Thiazide induced Hyponatremia - Pathophysiology • Reduced distal delivery • Inhibition of the NCC (dilution capcity)- most well known mechanism • Reduced urea (solute load) • Water permeability increased - ADH independent / ADH mediated - Dr. Kenar Jhaveri @kdjhaveri #Thiazide #induced #Hyponatremia #Pathophysiology #diagnosis #differential