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Toronto Notes - Case 4: Diabetes

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General OSCE Tips Respirology Cardiovascular Gastroenterology Musculoskeletal Urology Pediatrics Peripheral Vascular Women's Health Neurology Psychiatry Ophthalmology and Otolaryngology Geriatrics Case 1: Feeling Slow Case 2: Uncontrolled Blood Pressure/Elder Abuse Case 3: Sleep Problems Case 4: Diabetes

Case 4: Diabetes
You are seeing Mrs. Rajwal, a 69 year old woman, who feels concerned about her health. She heard that her sister was recently diagnosed with diabetes and wonders if she is at risk of developing the disease as well. Take a focused history, addressing Mrs. Thompsons concern.

History
Addresses patients concerns about diabetes Establishes patients ethnicity Polydipsia, polyuria Nocturia Fatigue Blurry Vision Parasthesias/numbness in peripheries Lower extremity ulceration or infection Skin darkening Weight history: gain/loss Asks about diet history Current medications/Allergies Personal history of gestational diabetes Personal history of myocardial infarction and stroke Personal history of renal disease Peripheral vascular disease (patient has intermittent claudication) Dyslipidemia Hypertension Smoking history (quantity in pack-years) Family history of Type II diabetes mellitus Family history of cardiac or cerebrovascular events

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