Endocrine Abstracts

A 69 year old lady with a known history of bipolar disorder presented with confusion, falls, cough and pyrexia. Initial blood test revealed a sodium of 153 mmol/l, potassium 4.7 mmol/l, urea 13.1 mmol/l and creatinine 230 μmol/litre, PH 7.35 and bicarbonate 23. A repeat test few hours later revealed a sodium of 164 mmol/l, serum osmolality 349 mosm/kg and blood glucose 30.3 mmol/l. Urine ketones negative. Her 24 hours urine output went up to 9000 ml and her sodium to 175 ...

Hyponatraemia is associated with an increased morbidity and mortality. Despite having a hyponatraemia algorithm (pdf format) on our hospital intranet, it was rarely accessed and a wide variation in care was noticed. A novel digital hyponatraemia diagnostic toolkit (hyponatraemia.wordpress.com) for Foundation doctors (FDs) was introduced to assess our aims if it: A) increases the awareness of FDs to start investigating when serum Sodium is <130 mmol/l B) increases FD...