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Kaplan Qbank USMLE



Author11 Posts
  #1

In a patient with subarachnoid hemorrhage. What is the most likely expected electrolyte abnormality?
a.Hyponatremia
b.hypernatremia
c. hypokalemia
d.hyperkalemia
e.hypercalcemia

explain your answer please

___________________
"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand

  #2

Can you divulge some more info?


  #3

SAH will likely result in hyponatremia
SIADH causes water retention and increased release of atrial/brain natriuretic peptide==>hyponatremia

___________________
"Our greatest glory is not in never falling but in rising every time we fall." --Confucius

  #4

just put it this way:

Brain & lung--->ANYTHING--->SIADH


  #5

yes, hyponatremiawink

___________________
"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand

  #6

nod

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If u want to do something, do it today as there is no tomorrow.

  #7

what is the relation between SAH & SIADH ?

  #8

hey gr8doc, review this link

http://www.emedicine.com/ped/topic354.htm

___________________
"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand

  #9

cirus wrote:
just put it this way:

Brain & lung--->ANYTHING--->SIADH


What this link (http://www.emedicine.com/ped/topic354.htm) refers to - hyponatremic dehydration in a setting of Cerebral Salt-Wasting Syndrome - is opposite to SIADH... Failure to distinguish CSWS from SIADH as the cause of hyponatremia will lead to improper therapy (ie, fluid restriction), thereby exacerbating intravascular volume depletion and potentially jeopardizing cerebral perfusion

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  #10

Hyponatremia in patients with SAH. The pathology involves: (1) An inappropriate secretion of vasopressine, which causes water retention, and (2) An increased of atrial/brain natriuretic peptide, which causes cerebral salt-wasting Sd. These changes result in hyponatremia, which usually resolves within 1-2 weeks. SIADH is also commonly seen in pt with intracraneal hemorrhage. SIADH also result in hyponatremia, for which water restriction is the initial treatment of choice.

___________________
"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand

  #11

Thanks Ivonne. The link is really useful. Appreciate it.smiling facesmiling facesmiling facesmiling face







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