Diabetes insipidus history and symptoms

Jump to navigation Jump to search

Diabetes insipidus Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diabetes insipidus from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-Ray

CT scan

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diabetes insipidus history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Diabetes insipidus history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Diabetes insipidus history and symptoms

CDC on Diabetes insipidus history and symptoms

Diabetes insipidus history and symptoms in the news

Blogs on Diabetes insipidus history and symptoms

Directions to Hospitals Treating Diabetes insipidus

Risk calculators and risk factors for Diabetes insipidus history and symptoms

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

Overview

Clinical examination may provide important clues to possible underlying diagnoses. The age at which symptoms develop together with the pattern of fluid intake, may influence subsequent investigation of diabetes insipidus. The primary symptoms are persistent polyuria and polydipsia, and young children may have severe dehydration, vomiting, constipation, fever, irritability, sleep disturbance, failure to thrive and growth retardation.

History

It is important to ask questions about the onset and presentation of symptoms. Some of the useful information to obtain in the history of DI include:[1]

Symptoms

Symptoms of diabetes insipidus are quite similar to those of untreated diabetes mellitus, with the distinction that the urine is not sweet as it does not contain glucose and there is no hyperglycemia (elevated blood glucose):

In children, DI can interfere with appetite, eating, weight gain, and growth as well. They may present with:[2]

Adults with untreated DI may remain healthy for decades as long as enough water is drunk to offset the urinary losses. However, there is a continuous risk of dehydration.

References

  1. Kimmel DW, O'Neill BP (1983). "Systemic cancer presenting as diabetes insipidus. Clinical and radiographic features of 11 patients with a review of metastatic-induced diabetes insipidus". Cancer. 52 (12): 2355–8. PMID 6640507.
  2. Maghnie M, Cosi G, Genovese E, Manca-Bitti ML, Cohen A, Zecca S, Tinelli C, Gallucci M, Bernasconi S, Boscherini B, Severi F, Aricò M (2000). "Central diabetes insipidus in children and young adults". N. Engl. J. Med. 343 (14): 998–1007. doi:10.1056/NEJM200010053431403. PMID 11018166.


Template:WikiDoc Sources