keyword
MENU ▼
Read by QxMD icon Read
search

Hypernatraemia

keyword
https://www.readbyqxmd.com/read/27504377/wine-glass-sign-and-empty-delta-sign-a-rare-imaging-presentation-of-postpartum-encephalopathy-in-dehydration
#1
Chanabasappa V Chavadi, K Suprasanna, Anees Dudekula, Madhav Hegde, Swetha Kory
Rapid correction of hyponatremia is a well-known cause of central pontine and extrapontine myelinolysis. But uncommonly seen and rarely reported in Hypernatraemia. We report a rare case presenting as postpartum psychosis, wherein imaging revealed myelinolysis of corticospinal tracts in wine glass distribution and empty delta sign due to cortical venous thrombosis. At follow-up 3 months later, revealed significant neurological improvement. Concurrance occurrence of this dual pathology is not been described, which in our case was due to high serum sodium levels at presentation and dehydration...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27397108/addition-of-sodium-criterion-to-soar-stroke-score
#2
I R Adekunle-Olarinde, S J McCall, R S Barlas, A D Wood, A B Clark, J H Bettencourt-Silva, A K Metcalf, K M Bowles, R L Soiza, J F Potter, P K Myint
OBJECTIVES: To examine the usefulness of including sodium (Na) levels as a criterion to the SOAR stroke score in predicting inpatient and 7-day mortality in stroke. MATERIALS AND METHODS: Data from the Norfolk and Norwich University Hospital Stroke & TIA register (2003-2015) were analysed. Univariate and then multivariate models controlling for SOAR variables were used to assess the association between admission sodium levels and inpatient and 7-day mortality. The prognostic ability of the SOAR and SOAR Na scores for mortality outcomes at both time points were then compared using the Area Under the Curve (AUC) values from the Receiver Operating Characteristic curves...
July 10, 2016: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/27259525/retrospective-cross-sectional-review-of-survival-rates-in-critically-ill-children-admitted-to-a-combined-paediatric-neonatal-intensive-care-unit-in-johannesburg-south-africa-2013-2015
#3
Daynia E Ballot, Victor A Davies, Peter A Cooper, Tobias Chirwa, Andrew Argent, Mervyn Mer
OBJECTIVE: Report on survival to discharge of children in a combined paediatric/neonatal intensive care unit (PNICU). DESIGN AND SETTING: Retrospective cross-sectional record review. PARTICIPANTS: All children (medical and surgical patients) admitted to PNICU between 1 January 2013 and 30 June 2015. OUTCOME MEASURES: Primary outcome-survival to discharge. Secondary outcomes-disease profiles and predictors of mortality in different age categories...
2016: BMJ Open
https://www.readbyqxmd.com/read/27122267/nutritional-status-of-low-birth-weight-infants-in-makkah-region-evaluation-of-anthropometric-and-biochemical-parameters
#4
Osama Adnan Kensara, Firas Sultan Azzeh
OBJECTIVE: To assess the nutritional status of low birth weight infants from Makkah area immediately after birth. METHODS: The prospective study was conducted between October and December 2012 at Al-Noor Speciality Hospital, Makkah, Saudi Arabia, and comprised low birth weight infants who were divided into three equal groups according to their birth weight: group A (low birthweight1501-2500gm), group B (very low birthweight1001-1500gm), and group C (extremely low birth weight < 1000gm)...
April 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27028950/tolvaptan-is-successful-in-treating-inappropriate-antidiuretic-hormone-secretion-in-infants
#5
Daniela Marx-Berger, David V Milford, Meenakshi Bandhakavi, William Van't Hoff, Robert Kleta, Mehul Dattani, Detlef Bockenhauer
AIM: Using fluid restriction to treat the syndrome of inappropriate antidiuretic hormone secretion (SIADH) in infants is potentially hazardous, as fluid intake and caloric intake are connected. Antagonists for the type 2 vasopressin receptor have demonstrated efficacy in adult patients with SIADH, but evidence in children is lacking. We reviewed our experience from two cases in the UK. METHODS: This was a retrospective review of the clinical data on two patients diagnosed with SIADH in infancy and treated with tolvaptan, an oral vasopressin receptor antagonist...
July 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26956742/induced-hypernatraemia-is-protective-in-acute-lung-injury
#6
Shailesh Bihari, Dani-Louise Dixon, Mark D Lawrence, Andrew D Bersten
BACKGROUND: Sucrose induced hyperosmolarity is lung protective but the safety of administering hyperosmolar sucrose in patients is unknown. Hypertonic saline is commonly used to produce hyperosmolarity aimed at reducing intra cranial pressure in patients with intracranial pathology. Therefore we studied the protective effects of 20% saline in a lipopolysaccharide lung injury rat model. 20% saline was also compared with other commonly used fluids. METHODS: Following lipopolysaccharide-induced acute lung injury, male Sprague Dawley rats received either 20% hypertonic saline, 0...
