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Surgery General dc17344a

Child presents after trauma to head with hyponatremia, volume depletion and increased excretion of urinary Na . What is the probable diagnosis?

A
Cerebral salt wasting syndrome
B
SIADH
C
Adrenal hemorrhage
D
Autonomic failure
High-Yield Explanation
Answer- A. Cerebral salt wasting syndromeElectrolyte imbalance is common in traumatic brain injury (TBI), and contributes to brain swelling and to causing seizures.Cerebral salt wasting, a poorly understood form of excretory dysregulation in association with brain insult, leads to volume depletion and hlponatraemia.

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