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Pathological process resulting in proximal tubule Na secretion. Would be more appropriately be called "Renal Salt Wasting". Natiuresis leads to hypovolaemic hypoonatremia (compared with SIADH which is generally a hypervolaemic hyponatremia). Any increased ADH seen is as a response to hypovolaemia only, unlike SIADH which has a primary increase in ADH. refl.in/hh #improve

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