Diabetes insipidus physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Physical Examination

Appearance of the Patient

Patients with diabetes insipidus usually appear lethargic. Physical examination of patients with diabetes is usually remarkable for signs of dehydration, such as tachycardia, tachypnea, hypotension, and dry mucus membranes.

Vital Signs

• Tachycardia with regular pulse
• Tachypnea
• Low blood pressure due to excessive dehydration

Skin

• Pallor

HEENT

• Headache
• Dry mucus membranes

Neck

• Flattened neck veins

Lungs

• No abnormalities on chest exam
• Wheezing may be present

Heart

• Tachycardia with rugar pulse

Abdomen

• Flattened abdomen
• Scaphoid abdomen

Back

• No abnormalties on back exam

Genitourinary

• No abnormalties found on genitourinary exam

Extremities

• Dry extremities
• no pitting edema

Neuromuscular

• Patient is usually oriented to persons, place, and time
• Altered mental status if presentation is late
• Hyporeflexia / areflexia
• Generalized muscle weakness

References

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