Alcoholic Cirrhosis Is Admitted in Medicine / Internal Medicine — 56yo Man | Nephrology | SMLE Q#11659

SMLE Question #11659

Medicine / Internal Medicine Nephrology

Objective: OBJ-188

Last updated: February 2026
A 56-year-old man with alcoholic cirrhosis is admitted for progressive abdominal distension, leg swelling, and reduced urine output. Over 1 week, he has worsening confusion and fatigue. Examination shows tense ascites and bilateral pitting edema. Laboratory tests show hyponatremia with a rise in creatinine from baseline. Which type of hyponatremia best describes his current sodium abnormality?

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