scholarly journals Syndrome of Inappropriate Antidiuretic Hormone in Esophageal Cancer Patient

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Rahmawati Minhajat ◽  
Andi Fachruddin Benyamin ◽  
Andi Makbul Aman ◽  
Syakib Bakri
Keyword(s):  
Esophageal Carcinoma ◽  
Antidiuretic Hormone ◽  
Plasma Osmolality ◽  
Urine Osmolality ◽  
Esophageal Cancer Patient ◽  
Sodium Balance ◽  
Fluid Restriction ◽  
Electrolyte Balance ◽  
Common Causes ◽  
Balance Disorder

Syndrome of inappropriate antidiuretic hormone (SIADH) is a disorder of fluid and sodium balance characterized by hypotonic hyponatremia, low plasma osmolality, and increased urine osmolality caused by excessive release of antidiuretic hormone (ADH). Malignancy is one of the most common causes of SIADH, but SIADH in esophageal carcinoma is very rarely reported. In this case report, a 74-year-old male patient of moderate differentiation of squamous cell esophageal carcinoma had a recurrent electrolyte balance disorder despite repeated corrections. The patient experienced improvement after fluid restriction and drug administration.

scholarly journals GANGGUAN KESEIMBANGAN AIR DAN NATRIUM SERTA PEMERIKSAAN OSMOLALITAS

2014 ◽  
Vol 6 (3) ◽  
Author(s):  
Glady I. Rambert
Keyword(s):  
Antidiuretic Hormone ◽  
Water Distribution ◽  
Freezing Point ◽  
Urine Osmolality ◽  
Body Fluids ◽  
The State ◽  
The Body ◽  
Electrolyte Imbalance ◽  
Electrolyte Balance ◽  
Freezing Point Depression

Abstract: Water distribution in each compartment of the body involves concentration of solutes in body fluids, and the amount of dissolved substance in a solvent called osmolality. Electrolyte that has the biggest contributor in determining the serum osmolality is sodium, which is osmotically active. Hipoosmolality actually describes the state of hyponatremia, and hyperosmolality describes the state of hypernatremia. Examination of plasma and urine osmolality is very helpful in the management of patients with water and electrolyte imbalance, in addition to assess the antidiuretic hormone (ADH) abnormalities. Urine osmolality is important in evaluating the ability of the kidney to concentrate the urine, in addition to monitor the fluid and electrolyte balance. There are two ways of osmolality examination: 1) indirectly, by using osmometer (osmolality measurement) with a freezing point depression method; 2) directly, by using a formula (osmolality count).Keywords: water, sodium, osmolality, freezing point depression, osmolality countAbstrak: Distribusi air pada setiap kompartemen tubuh melibatkan kadar zat terlarut di dalam cairan tubuh, dan jumlah zat terlarut dalam suatu pelarut yang disebut osmolalitas. Elektrolit pemberi kontribusi terbesar dalam menentukan besarnya osmolalitas serum ialah natrium, yang aktif secara osmotik. Keadaan hipoosmolalitas sebenarnya menggambarkan keadaan hiponatremia, sebaliknya hiperosmolalitas menggambarkan keadaan hipernatremia. Pemeriksaan osmolalitas plasma dan urin sangat membantu penatalaksanaan pasien dengan gangguan keseimbangan air dan elektrolit, selain menilai kelainan antidiuretic hormone (ADH). Osmolalitas urin penting untuk mengetahui kemampuan ginjal memekatkan urin, selain memonitor keseimbangan cairan dan elektrolit. Terdapat dua cara pemeriksaan osmolalitas yaitu: 1) secara tidak langsung menggunakan osmometer (osmolalitas ukur) dengan metode freezing point depression; 2) secara langsung dengan menggunakan rumus (osmolalitas hitung).Kata kunci: air, natrium, osmolalitas, freezing point depression, osmolalitas hitung

Disorders of Water and Sodium Balance: Hyponatremia

2019 ◽  
Author(s):  
Danilea M. Carmona Matos ◽  
Herbert Chen
Keyword(s):  
Antidiuretic Hormone ◽  
Sodium Transport ◽  
Clinical Manifestations ◽  
Electrolyte Imbalance ◽  
Renal Physiology ◽  
Sodium Balance ◽  
Electrolyte Balance ◽  
Clear Understanding ◽  
Drug Induced ◽  
Clinical Scenarios

