This is the first time ever I understood Darrow Yannet Diagrams always hated this because never could comprehend it and would always mark the wrong answer... So can't thank you enough❤
@@MedicosisPerfectionalis no worry, i was just checking if I was thinking right. You are incredible anyway! Not only that you are sending huge amounts of practical information but you're also mixing it with some subtle humor that's somehow helping in understanding and memorising the content. Now that i have your attention, is there any place online where I could read some of your biography? I'm intrigued :D
2,5,8 are very similar and nonsense. Also, 1,3,6,9 are very similar and nonsense!!! Why did you complicate things already easy!!!! I hate myself and get berserk cuz i am failling to understand YOUR TABLE !!!!!
Many inaccuracies. Loop diuretics do not cause a hypertonic urine, it is mildly hypotonic to isotonic. Saying that thiazides cause hyponatremia because you lose hypertonic fluid in the urine is incorrect as the mechanism is still very unclear. Humans are not just salt and water containers. Your approach is too simplistic as you consider tonicity disorder as simply a gain or loss of fluids with different tonicities. Your approach does not account for the role of ADH especially in hyponatremia. For instance, someone can develop hyponatremia with isotonic fluid loss, it is called hypovolemic hyponatremia and it is because ADH is activated by low EABV while patient is drinking hypotonic fluids causing a net free water excess. The latter is probably true for some patients with thiazide induced hyponatreamia.
Hey, in hypervolemic hyponatremia you said there is increase of TBNa, how does TBNa increase in CHF, cirrhosis and nephrotic syndrome, can you please explain?
Sorry, i got lost... 😬✌🏼 osmolar gap= meas osmolaRITY- calc osmolaRITY Or Osmlolar gap= meas osmolaLITY- calc osmolaLITY Thank you!! I love your videos 🥳
It doesn’t really matter. As long as it’s measured using mOsm/L , you should be fine. So technically, osmolarity minus osmolarity. But again, it doesn’t matter.