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{{ntnes}}
==Type and Duration==
==Type and Duration==
*Type1DM or Type2DM?
*Type1DM or Type2DM?
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===Neuropathy===
===Neuropathy===
*Autonomic:
*Autonomic:
**Erectile dysfunction
**erectile dysfunction
**orthostatic hypotension
**orthostatic hypotension
**gastroparesis
**gastroparesis
**constipation
**constipation


*Peripheral:
**Peripheral:
**anesthesia
**anesthesia
**paresthesia
**paresthesia
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==Other OSCE Modules==
==Other OSCE Modules==
{{OSCE2}}
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<center>
[[Acute Confusion (OSCE)|Acute Confusion]] -
[[Acute Coronary Syndrome Orders]] -
[[Anemia (OSCE)|Anemia]] -
[[Arterial Blood Gasses]] -
[[Asthma (OSCE)|Asthma]] -
[[Blood Pressure (OSCE)|Blood Pressure]] -
[[Chest pain]] -
[[Chest XRay (OSCE)|Chest XRay]] -
[[CHF Assessment (OSCE)|CHF]] -
[[Coma (OSCE)|Coma]] -
[[COPD Examination|COPD]] -
[[Cranial Nerve Exam (OSCE)|Cranial Nerves]] -
[[Diabetic History (OSCE)|Diabetic History]] -
[[Diabetic Foot Exam|Diabetic Foot]] -
[[Dysphagia Examination|Dysphagia]] -
[[EKG Analysis|EKGs]] -
[[Examination of the Gallbladder and Liver (OSCE)|Gallbladder and Liver]] -
[[Extrahepatic Manifestations of Liver Disease (OSCE)|Liver Disease]] -
[[Gait and Balance (OSCE)|Gait and Balance]] -
[[Headache Assessment|Headache]] -
[[Hematemesis (OSCE)|Hematemesis]] -
[[Hypertension (OSCE)|Hypertension]] -
[[Jugular Venous Pulses]] -
[[Knee Exam]] -
[[Lymph Node Exam (OSCE)|Lymph Nodes]] -
[[Management Of Community Acquired Pneumonia|Community Acquired Pneumonia]] -
[[Parkinson disease (OSCE)|Parkinson Disease]] -
[[Chronic Peripheral Arterial Insufficiency|Peripheral Arterial Insufficiency]] -
[[Pneumonia Examination]] -
[[Precordial Exam (OSCE)|Precordial Exam]] -
[[Sexually Transmitted Diseases (OSCE)|STD's]] -
[[Spleen Exam (OSCE)|Spleen]] -
[[Swollen Leg Exam]] -
[[Thyroid Exam]] -
[[Upper vs Lower Motor Neuron Lesions]] -
[[Urinary Incontinence]]
</center>
 
<!--end_NavContent:--></div><!--
<!---end_NavFrame:---></div>
[[Category: Clinical Skills]][[Category:OSCE]][[Category: Endocrinology]]

Latest revision as of 04:28, 8 June 2009

Type and Duration

  • Type1DM or Type2DM?
  • AGE of onset
  • MANNER of diagnosis (symptoms, routine labs)

Glucose Control

  • FREQUENCY of monitoring
  • VALUES - usual numbers at AM and PM, taken AC or PC, range, HbA1c
  • HYPOGLYCEMIC episodes
    • frequency
    • severity
    • sympathetic prodrome
    • unheralded neuroglycopenic symptoms
      • hunger, dizziness, tingling, blurred vision, difficulty thinking, and faintness

Please give time interval between last meal and fasting blood sugar test and values in all tests.It will help people.

Diet and Exercise (CDA)

  • quantity (calories)
  • quality

Medications

  • oral hypoglycemics
  • insulin (type, units, timing)
  • antagonistic drugs (thiazides, corticosteroids)

Modifiable Risk Factors

  • Hypertension
  • Hypercholesterolemia
  • Smoking
  • Alcohol

PMHx

  • Stroke
  • MI

FMHx

ROS

Neuropathy

  • Autonomic:
    • erectile dysfunction
    • orthostatic hypotension
    • gastroparesis
    • constipation
    • Peripheral:
    • anesthesia
    • paresthesia
    • hyperesthesia

Retinopathy

  • date of last eye exam with an OPHTHALMOLOGIST (MD)

Nephropathy

  • renal disease
  • proteinuria or microalbuminuria
  • last URINE ANALYSIS
  • last serum creatine

Vascular

Cardiac

  • angina
  • dyspnea
  • orthopnea
  • CHF
  • MI

Peripheral Vascular Disease

  • claudication
  • foot care

Hospitalization

  • Hypoglycemia
  • DKA
  • HONKS (hyperosmolar nonketotic state)

Other OSCE Modules

v • d • e
Observed structured clinical examination

Acute Confusion - Acute Coronary Syndrome Orders - Anemia - Arterial Blood Gasses - Asthma - Blood Pressure - Chest pain - Chest XRay - CHF - Coma - COPD - Cranial Nerves - Diabetic History - Diabetic Foot - Dysphagia - EKGs - Gallbladder and Liver - Liver Disease - Gait and Balance - Headache - Hematemesis - Hypertension - Jugular Venous Pulses - Knee Exam - Lymph Nodes - Community Acquired Pneumonia - Parkinson Disease - Peripheral Arterial Insufficiency - Pneumonia Examination - Precordial Exam - STD's - Spleen - Swollen Leg Exam - Thyroid Exam - Upper vs Lower Motor Neuron Lesions - Urinary Incontinence

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