International Journal of Medical Advances and Discoveries

ISSN 2756-3812

International Journal of Medical Advances and Discovery ISSN 2756-3812 Vol. 1 (1), pp. 001-003, December, 2010. © International Scholars Journals

Case Report

Evaluation of serum magnesium levels in patient suffering from renal lithiasis and role of magnesium supplementation in electrolyte imbalance– a case report and review

Shailja Gupta1*, Sakshi Sodhi1, Vivek Mahajan2 and Yamini3

1Department of Biochemistry, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar.

2Department of Anesthesia, Geetanjali Medical College, Udaipur,

3Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar.

Accepted 07 June, 2010

Abstract

Hypomagnesaemia is common finding in current medical practice mainly in critically ill patients. Magnesium has been directly implicated in hypokalemia, hypocalcaemia and dysrrthymias. We report a known case of renal lithiasis, in a 45 year old female patient, with chief complaint of severe pain in right lumbar region and breathlessness with confirmed electrolyte imbalance. The objective of the present case report was to investigate the incidence of hypomagnesaemia in the critically ill patient and multiple electrolyte imbalance. It was also observed that magnesium (Mg) supplementation corrected the underlying multiple electrolyte disturbances in the patient thus, establishing a positive correlation of magnesium with sodium (Na), potassium (K) and calcium (Ca).

Key words: Hypomagnesaemia, hypokalemia, hypocalcaemia, hyponatremia.