SIADH vs DI 👇 💧 SIADH = Soaked Inside High ADH → body holds onto water LOW Urine Output Urine Specific Gravity: High (>1.030) = concentrated Fluid OVERLOAD (weight gain, water intoxication) Hyponatremia (LOW sodium) 🥵 DI = Dry Inside Low ADH → body loses too much water High Urine Output Urine Specific Gravity: Low (
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SIADH vs DI 💧🧠 (Posterior Pituitary Disorders) I always think of ADH as “holding on to water.” If you remember that, these disorders are way easier to understand ⬇️ SIADH = TOO MUCH ADH 👉 Body holds too much water • Dilutional hyponatremia • Low serum osmolality • Concentrated urine • Weight gain, no edema DI = TOO LITTLE ADH (or kidneys don’t respond) 👉 Body can’t hold water • Hypernatremia • High serum osmolality • Very dilute urine • Extreme thirst & dehydration Key memory trick 🧠 ADH =
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SIADH vs DI 💦What is ADH? ADH = ANTIDIURETIC HORMONE It regulates and balances the amount of water in your blood. These conditions cause ADH to be out of balance with either too much or too little of the hormone. 💦DI = Not enough ADH Fluid volume deficit Hypernatremia (concentration of blood) High UOP = Diluted urine Dehydration Decrease skin turgor Dry mucous membranes 💦 SIADH = Too much enough ADH Fluid volume overload Hyponatremia (dilution of blood) Low UOP = Concentrated urine Weight gai
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