Hyponatremia is a commonly encountered clinical problem in both the emergency department and ICU settings. The differential diagnosis can be vexing but is critical to initiation of the correct treatment. Read on for a brief clinicall vignette addressing this dilemma
Fri, 08/02/2019 - 6:29am
Fri, 08/31/2018 - 9:10pm
A 20 year-old female presents with an intentional overdose. Her mother reports that 30 tablets of Meloxicam 15mg missing. Patient alert and she complaints of generalized abdominal pain and nausea. Vitals are initially stable, but then she becomes hypotensive 50s/20s while she is alert. Her ECG is NSR and wide QRS (146ms) and prolong QTc (762ms). The patient eventually admits to also taking her mother’s Plaquenil.