Disorders of water and sodium balance are common in clinical practice. To better assess them, we must have a clear understanding of water-electrolyte homeostasis and renal function. The following review goes over practical equations necessary for electrolyte balance analysis as well as the foundations of renal physiology. Emphasis is placed on the understanding of sodium transport and its physiologic and pharmacologic regulation. In addition, we explore the most common electrolyte imbalance affecting up to 28% of hospitalized patients: hyponatremia (ie, low sodium concentration). Hyponatremia has been found in several acute and chronic clinical scenarios including postoperative, drug-induced, and exercise-associated hyponatremia. However, it is not uncommon to find this disorder coexisting with other diseases such as syndrome of inappropriate secretion of antidiuretic hormone (SIADH), acquired immunodeficiency syndrome (AIDS), cancer, and in rare cases, hypothyroidism. To better understand this disorder, the etiology, diagnosis with clinical manifestations and laboratory values, and treatment options are explored. This review contains 9 figures, 6 tables, and 52 references. Key Words: aldosterone, antidiuretic hormone, body fluids, electrolyte balance, hyponatremia, hypovolemia, osmolality, sodium transport, vasopressin

Disorders of Water and Sodium Balance: Hyponatremia

2019 ◽  
Author(s):  
Danilea M. Carmona Matos ◽  
Herbert Chen
Keyword(s):  
Antidiuretic Hormone ◽  
Sodium Transport ◽  
Clinical Manifestations ◽  
Electrolyte Imbalance ◽  
Renal Physiology ◽  
Sodium Balance ◽  
Electrolyte Balance ◽  
Clear Understanding ◽  
Drug Induced ◽  
Clinical Scenarios

Disorders of water and sodium balance are common in clinical practice. To better assess them, we must have a clear understanding of water-electrolyte homeostasis and renal function. The following review goes over practical equations necessary for electrolyte balance analysis as well as the foundations of renal physiology. Emphasis is placed on the understanding of sodium transport and its physiologic and pharmacologic regulation. In addition, we explore the most common electrolyte imbalance affecting up to 28% of hospitalized patients: hyponatremia (ie, low sodium concentration). Hyponatremia has been found in several acute and chronic clinical scenarios including postoperative, drug-induced, and exercise-associated hyponatremia. However, it is not uncommon to find this disorder coexisting with other diseases such as syndrome of inappropriate secretion of antidiuretic hormone (SIADH), acquired immunodeficiency syndrome (AIDS), cancer, and in rare cases, hypothyroidism. To better understand this disorder, the etiology, diagnosis with clinical manifestations and laboratory values, and treatment options are explored. This review contains 9 figures, 6 tables, and 52 references. Key Words: aldosterone, antidiuretic hormone, body fluids, electrolyte balance, hyponatremia, hypovolemia, osmolality, sodium transport, vasopressin

Disorders of Water and Sodium Balance: Hyponatremia

2019 ◽  
Author(s):  
Danilea M. Carmona Matos ◽  
Herbert Chen
Keyword(s):  
Antidiuretic Hormone ◽  
Sodium Transport ◽  
Clinical Manifestations ◽  
Electrolyte Imbalance ◽  
Renal Physiology ◽  
Sodium Balance ◽  
Electrolyte Balance ◽  
Clear Understanding ◽  
Drug Induced ◽  
Clinical Scenarios

Disorders of water and sodium balance are common in clinical practice. To better assess them, we must have a clear understanding of water-electrolyte homeostasis and renal function. The following review goes over practical equations necessary for electrolyte balance analysis as well as the foundations of renal physiology. Emphasis is placed on the understanding of sodium transport and its physiologic and pharmacologic regulation. In addition, we explore the most common electrolyte imbalance affecting up to 28% of hospitalized patients: hyponatremia (ie, low sodium concentration). Hyponatremia has been found in several acute and chronic clinical scenarios including postoperative, drug-induced, and exercise-associated hyponatremia. However, it is not uncommon to find this disorder coexisting with other diseases such as syndrome of inappropriate secretion of antidiuretic hormone (SIADH), acquired immunodeficiency syndrome (AIDS), cancer, and in rare cases, hypothyroidism. To better understand this disorder, the etiology, diagnosis with clinical manifestations and laboratory values, and treatment options are explored. This review contains 9 figures, 6 tables, and 52 references. Key Words: aldosterone, antidiuretic hormone, body fluids, electrolyte balance, hyponatremia, hypovolemia, osmolality, sodium transport, vasopressin

Osmotic demyelination syndrome following slow correction of hyponatraemia

2021 ◽  
Vol 14 (8) ◽  
pp. e241407
Author(s):  
Isabel Saunders ◽  
David M Williams ◽  
Aliya Mohd Ruslan ◽  
Thinzar Min
Keyword(s):  
Antidiuretic Hormone ◽  
Serum Sodium ◽  
Inflammatory Markers ◽  
Urine Osmolality ◽  
Fluid Restriction ◽  
Osmotic Demyelination Syndrome ◽  
Electrolyte Disturbance ◽  
Osmotic Demyelination ◽  
Sodium Correction ◽  
Hospital Inpatients

