A 66-year-old man with newly diagnosed small cell lung carcinoma presents with confusion and nausea. Vital signs show BP 128/76 mmHg, HR 88/min, RR 16/min, temperature 37.2°C, and SpO2 98% on room air. Physical examination reveals euvolemia with no edema or jugular venous distension. Serum sodium is 118 mEq/L with inappropriately elevated urine osmolality of 650 mOsm/kg and low serum osmolality of 265 mOsm/kg. Which of the following is the most likely diagnosis?
- A)Central diabetes insipidus
- B)Hyperaldosteronism
- C)Syndrome of inappropriate ADH secretionGABARITO
- D)Adrenal crisis
- E)Primary polydipsia
Explicação
SIADH causes euvolemic hyponatremia with inappropriately concentrated urine because excess ADH retains free water. Small cell lung carcinoma is a classic ectopic source. Ver explicação completa e trilha adaptativa →