Sodium and Water - Electrolytes - Osmosis - Osmotic Pressure - Fluids and Electrolytes Series

[@MedicosisPerfectionalis]

Please, help me reach 35,000 subscribers and I will start uploading videos on “bleeding and coagulation disorders” instantaneously. Thanks 🙏

[@altganialtgani816]

I will send to my firands

[@bodiemaxwell2717]

You all probably dont give a damn but does any of you know of a trick to get back into an Instagram account? I was dumb forgot my password. I love any tips you can give me.

[@Wishyouendwell100]

Ilysm

[@thehowdyboy4149]

Hey Medicosis. Love your work. How does it feel to have a million subscribers now? ❤

[@nicolegoldberg9757]

I am a soccer mom in PA school and I could not stop laughing! Your humor is what makes your videos the best! Keep up the great work, much appreciated!

[@MedicosisPerfectionalis]

Thank you so much 😊 , Nicole! K appreciate you! Thanks for raising the next generation and deciding to help patients! You’re the best!

[@fatmaalzahraa1319]

I was surprised to know that you grew up in Egypt , I am a final year student and your channel is helping me to go through my exams I really didn’t know that medicine could be so easy until I watched your videos

[@MedicosisPerfectionalis]

Thank you 🙏

[@jojobananaa]

really needed this video for acid-base physio!! I attempted to study this on my own before but had a hard time. your logic and explanations help soooooooo much. highly recommend any med student who needs to study for renal and acid base physio. you are awesome!!

[@MedicosisPerfectionalis]

Thank you so much for your encouraging words :)

[@Answeriz42]

0:30 I just came here to learn about electrolytes and medicosis starts off the video with a quote that makes me feel inspired enough to lead an army into battle

[@Calvin1985]

I was gonna make a sodium joke, but Na

[@MedicosisPerfectionalis]

Good one 🙃

[@aichasayahlembarek8288]

Im med student ,I study medicine in French but still your videos are so helpful thank you you are a life saver

[@MedicosisPerfectionalis]

I'm so glad!

[@nehas.6970]

After trying so hard to understand this, it finally makes sense now. You have my utmost gratitude

[@MedicosisPerfectionalis]

I appreciate you!

[@zainalabdeen8425]

الف رحمة على روح جدك ❤

[@MedicosisPerfectionalis]

❤️ ❤️

[@林詩恩-r9b]

As in the hyponatremia section, we have to exclude the hyper- and isotonic hyponatremia to be sure that the situation is real(hypotonic) hyponatremia. And in the hypotonic hyponatremia, one of the causes is hypotonic fluid gain or water retention, like cirrhosis, congestive heart failure, both of which can be associated with pitting edema...

[@berserkberry9284]

ECF volume depletion, hence diuretics were prescribed, so option D.

[@sarahaldosari4430]

بارك الله في علمك

[@بلالمصطفيخيال]

اخويا المصري❤

[@jadewatson8145]

Question: At 11:35 concerning the ICF expanding. Is the ECF still expanded after it moves to the ICF due to the concentration of solutes? I'm assuming that the ECF expansion happens in the beginning and the ICF expansion is after?

[@symoi1569]

I'm confused, 03:31 you said that ECF is the main part of the total water when in fact, it represents only 1/3? Also, can anyone explain to me why when total body water increases, the IFC water doesn't change?

[@olasaty4767]

In Case of hypernatremia, what should we do? Drinking just water or use diuretics ?

[@林詩恩-r9b]

I have another question: hypernatremia is not associated with pitting edema, is it? Hypernatremia can be due to loss of hypotonic fluid or free water, or gain of hypertonic fluid. In the previous one, we don't see pitting edema, do we...?

[@MedicosisPerfectionalis]

Pitting edema has to do with volume overload (increased total body sodium). It has nothing to do with serum sodium concentration. So, you are correct.

[@WafaaAbduRahiman]

difference between total body sodium and total serum sodium????

[@林詩恩-r9b]

In 17:03, you've written: hyponatremia: serum Na+ > 145 mEq/L... Isn't that hypernatremia???

[@MedicosisPerfectionalis]

Oops 😬...You’re correct!

[@gratifylyngdoh8483]

@@MedicosisPerfectionalis but u did say hypernatremia 🙋

[@micheleramirez1672]

what do u mean with serum osmolality? is it the same of osmolality? is it the same of Na concentration?

[@pickleporkdork7358]

I've never enjoyed a lesson this much. Subscribed with no hesitation. Thank you! :) P.s: please continue using the same funny terminologies (stupid, etc) in your video's. I don't know why people get so butt hurt, grow up lol.

[@MedicosisPerfectionalis]

Haha 😂 Thank you 😊

[@Muslim4419]

Very good explanation 🥺

[@ashbaig939]

There are not only lab technician in the ,lab technologist r present too ,btw u r all videos r very helpful ,from Pakistan ,great work

[@MedicosisPerfectionalis]

I was joking 🙃

[@ashbaig939]

@@MedicosisPerfectionalis I am a lab technologist too ,and study in pakistan

[@UGSMD-iz4pw]

It would be more appropriate if you use less abusive language in your presentation.Your presentations are one of the best though.

