Klinisch denken en beslissen in de praktijk. Een patient met kortademigheid en hyponatriëmie

Translated title of the contribution: Clinical reasoning and decision-making in practice. A patient with shortness of breath and hyponatraemia

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A 61-year-old man with no significant medical history was referred by the general practitioner with progressive dyspnoea despite treatment with steroids and antibiotics. The patient had severe hyponatraemia. Eventually hypervolemic hyponatraemia due to ischemic cardiac failure was diagnosed. After recompensation by fluid restriction and lisdiuretics coronary bypass surgery was carried out. The patient was discharged free of symptoms. This case is a reminder that heart failure may not present itself in a classical manner but as hypervolemic hyponatraemia.

Translated title of the contributionClinical reasoning and decision-making in practice. A patient with shortness of breath and hyponatraemia
Original languageDutch
Pages (from-to)2037-2042
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Volume149
Issue number37
Publication statusPublished - 10-Sep-2005

Keywords

  • Clinical Competence
  • Coronary Artery Bypass
  • Decision Making
  • Dyspnea
  • Heart Failure
  • Humans
  • Hyponatremia
  • Male
  • Middle Aged
  • Treatment Outcome

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