Hyponatraemia is the most common electrolyte disturbance observed in hospital inpatients. We report a 90-year-old woman admitted generally unwell following a fall with marked confusion. Examination revealed a tender suprapubic region, and investigations observed elevated inflammatory markers and bacteriuria. Admission investigations demonstrated a serum sodium of 110 mmol/L with associated serum osmolality 236 mmol/kg and urine osmolality 346 mmol/kg. She was treated for hyponatraemia secondary to syndrome of inappropriate antidiuretic hormone (SIADH) and urosepsis. However, her serum sodium failed to normalise despite fluid restriction, necessitating treatment with demeclocycline and hypertonic saline. Despite slow reversal of hyponatraemia over 1 month, the patient developed generalised seizures with pontine and thalamic changes on MRI consistent with osmotic demyelination syndrome (ODS). This case highlights the risk of ODS, a rare but devastating consequence of hyponatraemia treatment, despite cautious sodium correction.

scholarly journals Sodium valproate – can it mask neurohypophyseal diabetes insipidus?

2021 ◽  
Author(s):  
Femi Adeniyi ◽  
Sanjeev Rath ◽  
Dennis Padi ◽  
Sarah Thompson
Keyword(s):  
Diabetes Insipidus ◽  
Antidiuretic Hormone ◽  
Sodium Valproate ◽  
Plasma Osmolality ◽  
Urine Osmolality ◽  
High Plasma ◽  
Adult Patients ◽  
Central Diabetes Insipidus ◽  
Refractory Seizures

Neonatal central diabetes insipidus (DI) is an uncommon disorder. It is characterised by polyuria, hypernatraemia, high plasma osmolality, and low urine osmolality. Sodium valproate is a drug used for seizure treatment; its use in adult patients to treat DI has been reported in the literature. We report a case of neonatal neurohypophyseal DI managed with sodium valproate for refractory seizures. Sodium valproate may have contributed to the improvement in DI symptoms by increasing the production of antidiuretic hormone. To our knowledge, no such association has been reported for neonatal DI.

scholarly journals Hydration Marker Diagnostic Accuracy to Identify Mild Intracellular and Extracellular Dehydration

2019 ◽  
Vol 29 (6) ◽  
pp. 604-611 ◽  
Author(s):  
Julian A. Owen ◽  
Matthew B. Fortes ◽  
Saeed Ur Rahman ◽  
Mahdi Jibani ◽  
Neil P. Walsh ◽  
...  
Keyword(s):  
Heart Rate ◽  
Diagnostic Accuracy ◽  
Body Mass ◽  
Area Under The Curve ◽  
Plasma Osmolality ◽  
Urine Osmolality ◽  
Heart Rate Change ◽  
Urine Specific Gravity ◽  
Fluid Restriction ◽  
Negative Effects

Identifying mild dehydration (≤2% of body mass) is important to prevent the negative effects of more severe dehydration on human health and performance. It is unknown whether a single hydration marker can identify both mild intracellular dehydration (ID) and extracellular dehydration (ED) with adequate diagnostic accuracy (≥0.7 receiver-operating characteristic–area under the curve [ROC-AUC]). Thus, in 15 young healthy men, the authors determined the diagnostic accuracy of 15 hydration markers after three randomized 48-hr trials; euhydration (water 36 ml·kg−1·day−1), ID caused by exercise and 48 hr of fluid restriction (water 2 ml·kg−1·day−1), and ED caused by a 4-hr diuretic-induced diuresis begun at 44 hr (Furosemide 0.65 mg/kg). Body mass was maintained on euhydration, and dehydration was mild on ID and ED (1.9% [0.5%] and 2.0% [0.3%] of body mass, respectively). Urine color, urine specific gravity, plasma osmolality, saliva flow rate, saliva osmolality, heart rate variability, and dry mouth identified ID (ROC-AUC; range 0.70–0.99), and postural heart rate change identified ED (ROC-AUC 0.82). Thirst 0–9 scale (ROC-AUC 0.97 and 0.78 for ID and ED) and urine osmolality (ROC-AUC 0.99 and 0.81 for ID and ED) identified both dehydration types. However, only the thirst 0–9 scale had a common dehydration threshold (≥4; sensitivity and specificity of 100%; 87% and 71%, 87% for ID and ED). In conclusion, using a common dehydration threshold ≥4, the thirst 0–9 scale identified mild intracellular and ED with adequate diagnostic accuracy. In young healthy adults’, thirst 0–9 scale is a valid and practical dehydration screening tool.

