Question

At age 50, Steve experienced increased urination frequency and thirst after falling from his scooter without a helmet. A physical exam revealed inadequate levels of ADH (vasopressin). What is the likely disease in this case, and what treatment might help resolve the symptoms?

Answer 1

Steve is likely suffering from diabetes insipidus due to inadequate levels of ADH after a fall, which can be treated with synthetic ADH to help regulate urine production and fluid intake.

Step-by-step explanation:

The likely condition Steve is experiencing due to increased urination frequency, thirst, and inadequate levels of antidiuretic hormone (ADH) after a fall is diabetes insipidus. This condition is characterized by the chronic underproduction of ADH, leading to the kidneys' inability to retain water, which results in an excessive amount of urine production. Because ADH, also known as vasopressin, plays a critical role in the body's water conservation mechanisms, insufficient ADH causes an imbalance in fluid regulation, resulting in the need for constant water intake.

Treatment for diabetes insipidus often involves taking desmopressin, a synthetic form of ADH, to help reduce urination and balance thirst. In cases where the condition is mild and does not lead to severe dehydration, careful monitoring of fluid intake may be sufficient. However, more severe cases can lead to electrolyte imbalances, requiring medical treatment to correct the underlying issues, which could stem from damage to the hypothalamus or pituitary gland due to trauma, such as a fall.

Learn more about Diabetes Insipidus