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Hyponatraemia

Hyponatraemia

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Revising for MRCP Part 1 and thought this might be useful to others!
Revising for MRCP Part 1 and thought this might be useful to others!

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Categories:Types, Research, Science
Published by: Prarthana Thiagarajan on Jul 10, 2011
Copyright:Attribution Non-commercial

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07/11/2011

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Notes: vomiting/diarrhoea are associated with avid Na + retention; hence urine Na+ will be low.SIADH: diagnosis requires normal renal, adrenal and thyroid function. Patient must be euvolaemic. Diuretic therapy must be excluded.Investigations: Serum U&Es including Mg
2+
(K
+
and Mg
2+
can provoke ADH release), TFTs and serum osmolality. Urinary U&Es and urine osmolality.Cautions with treatment: over-rapid correction of hyponatraemia can lead to central pontine myelinosis.

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