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Live Tracks Tune In, Tokyo Bullet in a Bible Awesome as Fuck Live! Woodstock ' Book Category. Myxedema coma is an uncommon but potentially lethal condition.
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Classic manifestations of hypothyroidism include extreme bradycardia, hypotension and delayed relaxation of deep tendon reflexes. Hyponatremia is frequently observed in hospitalized patients. It needs to be treated effectively, and the rate of correction should be adapted to the clinical situation. In our case, the serum sodium level increased gradually with L-thyroxine therapy and isotonic saline infusion.
We believe that the coma was associated with both hyponatremia and hypothyroidism in this patient.
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Although hypothyroidism is known to be a cause of hyponatremia, Kilpatrick et al. The correct management of hyponatremia is extremely critical, not only in preventing complications but also in avoiding harm to the patient.
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Nevertheless, overcorrection of hyponatremia increases the risks of iatrogenic brain damage. In conclusion, severe hyponatremia can be a life-threatening problem in clinical contexts and should be carefully managed.
In light of this case, physicians should include hypothyroidism in the differential diagnosis of every patient with hyponatremia. Hyponatremia: a prospective analysis of its epidemiology and the pathogenetic role of vasopressin.enter site
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Ann Intern Med. Wall CR. Myxedema coma: diagnosis and treatment. Am Fam Physician.
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Hyponatraemia for the clinical endocrinologist. Clin Endocrinol Oxf. Kilpatrick ES. Disorders of sodium balance: hypothyroidism and hyponatraemia: an old wives' tale?