[@MedicosisPerfectionalis]

Why do you like your own comment? Sorry, I am messing with you! Thank you so much for your feedback! I appreciate it! Take care!

[@UGSMD-iz4pw]

I want your contact please if it wouldn't be a problem.@@MedicosisPerfectionalis

[@abhijitnanda6360]

Answer D ?? Loop diuretic will act on ecf, reduce total body water and total body sodium, ECF would reduce. icf will have influx and will increase???? Am I right 🤔?

[@ThatsWhy-]

Dr, at 11:00 ECF must contract and ICF will expand, must n't it?

[@whysoserious7993]

Sushi IV...you are so hilarious 😭😂😂

[@ZainbAlshakhuri]

You definitely understand it well enough and now so do I so thanks!

[@MedicosisPerfectionalis]

My pleasure 😇

[@qudsiashakeel7920]

wouldn't plasma have more sodium than the interstitium due to gibbs donnan effect?

[@TheBillofRights1791]

haha I'm a soccer mom driving a hybrid but I give my kids unrefined salt with a bit of water ;) big thanks for all your videos!

[@MedicosisPerfectionalis]

I appreciate you!

[@khloodthamer5132]

شكرا❤

[@MedicosisPerfectionalis]

:)

[@mindfuldoc2290]

Answer D?

[@ADorakadu]

Hypervolemic hyponatremia is CCF

[@MedicosisPerfectionalis]

What’s CCF?

[@atheerzak5690]

شكرا 🙏😊

[@gconshivasatyanarayana6337]

Thank you sir 🙏👏👏👏👏👏👏😊

[@林詩恩-r9b]

The answer is A??

[@MedicosisPerfectionalis]

The answer is in the next video: Osmolality vs Tonicity kzbin.info/www/bejne/bYPOZKePe7uKe80

[@林詩恩-r9b]

@@MedicosisPerfectionalis But I'm still confused. Loop diuretics, ex: furosemide, impair the urine concentrating ability, so the urine is hypotonic compared to the serum(the urine sodium concentration is about 80 mEq/L under furosemide usage). Loop diuretics can even cause hypernatremia. You've said that diuretics excrete sodium more than water...do you mean thiazides? Thiazides can cause hyponatremia, indeed.

[@MedicosisPerfectionalis]

Diuretics, by definition, lead to hyponatremia...Loop diuretics, for sure, lead to hyponatremia...You mentioned that urine Na will be 80 mEq/L under loop diuretics, but the normal urine Na concentration is 20 mEq/L...So, the kidney is losing a hypertonic fluid under the influence of loop diuretics...Hope it helps! Please let me know!

[@林詩恩-r9b]

@@MedicosisPerfectionalis , though the urine Na+ is 80mmol/L under the usage of loop diuretics, which is hypertonic compared to the normal urine, it is hypotonic compared to the plasma. So why not the result be hypernatremia?

[@林詩恩-r9b]

According to Harrison's principles of internal medicine, the algorithm of the diagnostic approach to hypernatremia also shows diuretic osmotic diuresis, and the Massachusetts general hospital handbook says loop diuretics is a cause of renal water loss, which in turn results in hypernatremia.

[@allamalik4209]

Thank u ❤

[@MedicosisPerfectionalis]

My pleasure 😇

[@gurhancin972]

I love your insults

[@MedicosisPerfectionalis]

Haha 😂 Just joking 🙃

[@gurhancin972]

@@MedicosisPerfectionalis I know, I know. What I'm saying is that it makes the video so much fun.

[@MedicosisPerfectionalis]

Wow 🤩 Thank you 😊 I really appreciate you!

[@rochreech3173]

Im a demisexuak maybe, and I love you now whatever im dying from sleep deprivation 😂😂 but ur saving my life, I have pathophysiology test tom 😂 living with depression is tough plus medical school ugh

[@saaw3040]

B

[@MedicosisPerfectionalis]

Why?

[@chunkchips4554]

This is hilarious!!!!! HAGHAHAHA

[@MedicosisPerfectionalis]

Thank you!

[@walterfaber7784]

Very nicely explained, but please get rid of your passiv-aggressiv attitude.

[@adampalm7734]

Why make a tutorial video which people that people will turn to in search of answers and throw in words as idiot, stupid and fool? That did not make me wanna keep watching your videos even though they were educative 💁🏼‍♂️ Maybe try to explain without a demeaning tone dude 🙋🏼‍♂️

[@MedicosisPerfectionalis]

Hey Adam, Thank you so much for your honest feedback! I was just joking 🙃

[@dr.amandeeprana]

Hey adam grow up kid it's completely fine...the way he's teaching is extremely nice and whats wrong if someone is making the learning Fun... Oh damn you won't get it maybe recently started learning from KZbin anyway go through some boring lectures you will understand the importance of our medicosis boss! At least we don't sleep while watching educational video.. Also we don't sound like " Mama I'm hurttt someone called me stupid" PS. I'm joking!!

[@pritim2009]

talker must use its ego problems to explain the subject [warning! lot of useless Unpleasantness]

[@abdullahfatima9920]

Turn to Allah and inspire from holy Quran rather than reading these ridiculous stupid things of napoleon.

[@AKhan-ew3rz]

Where r u frm?

[@zainabhassan7905]

🤔stupid things!!!!