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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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