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
  VetBooks.ir
                                                                                      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
       166                                                                                                                                                                                                                            167





