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Is there a history of drug or alcohol ingestion? Many drugs can cause diaphoresis, but caffeine and nicotine head the list. Alcohol can be associated with significant diaphoresis also.
Is there associated ... DIAGNOSTIC WORKUP
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What is the chloride level? Hypernatremia with an elevated chloride is almost certainly due to dehydration, but renal and hypothalamic diabetes insipidus, heat exhaustion, and hypertonic fluid administration may also be responsible. A ... DIAGNOSTIC WORKUP
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Serum sodium may be increased by water deprivation, excessive water losses without sufficient repletion, or excessive sodium intake. The majority of cases of this common problem are due to free water deficit rather than sodium excess. When evaluating... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Night sweats are a common complaint in primary care medicine. Different authors define night sweats variably, but this term generally pertains to drenching sweats at night that are not caused by excessive room temperature or clothing/covering.
... Workup and Diagnosis ... Treatment
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Hypernatremia is defined as a serum sodium concentration ([Na+]) >147 meq/L (some texts use >150 meq/L). In the normal state, the response to increased serum osmolarity is stimulation of thirst (promotes fluid intake) and an increase in ADH (increases... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Night sweats are an often-underreported symptom that consist of profuse sweating during the night. They may or may not be accompanied by excessive sweating during the daytime, and they can be confused with hot flashes or flushing. They are among the “... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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The common causes of excessive sweating are benign and are the body's natural cooling response or the response to emotional stimuli. The most important cause to keep in mind is congestive heart failure, especially when accompanied by poor feeding in an infant, as... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... If an electrolyte profile shows an elevated sodium level, the physiology model of intake, regulation and excretion may be applied to develop a list of possibilities. However, the focus should be on water intake, transport, regulation, and excretion because this will help recall
... READ EXCERPTS »
... It is uncommon for patients to present with the chief complaint of excessive sweating (diaphoresis, hyperhidrosis); when they do, it is often hyperhidrosis of the hands and feet due to caffeine or nervous tension. Obese patients may complain of
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... Diaphoresis is profuse sweating — at times, amounting to more than 1 L of sweat per hour. This sign represents an autonomic nervous system response to physical or psychogenic stress or to a fever or high environmental temperature. When caused... History and physical examination ... Pictures
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... Clammy skin — moist, cool, and usually pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands,... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Pure Water Loss
Inability to obtain or swallow water (e.g., coma, dementia, infancy)
Impaired thirst drive (e.g., hypothalamic lesion)
Increased insensible loss
Excessive Sodium Intake
Iatrogenic sodium administration
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... Hyperhidrosis is the excessive secretion of sweat from the eccrine glands. It usually occurs in the axillae (typically after puberty) and on the palms and soles (often starting during infancy or childhood). Abnormal and excessive heat loss can occur,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Diaphoresis is profuse sweating, sometimes amounting to more than 1 L of sweat per hour. This sign represents an autonomic nervous system response to physical or psychogenic stress, fever, or high environmental temperature. When caused by stress,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
... READ EXCERPTS »
... Clammy skin—moist, cool, and usually pale—is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly on the... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
... READ EXCERPTS »
... Mark Bajorek
Night sweats are drenching sweats that require a change of bedding (1).
Approach. The first priority is to exclude night sweats caused by fever. Sweating associated with fever is a separate evaluation (Chapter 2.6). Before the... History. ... Physical examination. ... Testing ... Diagnostic assessment
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Differential Overview
Diaphoresis
❑ Fever
❑ Hot flashes
❑ Anxiety
❑ Drugs ... Diagnostic Approach ... Clinical Findings
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... The excessive secretion of sweat from the eccrine glands, hyperhidrosis usually occurs in the axillae (typically after puberty) and on the palms and soles (commonly starting during infancy or childhood).
Causes
Possible... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Clammy skin — moist, cool, and commonly pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Diaphoresis is profuse sweating — at times, amounting to more than 1 L of sweat per hour. This sign represents an autonomic nervous system response to physical or psychogenic stress or to fever or high environmental temperature. When caused by stress, diaphoresis may be... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Clammy skin — moist, cool, and usually pale — is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
...The clinical dilemma with excessive sweatingis to determine whether it is due to a physiologic or pathologiccause. Principal Causes of Sweating Physiologiccauses Highenvironmental temperature Exercise Overdressing ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
... READ EXCERPTS »
... Diaphoresis is profuse sweating—at times, amounting to more than 1 L of sweat per hour. This sign represents an autonomic nervous system response to physical or psychogenic stress or to a fever or high environmental temperature. When caused... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Clammy skin—moist, cool, and usually pale—is a sympathetic response to stress, which triggers release of the hormones epinephrine and norepinephrine. These hormones cause cutaneous vasoconstriction and secretion of cold sweat from eccrine glands, particularly on... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
...
If an electrolyte profile shows an elevated sodium level, the
physiology model of intake, regulation, and excretion may be applied to
develop a list of possibilities. However, the focus should be on water
intake, transport, regulation, and... Pictures
... READ EXCERPTS »
...
It is uncommon for patients to present with the chief complaint of
excessive sweating (diaphoresis, hyperhidrosis); when they do, it is often
hyperhidrosis of the hands and feet due to caffeine or nervous tension.
Obese patients may... Pictures
... READ EXCERPTS »
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