Endocrine Examination: diabetes mellitus
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Transcript of Endocrine Examination: diabetes mellitus
ENDOCRINE EXAMINATION: DIABETES MELLITUS
Wimpie de LangeDiv. of Endocrinology
Dept. of Internal Medicine
April 21, 2023
DIABETES MELLITUS - HISTORY
• CVS: Angina, heart failure, hypertension, intermittend claudication
• GIT: “full feeling” after meals, nausea, vomiting, constipation
• NEUROLOGICAL: Mononeuropathies, peripheral neuropathy, radiculopathy, transient ischemic attacks, CVA (stroke)
• VISION: Blurred vision, cataracts, previous laser therapy
Classification of Diabetes Mellitus:
1.Type 12.Type 23.Type “3”4.Gestational
DMT2:
1. Usually Older;2. ↑ Weight ± A Nigr.;3. Slow Onset;4. 5. Usually Asympt.;6. Initially Non-insulin &7. May present with
Complications!
COMPLICATIONS OF DIABETES MELLITUS
ACUTE:ACUTE:
Myocardial Infarction
Stroke
Critical limb ischemia
Metabolic3
CHRONIC:CHRONIC:
MicroVascular
MACROVascular
Pickup & Williams: Slide Show of Diabetes
ERRUPTIVE XANTHOMATA
ACANTHOSIS NIGRICANS
Pickup & Williams: Slide Show of Diabetes
Diabeticdermopathy
Pickup & Williams: Slide Show of Diabetes
Necrobiosis lipoidica diabeticorum