A 68-year-old lady with bowel cancer who had been admitted to hospital following a fall had a persistent low plasma sodium including the following plasma results (refer- ence ranges are given in brackets): Sodium Potassium Urea Creatinine Glucose Osmolality 120 mmol/L 3.9 mmol/L 3.4 mmol/L 53 μmol/L 5.2 mmol/L 255 mOsm/kg (135-145) (3.5-5.0) (3.5-6.6) (70-150) (3.5-5.5) (285-305) In this patient, the urine volume was low and relatively concentrated, the urine osmo- lality was 374 mOsm/kg and its sodium concentration was 75 mmol/L. Comment on these results.

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A 68-year-old lady with bowel cancer who had been admitted to hospital following a
fall had a persistent low plasma sodium including the following plasma results (refer-
ence ranges are given in brackets):
Sodium
Potassium
Urea
Creatinine
Glucose
Osmolality
120 mmol/L
3.9 mmol/L
3.4 mmol/L
53 μmol/L
5.2 mmol/L
255 mOsm/kg
(135-145)
(3.5-5.0)
(3.5-6.6)
(70-150)
(3.5-5.5)
(285-305)
In this patient, the urine volume was low and relatively concentrated, the urine osmo-
lality was 374 mOsm/kg and its sodium concentration was 75 mmol/L.
Comment on these results.
Transcribed Image Text:A 68-year-old lady with bowel cancer who had been admitted to hospital following a fall had a persistent low plasma sodium including the following plasma results (refer- ence ranges are given in brackets): Sodium Potassium Urea Creatinine Glucose Osmolality 120 mmol/L 3.9 mmol/L 3.4 mmol/L 53 μmol/L 5.2 mmol/L 255 mOsm/kg (135-145) (3.5-5.0) (3.5-6.6) (70-150) (3.5-5.5) (285-305) In this patient, the urine volume was low and relatively concentrated, the urine osmo- lality was 374 mOsm/kg and its sodium concentration was 75 mmol/L. Comment on these results.
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