Elkattawy Sherif, Shankar Tanya, Younes Islam, Alyacoub Ramez, Fichadiya Hardik, Reddy Aravinda
Internal Medicine Residentm, Department of Internal Medicine, Trinitas Regional Medical Center, Elizabeth, NJ, USA.
Internal Medicine, Department of Internal Medicine, Trinitas Regional Medical Center, Elizabeth, NJ, USA.
J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):507-509. doi: 10.1080/20009666.2021.1915535.
Hyponatremia is a common finding in patients admitted to hospitals in the USA. There is a plethora of causes ranging from excessive diuretic use to volume overload from underlying heart failure or liver cirrhosis. The consequences of missing or mistreating the aforementioned diagnosis can lead to catastrophic outcomes. Here, we focus on a rare yet overlooked cause of hyponatremia: obstructive nephropathy. The causes of obstructive nephropathy in elderly patients are broad with neurogenic bladder being one of the common ones. Our patient is an elderly male who presented with hyponatremia in setting of urine retention post an orthopedic surgery.
低钠血症在美国住院患者中很常见。其病因众多，从过度使用利尿剂到潜在心力衰竭或肝硬化导致的容量超负荷。漏诊或误诊上述病症的后果可能会导致灾难性后果。在此，我们聚焦于一种罕见但被忽视的低钠血症病因：梗阻性肾病。老年患者梗阻性肾病的病因广泛，神经源性膀胱是常见病因之一。我们的患者是一名老年男性，在骨科手术后因尿潴留出现低钠血症。
