Tuesday, October 8, 2013

Diabetes insipidus(尿崩症)

症狀/併發症(symptom/complication)
@Excessive urination and extreme thirst
@The extreme urination continues throughout the day and the night. 
病因(etiology)
typing
|Central (Neurogenic)
||Pituitary destruction by tumor, surgery, injury

||A lesion in the posterior lobe will not produce diabetes insipidus (posterior lobe is a storage organ)
|Nephrogenic
etiology
|ADH deficiency
檢查/準則(examination/criteria)
#water deprivation test: patient should stay in hospital, terminate when patient body weight loss more than 3%
治療(treatment)
$Central (Neurogenic)
$$Demopressin acetate (DDAVP), intrannasal spray or oral form
$$desmopressin $vasopressin
$$Chlorpromazine
$Nephrogenic
$
鑑別診斷(Differential Diagnosis)
%psychogenic polyuria: water deprivation test can increase osmalility
流行病學(Epidemiology)

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