Beer potomania syndrome - Revision history

Rossdonaldson1: /* Background */

2023-10-18T22:10:56Z

Background

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	*Constellation of [[electrolyte abnormalities]] that occur secondary to overconsumption of electrolyte-poor liquid with little other sources of nutrition (e.g. drinking a lot of beer and not eating much)		*Constellation of [[electrolyte abnormalities]] that occur secondary to overconsumption of electrolyte-poor liquid with little other sources of nutrition (e.g. drinking a lot of beer and not eating much)
	*Poor overall electrolyte intake limits formation of normal renal urea gradient-->inability to excrete sufficient free water		*Poor overall electrolyte intake limits formation of normal renal urea gradient-->inability to excrete sufficient free water
	*Total body sodium may be depleted, yet still may have elevated urinary sodium/FENa due to dysfunction of water metabolism		*Total body sodium may be depleted, yet still may have elevated urinary sodium/[[FENa]] due to dysfunction of water metabolism
	*Attention to proper nutrition during acute illness may obviate need for hypertonic saline		*Attention to proper nutrition during acute illness may obviate need for hypertonic saline

ClaireLewis at 20:16, 17 September 2019

2019-09-17T20:16:02Z

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	==Background==		==Background==
	~~A constellation~~ of electrolyte abnormalities that occur secondary to ~~the over consumption~~ of ~~liquid that is~~ electrolyte poor ~~coupled~~ with little other sources of nutrition. ~~The poor~~ overall electrolyte intake limits ~~the~~ formation of a normal renal urea gradient ~~which cause an~~ inability to excrete sufficient free water~~. Patients~~ may ~~actually~~ be ~~total-body sodium~~ depleted, yet have elevated urinary sodium ~~and fractional sodium excretion~~ due to ~~this disorder~~ of water metabolism. Attention to proper nutrition during ~~the~~ acute illness may obviate ~~the~~ need for ~~potentially hazardous administration of~~ hypertonic saline		*Constellation of [[electrolyte abnormalities]] that occur secondary to overconsumption of electrolyte-poor liquid with little other sources of nutrition (e.g. drinking a lot of beer and not eating much)
			*Poor overall electrolyte intake limits formation of normal renal urea gradient-->inability to excrete sufficient free water
			*Total body sodium may be depleted, yet still may have elevated urinary sodium/FENa due to dysfunction of water metabolism
			*Attention to proper nutrition during acute illness may obviate need for hypertonic saline

	==Clinical Features==		==Clinical Features==
	*~~a history~~ of chronic alcohol ingestion (in a hypotonic form)		*History of chronic alcohol ingestion (in a hypotonic form like beer)
	*~~protein~~ malnutrition		*Protein malnutrition
	*[[Seizures]]		*[[Seizures]]
	*[[Altered Mental Status]]		*[[Altered Mental Status]]
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	**Hypochloremia		**Hypochloremia
	**[[Hypokalemia]]		**[[Hypokalemia]]
	*No evidence of another cause of ~~hyponatraemia~~ (such as steroid use, diuretic use, hyperlipidaemia, etc.)		*No evidence of another cause of hyponatremia (such as [[steroid]]] use, [[diuretic]] use, hyperlipidaemia, etc.)

	==Management==		==Management==
	*If seizing or other severe symptoms, bolus [[hypertonic saline]]		*If seizing or other severe symptoms, bolus [[hypertonic saline]]
	*Otherwise gentle replacement of electrolytes with close attention paid to diet is important		*Otherwise, gentle replacement of electrolytes with close attention paid to diet is important

	==Disposition==		==Disposition==

ClaireLewis: /* Management */

2016-10-05T06:53:06Z

Management

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	==Management==		==Management==
	*If seizing or other severe symptoms, ~~use~~ hypertonic saline		*If seizing or other severe symptoms, bolus [[hypertonic saline]]
	*Otherwise gentle replacement of electrolytes with close attention paid to diet is important		*Otherwise gentle replacement of electrolytes with close attention paid to diet is important

Rossdonaldson1: Text replacement - "AMS" to "altered mental status"

2016-07-30T20:28:08Z

Text replacement - "AMS" to "altered mental status"

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	Admit patient with:		Admit patient with:
	*[[Seizures]]		*[[Seizures]]
	*[[~~AMS~~]]		*[[altered mental status]]
	*Severe [[hyponatremia]]		*Severe [[hyponatremia]]

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-23T10:45:14Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

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	{{Ethanol DDX}}		{{Ethanol DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-Up===		===Work-Up===
	*Chem 10		*Chem 10

Rossdonaldson1: /* Differential Diagnosis */

2016-07-08T11:38:43Z

Differential Diagnosis

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	==Differential Diagnosis==		==Differential Diagnosis==
	~~===[[~~Ethanol~~]] related disease processes===~~		{{Ethanol DDX}}
	*[[Ethanol toxicity]]
	*[[Alcoholic ketoacidosis]]
	*[[Alcohol withdrawal]]
	*[[Alcohol withdrawal seizures]]
	*[[Delerium tremens]]
	*[[Wernicke-Korsakoff Syndrome]]
	*[[Beer potomania syndrome]]

	==Diagnosis==		==Diagnosis==

Rossdonaldson1: /* See Also */

2016-07-08T11:36:59Z

Rossdonaldson1: /* See Also */

2016-07-08T11:36:44Z

Rossdonaldson1: /* See Also */

2016-07-08T11:35:52Z

Rossdonaldson1: /* Clinical Features */

2016-07-08T11:34:24Z

Clinical Features

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	*a history of chronic alcohol ingestion (in a hypotonic form)		*a history of chronic alcohol ingestion (in a hypotonic form)
	*protein malnutrition		*protein malnutrition
	*[[Hyponatremia]]
	*[[Seizures]]		*[[Seizures]]
	*[[Altered Mental Status]]		*[[Altered Mental Status]]

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	==See Also==		==See Also==
	*[[Ethanol ~~intoxication~~]]		*[[Ethanol toxicity]]

	==References==		==References==

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	==See Also==		==See Also==
	*[[~~Alcohol (ETOH) Intoxication]]~~		*[[Ethanol intoxication]]
	*[[Alcoholic ketoacidosis]]
	*[[Alcohol withdrawal]]
	*[[Altered mental status]]
	*[[Delerium tremens]]
	*[[Wernicke-Korsakoff Syndrome]]

	==References==		==References==

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	==See Also==		==See Also==
	*[[Beer Potomania Syndrome]]
	*[[Alcohol (ETOH) Intoxication]]		*[[Alcohol (ETOH) Intoxication]]
	*[[Alcoholic ketoacidosis]]		*[[Alcoholic ketoacidosis]]
	*[[Alcohol withdrawal]]		*[[Alcohol withdrawal]]
	*[[Alcohol withdrawal: Inpatient management]]
	*[[Alcohol withdrawal: Outpatient management]]
	*[[Alcohol withdrawal seizures]]
	*[[Altered mental status]]		*[[Altered mental status]]
	*[[Delerium tremens]]		*[[Delerium tremens]]
	*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]
	*[[Sedative/Hypnotic]]
	*[[Wernicke-Korsakoff Syndrome]]		*[[Wernicke-Korsakoff Syndrome]]