Polyuria and ADH Decreased Secretion
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Questions and Answers

What condition is most likely to cause decreased ADH secretion due to injury to the ADH-producing cells?

  • Severe dehydration
  • Psychogenic polydipsia
  • Excessive fluid intake
  • Fracture at the base of the skull (correct)
  • Which of the following is a physiological cause of polyuria related to increased water intake?

  • Sarcoidosis
  • Meningitis
  • Psychogenic polydipsia (correct)
  • Craniopharyngioma
  • Which of these conditions is least likely associated with decreased ADH secretion due to injury to ADH-producing cells?

  • Excessive intake of coffee (correct)
  • Inflammation from encephalitis
  • Post-partum hemorrhage
  • Tumors like craniopharyngioma
  • Which of the following is a type of condition that can lead to decreased ADH secretion due to trauma?

    <p>All of the above</p> Signup and view all the answers

    Which of the following options correctly describes a physiological mechanism for decreased ADH secretion?

    <p>Infarction of the ADH-producing cells</p> Signup and view all the answers

    Study Notes

    Polyuria: Decreased ADH Secretion

    • ADH (Antidiuretic Hormone) is crucial for water balance. Its secretion controls how much water the kidneys retain. Low ADH levels lead to excessive urination (polyuria).
    • Increased water intake can trigger this effect in several ways:
      • Compulsive water intake (psychogenic polydepsia): A psychological condition causing excessive thirst.
      • Excessive fluid intake from other sources (water, coffee, tea, beer): Overconsumption of fluids can overwhelm the body's ability to regulate water.
    • Damage to ADH-producing cells (diabetes insipidus) can also result in low ADH. Causes include:
      • Idiopathic: Unknown cause.
      • Trauma: Injury, like a skull fracture.
      • Inflammation: Infections like encephalitis and meningitis.
      • Granulomas: Masses of inflammatory cells, such as sarcoidosis or tuberculosis.
      • Vascular problems: Reduced blood flow, like postpartum hemorrhage or infarcts.
      • Tumors: Growth in the brain, such as craniopharyngiomas.

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    Description

    This quiz explores the relationship between decreased ADH secretion and polyuria. It covers the causes of low ADH levels, including psychological factors, excessive fluid intake, and potential damage to ADH-producing cells. Test your knowledge on how these factors affect water balance in the body.

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