What are the urinary test results for SIADH?
High urinary sodium and high urinary osmolality
What is SIADH associated with?
Small cell lung carcinoma
How does SIADH present?
Symptoms arise from hyponatraeia like:
Muscle cramps
Nausea and vomiting
Confusion, coma
Seizures
How will plasma osmolality be affected in SIADH?
It will be low/ urine will be high
How is SIADH managed?
Demeclocycline which reduces tubule cell sensitivity to ADH
What should be monitored for SIADH?
Sodium levels due to risk of osmotic demyelination
What is the cause of diabetes insipidus?
Head trauma and cranial infections like meningitis
Sickle cell disease
What are the electrolyte findings for SIADH?
hyponatraemia and low plasma osmolality, with inappropriately concentrated urine due to excess ADH
What are the electrolyte findings for diabetes insipidus?
characterised by a high plasma osmolality and a low urine osmolality, with hypernatraemia due to defieicny in SIADH