SAQ 1799 – Collapse with abnormal sodium and seizure

Marked out of 10.00

A registrar asks for advice about a 50-year-old woman who collapsed, is increasingly confused and has a minor forehead abrasion. Results are glucose 16.4 mmol/L, sodium 111 mmol/L, potassium 4.2 mmol/L, urea 7.2 mmol/L, creatinine 102 micromol/L, Hb 13.1 g/dL, WCC 12.2 x 10^9/L, platelets 175 x 10^9/L, urine osmolality 125 mOsm/kg and urine sodium 42 mmol/L. Her weight is 65 kg.

What is her corrected sodium?

(Marked out of 1.0)


/ 1

What is her calculated osmolality?

(Marked out of 1.0)


/ 1

List 12 history, examination and investigation criteria supporting SIADH.

(Marked out of 6.0)


/ 6

She remains confused and then has a seizure. State your specific treatment and endpoint.

(Marked out of 2.0)


/ 2

Total Score: 0 / 10

Percentage: 0%