system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Which of the following leads to hyponatremia and low osmolality:
assistant
The correct answer is  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