Attending Physician
Active Chart · MRN SYN-1012
58 y/o M · Severe hyponatremia workup
Encounter timeline and laboratory review
Linked visit history and responsible clinicians.
Severe hyponatremia workup · Dr. Julia Fox
Started Mar 6, 2026, 10:00 AM
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 6, 2026, 10:25 AM | Urine sodium | 68 mEq/L | 20-40 |
| Mar 6, 2026, 10:25 AM | Urine osmolality | 520 mOsm/kg | 300-900 |
| Mar 6, 2026, 10:20 AM | Serum osmolality | 248 mOsm/kg | 275-295 |
| Mar 6, 2026, 10:20 AM | Sodium | 118 mEq/L | 136-145 |
CONSULT · Dr. A. Desai · Mar 6, 2026, 11:30 AM
Euvolemic hyponatremia likely SIADH in setting of SCLC. Urine studies consistent: urine osm > serum osm, urine Na > 40. Recommend fluid restriction and consider hypertonic saline if symptomatic.
Progress and clinical documentation
CONSULT · Dr. A. Desai · Mar 6, 2026, 11:30 AM
Euvolemic hyponatremia likely SIADH in setting of SCLC. Urine studies consistent: urine osm > serum osm, urine Na > 40. Recommend fluid restriction and consider hypertonic saline if symptomatic.
Medication, lab, and imaging entry
LAB · Mar 6, 2026, 10:10 AM
Parameters: STAT
Rationale: SIADH workup.
LAB · Mar 6, 2026, 10:10 AM
Parameters: STAT
Rationale: Characterize hyponatremia.
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.