Syndrome of inappropriate antidiuretic hormone physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [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 following findings:[1]
Appearance of the patient
- Patients with SIADH usually appear ill and sometimes confused.
Vital Signs
HEENT
Neuromuscular
- Altered mental status
- Confusion
- Disorientation
- Delirium
- Generalized muscle weakness
- Generalized seizures
- Coma
Extremities
References
- ↑ 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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