CLINICAL CHRONIC COMP Flashcards
major chronic complications?
nephropathy
neuropathic
- peripheral and autonomic neuropathy
- distal symmetric polyneuropathy
- autonomic neuropathy
- diabetic mononeuropathy
CVD
PVD
eye changes
cheiroarthropathy
dupeytrens contracture
bone demineralization
joint abnormalities
infections
what is the effect of diabetic nephropathy?
increased risk of developing ATN in diabetics with (UC) decreased CrCl
which diabetes mellitus type has increased risk of developing diabetic nephropathy?
type I
what are the diabetic neuropathic types?
- peripheral and autonomic neuropathy
- distal symmetric polyneuropathy
- autonomic neuropathy
- diabetic mononeuropathy
most common diabetic neuropathic type?
distal symmetric polyneuropathy
this diabetic neuropathic type is common in patients with long duration of disease?
autonomic neuropathy
what are the cardiovascular complications?
microangiopathy, thus increased risk of CAD, MI is 3-5x more common with Type II DM
what is the effect of peripheral vascular disease?
acceleration of atherosclerosis, larger arteries
increased incidence of gangrene in the feet
what are the eye changes?
cataracts
what are the other assorted complications?
juvenile diabetic cheiroarthropathy
-stiffness of hand
dupeytren’s contracture
-clawlike deformity
bone demineralization
what are the joint abnormalities?
bursitis
increased incidence of gout
what are the infections?
candida infections
unusual infections
-emphematous cholecystitis
- mucormycosis
- malignant otitis externa
- necrotizing papilitis
patient has hyperglycemia all day for a couple of days, she also presents with a fever- what is the diagnosis?
infection
