Syndrome of inappropriate antidiuretic hormone classification

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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

SIADH may be classified into several sub-types based on the pattern of AVP( arginine vasopressin) secretions across a range of plasma osmolalities: Type A, type B, type C, type D.

Classification

SIADH may be classified in to several sub-types based on the pattern of AVP secretion across a range of plasma osmolalities:

Differentiating Gynecomastia from other Diseases

  • Gynecomastia can be differentiated from other pathologies by detailed history taking and physical examination.[1][2][3]
Differential Diagnosis Differentiating Features
Gynecomastia
  • Round discrete mass felt under areola and usually bilateral.
Pseudogynecomastia
  • Increased adipose rather than glandular tissue on examination.
Lipoma
  • Asymmetric breast enlargement.
Breast cancer
Sebaceous cyst
  • Asymmetric enlargement and swelling feels closer tothe skinn.
Mastitis
  • Systemic s/s of infection.

References

  1. ↑ Dickson G (2012). "Gynecomastia". Am Fam Physician. 85 (7): 716–22. PMID 22534349.
  2. ↑ Croes K, Baeyens W, Bruckers L, Den Hond E, Koppen G, Nelen V; et al. (2009). "Hormone levels and sexual development in Flemish adolescents residing in areas differing in pollution pressure". Int J Hyg Environ Health. 212 (6): 612–25. doi:10.1016/j.ijheh.2009.05.002. PMID 19546029.
  3. ↑ Laituri CA, Garey CL, Ostlie DJ, St Peter SD, Gittes GK, Snyder CL (2010). "Treatment of adolescent gynecomastia". J Pediatr Surg. 45 (3): 650–4. doi:10.1016/j.jpedsurg.2009.11.016. PMID 20223338.

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