Division (CPD) of the IFCC 04-04-2012
Subjects:
Case Report
Uric Acid
SIADH
Hyponatremia
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Summary:Hyponatremia is the commonest electrolyte abnormality in hospitalized patients and occurs due to various causes. Here we present a case of SIADH who was diagnosed using commonly available biochemical tests. This case report also discusses the interaction of the laboratory physician with the treating clinician and the approach needed to arrive at a correct diagnosis. It highlights the importance of serum uric acid and fractional excretion of urinary uric acid in the diagnosis of SIADH. It also discusses the approach needed to distinguish SIADH from Cerebral Salt wasting syndrome, where the presenting feature is also hyponatremia.
ISSN:1650-3414
1650-3414