Syndrome of inappropriate antidiuretic hormone physical examination: Difference between revisions

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Revision as of 19:39, 11 October 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [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 followings:^[1]

Appearance of the Patient

Patients with SIADH usually appear ill and sometimes confused.

Vital Signs

HEENT

Dysarthria

Neuromuscular

Extremities

References

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

Template:WikiDoc Sources

[pmid15914973-1] Adrogué HJ (2005). "Consequences of inadequate management of hyponatremia". Am. J. Nephrol. 25 (3): 240–9. doi:10.1159/000086019. PMID 15914973.

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Syndrome of inappropriate antidiuretic hormone}}
-{{CMG}}; {{AE}}{{Vbe}}
+{{CMG}}; {{AE}}{{EG}}
 ==Overview==
-The [[physical examination]] findings of [[SIADH]] depend on the level of [[sodium]] and rate of change of [[sodium]] levels. The [[Physical culture|physical]] examination findings in case of mild to moderate SIADH include [[Headache]], [[lethargy]], [[impaired memory]], [[Gait abnormality|gait instability]], and frequent [[fall]]s. In case of severe [[SIADH]], findings such as [[confusion]], [[hallucinations]], [[dysarthria]], [[psychosis]], [[seizures]], [[hemiplegia]], [[weakness|limb weakness]], [[tremor|tremors]], and [[coma]] may ensue.
+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==
-Patients with [[SIADH]] usually appear with altered [[sensorium]]. [[Physical culture|Physical]] [[examination]] findings of [[patients]] with [[SIADH]] is remarkable for:
+*Physical examination of patients with syndrome of inappropriate antidiuretic hormone (SIADH) is usually remarkable for followings:<ref name="pmid15914973">{{cite journal |vauthors=Adrogué HJ |title=Consequences of inadequate management of hyponatremia |journal=Am. J. Nephrol. |volume=25 |issue=3 |pages=240–9 |year=2005 |pmid=15914973 |doi=10.1159/000086019 |url=}}</ref>
-Mild-moderate:
+===Appearance of the Patient===
+*Patients with [[SIADH]] usually appear ill and sometimes confused.
-* [[Headache]]
+===Vital Signs===
-* [[Lethargy|Letharg<nowiki/>y]]
+*[[Orthostatic hypotension]]
-*[[Impaired memory]]
+*[[Cheyne-Stokes respiration]]
-*[[Gait]] instability
-*[[Falls]]
-Severe:
+===HEENT===
+* [[Dysarthria]]
+===Neuromuscular===
+* [[Altered mental status]]
 * [[Confusion]]
-*[[Hallucinations]]
+* [[Disorientation]]
-*[[Dysarthria]]
+* [[Delirium]]
-*[[Psychosis]]
+* Generalized [[muscle weakness]]
-*[[Seizures]]
+* [[Generalized seizures]]
-*[[Hemiplegia]]
+* [[Coma]]
-*Limb [[weakness]]
-*[[Tremor]]
+===Extremities===
-*[[Coma]]<ref name="pmid15914973">{{cite journal |vauthors=Adrogué HJ |title=Consequences of inadequate management of hyponatremia |journal=Am. J. Nephrol. |volume=25 |issue=3 |pages=240–9 |year=2005 |pmid=15914973 |doi=10.1159/000086019 |url=}}</ref>
+* [[Myoclonus]]
+* [[Tremor]]
+* [[Asterixis]]
+* [[Hyporeflexia]]
+* [[Ataxia]]
 ==References==