Diabetes insipidus physical examination: Difference between revisions
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===Appearance of the Patient=== | ===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 [[Mucus membranes|dry mucus membranes]].<ref name="pmid24977135">{{cite journal| author=Saifan C, Nasr R, Mehta S, Sharma Acharya P, Perrera I, Faddoul G et al.| title=Diabetes insipidus: a challenging diagnosis with new drug therapies. | journal=ISRN Nephrol | year= 2013 | volume= 2013 | issue= | pages= 797620 | pmid=24977135 | doi=10.5402/2013/797620 | pmc=4045430 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24977135 }} </ref> | Patients with diabetes insipidus usually appear [[lethargic]]. Physical examination of patients with diabetes insipidus is usually remarkable for signs of [[dehydration]], such as [[tachycardia]], [[tachypnea]], [[hypotension]], and [[Mucus membranes|dry mucus membranes]].<ref name="pmid24977135">{{cite journal| author=Saifan C, Nasr R, Mehta S, Sharma Acharya P, Perrera I, Faddoul G et al.| title=Diabetes insipidus: a challenging diagnosis with new drug therapies. | journal=ISRN Nephrol | year= 2013 | volume= 2013 | issue= | pages= 797620 | pmid=24977135 | doi=10.5402/2013/797620 | pmc=4045430 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24977135 }} </ref> | ||
===Vital Signs=== | ===Vital Signs=== | ||
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===Abdomen=== | ===Abdomen=== | ||
*[[Scaphoid]] abdomen | *[[Scaphoid]] abdomen | ||
===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to person, place, and time | *Patient is usually oriented to person, place, and time | ||
*[[Altered mental status]] if presentation is late | *[[Altered mental status]] if the presentation is late | ||
*[[Hyporeflexia]] / [[areflexia]] | *[[Hyporeflexia]] / [[areflexia]] | ||
*Generalized [[muscle weakness]] | *Generalized [[muscle weakness]] | ||
Revision as of 13:22, 17 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Omodamola Aje B.Sc, M.D. [2]
Overview
Patients with diabetes insipidus usually appear generally weak without any focal neurologic findings. However, physical examination of patients with diabetes insipidus may be remarkable for signs of dehydration, such as tachycardia, tachypnea, hypotension, and dry mucus membranes.
Physical Examination
Appearance of the Patient
Patients with diabetes insipidus usually appear lethargic. Physical examination of patients with diabetes insipidus is usually remarkable for signs of dehydration, such as tachycardia, tachypnea, hypotension, and dry mucus membranes.[1]
Vital Signs
- Tachycardia with regular pulse
- Tachypnea
- Low blood pressure due to excessive dehydration
Skin
HEENT
Neck
- Flattened neck veins
Lungs
- Normal vesicular breath sounds
- Occasional wheezing
Heart
- Tachycardia with regular pulse
Abdomen
- Scaphoid abdomen
Neuromuscular
- Patient is usually oriented to person, place, and time
- Altered mental status if the presentation is late
- Hyporeflexia / areflexia
- Generalized muscle weakness
References
- ↑ Saifan C, Nasr R, Mehta S, Sharma Acharya P, Perrera I, Faddoul G; et al. (2013). "Diabetes insipidus: a challenging diagnosis with new drug therapies". ISRN Nephrol. 2013: 797620. doi:10.5402/2013/797620. PMC 4045430. PMID 24977135.