Once diagnosed, the tumor must be localized using radiologic imaging.
Certain foods and medications may cause false-positive results ( Table 3). High levels of urinary 5-hydroxyindoleacetic acid (5-HIAA) confirms diagnosis. Urine catecholamines or metanephrines measured in a 24-hour collection if diagnosed, the tumor must be localized using radiologic imagingĪttacks of cyanotic flushing, watery diarrhea, wheezing, hypotension, or edema Labile hypertension, paroxysms of headache or palpitations Heat intolerance, exophthalmos, tremor, other symptoms or signs of hyperthyroidism Overweight excessive daytime sleepiness, partner reports loud snoring and gasping during sleep, small oropharynx Hormone replacement therapy (an elevated FSH test if uncertain based on history, helps confirm the diagnosis)įirm lymphadenopathy in absence of current or recent infectionĬBC heterophile antibodies or anti-VCA evaluation Purified protein derivative, chest radiograph, CBC, HIV test (CD4 + if known HIV positive), possibly blood cultures If a history and physical do not reveal a possible diagnosis, physicians should consider a purified protein derivative, complete blood count, human immunodeficiency virus test, thyroid-stimulating hormone test, erythrocyte sedimentation rate evaluation, chest radiograph, and possibly chest and abdominal computed tomographic scans and bone marrow biopsy.įever, TB exposure, HIV status or risk factors, cough, weight loss, immunocompromise Serious causes of night sweats can be excluded with a thorough history, physical examination, and directed laboratory and radiographic studies. Antihypertensives, antipyretics, other medications, and drugs of abuse such as alcohol and heroin may cause night sweats. While these diseases remain important diagnostic considerations in patients with night sweats, other diagnoses to consider include human immunodeficiency virus, gastroesophageal reflux disease, obstructive sleep apnea, hyperthyroidism, hypoglycemia, and several less common diseases. Tuberculosis and lymphoma are diseases in which night sweats are a dominant symptom, but these are infrequently found to be the cause of night sweats in modern practice. Night sweats are a common outpatient complaint, yet literature on the subject is scarce. Pediatric ICD-10 Diagnosis Codes 2 J45.998 Other asthma R06.02 Shortness of Breath R05 Cough R06.09 Stridor Cardiac R01.0 Benign and innocent cardiac murmur R01.1 Cardiac murmur, unspecified R01.2 Other Cardiac sound R23.0 Cyanosis R00.
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