Patients with hypernatremia appear lethargic, weak and confused. However, the physical<unk>  findings are related to the amount of volume deificit in the body and neuronal shrinkage as a result of hypertonicity. For the physical exam findings to become apparent, acute elevation in the serum sodium concentration to above 158 mEq/L is required.
Hypernatremia physical examination
Hyponatremia physical examination
Hyperkalemia physical examination
Hypocalcemia physical examination
Metabolic alkalosis physical examination
Hyponatremia X-ray
Hypernatremia laboratory tests
Acute liver failure physical examination