s******v
发帖数: 477 | 1 我也见鬼了，不能回贴，只能写新贴
CPM can happened in normanatremia alcoholic patient
http://tinyurl.com/c6y3gad
After read Aplus's case I checked uptodate, here are what I learn
1) Three major risks for CPM: severe hyponatremia <120, duration of
hyponatemia, and overly rapid correction of sodium level. Your patient has 2
-3 major risks already
2)patient usually present the neurological symptoms 2-6 days later, your
patient might present a little later that 6 days. I guess that why it
happened after discharge
3)MRI presentation of can be delayed to 4 weeks later
4)In case overly rapid correction happened, re-lowing sodium level might be
benificial | A*******s
发帖数: 9638 | |
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