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.
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
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 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.
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.
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 😎👌💙
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?
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
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
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...
Hello!!! There is only one thing I finf difficult understanding . Congestive HF, Liver Cirrhosis cause Hypotension and as such the first mechanism to be activated to increase blood volume shouldn't it be the RAAS ?
I think RAAS can cause vasoconstriction more than increase fluid volume in the vessel and what body do during these diseases is to compensate decreasing water that go out the vessels ..the main purpose is to increase water volume and make the blood isovolemic (return to normal)...just my understanding
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🎥 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. 💚🙏🏽
Yes same
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?
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 😍
😊
Thanks!
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!!!
Sir, I've spent all day unsuccessfully looking for a clear explanation of this. Thank 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.
check out Biomed Sessions on this … they are also amazing! 😍
😂😂😂❤
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 :/
what a blessing of a video - thank you sir from a med student cramming for the IM exam
I am amazed how can someone be so clear in concepts
you are saving my medical school one vid at a time
Omg!! The best video I’ve seen regarding hypoNa! Thanks!!!!
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 😍
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.
You are amazing!! Thank you so much for all your videos! I would not pass my exams in PA school without you!
great effort doctor , thanks for your time , your explanation is very clear and professional. I hope you find the light and the truthful guide
Learning from you every time. Thanks for the hard work!
Explained very well, thank you!!
You are amazing!! This is explained so well and in-depth🔥🔥
Excellent explanation 👍
Thank you very much🙏🏼🙏🏼
Sir your lectures are excellent..
One small request..
Kindly summarize the points you told.. It's better for everyone..
Thanku sir
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 !
Oh Armando ! You are my savior♥️♥️♥️♥️♥️♥️♥️♥️
Excellent lecture, very clear and clinically useful
Thank you so much from a fourth year med student
God bless you ..and help you in hard times ..thank you alot
How on Earth did I stumble upon this channel only now...
Amazing video. Easy to understand. Thanks a lot
Great explanation!
god bless you! you explain it so clearly !
This is the best video on this topic
Thanks . So helpful. Clearly and precisely described
Thank u so much for this amazing lecture.
Thank you so much this was a difficult topic for me before I watched your video 😊
Thanks for your efforts and time
one of best explanation.. thank you
great illustration!
Thank you so much..very clear explanation
Very nice explanation sir
Really nice explaination
You are a legend ❤️🔥 thank you
Thank you so much,that was great
Helpful! Such clear explanation.
Great work sir
Just perfect ❤
Thank you so much for such amazzzing content😁
excellent video, Closed captions too please!
It is great . Thanks for your excellent presentation.
Excelent Dr. very clear!
Wonderful explanation. Thank you !
Empressive ....thanks for this video❤️
u are genius....thank u sooooooo much ...
Knowledge is power
Thank you so much!!! this was so useful
U r lifesaver. Love u
Worth to watch
watching this makes me want to quit nursing school before I get too deep into debt to turn back...
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
Amazing!!
Can we have apdf of this
thank you so much!!
sir, please make a video on the topic of hypo & hyperkalemia
Wonderful work thank u so much
Thank you very much!!!
Thank you sir
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
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 😎👌💙
16 dislikes from students who didn’t pass their exam 😔
U rae the best.
Thanks
superb
Great. Thanks a lot.
this video is not on the website ;(
why in hypervolemic hyponatremia sodium level in urin is high?
thank you so much
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?
Great presentation! Thank you!
i just wanted to clarify that hyperglycaemia does not cause pseudonatremia, it causes a hypertonic hypernatremia
You mean hypervolemic hyponatremia?
why is the kidney not able to retain Na+ in hypothyroidism ?
Like banana peeling,your lectures are crystal clear
isnot pseudohyponatremia term is only used for isotonic hyponatremia ?? and shouldnot be called for hypertonic hyponatremia ?? my prof told me that ......which is correct ??
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?
Where can I purchase all the markers used in your videos?
Love it
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
Tooooo good
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
Perfect
During recovery from anorexia.. a patient has symptoms of dehydration and hyponatremia but sodium blood levels are normal. What is the treatment
Nice
Can’t understand u said on 10:18
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...
Why always sodium and water go together?
Why will the kidneys not function in hypothyroidism?
cerebral pontine myelinosis!!! not cerebral edema
Thank you Great Video
Hypothyroidism has euvolemic hyponatremia!
Sorry: not true, main mechanism of CHF/Cirrhosis is sympathetic activation of RAAS system which causes increased aldosterone. Please look it up.
Hello!!! There is only one thing I finf difficult understanding . Congestive HF, Liver Cirrhosis cause Hypotension and as such the first mechanism to be activated to increase blood volume shouldn't it be the RAAS ?
I think RAAS can cause vasoconstriction more than increase fluid volume in the vessel and what body do during these diseases is to compensate decreasing water that go out the vessels ..the main purpose is to increase water volume and make the blood isovolemic (return to normal)...just my understanding