shiT is eatrw .otcixiinanot 7:s/b/wldi.uopnb/e.ntgn7v1mwt.c78p9mh5ih.w/
rhDraaie usasce ossl of taew,r Na dan aircBb. Rerbemme ahtt rharidea si a aesuc fo non niaon agp abeiolmtc iosdasic acueesb hte ossl fo bantocribae si dsoecmantpe by sanncgeiir dlCeihor pesobtnoia.rr oS seh anc vhae aepromyhlicreh or aryatiomehnp deu ot ietakn fo lyon free trewa rfo 24 urh.os tBu she ash EUIZSSRE so ehotayanimpr is osmt lkleiy
Why is it not hypoglycemia?? Hypoglycemia can also lead to seizure
The key to this question is that the patient is 4 months old and getting water.
Newborns should NOT be getting plain water until after 6 months of age because it can cause hyponatremia --> seizures
ynA iead why coerheyarilphm ti'ns an re?wnsa eTh rahaider lwduo suaec na anlrom oanin gpa epo(hcemclyrhr)i tlaomecib csasi.odi
Perhaps I under-thought this questions, but it is highly unlikely to have HYPER- of anything when consuming large amounts of water, because whatever ion is present is going to get diluted. So in the case of normal gap acidosis from diarrhea, yes there may be an initial hyperchloremia, but the water is going to dilute it out.
Between hypoglycemia and hyponatremia, it is more likely to be hyponatremia because the child had seizures
eharairD causse osls fo twra,e aN dan .aBribc eebRmrem htat irarhade is a usaec of onn ianno gap tmacilobe idoscsai aubcese eht sslo of borabnctiea si odpemascnet yb igneacsrin dhroCeil prioe.ontasrb oS ehs nca vahe yheorarmehcpli or tanhpeoiyram ued ot eiktna of ynlo efre arwet for 24 u.hros utB hes ash ESREUISZ os pnaemyriatho si sotm killey