Case 6 - 10 yo F with new-onset DM Flashcards
1
Q
Information gathering
A
CC Type of diabetes Onset Presenting symptoms at time of diagnosis Effect on child Depression and irritability in child Effect on parents Medication Site of injection Who injects insulin Compliance with insulin Schedule of insulin Measuring glucose at home Ranges of blood glucose readings Recent level of glucose Hypoglycemia Urination Abnormal thirst or extreme hunger Weakness or fatigue Blurring of vision Weight changes Patient's height and weight Tingling or numbness Infections of skin or gums Rash or itch at infection sites Diet and exercise LOC while playing LMP Sleeping problems Birth history Child weight, height and language development PMHx PSHx Drug allergies
2
Q
Differential diagnosis
A
Type I DM
Type 2 DM
Secondary cause of DM (such as Cushing’s syndrome)
3
Q
Diagnostic work-up
A
Insulin and C-peptide levels
Islet cell antibodies
HbA1c
Electrolytes (risk of hypernatremia), glucose
UA and urine microalbumin
24-hour urine free cortisol (R/O Cushing’s syndrome)
