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Acute water intoxication in an adult man: 'dental hyponatraemia' revisited.

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  • معلومة اضافية
    • المصدر:
      Publisher: The College Country of Publication: England NLM ID: 101092853 Publication Model: Print Cited Medium: Internet ISSN: 1473-4893 (Electronic) Linking ISSN: 14702118 NLM ISO Abbreviation: Clin Med (Lond) Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : The College, c2001-
    • الموضوع:
    • نبذة مختصرة :
      The differential diagnosis of hyponatraemia is notoriously wide. However, only a minority is acute, ie develops in less than 48 hours. We describe an unusual cause of water intoxication due to toothache. A 30-year-old man with no medical history of note presented in an acute confusional state. Laboratory results disclosed profound hyponatraemia. Urinary indices were consistent with overdrinking, but in the absence of a reliable history, other aetiologies had to be excluded. This case highlights the benefit of a structured approach in the assessment of electrolyte disturbances.
      (© Royal College of Physicians 2022. All rights reserved.)
    • References:
      Scott Med J. 2011 Aug;56(3):181. (PMID: 21873727)
      Am J Med. 2013 Oct;126(10 Suppl 1):S1-42. (PMID: 24074529)
      Pediatr Nephrol. 2019 Aug;34(8):1371-1372. (PMID: 30843112)
      Scand J Trauma Resusc Emerg Med. 2019 May 28;27(1):58. (PMID: 31138251)
      Br Dent J. 2007 Feb 24;202(4):203-6. (PMID: 17322844)
    • Contributed Indexing:
      Keywords: dental hyponatraemia; water intoxication
    • الرقم المعرف:
      059QF0KO0R (Water)
    • الموضوع:
      Date Created: 20220726 Date Completed: 20220728 Latest Revision: 20240426
    • الموضوع:
      20240426
    • الرقم المعرف:
      PMC9345204
    • الرقم المعرف:
      10.7861/clinmed.2022-0141
    • الرقم المعرف:
      35882484