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

OnderzoeksoutputAcademicpeer review

Samenvatting

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.

Vertaalde titel van de bijdrageClinical reasoning and decision-making in practice. A patient with shortness of breath and hyponatraemia
Originele taal-2Dutch
Pagina's (van-tot)2037-2042
Aantal pagina's6
TijdschriftNederlands Tijdschrift voor Geneeskunde
Volume149
Nummer van het tijdschrift37
StatusPublished - 10-sep.-2005

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