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Postmortem diagnosis of hypertonic dehydration
Authors:Madea Burkhard  Lachenmeier Dirk W
Affiliation:Institute of Forensic Medicine, University of Bonn, Stiftsplatz 12, 53111 Bonn, Germany. b.madea@uni-bonn.de
Abstract:Beside morphological signs of hypertonic dehydration as tinting of skin, sunken eyes, dry surface of the galea or dry cutting areas of organs, a chemical profile of vitreous humor was proposed as a diagnostic tool for the diagnosis of hypertonic dehydration. The profile consists of an elevation of sodium >155 mmol/l, chloride >135 mmol/l and urea >40 mg/dl. This profile was named dehydration pattern. The value of this dehydration pattern for the diagnosis of hypertonic dehydration will be discussed by a short review of the literature and case reports. So far, the published literature on the dehydration pattern is not a sound scientific basis for the diagnosis of dehydration.
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