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Review Question - QID 102617

Electrolyte Disturbances Potassium Electrolyte Disturbances Hyponatremia Hypernatremia Definition serum sodium of < 135 mmol/L Etiology pseudohyponatremia hyperglycemia hyperlipidemia hypervolemic hyponatremia congestive heart failure nephrotic syndrome cirrh QID: 102617 (M2.RL.12.1)
In scope icon M 6 E
QID 102617 (Type "102617" in App Search)
A 32-year-old man with a history of chronic alcoholism presents to the emergency department with vomiting and diarrhea for 1 week. He states he feels weak and has had poor oral intake during this time. The patient is a current smoker and has presented many times to the emergency department for alcohol intoxication. His temperature is 97.5°F (36.4°C), blood pressure is 102/62 mmHg, pulse is 135/min, respirations are 25/min, and oxygen saturation is 99% on room air. On physical exam, he is found to have orthostatic hypotension and dry mucus membranes. Laboratory studies are ordered as seen below.
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