Presentation

The patient presented with one week history of difficulty passing urine, constipation and back pain. The patient was found to be in a hyponatremic (sodium of 116), hypo-osomar and euvolaemic state. Serum osmolality was 154mmol/kg (low). Urine osmolality was 189mmol/kg (high). Random urine sodium was 14 mmol/L (high). The suspicion was syndrome of inappropiate antidiuretic hormine release. There were no respiratory symptoms at any stage. There was no history of smoking or family history of cancer.

Patient Data

Age: 65 years
Gender: Female
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