Learning Center

The Hyponatremiacme.org Learning Center is a centralized location where you can access all of the case studies, presentations and related educational materials for programming about hyponatremia.  Continuing education credit is available for most of the activities found here.  To receive credits, view the presentations or read the materials, create and log in to your personal account, and then submit the on-line posttest and evaluation after you have completed a specific module.  It's that easy!

Pathophysiology of Hyponatremia My CME Test Status
Pathophysiology and Significance of Hyponatremia
Characterized by abnormally low levels of serum sodium, hyponatremia is the most common electrolyte disorder in hospitalized patients and is associated with higher mortality risk in heart failure, cirrhosis and ICU patients.

Presenter: Joseph G. Verbalis, MD, chief of endocrinology and metabolism at Georgetown University Medical Center, presents an overview of the pathogenesis of hyponatremia, its related disease processes and management

[Go to Dr Verbalis’s Overview Module]

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Hyponatremia: Pathophysiology, Impact, and Management
As presented live at " Management of Hyponatremia in Acutely III Patients: A Cased Based Approach." This CME-certified Satellite Symposium was held in conjunction with Hospital Medicine 2011—The Society of Hospital Medicine's Annual Meeting.
 
Hyponatremia's effects can be insidious, particularly in patients with heart failure, cirrhosis, and pneumonia. Appreciating its prevalence in hospitalized patients, recognizing its symptoms, characterizing its etiology, and employing appropriate management promptly may help reduce morbidity and mortality. 

Presenter: Zachary V. Edmonds, MD, MBA, a hospitalist at the Palo Alto Medical Foundation, El Camino Hospital.   

[Go to Dr Edmond’s Overview Module] 

 

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Hyponatremia in SIADH My CME Test Status
Case Module 1: Hyponatremia in SIADH
Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) stems from an array of clinical situations and is the most common cause of euvolemic hyponatremia in critical illness. 

Presenter: Joseph G. Verbalis, MD, chief of endocrinology and metabolism at Georgetown University Medical Center, presents 3 cases of patients whose euvolemic hyponatremia is a result of Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) stemming from an array clinical situations
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Hyponatremia in Cirrhosis My CME Test Status
Case Module 1: Hyponatremia in Cirrhosis
The clinical implications of hyponatremia are extensive and affect both the prognosis and management of cirrhosis. Hyponatremia is a risk factor for poor outcomes after liver transportation. 

Presenter: Florence Wong, MBBS, MD, FRACP, FRPCP, associate professor in the division of gastroenterology at the University of Toronto, describes 3 cases of patients with hypervolemic hyponatremia resulting from cirrhosis.
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Case Module 2: Hyponatremia in Cirrhosis
As presented live at " Management of Hyponatremia in Acutely III Patients: A Cased Based Approach." This CME-certified Satellite Symposium was held in conjunction with Hospital Medicine 2011—The Society of Hospital Medicine's Annual Meeting. To simulate appropriate long-term patient management, this activity includes an interactive text-based follow-up segment to the patient case study presented during the live meeting. 

Hyponatremia is common in patients with cirrhosis. Because hyponatremia and its severity correlate with the presence of severe complications of cirrhosis, hyponatremia frequently complicates the management of cirrhotic patients. 

Presenter: Samuel Sigal, MD, associate clinical professor of medicine at NYU Langone Medical Center. 


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Hyponatremia in Heart Failure My CME Test Status
Case Module 1: Hyponatremia in Heart Failure
Hyponatremia in patients with heart failure is associated with a range of additional poor outcomes, adversely affecting cardiovascular mortality and hospital readmission rates.

Presenter: Paul J. Hauptman, MD, professor of medicine in the division of cardiology at St. Louis University School of Medicine, describes managing 3 patients with hypervolemic hyponatremia associated with diagnoses of heart failure.   
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Case Module 2: Hyponatremia in Heart Failure
As presented live at " Management of Hyponatremia in Acutely III Patients: A Cased Based Approach." This CME-certified Satellite Symposium was held in conjunction with Hospital Medicine 2011—The Society of Hospital Medicine's Annual Meeting. To simulate appropriate long-term patient management, this activity includes an interactive text-based follow-up segment to the patient case study presented during the live meeting. 

Hyponatremia is a significant predictor of outcomes in patients with both acute decompensated and chronic heart failure. Treatment options include fluid restriction and vasopressin antagonists ("vaptans"). 

Presenter: Paul J. Hauptman, MD, professor of medicine in the division of cardiology at Saint Louis University School of Medicine. 

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Hyponatremia in Critical Care and Other Diseases My CME Test Status
Case Module 1: Hyponatremia in Critical Care
Hyponatremia is often encountered in hospital critical care units concomitant to an array of CNS disorders, from traumatic brain injury to hepatic encephalopathy.

Presenter: Stephan A. Mayer, MD, director of neurocritical care at New York Presbyterian Hospital, Columbia University Medical Center, discusses the cases of 3 patients whose CNS disorder-related hyponatremia required neurological critical care intervention

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Case Module 1: Hyponatremia in Pneumonia
As presented live at " Management of Hyponatremia in Acutely III Patients: A Cased Based Approach." This CME-certified Satellite Symposium was held in conjunction with Hospital Medicine 2011—The Society of Hospital Medicine's Annual Meeting. To simulate appropriate long-term patient management, this activity includes an interactive text-based follow-up segment to the patient case study presented during the live meeting. 

In patients with pneumonia, the presence of hyponatremia indicates higher disease severity. Traditional management options are fraught with a number of challenges. The recently approved vasopressin antagonists offer a new option for the management of hyponatremia due to SIADH. 

Presenter: Zachary V. Edmonds, MD, MBA, a hospitalist at the Palo Alto Medical Foundation, El Camino Hospital . 

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