Discussions By Condition: I cannot get a diagnosis.

Severe hyponatremia no diagnosis

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: Anonymous
  • May 8, 2008
  • 08:32 AM

Need some help.
46 year old female patient, initially with periferic facial paresis, the developed a severe hyponatremia, and recently also hypokalemia. Given NAcl solutions, the Na level is lower rather then going up...
She has also hypertension. Cranial CT was normal, abdominal CT also normal.
If anyone might have an ideea, please share with us.

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2 Replies:

  • Need some help.46 year old female patient, initially with periferic facial paresis, the developed a severe hyponatremia, and recently also hypokalemia. Given NAcl solutions, the Na level is lower rather then going up...She has also hypertension. Cranial CT was normal, abdominal CT also normal. If anyone might have an ideea, please share with us.Even though the head CT was normal, I'd do an MRI for further studies.Have any hormonal studies been done? I'd look into a disorder of the endocrine system. When you say severe hyponatremia, do you mean below the normal range? This can occur in endocrine disease, specifically the pituitary gland. If all the electrolytes are off, I suggest researching Addison's Disease.http://www.endocrineweb.com/Is a great place to start.Another is:http://www.hormone.org/pituitary/overview.cfm
    Anonymous 42789 Replies Flag this Response
  • Thanks for the reply, I was thinking about those as well. however a thoracic rtg has revealed the main cause: Lung carcinoma, wich after bipsy turned to be small cell cc. Well at least we know more...:(
    Anonymous 42789 Replies Flag this Response
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