THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[8.42 pm, 09/03/2026] PPM 1: @PPM3 can you share this patient's history?
I vaguely recall he had many episodes of vomiting just before the day he was brought to hospital for ? Vomiting?
And then we simply got fascinated by his Hyponatremia post admission as documented here: https://medicinedepartment.blogspot.com/2026/03/hyponatremia-projr-march-2026-afternoon.html?m=1
Discussion around this patient's Hyponatremia data available in the above link. 👆
[8.46 pm, 09/03/2026] PPM 1: Looks like there may have been some altered sensorium following the vomiting that necessitated his admission before we found the sodium to be 108!
[8.54 pm, 09/03/2026] PPM 1: There's a lot of fluid in his left suprapatellar bursa that may need tapping although it's likely OA with hypervolemia.
Currently patient appears to be hypervolemic SIADH as per his urinary sodium calculations (are they valid, did the local team use 24 hour Urinary sodium) or was he having hypovolemic Hyponatremia
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