Case Report

Therapeutic Approach to the Management of Severe Asymptomatic Hyponatremia

Table 1

Laboratory data at the time of admission.

Sodium 98 mmol/L
Potassium 2.6 mmol/L
Magnesium 1.1 mmol/L
Blood urea nitrogen 19 mg/dL
Creatinine 0.71 mg/dL
Creatine kinase 2366 IU/L
Measured osmolality 235 mOsm/kg
Calculated osmolarity 208 mOsm/kg
Glucose 97 mg/dL
Cortisol 43mcg/dL
TSH 1.55 mIU/L
Total bilirubin 1.8 mg/dL
INR 1.5
Hemoglobin 6.0 mg/dL
Mean corpuscular vol. 93
White blood cell 8,000/mcL
Platelet 67,000/mcL
Folate 9.1 ng/mL
Vitamin B12 1500 pg/mL
Blood alcohol level 82 mg/dL
Urine osmolality 317 mOsm/kg
Urine sodium 17 mmol/L
Urine potassium 31 mmol/L
Urine chloride 25 mmol/L
Direct bilirubin 0.6 mg/dL
AST/ALT 404/113 IU/L