#82 Hyponatremia Diagnostics: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 10 February 2021

⏱️ 53 minutes

🔗️ Recording | iTunes | RSS

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Summary

What does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine urea? What studies can be used to better assess response to treatment? How can uric acid be utilized as a diagnostic tool? What is the interplay between ADH and UOsm? Time Stamps: * 04:50 General Diagnostic Approach * 12:26 Serum Osmolality * 19:34 Urine Osmolality * 32:09 Urine Sodium * 45:23 Uric Acid Show notes, Transcript and References: https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/ (https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/) ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Tags: urine studies, SIADH, Core IM, IMCore, antidiuretic hormone, hospital medicine, family medicine, nephrology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	Hi everyone this quorum episode will count for
0:02.6	scummy credit with the American College of Physicians will link the
0:05.5	URL in the show notes so follow a link complete three questions and get
0:08.8	see me credit and without further ado cue the intro.
0:13.1	It's funny because even when we're called,
0:15.8	and I'm sure you guys have had this experience
0:17.7	where the nephrogy team is following
0:19.8	that hyponatremic patient with you
0:21.8	and like day three comes and the sodium's the same and
0:24.8	everybody's like, you know we're doing our best but hyponatrium is complicated.
0:29.7	That's Dr. Jeffrey William, a nephroologist at Beth Israel Deaconess Medical Center, and I am just so appreciative hearing even a very smart nephrologists say that hyponatremia is complicated.
0:42.2	Yes, because hyponatremia is complicated. Yes, because hyponatremia is complicated, but we're
0:46.0	going to try to demystify that at least a little today. Welcome to the Core I am
0:51.0	5 Pearls Podcast.
0:52.6	This is Dr. Marty Freed, a primary care physician
0:55.0	at the Ohio State University Wexner Medical Center.
0:58.4	And this is Dr. Shreya Trevetti,
1:00.3	an internist at the Beth Israel Deaconess Medical Center.
1:04.0	Whoa, whoa, Shray, let me tell you, Buckeye Nation really doesn't appreciate when you steal
1:09.2	their V.
1:10.6	Okay, how can I not make fun of that?
1:13.0	Also, joining us today is Dr. Tim Rowe, currently a chief resident at the University of Wisconsin
	...

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