Paeds Cases · nephrology-urology-fluids-and-electrolytes
Hyponatraemia and hypernatraemia — OSCE
OSCE communication station with the parents of a child with central diabetes insipidus after craniopharyngioma surgery: explaining the diagnosis, treatment with fluids and vasopressin analogues, and why access to water matters.
On this page
Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
You have 8 minutes with the parents of a 6-year-old boy recently diagnosed with central diabetes insipidus after surgery for a craniopharyngioma. Explain the diagnosis in plain language, how it is treated, and why he must always be able to get a drink.
Candidate brief
You are the paediatric registrar. Your patient is a 6-year-old boy who has just had surgery for a craniopharyngioma and now has central diabetes insipidus. His parents want to understand what this means and how to keep him safe. [14]
References4ShowHide
- [9]Didsbury M, See EJ, Cheng DR, et al. Correcting Hypernatremia in Children. Clinical journal of the American Society of Nephrology : CJASN, 2023.PMID 36888887
- [12]Driano JE, Lteif AN, Creo AL Vasopressin-Dependent Disorders: What Is New in Children? Pediatrics, 2021.PMID 33795481
- [13]Pearlstein H, Dayno A, Zook J, et al. Management of Arginine Vasopressin Deficiency (Central Diabetes Insipidus) in Neonates and Infants. Hormone research in paediatrics, 2026.PMID 40602377
- [14]Di Iorgi N, Napoli F, Allegri AE, et al. Diabetes insipidus--diagnosis and management. Hormone research in paediatrics, 2012.PMID 22433947