June 15, 2016: Respiratory Physiology & Neurobiology
https://www.readbyqxmd.com/read/26833894/effects-of-salt-loading-on-the-regulation-of-rat-hypothalamic-magnocellular-neurosecretory-cells-by-ionotropic-gaba-and-glycine-receptors
#7
REVIEW
K Y Choe, E Trudel, C W Bourque
Synaptic and extrasynaptic transmission mediated by ionotropic GABA and glycine receptors plays a critical role in shaping the action potential firing (spiking) activity of hypothalamic magnocellular neurosecretory cells and therefore determines the rate at which vasopressin and oxytocin are released from the neurohypophysis. The inhibitory effect of these transmitters relies on the maintenance of a low concentration of intracellular chloride ions such that, when activated by GABA or glycine, a hyperpolarisation of the neuronal membrane potential results...
April 2016: Journal of Neuroendocrinology
https://www.readbyqxmd.com/read/26827564/-a-21-year-old-patient-with-hypernatraemia-after-intracranial-tumour-surgery-a-case-report
#8
Maria Kuźmińska
The article concerns case of 21-year old patient after intracranial tumour surgery, who was admitted to the internal diseases department due to hypernatraemia. On the basis of the whole clinical status the patient was diagnosed with diabetes insipidus and disturbance of sensation of thirst which may in turn cause hypernatraemia. There were conducted physical examinations as well as some additional tests which allowed the diagnosis of combined pituitary hormone deficiency. In this situation the disorders of sodium level was rebalanced and hormonal substitution in terms of antidiuretic hormone, adrenocortical hormone, thyroid hormone and testosterone was started...
2015: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/26813227/effects-of-salt-loading-on-the-morphology-of-astrocytes-in-the-ventral-glia-limitans-of-the-rat-supraoptic-nucleus
#9
K Y Choe, M Prager-Khoutorsky, W T Farmer, K K Murai, C W Bourque
In the ventral glial limitans (VGL) of the supraoptic nucleus (SON) of the rat, a unique astrocyte type is found with an ability to undergo striking morphological plasticity in response to a wide range of physiological stimulations such as chronic hypernatraemia. This includes a thinning of the VGL, which contains the somata and proximal processes of these astrocytes, as well as an almost complete withdrawal of their vertically-oriented distal processes. Currently, there is little information available on the types of astrocytes that reside in the SON-VGL and which of these exhibit state-dependent structural plasticity...
April 2016: Journal of Neuroendocrinology
https://www.readbyqxmd.com/read/26687260/prevalence-risk-factors-and-prognosis-of-hypernatraemia-during-hospitalisation-in-internal-medicine
#10
I Felizardo Lopes, S Dezelée, D Brault, O Steichen
INTRODUCTION: Hypernatraemia in hospitalised patients is less common and less studied than hyponatraemia, although it also seems to be associated with a poor prognosis. The present study evaluates its prevalence, risk factors and prognosis in an internal medicine department. METHODS: Full hospital stays over 28 months in a 36-bed internal medicine department were analysed retrospectively. Patients with at least one plasma sodium ≥ 150 mmol/l were compared first with all other patients and then individually with sex- and age-matched normonatraemic controls...
December 2015: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/26687259/hypernatraemia-balancing-is-challenging
#11
EDITORIAL
M Eijgelsheim, E J Hoorn
No abstract text is available yet for this article.
December 2015: Netherlands Journal of Medicine
https://www.readbyqxmd.com/read/26684406/intravenous-isotonic-fluids-induced-a-positive-trend-in-natraemia-in-children-admitted-to-a-general-paediatric-ward
#12
Juan Diego Toledo, Carlos Morell, Maximo Vento
AIM: Using hypotonic intravenous solutions for baseline fluid needs in paediatric patients on a nil by mouth diet may cause serious complications, including hyponatraemia, cerebral oedema and even death. We analysed the evolution of natraemia and explored any adverse effects on children treated with intravenous isotonic fluids. METHODS: This was a prospective study of 50 patients consecutively admitted to a general paediatric ward who were treated with isotonic intravenous fluids and on a nil by mouth diet...
June 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26675950/preoperative-abnormalities-in-serum-sodium-concentrations-are-associated-with-higher-in-hospital-mortality-in-patients-undergoing-major-surgery
#13
M Cecconi, H Hochrieser, M Chew, M Grocott, A Hoeft, A Hoste, I Jammer, M Posch, P Metnitz, P Pelosi, R Moreno, R M Pearse, J L Vincent, A Rhodes
BACKGROUND: Abnormal serum sodium concentrations are common in patients presenting for surgery. It remains unclear whether these abnormalities are independent risk factors for postoperative mortality. METHODS: This is a secondary analysis of the European Surgical Outcome Study (EuSOS) that provided data describing 46 539 patients undergoing inpatient non-cardiac surgery. Patients were included in this study if they had a recorded value of preoperative serum sodium within the 28 days immediately before surgery...
