Archive:Diabetic history: Difference between revisions
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==Other OSCE Modules== | ==Other OSCE Modules== | ||
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[[Acute Confusion (OSCE)|Acute Confusion]] - | [[Acute Confusion (OSCE)|Acute Confusion]] - | ||
[[Acute Coronary Syndrome Orders]] - | [[Acute Coronary Syndrome Orders]] - | ||
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[[Urinary Incontinence]] | [[Urinary Incontinence]] | ||
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[[Category: Clinical Skills]][[Category:OSCE]][[Category: Endocrinology]] | [[Category: Clinical Skills]][[Category:OSCE]][[Category: Endocrinology]] | ||
Revision as of 01:59, 26 April 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
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