Clinical Presentation Of Hyponatremia
カートのアイテムが多すぎます
カートに追加できませんでした。
ウィッシュリストに追加できませんでした。
ほしい物リストの削除に失敗しました。
ポッドキャストのフォローに失敗しました
ポッドキャストのフォロー解除に失敗しました
Clinical Presentation Of Hyponatremia
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ナレーター：
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著者：
A 78-year-old woman with hypertension controlled with hydrochlorothiazide started taking carbamazepine for trigeminal neuralgia approximately 3 weeks ago. She presents today saying, “I’ve been feeling oddly for the past week.”
Laboratory results are
•Na⁺ 131 mEq/L (normal 135–145 mEq/L)
•K⁺ 3.8 mEq/L (normal 3.5–5.0 mEq/L)
•Cl⁻ 100 mEq/L (normal 98–106 mEq/L)
•HCO₃⁻ 25 mEq/L (normal 22–29 mEq/L)
•Creatinine 0.9 mg/dL (approximately normal 0.6–1.3 mg/dL)
•eGFR 65 mL/min/1.73 m² (≥60 mL/min/1.73 m² generally considered preserved for medication/lab interpretation in this context) (Stage 3A CKD
Given her lab results, which of the following are the most likely clinical findings in this patient?
A. Mild fatigue, difficulty concentrating, intermittent nausea, and mild unsteadiness when walking
B. Marked confusion, repeated vomiting, seizures, and decreased level of consciousnes
C. Muscle weakness, muscle cramps, constipation, and palpitations
D. Perioral and fingertip tingling, painful muscle spasms, and carpopedal spasm
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