Syndrome of inappropriate antidiuretic hormone physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]

Overview

Physical examination of patients with syndrome of inappropriate antidiuretic hormone (SIADH) is usually remarkable for ill and sometimes confused appearance, orthostatic hypotension, Cheyne-Stokes respiration, dysarthria, altered mental status, confusion, disorientation, delirium, generalized muscle weakness, generalized seizures, coma, myoclonus, tremor, asterixis, hyporeflexia, and ataxia.

Physical Examination

  • Physical examination of patients with syndrome of inappropriate antidiuretic hormone (SIADH) is usually remarkable for following findings:[1]

Appearance of the patient

  • Patients with SIADH usually appear ill and sometimes confused.

Vital Signs

HEENT

Neuromuscular

Extremities

References

  1. Adrogué HJ (2005). "Consequences of inadequate management of hyponatremia". Am. J. Nephrol. 25 (3): 240–9. doi:10.1159/000086019. PMID 15914973.