TURP syndrome pathophysiology hyponatremia irrigating fluid absorption animation diagram

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Medical educational diagram titled "TURP Syndrome - Pathophysiology" showing a step-by-step flow chart with numbered stages: 1) TURP procedure with resectoscope in prostate with open venous sinuses shown anatomically, 2) Arrow showing hypotonic irrigating fluid (glycine 1.5%, sorbitol) absorbing into venous sinuses at rate of 20mL/min, 3) Fluid gain greater than 2L entering systemic circulation causing hypervolemia, 4) Two parallel arrows splitting into: Dilutional Hyponatremia (serum Na less than 120 mEq/L) showing brain cell swelling with cerebral edema, and Fluid Overload showing heart failure and pulmonary edema, 5) Clinical manifestations box listing: Neurological - headache, confusion, seizures, coma, visual changes; Cardiovascular - hypertension then hypotension, bradycardia, arrhythmias; Respiratory - dyspnea, pulmonary edema, 6) Glycine toxicity pathway showing hyperammonemia causing encephalopathy and visual disturbances (glycine acts as inhibitory neurotransmitter), 7) Treatment box at bottom: Stop surgery, fluid restriction, IV furosemide, hypertonic 3% saline for severe hyponatremia, seizure control with midazolam. Color-coded sections: blue for fluid absorption, red for cardiovascular effects, yellow for neurological effects, green for treatment. Clean modern medical illustration style with clear arrows and labels.