Beer potomania: Difference between revisions

Jump to navigation Jump to search
 
(10 intermediate revisions by 2 users not shown)
Line 1: Line 1:
__NOTOC__
{{Beer potomania}}
{{Beer potomania}}
'''For patient information, click [[Beer potomania (patient information)|here]]'''


'''Editor-in-Chief:''' Suresh Samson, M.D., Yale Bridgeport Hospital
'''Editor-in-Chief:''' Suresh Samson, M.D., Yale Bridgeport Hospital
==[[Beer potomania overview|Overview]]==
==[[Beer potomania overview|Overview]]==


==[[Gonorrhea historical perspective|Historical Perspective]]==
==[[Beer potomania historical perspective|Historical Perspective]]==


==[[Beer potomania classification|Classification]]==
==[[Beer potomania classification|Classification]]==
Line 19: Line 20:
==[[Beer potomania risk factors|Risk Factors]]==
==[[Beer potomania risk factors|Risk Factors]]==


==[[Beer potomania natural history, complications, and prognosis|Natural History, Complications, and Prognosis]]==
==[[Beer potomania natural history, complications and prognosis|Natural History, Complications, and Prognosis]]==
== Pathophysiology & Etiology==
 
The pathophysiologic mechanism of beer potomania can be understood through an example. Imagine someone who binged on 4 liters of beer (which essentially means 4 liters of water) with ingestion of roughly 200 mosm that day. To place this in context, a normal American diet contains 750 mosm/day, and all of it is excreted in urine to maintain a steady state.  As a result of the ingestion of this large amount of beer (i.e.free water), the patient's anti diuretic hormone(ADH) (the hormone that causes the kidney to reabsorb free water) secretion is at its minimum to allow the kidneys to excrete maximally dilute urine. Since the maximal dilution that can be attained is 50mosm/L, the kidneys will excrete all the 200 mosm in the diet in 4 litres of urine (50mosm/L X 4L = 200 mosm). This will indeed maintain his sodium level.If this person in our example drinks his 5th litre of beer without taking any further osmoles, then he will become hyponatremic. This is beer potomania


=== Differential Diagnosis ===
==Diagnosis==
See the differential of [[hyponatremia]]
[[Beer potomania history and symptoms|History and Symptoms]] | [[Beer potomania physical examination|Physical Examination]] | [[Beer potomania laboratory findings|Laboratory Findings]] | [[Beer potomania other diagnostic studies|Other Diagnostic Studies]]


==== Electrolyte and Biomarker Studies ====
==Treatment==
A value of Uosm < 100 mOsm/kg is indicative of a complete and appropriate suppression of antidiuretic hormone (ADH) secretion, a finding seen with either primary polydipsia (including ‘beer potomania’) or reset osmostat.
[[Beer potomania medical therapy|Medical Therapy]] | [[Beer potomania primary prevention|Primary Prevention]] | [[Beer potomania cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Beer potomania future or investigational therapies|Future or Investigational Therapies]]
Criteria used to diagnose the ‘beer potomania’ syndrome include
# A history of binge beer drinking
# Poor dietary intake
# Decreased serum sodium levels
# Low serum and urine osmolality
# Absence of other known causes of hyponatremia


==Case Studies==
[[Beer potomania case study one|Case #1]]


{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}

Latest revision as of 19:26, 1 February 2013

Beer potomania Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Beer potomania from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Beer potomania On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Beer potomania

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Beer potomania

CDC on Beer potomania

Beer potomania in the news

Blogs on Beer potomania

Directions to Hospitals Treating Beer potomania

Risk calculators and risk factors for Beer potomania

For patient information, click here

Editor-in-Chief: Suresh Samson, M.D., Yale Bridgeport Hospital

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Beer potomania from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications, and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1


Template:WikiDoc Sources