Which of the following leads to hyponatremia and low osmolality:
Correct Answer: CHF
Description: CHF is characterized by low perfusion of kidney stimulating R.A.A.S and resultant absorption of salt and dispropoionate amount of water would lead to hyponatremia with decreased osmolality Isotonic hyponatremia is seen with hyperlipidemia and hyperproteinemia like in paraproteinemia IV immunoglobulin therapy also interferes with measurement of serum sodium leading to pseudo-hyponatremia
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