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Case 39 - Salt Control

from Section 6 - Movement Disturbances

Published online by Cambridge University Press:  27 July 2023

Mark McCarron
Affiliation:
Ulster University
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Summary

A 38-year-old woman had a long history of an eating disorder and laxative abuse. She smoked 10 cigarettes per day. She was admitted to hospital with abdominal pain and ‘constipation’. Prior to admission, she had been observed to be drinking a lot of water. She had returned from Rome a day before her hospital admission. In hospital, she was agitated. Her admission serum sodium was 102 mmol/L. She was admitted to the High Dependency Unit. The hyponatraemia was corrected (Figure 39.1) initially with normal saline and three-times normal saline but a large diuresis ensued.

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Chapter
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55 Cases in Neurology
Case Histories and Patient Perspectives
, pp. 269 - 274
Publisher: Cambridge University Press
Print publication year: 2023

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References

Spasovski, G, Vanholder, R, Allolio, B et al. Clinical practice guideline on diagnosis and treatment of hyponatraemia. Eur J Endocrinol. 2014;170(3):G147.CrossRefGoogle ScholarPubMed
Fox, B. Crash diet potomania. Lancet. 2002;359:942.CrossRefGoogle ScholarPubMed
Adams, RD, Victor, M, Mancall, EL. Central pontine myelinolysis: a hitherto undescribed disease occurring in alcoholic and malnourished patients. AMA Arch Neurol Psychiatry. 1959;81(2):154–72.Google ScholarPubMed

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  • Salt Control
  • Mark McCarron, Ulster University
  • Book: 55 Cases in Neurology
  • Online publication: 27 July 2023
  • Chapter DOI: https://doi.org/10.1017/9781009214131.040
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  • Salt Control
  • Mark McCarron, Ulster University
  • Book: 55 Cases in Neurology
  • Online publication: 27 July 2023
  • Chapter DOI: https://doi.org/10.1017/9781009214131.040
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Salt Control
  • Mark McCarron, Ulster University
  • Book: 55 Cases in Neurology
  • Online publication: 27 July 2023
  • Chapter DOI: https://doi.org/10.1017/9781009214131.040
Available formats
×