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Psychogenic polydipsia can also lead to life-threatening hyponatremia. As you point out, it is not just the sodium level but how fast the change occurred. Finally, non-convulsive status epilepticus is in the differential diagnosis of delirium that is often missed and can result in a mistaken diagnosis of “delirium unknown cause,” which can lead to a dangerous intervention.

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I 100% almost wrote about psychogenic polydipsia (which I have indeed seen a few times) but I figured it would be more fun for someone else to think of it and put it here in the comments :)

Thanks for proving me right about y'all! Love it.

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😄

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Terrific pair of articles on your seizure puzzle! Thank you.

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Thanks. I had "fun" writing it. I am working on mixing narrative writing into this newsletter. It's not the thing that comes naturally to me...but I am enjoying doing more of it and glad you like the duo!

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Fascinating! Thanks!

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