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What type of hyponatremia can be caused by any of the following?

-Distal Tubule is affected. Addison's Disease
-Collecting duct is affected. Syndrome Inappropriate ADH secretion (SIADH)
-Renal Failure (Re-absorption [tubular] failure)
-Hyperglycemia
-Pregnancy
-Artifactual - hyperlipidemia and hypertriglyceridemia
a) Hypovolemic hyponatremia
b) Euvolemic hyponatremia
c) Hypervolemic hyponatremia
d) Isovolemic hyponatremia

User Damil
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Final answer:

Euvolemic hyponatremia is caused by water retention with normal volumes, as seen in conditions like SIADH, Addison's Disease, and factors including hyperglycemia and pregnancy. It results in dilutional hyponatremia without significant fluid volume changes.

Step-by-step explanation:

The type of hyponatremia that can be caused by conditions such as Addison's Disease, Syndrome Inappropriate ADH secretion (SIADH), Renal Failure, and factors like Hyperglycemia, Pregnancy, and Artifactual considerations due to hyperlipidemia and hypertriglyceridemia is euvolemic hyponatremia.

Euvolemic hyponatremia is characterized by normal fluid volume states in the body but with dilutional hyponatremia. This paradoxical condition is due to an inappropriate retention of water while sodium remains within normal limits or is only slightly decreased. SIADH is a classic example where an excess of antidiuretic hormone leads to water retention and hyponatremia. Other conditions affect hormone balance, kidney function, or increased solute load, such as hyperglycemia, resulting in an apparent hyponatremia where water influx into the intravascular compartment dilutes the sodium concentration. Conditions like pregnancy can cause physiologic changes, leading to hyponatremia, often without significant fluid volume changes. Finally, conditions that affect laboratory measurements of sodium, such as severe hyperlipidemia or hypertriglyceridemia, can lead to a misdiagnosis of hyponatremia; thus, it is labeled artifactual.

User Jason CHAN
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