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#170 Hypernatremia is Easy with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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Why Aren't You Drinking Water?

The first and central question in hypernatremia is why is the patient not drinking water? Right. Even if you have a complete absence of ADHD, which is one of the primary defenses against hypernat Remia,. If you have easy access to water, you'll be able to keep your sodium normal. Some of the other possibilities are patients wandering into that in a desert where there's no water available. Patients in a coma unable to drink water. They're going to get hypernatremic patients. And they can't ask for water on their own. So it's all over dose type. Right. The problem is if it's severe enough, you know, the person who drinks

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