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Nephrology
Published in Shibley Rahman, Avinash Sharma, MRCP Part 2 Best of Five Practice Questions, 2018
Shibley Rahman, Avinash Sharma
What is the most likely diagnosis? cranial diabetes inspidushypoadrenalismfluid overloadsyndrome of inappropriate ADH (SIADH)cerebral salt wasting syndrome
Central nervous system
Published in Brian J Pollard, Gareth Kitchen, Handbook of Clinical Anaesthesia, 2017
Hyponatraemia complicates up to 30% of cases of SAH usually due to the syndrome of inappropriate secretion of antidiuretic hormone. Cerebral salt wasting syndrome may occur due to secretion of ANP causing excessive natriuresis, hyponatraemia and hypovolaemia.
Central venous pressure
Published in Hemanshu Prabhakar, Charu Mahajan, Indu Kapoor, Manual of Neuroanesthesia, 2017
CVP monitoring is essential in neurosurgical patients with hemodynamic instability and for accurate assessment of the volume status of the patients with disorders of water homeostasis.9 Measurement of CVP is the only reliable indicator for differentiating syndrome of inappropriate antidiuretic hormone secretion (SIADH) from cerebral salt-wasting syndrome. For the diagnosis of SIADH to be made, the patient must be clinically euvolemic.
Strategies for the diagnosis and management of meningitis in HIV-infected adults in resource limited settings
Published in Expert Opinion on Pharmacotherapy, 2021
Marise Bremer, Yakub E Kadernani, Sean Wasserman, Robert J Wilkinson, Angharad G Davis
Hyponatremia presents in 44% of TM cases, with cerebral salt wasting syndrome more frequently the underlying cause and relating to severity of the condition, than the syndrome of inappropriate secretion of antidiuretic hormone [151]. Distinction between these two causes is critical and clinical estimation of intravascular fluid volume can guide the diagnosis [152]. Fever in TBM increases 1 year mortality, but aggressive temperature control still requires further investigation [153].