This is the first time ever I understood Darrow Yannet Diagrams always hated this because never could comprehend it and would always mark the wrong answer... So can't thank you enough❤
2,5,8 are very similar and nonsense. Also, 1,3,6,9 are very similar and nonsense!!! Why did you complicate things already easy!!!! I hate myself and get berserk cuz i am failling to understand YOUR TABLE !!!!!
@@MedicosisPerfectionalis no worry, i was just checking if I was thinking right. You are incredible anyway! Not only that you are sending huge amounts of practical information but you're also mixing it with some subtle humor that's somehow helping in understanding and memorising the content. Now that i have your attention, is there any place online where I could read some of your biography? I'm intrigued :D
Hey, in hypervolemic hyponatremia you said there is increase of TBNa, how does TBNa increase in CHF, cirrhosis and nephrotic syndrome, can you please explain?
Sorry, i got lost... 😬✌🏼 osmolar gap= meas osmolaRITY- calc osmolaRITY Or Osmlolar gap= meas osmolaLITY- calc osmolaLITY Thank you!! I love your videos 🥳
It doesn’t really matter. As long as it’s measured using mOsm/L , you should be fine. So technically, osmolarity minus osmolarity. But again, it doesn’t matter.
Many inaccuracies. Loop diuretics do not cause a hypertonic urine, it is mildly hypotonic to isotonic. Saying that thiazides cause hyponatremia because you lose hypertonic fluid in the urine is incorrect as the mechanism is still very unclear. Humans are not just salt and water containers. Your approach is too simplistic as you consider tonicity disorder as simply a gain or loss of fluids with different tonicities. Your approach does not account for the role of ADH especially in hyponatremia. For instance, someone can develop hyponatremia with isotonic fluid loss, it is called hypovolemic hyponatremia and it is because ADH is activated by low EABV while patient is drinking hypotonic fluids causing a net free water excess. The latter is probably true for some patients with thiazide induced hyponatreamia.
Fluids and Electrolytes Playlist: ua-cam.com/play/PLYcLrRDaR8_fWnO-b3adl2uVdB-xNhm5C.html&si=8lypfTtocvV4t8cG
Thank you so much! You are one of my favorite teachers :) I'm glad and I will always support you!
Thanks a million!
This is the first time ever I understood Darrow Yannet Diagrams always hated this because never could comprehend it and would always mark the wrong answer... So can't thank you enough❤
My pleasure!
Thank you soooo much for explaining so well. I would have hated it if I just memorized this without understanding it. Now I'll never forget :')
My pleasure 😇
Thank you 🙏
Could you please explain it to me? The 9 cases looks very similar except 3 of them !
Preparing for MD.. You did the perfect job in guiding lakhs of confused minds including me. ❤❤❤❤❤❤❤❤
Thank you!
Masterclass of a video - Broke the whole thing down to a T!
Thank you so much 😊
Best explanation on youtube. 🎉
Thank you so much 😊
Totally confused now !!! Before this video it was all clear !!! Make another video simple and clear again, please Dr.
You confused me ,1,2,3,4,5,6,7,8,9, from 3 cases of osmolality!!!!! Really upsets me lot !!!!!!!
From 4:20 till 24:20 , i am really angry cuz you confused me alot !!!! . I try to understand but i fail .
2,5,8 are very similar and nonsense. Also, 1,3,6,9 are very similar and nonsense!!! Why did you complicate things already easy!!!! I hate myself and get berserk cuz i am failling to understand YOUR TABLE !!!!!
Actually they are 3 cases . WHY DID YOU MAKE THEM 9 CASES!!!!
At 22:35 , ECFV should be expanded not decreased . Cus you said it at 22:24. There is a little mistake Dr. If you may
Best video so far on solutions
Thank you so much 😊
Excellent explanation sir thank you so much
Thank you 🙏
جزاك الله خيرا
من الجزائر 🇩🇿
You too!
Thank you 🙏
In Hypertonic gain of sodium...ECFV is more....so on graph it should be volume expansion.
Why is that I cant understand
I saw the same thing too, i played it over and over again i thought i was wrong.
number 8. hypertonic gain - time 21:56.
thank you u helped a lot
My pleasure 😇
I think you have made a mistake regarding the stupid graph with hipervolemic hipernatremia where ECF should increase in volume but you decreased it.
You’re absolutely correct!
I made a mistake there.
