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Type: Journal article
Title: The potential significance of elevated vitreous sodium levels at autopsy
Author: Ingham, A.
Byard, R.
Citation: Journal of Clinical Forensic and Legal Medicine: an international journal of forensic and legal medicine, 2009; 16(8):437-440
Publisher: Churchill Livingstone
Issue Date: 2009
ISSN: 1752-928X
Statement of
Annabel I. Ingham and Roger W. Byard
Abstract: Elevated levels of sodium that may be detected in the analysis of post-mortem fluid samples may arise from a wide variety of organic illnesses and environmental factors that have caused either water depletion or solute gain. When hypernatraemia is suspected at autopsy a careful history is required with particular emphasis on pre-existing medical conditions such as renal or gastrointestinal disease. In addition, detailed information is required on the circumstances of death, including any clinical symptoms and signs that the deceased may have manifested, or medical procedures such as dialysis, colonoscopy or intravenous fluid replacement. Reduced intake of fluid may be associated with cognitive or physical impairment or may result from environmental depletion (the latter may be a manifestation of inflicted injury). Both central and nephrogenic diabetes insipidus may result in the loss of excessive amounts of hypotonic fluid. This may also occur following diuretic use, or be due to gastroenteritis or burns. Hypernatraemia may be a marker of excessive salt/saline ingestion and/or administration and may occur accidentally or as a manifestation of child abuse. Given the range of possible etiologies, hypernatraemia may be a significant autopsy finding that requires explanation.
Keywords: Hypernatraemia
Salt ingestion
Child abuse
Salt-water drowning
Description: Copyright © 2009 Elsevier Ltd and Faculty of Forensic and Legal Medicine Published by Elsevier B.V.
DOI: 10.1016/j.jflm.2009.07.013
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Appears in Collections:Aurora harvest
Pathology publications

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