Polyuria
ICD-10 R35 is a billable code used to indicate a diagnosis of polyuria.
Polyuria is defined as the production of abnormally large volumes of urine, typically exceeding 3 liters per day in adults. This condition can be a symptom of various underlying health issues, including diabetes mellitus, diabetes insipidus, chronic kidney disease, and certain medications. Patients may present with increased thirst (polydipsia) due to fluid loss, leading to dehydration if not adequately managed. Clinical evaluation often includes a thorough history and physical examination, alongside laboratory tests such as urinalysis, serum glucose levels, and renal function tests to identify the underlying cause. Polyuria can significantly impact a patient's quality of life and may indicate serious health conditions requiring prompt diagnosis and treatment.
Detailed patient history, including fluid intake and output, medication review, and relevant lab results.
Patients presenting with excessive thirst and urination, often evaluated for diabetes mellitus or renal issues.
Consideration of comorbid conditions that may contribute to polyuria, such as heart failure or hypercalcemia.
Acute assessment of vital signs, hydration status, and immediate lab tests to rule out critical conditions.
Patients presenting with dehydration, altered mental status, or acute kidney injury.
Rapid identification of life-threatening causes of polyuria, such as diabetic ketoacidosis.
Used to evaluate urine composition in patients presenting with polyuria.
Document the reason for urinalysis and any findings.
Internal medicine may require more comprehensive lab evaluations.
The primary causes of polyuria include diabetes mellitus, diabetes insipidus, and certain medications. It is essential to evaluate the patient's history and conduct appropriate laboratory tests to determine the underlying cause.
