Syndrome of Inappropriate Antidiuretic Hormone Secretion - Diagnosis

Diagnosis

Laboratory findings in diagnosis of SIADH include:

  • Euvolemic hyponatremia <134 mEq/L, and POsm <275 mOsm/kg OR ( POsm - Serum mmol/l < 280 mOsm/kg )
  • Urine osmolality >100mOsm/kg of water during hypotonicity
  • Urine sodium concentration >40 mEq/L with normal dietary salt intake

Other findings:

  • Clinical euvolemia without edema or ascites
  • Low blood urea nitrogen (BUN)
  • Normal serum creatinine
  • Low uric acid
  • Normal Acid-Base, K+ balance
  • Normal Adrenal, Thyroid function

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