Diabetes insipidus physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Depending on the time of presentation, patients with diabetes insipidus usually appear generally weak without any focal neurologic findings. However, physical examination of patients with diabetes is usually remarkable for signs of dehydration, such as tachycardia, tachypnea, hypotension, and dry mucus membranes. | Depending on the time of presentation, patients with [[diabetes insipidus]] usually appear generally weak without any [[Focal neurologic signs|focal neurologic findings]]. However, physical examination of patients with diabetes is usually remarkable for signs of [[dehydration]], such as [[tachycardia]], [[tachypnea]], [[hypotension]], and [[Dry-mouth|dry mucus membranes]]. | ||
==Physical Examination== | ==Physical Examination== | ||
===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 dry mucus membranes. | 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]]. | ||
===Vital Signs=== | ===Vital Signs=== | ||
*Tachycardia with regular pulse | *[[Tachycardia]] with regular [[pulse]] | ||
*Tachypnea | *[[Tachypnea]] | ||
*Low blood pressure due to excessive dehydration | *[[Low blood pressure]] due to excessive [[dehydration]] | ||
===Skin=== | ===Skin=== | ||
*Pallor | *[[Pallor]] | ||
===HEENT=== | ===HEENT=== | ||
*Headache | *[[Headache]] | ||
*Dry mucus membranes | *Dry [[Mucous membrane|mucus membranes]] | ||
===Neck=== | ===Neck=== | ||
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===Lungs=== | ===Lungs=== | ||
*No abnormalities on chest exam | *No abnormalities on chest exam | ||
*Wheezing may be present | *[[Wheezing]] may be present | ||
===Heart=== | ===Heart=== | ||
*Tachycardia with | *[[Tachycardia]] with regular pulse | ||
===Abdomen=== | ===Abdomen=== | ||
*Flattened abdomen | *Flattened abdomen | ||
*Scaphoid abdomen | *[[Scaphoid]] abdomen | ||
===Back=== | ===Back=== | ||
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===Neuromuscular=== | ===Neuromuscular=== | ||
*Patient is usually oriented to persons, place, and time | *Patient is usually oriented to persons, place, and time | ||
*Altered mental status if presentation is late | *[[Altered mental status]] if presentation is late | ||
*Hyporeflexia / areflexia | *[[Hyporeflexia]] / [[areflexia]] | ||
*Generalized muscle weakness | *Generalized [[muscle weakness]] | ||
==References== | ==References== | ||
Revision as of 15:07, 17 July 2017
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Diabetes insipidus Microchapters |
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Diabetes insipidus physical examination On the Web |
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American Roentgen Ray Society Images of Diabetes insipidus physical examination |
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Risk calculators and risk factors for Diabetes insipidus physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Depending on the time of presentation, patients with diabetes insipidus usually appear generally weak without any focal neurologic findings. However, physical examination of patients with diabetes is usually 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 is usually remarkable for signs of dehydration, such as tachycardia, tachypnea, hypotension, and dry mucus membranes.
Vital Signs
- Tachycardia with regular pulse
- Tachypnea
- Low blood pressure due to excessive dehydration
Skin
HEENT
Neck
- Flattened neck veins
Lungs
- No abnormalities on chest exam
- Wheezing may be present
Heart
- Tachycardia with regular pulse
Abdomen
- Flattened abdomen
- Scaphoid abdomen
Back
- No abnormalties on back exam
Genitourinary
- No abnormalties found on genitourinary exam
Extremities
- Dry extremities
- no pitting edema
Neuromuscular
- Patient is usually oriented to persons, place, and time
- Altered mental status if presentation is late
- Hyporeflexia / areflexia
- Generalized muscle weakness