Polidipsia psicogênica
Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presença de fatores de risco
- busca e ingestão de água
Otros factores de diagnóstico
- agitação
- poliúria
- cefaleia
- náuseas ou vômitos
- letargia ou confusão
- convulsões, delirium ou coma
Factores de riesgo
- transtornos psiquiátricos
- transtornos do neurodesenvolvimento
- tabagismo
- abuso de álcool
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- osmolalidade plasmática
- osmolalidade urinária
- sódio urinário
- sódio sérico
- volume urinário de 24 horas
- urinálise
- ureia sérica
- teste de restrição de água
Pruebas diagnósticas que deben considerarse
- teste de vasopressina
- hormônio antidiurético plasmático
Algoritmo de tratamiento
hiponatremia grave (<125 mmol/L [<125 mEq/L]) ou com sintomas neurológicos
hiponatremia (125-130 mmol/L [125-130 mEq/L]) ou com sintomas gastrointestinais
polidipsia crônica
Colaboradores
Autores
Shilpa Srinivasan, MD, DFAPA, DFAAGP
Vice Chair, Medical Staff Affairs, Behavioral Health Midlands, Prisma Health
Professor of Clinical Psychiatry
Program Director: Geriatric Psychiatry Fellowship
Director: Psychiatry Acting Internship and M4 Clerkship
Department of Neuropsychiatry and Behavioral Science
Prisma Health - University of South Carolina School of Medicine Columbia
Columbia
SC
Divulgaciones
SS is a board member of the American Association for Geriatric Psychiatry and serves on the Geriatric Psychiatry Exam Committee for the American Board of Psychiatry and Neurology.
Meera Narasimhan, MD, DFAPA
Professor and Chair
Department of Neuropsychiatry and Behavioral Science
Senior Medical Director
Prisma Health
Special Advisor to University of South Carolina President
Health Innovations and Economic Development
University of South Carolina School of Medicine Columbia
Columbia
SC
Divulgaciones
MN is a member of an advisory board for Alkermes.
Agradecimientos
Dr Shilpa Srinivasan and Dr Meera Narasimhan would like to gratefully acknowledge Dr Emily Williams and Dr Brian Dundas, previous contributors to this topic.
Divulgaciones
EW declares that she has no competing interests. BD is an author of one of the references for this topic.
Revisores por pares
Branimir Margetić, MD
Neuropsychiatric Hospital "Dr Ivan Barbot"
Popovaca
Croatia
Divulgaciones
BM is an author of a reference cited in this topic.
Aaron Pinkhasov, MD, DFAPA, FACLP
Chairman
Department Of Psychiatry
NYU Langone Hospital
Professor of Psychiatry and Medicine
NYU Long Island School of Medicine
Long Island
NY
Divulgaciones
AP declares that he has no competing interests.
Richard C Millson, MD, DTM&H, FRCPC
Associate Professor of Psychiatry
Queen's University
Kingston
Ontario
Canada
Divulgaciones
RCM declares that he has no competing interests. He is the author of some of the references cited in this topic.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Ahmadi L, Goldman MB. Primary polydipsia: update. Best Pract Res Clin Endocrinol Metab. 2020 Sep;34(5):101469.Texto completo Resumen
Sterns RH. Disorders of plasma sodium - causes, consequences, and correction. N Engl J Med. 2015 Jan 1;372(1):55-65. Resumen
Artículos de referencia
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