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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2022)
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First Aid for the USMLE Step 1 (2022) | Medicine (MD/DO) School Study Aid

Page 344 -
7 Picmonics to Learn | 14 mins
Syndrome Of Inappropriate Antidiuretic Hormone (SIADH)
Pathophysiology
Hypersecretion of ADH
Increased Sensitivity to ADH
Signs & Symptoms
Serum Hypoosmolality
Coma and Seizure
Dilutional Hyponatremia
Cramps and Tremors
Euvolemia
Change in LOC
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2 mins
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Nonpharmacologic Interventions
Monitor Serum and Urine Osmolality
IandOs with Daily Weights
Restrict Fluid Intake
Monitor Cardiovascular and Neurological Status
Seizure Precautions
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2 mins
Diabetes Insipidus Assessment
Polyuria
Nocturia
Low Specific Gravity (USG)
Polydipsia
Dehydration
Hypotension
Tachycardia
Confusion
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2 mins
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Pharmacologic Interventions
Diuretics
Hypertonic IV Fluids
Demeclocycline
Tolvaptan and Conivaptan
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1 min
Nephrogenic Diabetes Insipidus Characteristics and Presentation
Characteristics
Defect in ADH Receptor
Normal or Increased ADH Levels
Decreased Urine Osmolality
Etiologies
Kidney Disease
Drugs
Lithium
Electrolyte Disturbances
Clinical Features
Polyuria and Polydipsia
Nocturia
Hypovolemia
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2 mins
Primary Polydipsia
Characteristics
Increased Free Water Intake
Psychiatric Diseases
Diagnosis
Hyponatremia
Normal or Decreased Plasma Osmolality
Decreased Urine Osmolality
Water Deprivation Test
Management
Water Restriction
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2 mins
Nephrogenic Diabetes Insipidus Diagnosis and Management
Diagnosis
Hypernatremia
Normal or Increased Plasma Osmolality
Decreased Urine Osmolality
Water Deprivation Test
Desmopressin Test
Management
Stop Triggers
Thiazide Diuretics
Amiloride
Indomethacin
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3 mins

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