ENDOCRINE EXAMINATION: DIABETES MELLITUS

Wimpie de LangeDiv. of Endocrinology

Dept. of Internal Medicine

April 20, 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