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hyponatraemia Masterclass Monday 29th June 2020 - Shared screen with speaker view
valmiki
10:42
i cant hear any audio.. has it begun?
Karim Meeran
13:05
not yet started, just answer the question to check that your computer is connected to menti
Nazia Ayub
14:17
hypo
Karim Meeran
15:23
Nazia can you please use menti, by with your phone, not the chat
Ogochukwu Igwebike
15:53
what is the menti code?
Rania Tawfik
16:11
Hi, Can I please ask about the attendance certificates as I didn't recieve one. Thanks
Karim Meeran
16:37
menti code at the top of the screen
Karim Meeran
17:03
certificates follow a month after you have fed back using the QR code
Aaisha Saqib
17:03
327235
rabia chaudhry
19:14
Hello has the presentation started ?
Elena Virgo
19:33
Cannot hear anything
rabia chaudhry
19:43
I can only see question on the screen and cannot hear anything
Nadia Ijaz
19:55
not started yet
Ogochukwu Igwebike
19:57
it hasn't started
Lavinia Cosma
20:07
it hasn t started
Mohsin Sohail Siddiqui
27:28
whats the menti code
Komal Zia Rao
29:28
327235
Sam O'Toole
39:53
I didn't realise CBG measurement was available clinically. Do you do it in house?
Zeenat Banu
44:54
what levels of prednisolone we are aiming for?
Mohsin Sohail Siddiqui
45:02
15 to 25
Zeenat Banu
45:15
thanks
george
46:19
Why Prednisolone is chose for replacement. Why not Hydrocortisone?
Zeenat Banu
49:26
would you suggest starting prednisolone at the same time with mitotane
rabia chaudhry
50:21
Why does CBG goes up ?
Mohsin Sohail Siddiqui
51:07
Do we monitor Renin?
Mohsin Sohail Siddiqui
51:42
Can you briefly describe monitoring of patients with 24 hour UFC
Sam O'Toole
52:51
I didn't realise CBG measurement was available clinically. Do you do it in house?
Isabelle Leclerc
54:12
what is the menti code please?
Aaisha Saqib
54:24
327235
Mohsin Sohail Siddiqui
54:31
327235
Ramjan sanas Mohaemd
01:08:58
how long Pt should be on / expected to be on steroid before decide on treatments at the beginning???
Ramjan sanas Mohaemd
01:22:43
more fluid restriction 500ml/24hr
Harriet Esdaile
01:22:45
fluid restrict further
Kagabo
01:22:47
any other symptoms?
Youssef Youssef
01:24:19
How do you use urinary sodium and osmolality for guidance on managament?
Herpreet Chagger
01:32:36
what do you define as a "little bit" of water?
Herpreet Chagger
01:32:43
nacl*
Danielle Dixon
01:38:12
What are your thoughts on the use of 1.8% NaCl
Youssef Youssef
01:38:25
What about use of slow sodium in outpatient setting
Neena Kamran
01:40:33
Any role of Nacl tablets in chronic hyponatremia of unknown cause?
Osada Ramlochansingh
01:40:36
thoughts on treating the overcorrection of Na in the context of clinical and radiological evidence of CPM. is there evidence it helps?
Lavinia Cosma
01:40:46
what about giving urea and what s the mechanism of rising the sodium level?
Fatima Azad
01:43:15
`can you please guide on hypervolemic hyponatremia as we have been frequently asked to review CCF patients where diuresis can sometimes make their hyponatremia worse.what is the evidence behind use of tolvaptan ? and as endocrinologist should we be recommending it ?
Nemanja Stojanovic
01:45:28
Medications
Kefah Bashir
01:46:01
SIADH
Ammar Abdelrahman
01:49:30
no
Ahmed M Gharib Ahmed
01:51:03
Professor Kareem: What is your experience with the NaCl salt tablets and oral urea for chronic SIADH ?
Kumar Thulasidass
01:52:25
menti code please
Komal Zia Rao
01:52:29
What should be done for patients having resistant hyponatremia and Ascites(due to CLD)?
Komal Zia Rao
01:52:43
Apart from fluid restriction
Kumar Thulasidass
01:58:02
could someone let me know menti code please
Kumar Thulasidass
01:58:17
thanks
Rayan Ismail
02:01:29
How to deffreintiate between low Na espicailly in elderly known SIADH & nutritianly depleted?
aisha elamin
02:02:51
yes but actually
Zeenat Banu
02:04:34
Her basal levels are still low
meenakshi parsad
02:05:17
can you show the SST results again please?
meenakshi parsad
02:05:34
thank you
Zeenat Banu
02:05:51
chloride is low as well
Komal Zia Rao
02:06:09
Multi factorial
Zeenat Banu
02:08:34
partial cortisol deficiency
Sam O'Toole
02:09:22
Comments on the use of an SST in this situation?
valmiki
02:09:50
IST would have been a better option?
meenakshi parsad
02:10:17
our cut-off for passing SST is 550 here at Hampshire hospitals
Umaira Aziz
02:10:21
excellent presentation
meenakshi parsad
02:10:42
patient would have failed SST and therefore needed steroid replacement
Shani Apsara Dilrukshi Mathara Diddhenipothage
02:11:38
short synacthen test is not useful in acute secondary hypoadrenalism such as after pituitary surgery
Neena Kamran
02:12:35
high normal K and low sodium ....is that could be a clue?
