An Unusual Case of SIADH

摘要: A 67-year-old male resident of Florida initially presented to another institution with an 8-week history fatigue, loss appetite, abdominal pain, and diarrhea that led muscle wasting a more-than-20% weight loss. The patient complained poor early satiety, intermittent right upper quadrant pain asso-ciated nausea vomiting, but no hematemesis, hematochezia, or melena. was having mul-tiple daily episodes loose stools did not contain mucus blood. He denied fevers, chills, night sweats, headaches, visual changes, dysphagia, odyno-phagia, cough, chest dyspnea, orthopnea, edema, bleeding, recent exposure antibiotics. review systems otherwise normal. taking any scheduled medications at the time his presentation. smoking heavy alcohol illicit drug use. had traveled South America several times over past few years, he other destinations, being exposed animals ticks, consuming raw meat unpasteurized dairy products. worked in healthcare facility medical hypertension, hypothyroidism, anal squamous carcinoma situ, diverticulitis.