Endocrine disorders: Syndrome Of Inappropriate ADH Flashcards

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1
Q

What electrolyte abnormality would you expect to find in patients with suspected SIADH, syndrome of inappropriate ADH? Why?

A

Hyponatremia, as a result of the excess of ADH being produced by the neurophysis

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2
Q

What are some common differentials for hyponatremia?

A

CHF, nephrosis, severe liver disease, hyperglycemia, and hyperlipidemia

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3
Q

How can syndrome of increased ADH be differentiated from primary hypoadrenocorticism?

A

Primary hypoadrenocorticism is associated with azotemia and hyperkalemia

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4
Q

In acute cases, emergency treatment includes -?

A

Fluid therapy (hypertonic saline given slowly over 2-4 hrs), potassium supplementation, and furosemide (if hypertonic saline is used) to inhibit water resorption and reduce volume overload

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