@@MedicosisPerfectionalis no worry, i was just checking if I was thinking right.
You are incredible anyway! Not only that you are sending huge amounts of practical information but you're also mixing it with some subtle humor that's somehow helping in understanding and memorising the content.
Now that i have your attention, is there any place online where I could read some of your biography? I'm intrigued :D
@@MedicosisPerfectionalis I think the signs and symptoms for that slide is incorrect too. hypervolemic hypernatremia should show pitting edema, etc.
How would ECF volume increase when the cell is shrinking ?
@@MedicosisPerfectionalis I think you are correct if the cell is shrinking how would it increase
Damn 🙌🏻pure art❤with u Doc things always start to make sense
I am honored!
Thank you 🙏
Please share my videos!
Nadri deivame.............................. vera level bro
I am afraid I didn’t understand
Hey, in hypervolemic hyponatremia you said there is increase of TBNa, how does TBNa increase in CHF, cirrhosis and nephrotic syndrome, can you please explain?
Big thanks ❤️
My pleasure!
EXCELLENT PRESENTATION
Thank you so much 😊
You are amazing!!!! God bless you
Thank you so much 😊
Hi
Diabetes insipidus is euvolemic hypernatremia right ?? Then why does the graph show a decrease if ecf?? Pls clarify
could u please post a vedio on treatment of these disorders ?
22.42 graph.pls check.looks different than previous slide.or i may be wring understanding
This is 🇴🇲 oman
so good
Thank you so much 😊
THANKYOU SIR YOU ABSOLUTELY NAILED IT AND I LOVE YOUR JOKES
Thank you so much 😊
I don't see your acid base videos in the playlist
They’ve been added!
You are amazing!!!
Thank you so much 😊
'don't be an idiot', 'anyone who does that is stupid' I CAN'T HHAHAHA. Incredibly good video though, understand everything perfectly now!!
you are so fuckign smart it hurts
Thank you ☺️
Sorry, i got lost... 😬✌🏼
osmolar gap= meas osmolaRITY- calc osmolaRITY
Or
Osmlolar gap= meas osmolaLITY- calc osmolaLITY
Thank you!! I love your videos 🥳
It doesn’t really matter.
As long as it’s measured using mOsm/L , you should be fine.
So technically, osmolarity minus osmolarity.
But again, it doesn’t matter.
Many inaccuracies. Loop diuretics do not cause a hypertonic urine, it is mildly hypotonic to isotonic. Saying that thiazides cause hyponatremia because you lose hypertonic fluid in the urine is incorrect as the mechanism is still very unclear. Humans are not just salt and water containers. Your approach is too simplistic as you consider tonicity disorder as simply a gain or loss of fluids with different tonicities. Your approach does not account for the role of ADH especially in hyponatremia. For instance, someone can develop hyponatremia with isotonic fluid loss, it is called hypovolemic hyponatremia and it is because ADH is activated by low EABV while patient is drinking hypotonic fluids causing a net free water excess. The latter is probably true for some patients with thiazide induced hyponatreamia.
Mistake is their in hyertonic dehydration...icf volume will be decrease
No I dont think so . Some one pls explain
Can we consider the osmolality is the same as osmolarity here?
Yes...They are the same, clinically speaking!
@@MedicosisPerfectionalis thank you!
My pleasure 😇
Which playlist is this from ?
Fluids and Electrolytes
Hey there is difference between your classification and classification from my book?😐😥😥
There are many classifications out there and they change them more often than they change underwear 🩲 😅😂
Mm.btw is the silver equation a legal one?or you made it for understanding? i am a first year med student 🙂
I made it up!
I am so happy that you got into medical school...Don't give up on your dreams! You can be a great doctor!
Yes i will try my best.
You are So fast 😓
You can pause and replay for god’s sake
Pleases doctor lecture pdf
Please Send me an email: medicosisperfectionalis@gmail.com
Whaaoooo!
Thanks for watching my video!
The 2nd page of hypertonic gain if Na+ is totally wrong including the stupid graph
You’re correct.
Stop calling me an idiot :(
I don’t even know you!
@@MedicosisPerfectionalis it still hurts
I was joking 🙃
I like your videos , but you talk fast 😅
can you talk little slow ; cause l don't talk English language.
Thank you so much for your honest feedback!
I think you were not called to teach. You are teaching as if you are talking to yourself or you are on stage performing song. ... BETTER YOU STOP.