Syndrome of Inappropriate Antidiuretic Hormone Secretion in a Cat

2010 ◽  
Vol 46 (6) ◽  
pp. 425-432 ◽  
Author(s):  
Kristin Cameron ◽  
Alexander Gallagher
Keyword(s):  
Antidiuretic Hormone ◽  
Hormone Secretion ◽  
Clinical Signs ◽  
Urine Osmolality ◽  
Electrolyte Imbalance ◽  
Fluid Restriction ◽  
Severe Hyponatremia ◽  
Inappropriate Antidiuretic Hormone Secretion ◽  
Antidiuretic Hormone Secretion ◽  
Serum And Urine

A 3-year-old, spayed female, domestic shorthaired cat was presented for evaluation of liver disease. Following anesthesia, laparoscopy, and medical therapy, the cat developed severe hyponatremia that was unresponsive to fluid therapy. Further evaluation of serum and urine osmolality determined that the cat fulfilled the criteria for syndrome of inappropriate antidiuretic hormone secretion. Treatment with fluid restriction resulted in resolution of the hyponatremia and clinical signs associated with the electrolyte imbalance.

Syndrome of Inappropriate Antidiuretic Hormone Secretion Associated with Desvenlafaxine

2016 ◽  
Vol 33 (S1) ◽  
pp. S469-S469 ◽  
Author(s):  
E. García Fernández ◽  
D.M.I. Ramos García
Keyword(s):  
Antidiuretic Hormone ◽  
Serum Sodium ◽  
Antidepressant Treatment ◽  
Hormone Secretion ◽  
Urine Osmolality ◽  
Prescription Medication ◽  
Fluid Restriction ◽  
Close Monitoring ◽  
Inappropriate Antidiuretic Hormone Secretion ◽  
Competing Interest

IntroductionDesvenlafaxine is a prescription medication approved for the treatment of major depressive disorder in adults. Hyponatremia secondary to inappropriate secretion of antidiuretic hormone (SIADH) is a possible side effect in patients receiving serotonin-norepinephrine reuptake inhibitors (SNRIS)MethodTo report a case of SIADH associated with desvenlafaxine.ResultsWe present a 80-year-old female patient who required hospitalization due to an episode of psychotic depression. During the hospitalization, the patient developed hyponatremia after commencing treatment with desvenlafaxine. The serum sodium at this time was 117 mmol/L, serum osmolality was 249 mosmol/kg, urine osmolality 395 mosmol/kg and urine sodium 160 mmol/L, consistent with a diagnosis of SIADH. Desvenlafaxine was ceased and fluid restriction implemented. The mental status improved, and electrolyte studies 6 days later revealed serum sodium and osmolality values of 135 mEq/L during treatment with duoxetine.ConclusionsSIADH has been reported with a range of antidepressants in elderly patients. This case report suggests that desvenlafaxine might cause clinically significant hyponatremia. Close monitoring is recommended in patients starting therapy with antidepressant treatment to study and prevent possible adverse effects.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The occurrence of nephrogenic diabetes insipidus in domestic fowl

1989 ◽  
Vol 256 (4) ◽  
pp. F639-F645 ◽  
Author(s):  
E. J. Braun ◽  
J. N. Stallone
Keyword(s):  
Diabetes Insipidus ◽  
Antidiuretic Hormone ◽  
Domestic Fowl ◽  
Nephrogenic Diabetes Insipidus ◽  
Water Deprivation ◽  
Plasma Osmolality ◽  
Urine Osmolality ◽  
Arginine Vasotocin ◽  
Basal Plasma ◽  
Response To Water

Nephrogenic diabetes insipidus (NDI) results from an inability of the kidney to concentrate the urine. The underlying cause of NDI is the failure of the collecting ducts to respond to antidiuretic hormone, however, the specific tubular defect is not well understood. In the present investigation an apparent case of NDI was studied in a strain of White Leghorn domestic fowl. In this strain, water intake of the males equaled 24.0% (controls 5.4%) of their body mass (BM) per day while that of the females equaled 51.4% (controls 11.7%) of their BM per day. Plasma osmolality (mosmol/kgH2O) of the NDI birds was significantly higher than that of controls (males 319 +/- 1.7 vs. 311 +/- 1.2; females 323 +/- 1.5 vs. 310 +/- 2.2). Urine osmolality of NDI birds was substantially lower than that of controls (males 90 +/- 6.2 vs. 524 +/- 4.0; females 70 +/- 4.7 vs. no value). In response to water deprivation, plasma osmolality of the NDI birds increased more markedly than that of the control animals (males 357 +/- 2.5 vs. 331 +/- 1.2; females 375 +/- 6.0 vs. 348 +/- 1.4 at 48 h of water deprivation). Basal plasma antidiuretic hormone (plasma arginine vasotocin, PAVT) levels in male NDI birds (9.9 +/- 0.7 microU/ml) and in female NDI birds (7.0 +/- 0.5 microU/ml) were nearly sixfold or nearly threefold higher, respectively, than in control birds. In response to water deprivation, PAVT of both NDI and control birds increased to similar levels, although the absolute increases in PAVT levels were substantially less in NDI birds.(ABSTRACT TRUNCATED AT 250 WORDS)

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