The rapid correction of hyponatremia can cause a neurologic disorder known as myelinolysis. This worldwide, latrogenic problem has been documented in many settings and can now be clinically diagnosed with confidence. It is generally preventable if hyponatremia is corrected gradually. However, this dysfunction may be difficult to recognize because amiodarone can cause many changes in the thyroid function tests results of euthyroid patients. Strategies for managing hyperthyroidism and hypothyroidism should be tailored to meet the needs of individual patients.
Opinions are divided, but one thing is clear.
Physicians must be able to recognize when they are rationing care. This paper describes three conditions that must be met for a physician's action to qualify as an instance of bedside rationing. J.M. Mason, A. Haines, and M.P. Eccles Randomized trials can produce appropriate changes in medical practice only if there results are reported completely, systematically, and in adequate detail. Understanding the different meanings of these terms is essential to properly requesting diagnostic tests and interpreting their results. All rights reserved.