5th April 2024

A 36-year-old female with a history of decompensated alcoholic liver disease is admitted with lethargy, anorexia and confusion.

A 36-year-old female with a history of decompensated alcoholic liver disease is admitted with lethargy, anorexia and confusion. On examination, she is jaundiced with asterixis and a shifting dullness. Initial blood tests show significant hyponatremia with a sodium of 119 mmol/L. As part of further investigations for hyponatremia you request paired serum and urine osmolality and urinary sodium level. Which of the following results are you most likely to see?  

Select the SINGLE most appropriate option from the list below. Select ONE option only.