Syndrome of inappropriate antidiuretic hormone physical examination

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

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Overview

The signs and symptoms ofSIADH are mainly dependent on sodium levels, and the rate at which the level changes. Because the signs and symptoms of hyponatremia occur in many conditions, it's impossible to diagnose the condition based on a physical exam alone.

Physical Examination

The physical examination findings of SIADH depend on the level of sodium and rate of change of sodium levels.The following are thge physical examination findings :

Mild-moderate:

  • Headache
  • Lethargy
  • Impaired memory
  • Gait instability
  • Falls

Severe:

  • Confusion
  • Hallucinations
  • Dysarthria
  • Psychosis
  • Seizures
  • Hemiplegia
  • Limb weakness
  • Tremor
  • Coma[1]

References

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


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