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#170 Hypernatremia is Easy with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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Hypercalcemia, Hypokalemia, and Diabetes Insepitis?

With loop diuretics, with the osmotic diuresis, with glucose, like you were talking about, you're losing much more water than you would be sodium. So we've got a couple reasons that she could potentially be hypernatrin-ic. Calcium level is high, and that is one of two electrolyte abnormalities that causes nephrogenic diabetes insepitis. And so ADH binds or vasopressin binds the V2 receptor on the medullary collecting duct.

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