In a 61-year-old woman taking oxcarbazepine for trigeminal neuralgia who reports decreased energy, which test should be obtained now: serum sodium level, urinalysis, electrocardiogram (EKG), or thyroid‑stimulating hormone (TSH)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board

Educational purpose only • Exercise caution as content is pending human review

Article Review Status

Submitted

Under Review

Approved

Last updated: February 14, 2026 • View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Related Questions

What is the diagnosis and management for a patient with hyperglycemia, hyponatremia, hypokalemia, hypochloremia, elevated anion gap, elevated alkaline phosphatase, and abnormal CBC results, with preserved renal function?

What is the best initial management for a patient with hyperglycemia, hyponatremia, hypochloremia, metabolic acidosis, and an inflammatory process, considering impaired renal function and other significant lab abnormalities?

Is 0.45% Sodium Chloride (NaCl) Intravenous (IV) at a rate of 50 milliliters per hour (ml/hr) an appropriate treatment for dehydration or hypernatremia?

How much does 10ml per hour of 3% Sodium Chloride (NaCl) increase sodium levels?

How to manage severe hyponatremia (low sodium levels) in the ICU (Intensive Care Unit)?

A 37‑week‑gestation woman in active labor (cervical dilation 4 cm, fetal head at +1 station, cephalic presentation) develops abdominal tenderness and vaginal bleeding; cardiotocography shows a reassuring fetal trace. What is the most appropriate immediate management?

What are the absolute and relative contraindications for initiating stimulant therapy (amphetamine or methylphenidate) in a patient?

What is the total dose of human rabies immune globulin (HRIG) for an 80‑kg adult?

What is the recommended prevention and treatment plan for an asymptomatic adult over 60 with diverticulosis, including diet, lifestyle, medications, and criteria for antibiotics, hospitalization, or surgery?

Is a donor egg early blastocyst (day 5) transfer appropriate for a patient with low anti‑Müllerian hormone (AMH)?

What are the ocular side effects of hydroxychloroquine and the recommended screening and management?

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.