Was watching Armando's videos as a pre-med, as a med-student, and now as a resident. He is gifted at explaining things in a way that helps cement concepts. Brilliant.
I wanted to clarify. Hyponaturaemia is incorrect spelling. I apologise. It should be "Hyponatraemia" or "Hyponatremia". Aside from the spelling the physiology does not change
You should strive to get your words right. Yes, physiology does not change but language matters. And so...another word you’re getting wrong is NATRIURESIS. You spell it and pronounce it as Natruresis. Thank you.
I think a few things need to be corrected for example, in hypervolemic hypotonic hyponatremia, RAAS plays a big role(not pointed out). Another is that Thyroid hormone is required to suppress ADH, and is a cause of isovolemic hypotonic hyponatremia. I recommend to revise this video. A third is CKD causes isovolemic hypotonic hyponatremia; in those conditions you are not able to produce dilute urine and therefore lose salt I am a great fan of all your videos and lectures by the way. Keep up the great work!!!
Thank you so much !! I struggled 2 hours just to understand the hyponatremia types from my college professor and you made it simple in a couple of minutes you just helped one more guy to perform in the exam tommorow god bless you
Thank you for making this video! In a busy ER, as a Nurse you can't always figure out why the Na is low. We leave that to the docs. Sooner or later you'd like to know why, especially when new Nursing Students show up asking "why?,why?,why?". This video had a lot of awesome info and I'll have to listen to it again but I'm glad a viewed it.
Have endocrine and urogenital exams next week and didn't understand the aquaporins and natremia and the T3 T4 effect on heart in Physiology til I watched this video now I know all the Physiology Thanx alot god bless u 😎👌💙
Thanks for the video, excellent work as always. One note though: pseudohyponatremia due to hyperlipemia only happens when measuring Na in serum indirectly. Direct ISE (ion selective electrode) methods are not impacted by this.
Wouldn't diarrhea and vomiting cause a decrease in urine sodium since the kidneys are still functioning and will reabsorb Na and water through aldosterone/ADH?
In 2O18 I drank to much water and woke up and had a panic attack (think due to low sodium) ever since if my sodium go to low I begin to lose equilibrium in my brain and feel very ill. I also have an anxiety and panic disorder as a result of this event. basically my brain is messed up. Can anybody offer any advice?
It is "hyponatremia" (American English spelling) or "hyponatraemia" (British English spelling). It means low sodium (Na+) concentration in the blood. There is no such thing as "hyponaturemia" and as such the video title (*edit: and the drawings in the video) are misspelt. ((Low potassium (K+) level is called "hypokalemia" or "hypokalaemia", unrelated to this video, related to above comment reply.))
In vomiting ,if Na is lost as NaHCO3 (in an attempt to reverse metabolic alkalosis) ,the urinary sodium concentration should be elevated than normal ryt? But Harrison says in vomiting urinary Na is
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
Thank you for being the dedicated, thoughtful, and compassionate doctor that you are, you are more honest than I imagined, thank you so much Dr Igudia TH-cam channel for curing my Herpes virus, you are amazing
I thought kidneys have Na+/HCO3- cotransporter, so both Na+ and HCO3- are reabsorbed into bloodstream from tubules. This would help the low Na+ situation, right? The only reason for hyponatremia from vomiting is from the initial loss of electrolytes (including Na+) in the vomit, right...? :/
Oh, so I think that the alkalemia caused by vomiting (H+ loss) results in DECREASED HCO3- reabsorption. So the Na+/HCO3- cotransporter is less active and keeps Na+ and HCO3- in the urine. I can see how that would cause hyponatremia...
🎥 DON'T JUST WATCH, LEARN ACTIVELY! TRY THE QUIZ! 🤓
youmakr.ai/test-playground/questionnaire/673d35de859b9c170836eb62
Was watching Armando's videos as a pre-med, as a med-student, and now as a resident. He is gifted at explaining things in a way that helps cement concepts. Brilliant.
Q
cb. பிங்கன்ஸ் g. ஸ்ஸ் ன்
ழ்ன்பவஸ் க்ஸ் டிபிட்வை v
Same sir, from pre med to being a consultant. Thank you, Armando. 💚🙏🏽
I wanted to clarify. Hyponaturaemia is incorrect spelling. I apologise. It should be "Hyponatraemia" or "Hyponatremia".
