The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia
Hypotonic hyponatremia is a common electrolyte disorder defined by a blood serum sodium value of less than 136 meq/L. A challenge in managing hyponatremia is accurately determining the etiology for the free water excess as management can markedly differ. Accurate diagnosis of the etiology of hypoton...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/9591823 |
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| _version_ | 1832552103989477376 |
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| author | Gurkeerat Singh Jean-Sebastien Rachoin Christina Chien Sharad Patel |
| author_facet | Gurkeerat Singh Jean-Sebastien Rachoin Christina Chien Sharad Patel |
| author_sort | Gurkeerat Singh |
| collection | DOAJ |
| description | Hypotonic hyponatremia is a common electrolyte disorder defined by a blood serum sodium value of less than 136 meq/L. A challenge in managing hyponatremia is accurately determining the etiology for the free water excess as management can markedly differ. Accurate diagnosis of the etiology of hypotonic hyponatremia requires precision in the determination of extracellular volume status. Determination of volume status has traditionally relied on physical examination, imaging modalities, and clinical gestalt, all of which are inaccurate. Portal vein pulsatility is an easy to perform bedside ultrasound imaging study which can be used as a marker for hypervolemia and venous congestion. We present 2 cases of hypervolemic hyponatremia in which portal vein pulsatility was used in the diagnosis and management and as a marker for efficacy of treatment. |
| format | Article |
| id | doaj-art-ed2597753cfa46cfb0bfee0504eded75 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-ed2597753cfa46cfb0bfee0504eded752025-02-03T05:59:40ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/95918239591823The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic HyponatremiaGurkeerat Singh0Jean-Sebastien Rachoin1Christina Chien2Sharad Patel3Critical Care, Cooper University Hospital, USACritical Care, Cooper University Hospital, USACritical Care, Cooper University Hospital, USACritical Care, Cooper University Hospital, USAHypotonic hyponatremia is a common electrolyte disorder defined by a blood serum sodium value of less than 136 meq/L. A challenge in managing hyponatremia is accurately determining the etiology for the free water excess as management can markedly differ. Accurate diagnosis of the etiology of hypotonic hyponatremia requires precision in the determination of extracellular volume status. Determination of volume status has traditionally relied on physical examination, imaging modalities, and clinical gestalt, all of which are inaccurate. Portal vein pulsatility is an easy to perform bedside ultrasound imaging study which can be used as a marker for hypervolemia and venous congestion. We present 2 cases of hypervolemic hyponatremia in which portal vein pulsatility was used in the diagnosis and management and as a marker for efficacy of treatment.http://dx.doi.org/10.1155/2019/9591823 |
| spellingShingle | Gurkeerat Singh Jean-Sebastien Rachoin Christina Chien Sharad Patel The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia Case Reports in Critical Care |
| title | The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia |
| title_full | The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia |
| title_fullStr | The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia |
| title_full_unstemmed | The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia |
| title_short | The Use of Portal Vein Pulsatility to Differentiate Hypervolemic and Hypovolemic Hyponatremia |
| title_sort | use of portal vein pulsatility to differentiate hypervolemic and hypovolemic hyponatremia |
| url | http://dx.doi.org/10.1155/2019/9591823 |
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