Hyponatremia history and symptoms: Difference between revisions
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* History of blood disorders | * History of blood disorders | ||
* History of CNS disorders | * History of CNS disorders | ||
*History of pulmonary disease | |||
*History of genetic diseases: Hyperlipidemia, nephrogenic SIAD | |||
*History of diabetes | |||
*History of GI disorders | |||
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===Common Symptoms === | ===Common Symptoms === | ||
The clinical signs and symptoms of hyponatremia are related to the degree of brain compensation to hypoosmolarity.Development of cerebral edema, increased intracerebral pressure and cerebral hypoxia are responsible for hyponatremia presentation. Also see the [[Hyponatremia natural history, complications and prognosis#Natural History, Complications, and Prognosis|complication]] of hyponatremia. | The clinical signs and symptoms of hyponatremia are related to the degree of brain compensation to hypoosmolarity.Development of cerebral edema, increased intracerebral pressure and cerebral hypoxia are responsible for hyponatremia presentation. Also see the [[Hyponatremia natural history, complications and prognosis#Natural History, Complications, and Prognosis|complication]] of hyponatremia. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Saeedeh Kowsarnia M.D.[2]
Overview
History and Symptoms
History
- Drug history
- Diet history
- History of volume loss: diarrhea, vomiting
- History of decreased urine output
- Chronic illnesses: CHF, RF
- History of endocrine disorders
- History of malignancy
- History of infectious disease
- History of psychiatric illness
- History of diagnostic procedures or operation
- History of blood disorders
- History of CNS disorders
- History of pulmonary disease
- History of genetic diseases: Hyperlipidemia, nephrogenic SIAD
- History of diabetes
- History of GI disorders
Common Symptoms
The clinical signs and symptoms of hyponatremia are related to the degree of brain compensation to hypoosmolarity.Development of cerebral edema, increased intracerebral pressure and cerebral hypoxia are responsible for hyponatremia presentation. Also see the complication of hyponatremia.
- Asymptomatic
- Acute neurologic changes: seizures, altered mental status, coma , focal neurologic signs
- Moderate symptomsThe unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.2
- Severe
- Vomiting
- Cardio-respiratory distress
- Abnormal and deep somnolence
- Seizures
- Coma (Glasgow Coma Scale 8)
- Delirium
- Impaired consciousness
- Mild chronic hyponatremia (plasma sodium 125–135 mEq/L) may cause subtle neurocognitive deficits that can be detected by careful testing ,these deficits improve when the plasma sodium is normalized.[1]
Less Common Symptoms
- Cardiorespiratory arrest
- Death
- Coma
- Brain damage/ brain edema
- Epileptic seizures
- Osmotic demyelinating syndrome
References
- ↑ F. C. Bartter & W. B. Schwartz (1967). "The syndrome of inappropriate secretion of antidiuretic hormone". The American journal of medicine. 42 (5): 790–806. PMID 5337379. Unknown parameter
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