Aside from the spelling the physiology does not change
good video ! also "naturesis" is wrong :)
You should strive to get your words right. Yes, physiology does not change but language matters. And so...another word you’re getting wrong is NATRIURESIS. You spell it and pronounce it as Natruresis. Thank you.
Also, doesn't hypothyroidism come under euvolemic hyponatremia?
Chill out there buddy@@TheAtheist22
@@IMChessMD I can't. And I won't. Anything else?
I think a few things need to be corrected for example, in hypervolemic hypotonic hyponatremia, RAAS plays a big role(not pointed out). Another is that Thyroid hormone is required to suppress ADH, and is a cause of isovolemic hypotonic hyponatremia. I recommend to revise this video. A third is CKD causes isovolemic hypotonic hyponatremia; in those conditions you are not able to produce dilute urine and therefore lose salt
I am a great fan of all your videos and lectures by the way. Keep up the great work!!!
Thank you so much !! I struggled 2 hours just to understand the hyponatremia types from my college professor and you made it simple in a couple of minutes you just helped one more guy to perform in the exam tommorow god bless you
This is really good but check out Biomed Sessions on this … they are also amazing! I feel like they covered everything you need to know 😍
😊
Thank you for making this video! In a busy ER, as a Nurse you can't always figure out why the Na is low. We leave that to the docs. Sooner or later you'd like to know why, especially when new Nursing Students show up asking "why?,why?,why?". This video had a lot of awesome info and I'll have to listen to it again but I'm glad a viewed it.
check out Biomed Sessions on this … they are also amazing! 😍
😂😂😂❤
Sir, I've spent all day unsuccessfully looking for a clear explanation of this. Thank you.
what a blessing of a video - thank you sir from a med student cramming for the IM exam
Bloody hell this IMO is one of the most complicated topics in Medicine... Thank you! I'm taking some time to proccess all that information
Right? I have read this topic from different sources but some information is still confusing :/
you are saving my medical school one vid at a time
I am amazed how can someone be so clear in concepts
Half an hour of pure enlightenment
I have no word for describing this video, It was more effective than 2 hour-class in Med school
Thanks 😍
This is really good but check out Biomed Sessions on this … they are also amazing! I feel like they covered everything you need to know 😍
Omg!! The best video I’ve seen regarding hypoNa! Thanks!!!!
great effort doctor , thanks for your time , your explanation is very clear and professional. I hope you find the light and the truthful guide
I knew I was gonna get it when I click on this. Brilliant teacher 😊. You can break things down so well.
I literally got it! That's why I'm here.
Sir your lectures are excellent..
One small request..
Kindly summarize the points you told.. It's better for everyone..
Thanku sir
God bless you ..and help you in hard times ..thank you alot
Have endocrine and urogenital exams next week and didn't understand the aquaporins and natremia and the T3 T4 effect on heart in Physiology til I watched this video now I know all the Physiology
Thanx alot god bless u 😎👌💙
You are amazing!! Thank you so much for all your videos! I would not pass my exams in PA school without you!
Excellent lecture, very clear and clinically useful
Learning from you every time. Thanks for the hard work!
Excellent explanation 👍
Thank you very much🙏🏼🙏🏼
Thank you so much from a fourth year med student
Oh Armando ! You are my savior♥️♥️♥️♥️♥️♥️♥️♥️
You are amazing!! This is explained so well and in-depth🔥🔥
what I great video ! l spent the whole day whatching it and it's worth it ! thank you for producing such a content and make me love studying moore !
Thanks!
one of best explanation.. thank you
god bless you! you explain it so clearly !
This is the best video on this topic
Thanks for your efforts and time
Amazing video. Easy to understand. Thanks a lot
Thanks . So helpful. Clearly and precisely described
Great explanation!
Thank u so much for this amazing lecture.
i just wanted to clarify that hyperglycaemia does not cause pseudonatremia, it causes a hypertonic hypernatremia
You mean hypervolemic hyponatremia?
How on Earth did I stumble upon this channel only now...
How about Hyponatremia in CKD with hypertension? Na 123 mmolL. Does it need treatment? If yes will the treatment affecting the hypertension?
