RESUMO
Alcoholism is a major problem globally and beer drinking is on the rise. Many of the alcoholics sustain only on beer for days and do not get adequate solutes in the form of food. Similar situation can arise in cases of decreased food intake due to severe deliberate restriction or other factors like decreased appetite from cocaine. In these cases, salt free liquid intake may still be adequate. Such situations are conducive to the development of hyponatremia. Some of the solutes in diet, such as salt and protein, act as osmoles in urine. In these conditions, understanding the role played by solutes in diet and osmoles in urine is of vital importance for appropriate treatment of hyponatremia.
Assuntos
Nitrogênio/metabolismo , Diálise Peritoneal Ambulatorial Contínua , Ureia/química , Adulto , Idoso , Idoso de 80 Anos ou mais , Creatinina/metabolismo , Estudos Transversais , Feminino , Humanos , Masculino , Taxa de Depuração Metabólica , Pessoa de Meia-Idade , Avaliação Nutricional , Estado Nutricional/fisiologia , Proteínas/metabolismo , Análise de RegressãoRESUMO
A 67-year-old man was diagnosed with agnogenic myeloid metaplasia. Several months later, he presented with dyspnea, malaise and chest pain. A pericardial effusion was evident and a pericardial biopsy was consistent with extramedullary hematopoiesis.