January 2016: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/26633262/corticosteroids-for-treating-sepsis
#14
REVIEW
Djillali Annane, Eric Bellissant, Pierre Edouard Bollaert, Josef Briegel, Didier Keh, Yizhak Kupfer
BACKGROUND: Sepsis occurs when an infection is complicated by organ failures as defined by a sequential organ failure assessment (SOFA) score of two or higher. Sepsis may be complicated by impaired corticosteroid metabolism. Giving corticosteroids may benefit patients. The original review was published in 2004 and was updated in 2010 and again in 2015. OBJECTIVES: To examine the effects of corticosteroids on death at one month in patients with sepsis, and to examine whether dose and duration of corticosteroids influence patient response to this treatment...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26496416/dysnatraemia-is-frequently-a-poor-prognostic-indicator-in-patients-with-acute-subarachnoid-hemorrhage-having-targeted-sodium-management
#15
V Spatenkova, O Bradac, P de Lacy, P Skrabalek, P Suchomel
BACKGROUND: Dysnatraemias are common and carry a risk of poor prognosis in acute subarachnoid hemorrhage (SAH) patients. The aim of this study was to determine the frequency and outcome of dysnatraemias in 344 SAH patients treated by a targeted sodium management regimen. METHODS: We performed a 10-year observational dysnatraemia study. Hyponatraemia was defined as serum sodium (SNa) below 135 mmol/l, hypernatraemia SNa above 150 mmol/l. RESULTS: Dysnatraemia occurred in 35...
October 23, 2015: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/26426983/association-of-serum-sodium-levels-with-all-cause-and-cardiovascular-mortality-in-chronic-kidney-disease-results-from-a-prospective-observational-study
#16
Diana Yuan Yng Chiu, Philip A Kalra, Smeeta Sinha, Darren Green
AIMS: The prevalence of hyponatraemia in the outpatient setting has not been thoroughly explored, and little is known about the prognostic implication of dysnatraemia in chronic kidney disease (CKD) patients, in particular accommodating the effect of concurrent medications. METHODS: This is a prospective observational study of non-dialysis-dependent CKD patients managed in a nephrology clinic. Patients enrolled between 2002 and 2012 in the Chronic Renal Insufficiency Standards Implementation Study were assessed...
June 2016: Nephrology
https://www.readbyqxmd.com/read/26402577/polyuria-in-relation-to-dysnatraemias-in-neurocritical-care
#17
Vera Spatenkova, Ondrej Bradac, Patricia de Lacy, Pavel Skrabalek
INTRODUCTION: Polyuria has the potential to cause severe water and sodium imbalance. We studied the epidemiology of polyuria in association with dysnatraemias and whether polyuria is an independent risk factor for higher mortality and poorer outcome in neurocritical care. METHODS: We performed an analysis of a 3-year prospective database containing 902 neurocritical care patients. Polyuria was defined as diuresis above 4000 ml/day, hyponatraemia as a serum sodium (SeNa) < 135 mmol/l and hypernatraemia as SeNa > 150 mmol/l...
2015: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/26313211/adrenal-insufficiency-secondary-to-lymphocytic-panhypophysitis-in-a-cat
#18
A J Rudinsky, E S Clark, D S Russell, C Gilor
CASE REPORT: A 13-year-old male castrated Domestic Shorthair cat was presented for investigation of lethargy, vomiting, polydipsia and polyuria. Glucocorticoid-deficient hypoadrenocorticism was suspected based on hypocholesterolaemia, hypoglycaemia and lack of a stress leucogram, and confirmed with an ACTH stimulation test. Pituitary disease was suspected based on the clinical signs and the combination of hyposthenuria and hypernatraemia. Necropsy revealed bilaterally symmetric adrenocortical atrophy and the changes in the pituitary gland were suggestive of a T-cell-rich immune-mediated panhypophysitis...
September 2015: Australian Veterinary Journal
https://www.readbyqxmd.com/read/26298299/-severe-rhabdomyolysis-secondary-to-severe-hypernatraemic-dehydration
#19
Ignacio Mastro-Martínez, Ana María Montes-Arjona, Margarita Escudero-Lirio, Bárbara Hernández-García, José Fernández-Cantalejo Padial
INTRODUCTION: Rhabdomyolysis is a rare paediatric condition. The case is presented of a patient in whom this developed secondary to severe hypernatraemic dehydration following acute diarrhoea. CASE REPORT: Infant 11 months of age who presented with vomiting, fever, diarrhoea and anuria for 15 hours. Parents reported adequate preparation of artificial formula and oral rehydration solution. He was admitted with malaise, severe dehydration signs and symptoms, cyanosis, and low reactivity...
July 2015: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/26154611/thrombosis-secondary-to-acute-hypernatraemia-after-liver-hydatid-cyst-surgery
#20
María Pilar Sánchez Conde, Miguel Ángel Palomero Rodríguez, José María Rodríguez López, José Ramón González-Porras
Hypernatraemia after hypertonic saline irrigation of a hepatitic hydatid cyst is a rare but serious complication. Neurological symptoms and signs are frequently seen in hypernatraemia. However, other symptoms, such as fever, acute pulmonary oedema, congestive cardiac failure and muscular alterations, may appear. It has recently been suggested that hypernatraemia increases the risk of thrombosis.We present the first report of an adult patient who survived a severe acute iatrogenic hypernatraemia and hyper-coagulability resulting from hypertonic saline irrigation of intra-abdominal hydatid cysts...
September 2015: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
keyword
keyword
110522
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"