Page 176 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 176

Basic laboratory diagnostics                                                                                                                                                                                Basic laboratory diagnostics
       Serum/Blood electrolyte concentrations                                                                                                                                                            Serum/Blood electrolyte concentrations

       Innere Medizin
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                                                                                      Hyponatraemia








                                                                                                                                                                                      Relative
                                                Absolute
                                                                                                                                                                                   (too much plasma)





                                                                                                                                                                                           Increased          Excretion of other
                                                                                                                                                       Uptake of hypotonic
                                                 Loss                                                                                                                                    reabsorption of      osmotically active
                                                                                                                                                             fluids
                                                                                                                                                                                             water               particles




                                                                                                                                                                                                             – Glucose
                                                                                                                                                                      Iatrogenic                             – Urea
                         Third spacing       Gastrointestinal         Renal                                                                    Psychogenic         (intravenous fluid    Increased ADH       – Iatrogenic
                                                                                                                                                polydipsia                                  release
                                                                                                                                                                      therapy)                                (e.g. mannitol
                                                                                                                                                                                                              therapy)



                      – Ascites            – Vomiting            – Hypoadreno-
                      – Thoracic effusion  – Diarrhoea            corticism                                                                                                                           Reactive
                                                                 – Iatrogenic                                                                                                Inadequate release     (baroreceptor
                                                                  (therapy with                                                                                                                      stimulation)
                                                                  diuretics)



                                                                                                                                                                             – Iatrogenic         – Hepatic
                                                                                                                                                                              (therapy with         dysfunction
                                                                                                                                                                              antidiuretics)      – Cardiac
                                                                                                                                                                                                    insufficiency























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