A patient is admitted with a long history of mental illness
Her husband states she has been drinking up to 10 gallons of water each day for the past 2 days and refuses to eat. The patient is severely dehydrated and soaked with urine. The nurse suspects
a. central diabetes insipidus (DI).
b. nephrogenic DI.
c. psychogenic (dipsogenic) DI.
d. iatrogenic DI.
C
Psychogenic diabetes insipidus (DI) is a rare form of the disease that occurs with compulsive drinking of more than 5 L of water a day. Long-standing psychogenic DI closely mimics nephrogenic DI because the kidney tubules become less responsive to antidiuretic hormone as a result of prolonged conditioning to hypotonic urine.
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