This patient with smoking history has euvolemic hyponatremia iso hilar mass, representing SIADH 2/2 SCLC. No signs of AMS so treat conservatively with water restriction. 3% saline is only indicated for symptomatic severe hypoNa.
wutuwantbruv@tinylilron Most likely due to the mass itself as it is in the hilar region and therefore more central and able to compress the phrenic nerve as it passes down through the mediastinum.+
wutuwantbruvAlso as a note, 3% saline is used for severe HYPOvolemic and EUvolemic hyponatremia. NS is used for HYPERvolemic hyponatremia.+1
submitted by โmedicalmike(82)
This patient with smoking history has euvolemic hyponatremia iso hilar mass, representing SIADH 2/2 SCLC. No signs of AMS so treat conservatively with water restriction. 3% saline is only indicated for symptomatic severe hypoNa.
Hiccups indicate phrenic nerve irritation.