Article Text

Download PDFPDF
Rhabdomyolysis and polydipsic hyponatraemia
  1. J Y S Ting
  1. Department of Emergency Medicine, Princess Alexandra Hospital, Woolloongabba, Brisbane 4102, Queensland, Australia
  1. Correspondence to: Dr Ting (jysting{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 41 year old man was brought to the emergency department late in the afternoon with a reduced conscious level. He was found unresponsive in his bedroom, having last been seen well that morning. On presentation, his temperature was 36.1°C, pulse rate 90/min in sinus rhythm, blood pressure 140/70 mm Hg, respiratory rate 15/min and oxygen saturation 96% on room air. He had a blood sugar level of 7 mmol/l. The patient had a Glasgow Coma Scale score of 5 (E1 V1 M3) without external signs of a head injury. His pupils were sluggishly reactive, at 4 mm on the right and 2 mm on the left. He had a history of chronic schizophrenia treated with thioridazine, a previous head injury and was a heavy smoker.

His biochemistry on presentation showed serum sodium concentration of 113 mmol/l, potassium concentration 3.4 mmol/l, chloride concentration 76 (100–110 mmol/l), …

View Full Text