Dr. Surender Kumar (Family Medicine) needs a second opinion on this medical case.
A 80 yrs old male cad post ptca ,lvef 35,admitted here in state of dullness,altered sensorium,his bp was very low,pedal oedema,malnourish,his sodium was ver low 98,serum osmolity low 215,urine osmolity near normal 121,urinnary sodium low 5,potassium 5,tlc nlormal,urea,creatinine normL,uric acid low 2,albumin low 2.2,mild pleural and ascitis,TSH normal Plz tell me weither hyponatremia is due to hypvolumia,hypervolumea,euvolumia or due to cortisol deficiency
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