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En 80-årig kvinna som söker vårdcentralen med smygande symtom av oklar karaktär med trötthet, illamående och balansproblem. I bakgrunden hypertoni och en TIA. Behandlas med Candesartan/hydroklortiazid (kombination ARB och tiaziddiuretika) och Amlodipin (kalciumflödeshämmare) samt Trombyl® (ASA) och simvastatin. Undersökning är normalt förutom en ostadighetskänsla vid förstärkt Romberg. Du vill utesluta somatisk orsak till patientens symtom och beställer tyroideastatus och elstatus samt joniserat kalcium och fasteglukos. Du finner hyponatremi på 127 mmol/l i övrigt väs normalt lab.Vilket av patientens läkemedel har mest sannolikt gett patienten hyponatremi? Endast ett svar ska markeras.- Amlodipin- Candesartan- Hydroklortiazid- Simvastatin- Trombyl1 p

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