Severe Hyponatremic Encephalopathy following Bowel Prep for Colonoscopy

CONCLUSION This case highlights the need for physicians to be aware of the potential electrolyte disturbances that can occur in susceptible individuals during bowel prep for a colonoscopy. Any patient presenting with acute altered mental status in this setting should receive prompt electrolyte measurements and treatment of hyponatremia with hypertonic saline to help minimize associated morbidity. REFERENCES Adrogue HJ, Madias NE. Hyponatremia. N Engl J Med. 2000;342 (21):1581-1589. Frizelle FA, Colls BM. Hyponatremia and seizures after bowel preparation: report of three cases. Dis Colon Rectum. 2005;48(2):393-396. doi:10.1007/s10350-004-0778-6. Hwang KS, Kim G-H. Thiazide-induced hyponatremia. Electrolyte Blood Press. 2010;8(1):51-57. doi:10.5049/EBP.2010.8.1.51. Lauriat SM, Berl T. The hyponatremic patient: practical focus on therapy. J Am Soc Nephrol. 1997;8:1599-1607. Vaidya C, Ho W, Freda BJ. Management of hyponatremia: Providing treatment and avoiding harm. Cleveland Clinic Journal of Medicine. 2010:10:715-726 Wittler MA. Fluids, electrolytes, and acid-base disorders. In: Cline DM, Ma OJ, Cydulka RK, Meckler GD, Handel DA, Thomas SH, eds. Tintinalli’s Emergency Medicine Manual. 7th ed. New York: McGraw-Hill; 2012. Accessed July 23, 2015. Cassagnol M, Shogbon AO, Saad M. The therapeutic use of vaptans for the treatment of dilutional hyponatremia. Journal of Pharmacy Practice. 2011:24(4) 391–...
Source: - Category: Emergency Medicine Authors: Tags: Uncategorized Source Type: news

Related Links:

Conclusion: Severe acute pancreatitis during pregnancy leads to a high rate of fetal mortality.Gestational trimester, delayed diagnosis, HTG, MOF, gestational diabetes mellitus, and preeclampsia are predictors of fetal loss. Therefore, close monitoring is essential for pregnancies complicated with HTG, diabetes mellitus, and hypertension. PMID: 32249649 [PubMed - as supplied by publisher]
Source: Postgraduate Medicine - Category: Internal Medicine Tags: Postgrad Med Source Type: research
CONCLUSION: We found that half of acute-care hospitals did not provide any hospital-based psychiatric care for patients with suicide attempts or self-harm. PMID: 32249268 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - Category: Epidemiology Tags: J Epidemiol Source Type: research
CONCLUSION: The CFAs do not provide clear evidence for either an uni- or a multidimensional structure of the BSS. In the light of this finding, use of the BSS score is limited despite evidence supporting its reliability and convergent validity. PMID: 32252119 [PubMed - as supplied by publisher]
Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie - Category: Psychiatry & Psychology Tags: Psychother Psychosom Med Psychol Source Type: research
Authors: Desmettre T Abstract Nearly one-third of the planet's population is affected by T. gondii infection. In ophthalmology, toxoplasmosis is even considered to be the most common cause of posterior uveitis of infectious origin. Humans are only an intermediate host, and T. gondii needs to infect cats for its sexual reproduction. All the elements increasing the risk of predation by the definitive host are then favourable to the parasite. Numerous experimental animal model studies have shown that T. gondii infection is associated with predatory risk behaviours such as an attraction of infected mice ...
Source: Journal Francais d Ophtalmologie - Category: Opthalmology Tags: J Fr Ophtalmol Source Type: research
This study aimed to evaluate the anxiety, depression and quality of life scores of children and adolescents diagnosed with familial Mediterranean fever (FMF) and compare these scores with the ones of healthy controls. The study group comprised of 130 children and adolescents diagnosed with FMF with a mean age of 12.6  ± 2.58 and control group comprised of 121 healthy controls with a mean age of 11.8 ± 2.84. Both groups were evaluated with child depression inventory (CDI), screen for child anxiety related emotional disorders (SCARED), pediatric quality of life inventory TM 4.0 (Peds...
Source: Rheumatology International - Category: Rheumatology Source Type: research
Publication date: Available online 6 April 2020Source: Pregnancy HypertensionAuthor(s): Anna Mccormick, Jasmin Kristianto, Xiaohu Wang, Jennifer Mcintosh, Meredith Cruz, Judith U. Hibbard, Robert D. Blank
Source: Pregnancy Hypertension: An International Journal of Womens Cardiovascular Health - Category: OBGYN Source Type: research
Publication date: Available online 6 April 2020Source: Brain, Behavior, and ImmunityAuthor(s): F. Lamers, Yuri Milaneschi, Christiaan H. Vinkers, Robert A Schoevers, Erik J. Giltay, Brenda WJH Penninx
Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
Publication date: Available online 6 April 2020Source: Brain, Behavior, and ImmunityAuthor(s): Di Wu, Gaocai Zhang, Chenyu Zhao, Yi Yang, Zhigang Miao, Xingshun Xu
Source: Brain, Behavior, and Immunity - Category: Neurology Source Type: research
Publication date: Available online 7 April 2020Source: Brain StimulationAuthor(s): Verena Enneking, Fanni Dzvonyar, Kerstin Dück, Katharina Dohm, Dominik Grotegerd, Katharina Förster, Susanne Meinert, Hannah Lemke, Melissa Klug, Lena Waltemate, Janik Goltermann, Carina Hülsmann, Tiana Borgers, Joscha Böhnlein, Lisa Sindermann, Maike Richter, Elisabeth J. Leehr, Jonathan Repple, Nils Opel, Bernhard T. Baune
Source: Brain Stimulation - Category: Neurology Source Type: research
Abstract Migraine is a highly prevalent and disabling disorder accounted among the primary headaches. It is the expression of a complex, and not yet fully understood, pathophysiology involving the sensitization of peripheral and central nociceptive pathways. In this review we succinctly illustrate the molecular, anatomical, and functional abnormalities underlying the migraine attack that are relevant for understanding in more depth the neurobiology behind the therapeutic effect of Botulinum Toxin Type A (BoNT-A). BoNT-A has proved effective in several neurological conditions and, more recently, also in chronic mig...
Source: Toxicon - Category: Toxicology Authors: Tags: Toxicon Source Type: research
More News: Brain | Cancer & Oncology | Cardiology | Colonoscopy | Depression | Emergency Medicine | Gastroenterology | Headache | Heart | Hospital Management | Hypertension | Intensive Care | Men | Migraine | Neurology | Orthopaedics | Polyethylene Glycol | Respiratory Medicine | Study | Urology & Nephrology | von Willebrand Disease