A 35 year old female presents with a 2 week history of ...
IV normal saline is commenced and routine bloods are drawn. Serum electrolytes reveal Na 146, K 3.0, Cl 101, Bic 10 mmol/L, Urea 10.2 mmol/L, Creat 160 umol/L, BSL 4.0 mmol/L. Hb 145 g/L WCC 12.3, plt 240,000. Liver function tests, amylase and lipase normal. Serum ethanol 20 mmol/L. Measured serum osmolality 326 mosm/L. ................
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