Ali naqvi
02:12:40
Shamaila. why did we not consider steroids when she presented first time. ?
Karim Meeran
02:13:09
we gave her steroids, but she stopped them
Youssef Youssef
02:13:55
What level of sodium do we need to start worrying about?
Mohsin Sohail Siddiqui
02:15:26
The level that causes symptoms
meenakshi parsad
02:15:49
A word on assay and cortisol cut-offs please?
meenakshi parsad
02:16:23
Like I said earlier. out cut-off is 550 and therefore we would have carried on steroids after the SST
Karim Meeran
02:16:53
That means that you will be giving a lot of normal people steroids, which is harming lots of other people
meenakshi parsad
02:17:36
its our biochemistry lab's cut-off
Neena Kamran
02:19:28
excellent explanation
Danielle Dixon
02:19:35
That animation is fantastic - thanks
Amna Malik
02:20:24
very nicely presented the mechanisms.
Wiaam Al-Hasani
02:23:57
does that Re enforce the point of not depending too much on the SST if we suspect secondary adrenal insufficiency
Wiaam Al-Hasani
02:24:00
?/
george
02:24:01
excellent presentation
Ahmed M Gharib Ahmed
02:24:02
very well presented pathophysilogy thanks
Youssef Youssef
02:24:27
What is the effect of desmopressin on sodium?
Amna Malik
02:33:44
Role of Vaptans in management
Ramjan sanas Mohaemd
02:34:00
thank you everyone for wonderful presentation
Zeenat Banu
02:34:05
role of slow sodium
Kumar Thulasidass
02:34:08
would like to know why SST was done when central hypocortisolism was suspected with a pit tumour.
Elena Virgo
02:34:25
Many thanks for a wonderful teaching!
Amna Malik
02:34:43
Awesome session. Thanks for all your efforts Dr, Karim and the team.
Shani Apsara Dilrukshi Mathara Diddhenipothage
02:34:57
thank you
Danika Senanayake
02:34:58
Thank you very much
Sasala Wickramasinghe
02:35:18
Thank you for another great session
Ahmed M Gharib Ahmed
02:35:21
any role for vaptans in hyponatremia?
Gagandeep Sukhija
02:35:48
thank you. great session and great learning
Seshadri Pramodh
02:35:59
risk of osmotic demyelination with steroids in severe hyponatraemia
Youssef Youssef
02:36:02
What is the effect of desmopressin on sodium
Sheharyar Qureshi
02:36:10
Talvaptan 7.5 mg once a day?
Yin Yin
02:36:13
excellent teaching session.Thank for organising
Ogochukwu Igwebike
02:36:23
excellent session. thank you to all the presenters
Krisztian Bacsi
02:36:27
kbacsi@nhs.net
Neena Kamran
02:36:30
role of vaptans in malignancy on palliative
valmiki
02:36:34
do you use urine Na+ Urine K > Serum Na, to decide if Fuid restriction is likely to work, and try tolvaptan instead
Omaima Saeed
02:36:34
I always hate hyponatermia, but i start to love it today,, thank alooooot๐Ÿ‘๐Ÿ‘๐Ÿ‘
Hafiz Muhammad Zubair Ullah
02:36:47
what is role of sodium chloride tablets in SIADH if fluid restriction is not possible
Tisha Seejore
02:36:57
excellent session. fantastic animation. thank you.
Joseph Singbo
02:36:57
how can we please access the recorded talk for late comers
Kumar Thulasidass
02:36:59
many thanks.
Ramesh Babu Vanka
02:37:16
for stored videos if we fill in QR CODE DO WE GET CERTIFICATE?
Dayakshi Abeyaratne
02:37:18
THANK YOU VERY MUCH ALL
Anh Tran
02:37:53
Thank you
Shanza Akram
02:38:34
Thank you. When do we have next masterclass?
Martine David
02:38:40
many thanks to Karim for organizing and to the team for fantastic presentations.
Lavinia Cosma
02:38:42
thank you
Nazia Ayub
02:39:07
thanks
Sheela Sathyanarayan
02:39:17
Thankyou
Ada Ada
02:43:45
Thank you so much