I want yo know too
Thank you so much..very clear explanation
It is great . Thanks for your excellent presentation.
Thank you so much,that was great
u are genius....thank u sooooooo much ...
Knowledge is power
Thank you so much this was a difficult topic for me before I watched your video 😊
Excelent Dr. very clear!
Helpful! Such clear explanation.
Thanks for the video, excellent work as always. One note though: pseudohyponatremia due to hyperlipemia only happens when measuring Na in serum indirectly. Direct ISE (ion selective electrode) methods are not impacted by this.
ISE is the standard.
there is a formula to calculate Na with glicemia, so you can figure out the real "na" value in hiperglicemia
Very nice explanation sir
Just perfect ❤
Really nice explaination
Wonderful explanation. Thank you !
Thank you so much for such amazzzing content😁
Empressive ....thanks for this video❤️
U r lifesaver. Love u
watching this makes me want to quit nursing school before I get too deep into debt to turn back...
Worth to watch
great illustration!
Great work sir
Can we have apdf of this
You are a legend ❤️🔥 thank you
Thank you so much!!! this was so useful
Wouldn't diarrhea and vomiting cause a decrease in urine sodium since the kidneys are still functioning and will reabsorb Na and water through aldosterone/ADH?
16 dislikes from students who didn’t pass their exam 😔
Thank you sir
thank you so much!!
Wonderful work thank u so much
excellent video, Closed captions too please!
Thank you very much!!!
Thanks
Amazing!!
U rae the best.
thank you so much
Sorry: not true, main mechanism of CHF/Cirrhosis is sympathetic activation of RAAS system which causes increased aldosterone. Please look it up.
sir, please make a video on the topic of hypo & hyperkalemia
In 2O18 I drank to much water and woke up and had a panic attack (think due to low sodium) ever since if my sodium go to low I begin to lose equilibrium in my brain and feel very ill. I also have an anxiety and panic disorder as a result of this event. basically my brain is messed up. Can anybody offer any advice?
Great presentation! Thank you!
Great. Thanks a lot.
Is it hyponaturaemia or hyponatraemia or both are correct?
@@sayedtaha3809 You mean low Sodium not Potassium.
It is "hyponatremia" (American English spelling) or "hyponatraemia" (British English spelling). It means low sodium (Na+) concentration in the blood.
There is no such thing as "hyponaturemia" and as such the video title (*edit: and the drawings in the video) are misspelt.
((Low potassium (K+) level is called "hypokalemia" or "hypokalaemia", unrelated to this video, related to above comment reply.))
@@SlanderMonkey yeah yeah u r right i got confused thanks for ur note
superb
this video is not on the website ;(
In vomiting ,if Na is lost as NaHCO3 (in an attempt to reverse metabolic alkalosis) ,the urinary sodium concentration should be elevated than normal ryt? But Harrison says in vomiting urinary Na is
why in hypervolemic hyponatremia sodium level in urin is high?
Hypothyroidism has euvolemic hyponatremia!
During recovery from anorexia.. a patient has symptoms of dehydration and hyponatremia but sodium blood levels are normal. What is the treatment
Where can I purchase all the markers used in your videos?
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
Love it
cerebral pontine myelinosis!!! not cerebral edema
Thank you Great Video
Like banana peeling,your lectures are crystal clear
why is the kidney not able to retain Na+ in hypothyroidism ?
Tooooo good
Perfect
Nice
-emia, meaning presense in blood.
-Chubbyemu
Why always sodium and water go together?
Why will the kidneys not function in hypothyroidism?
Don't drink too much water
Please!
Thank you for being the dedicated, thoughtful, and compassionate doctor that you are, you are more honest than I imagined, thank you so much Dr Igudia TH-cam channel for curing my Herpes virus, you are amazing
I thought kidneys have Na+/HCO3- cotransporter, so both Na+ and HCO3- are reabsorbed into bloodstream from tubules. This would help the low Na+ situation, right? The only reason for hyponatremia from vomiting is from the initial loss of electrolytes (including Na+) in the vomit, right...? :/
Oh, so I think that the alkalemia caused by vomiting (H+ loss) results in DECREASED HCO3- reabsorption. So the Na+/HCO3- cotransporter is less active and keeps Na+ and HCO3- in the urine. I can see how that would cause hyponatremia...