An Approach to Polyuria

A discussion of the definition, etiologies, work-up, and diagnosis of polyuria, including a discussion of the water deprivation test to diagnose diabetes insipidus. The distinction between polyuria, urinary frequency, and nocturia is also discussed.

[@D03178496]

Simple explanations and good contrast between similar problems. This is excellent. Thank you!

[@sunving]

Thank you very much Dr . Eric Strong !

[@beenishusmani4894]

Thank You! Love this video. So very thoroughly explained!

[@attiqueamjad9676]

I’m glad i found this amazing channel. Keep uploading more videos ♥️

[@mohammedelmasry706]

This is the best explanation I have seen on this topic

[@ghazalehbaghaie2328]

thanks a lot dear Dr. Eric! these approach videos have been very helpful to me! please keep up with the good work:)

[@toniasyrnioti9389]

Great video! Thank you!

[@harrisonlee9360]

so underrated channel； excellent content

[@akshittuli1211]

Amazing video!!

[@harshitajha8183]

Excellent!

[@SKARTHIKSELVAN]

Thanks for your video.

[@menpagnaroat1269]

Thank you very much Dr. Eric. It's really a great video. Could you make a video on approach to Anemia as it is a very common finding.

[@heba_seyh9]

thank you!

[@shif442]

as usual wonderful video....any planning for pacemakers and ICD's video?

[@DrAdnan]

This should be helpful on IM, thanks!

[@keeplearning4441]

Kudos for the Video clip! Sorry for the intrusion, I am interested in your thoughts. Have you tried - Patlarny Sweet Days Principle (do a google search)? It is a great one of a kind guide for getting rid of diabetes without the normal expense. Ive heard some extraordinary things about it and my friend Sam got amazing results with it.

[@redexplosions]

thanks so much

[@Sponge247]

Great video, I would add an emphasis on another form of osmotic diuresis and that being from urea nitrogen in the setting of high protein intake. Not uncommon, young healthy men during bulking season will try to consume >2g/kg of protein thinking this protein goes to their muscle. A large part of that is converted into nitrogen containing compounds that they just pee out. Yes, you're peeing out that 16oz steak and chicken breast. Good way to know this is occuring is history and looking at their osm free water clearance and electrolyte free water clearance. These are usually discordant to a significant degree.
Also, if someone has primary polydipsia for a prolonged period of time, they can wash out their medullary interstitium and respond to water deprivation like someone with partial nephrogenic DI due to gradient disruption.

[@Cr8Tron]

Does a low pvr reading (via ultrasound) rule out the possibility of polyuria?

[@mahamadtaqisundrani6291]

Thank you so much Sir.
Very Nicely Detailed.
We Suggest to make Video on BPH, BOO, LUTS,OAB(Pediatrics plus Adults)etc... Diagnosis and Management.

[@Daniel-rk2qz]

you are amazing

[@alaaelias4340]

But is the use of conventional diuretics regarded as an osmotic Diuresis ? because there are no osmotacillay active substances in this case

[@mahmoudouf1270]

Thanks alot

[@nadirabbas8114]

Wonderful

[@ashmasl8179]

Thank u sir 🙂

[@sairashaukat3621]

Welldone

[@judy_agdh_6565]

❤❤❤❤

[@thankmug4192]

👏🏻👏🏻

[@mrehteshamjavaid]

An Approach to LOC ( loss of Consciousness) plz

[@StrongMed]

On the list! Thanks for the suggestion!

[@user-cx1iv1mf5s]

please keep uploading decent materials

[@StrongMed]

I'm trying! Next video to come on Tuesday (I think...)

[@drameerhussain]

Please make a video on approach to somatic Pain

[@StrongMed]

On the list!

[@mrehteshamjavaid]

Plus if polyuria then Oligouria as well plz

[@StrongMed]

On the list!

[@kanishjain9390]

So wonderful . Thank you. You can also checkout my article in pediatriconcall on the same topic

[@mahdikittaneh7844]

!!!!urticaria dr please

[@StrongMed]

Thanks for the suggestion! It's now on my list, but as it's a less common chief complaint / chief symptom, I'll probably get to it a bit later than some of the others.

[@sxli3340]

is the most common cause of polyuria diabetes?

[@StrongMed]

Yes, probably. I don't have a reference to cite definitively, but it's hard to imagine a more common cause (excluding the inpatient use of diuretics)

[@sxli3340]

@@StrongMed Thanks! And why "Nocturia and Polyuria don't coexist"? according to your Venn diagram. Can't polyuria also occur at night, waking up and go?

[@StrongMed]

Nocturia is urinary frequency that occurs predominantly or even solely at night. For a patient to have both polyuria and nocturia, they would need to hold 1-2L of urine in their bladder all day long, and then only release it in the nighttime. I suppose someone could deliberately induce this pharmacologically (i.e. taking a bunch of diuretics only at bedtime), or maybe if a person with a "natural" reasons for polyuria (e.g. severe hyperglycemia, diabetes insipidus) took an anticholinergic drug only in the morning that had a prominent side effect of urinary retention. But it's hard to imagine a natural process that would result in this.

[@shif442]

as usual wonderful video....any planning for pacemakers and ICD's video?

[@StrongMed]

Yes, pacemakers and ICDs are on my upcoming list.