“So first you check serum osmolality to see if it is true hyponatremia, then you need to see if ADH is on or off by looking at the urine osmolality, and the urine sodium will next tell you the intravascular volume status.”
"So the activated C1 cleaves C4 into C4a and C4b, which binds to the microbial surface. C4b then binds C2, which is cleaved by C1s into C2a and C2b, forming the C4b2b complex, also known as C3 convertase, which cleaves C3 into C3a and C3b."
Please order the CT with IV contrast.
The kidneys will be fine.
It's whatever diagnosis we are missing with the non-contrast CT that will damage the kidneys.
To most doctors, domestic violence survivors are the hardest to approach. Simply because we don’t know what to say to them, or how. Some just stick to the clinical part and leave the rest to social workers.
First of all: reassure her that she made the right decision to seek help