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AY Endocrine > Diabetic complications > Flashcards

Diabetic complications Flashcards

1
Q

Which complication presents in 50% of diabetic men?

A

Erectile dysfunction

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2
Q

Other non-diabetic causes of ED

A

Antihypertensives

CNS drugs

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3
Q

Management of ED as a complication of diabetes

A

Decrease alcohol intake
Remove causative drugs
Improve glycaemic control
Viagra

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4
Q

What are the psychiatric complications of diabetes?

A

Depression
Eating disorders
Bi-polar disorder
Schizophrenia

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5
Q

Pathogenesis of diabetic vascular disease

A

Dyslipidaemia
Endothelial dysfunction
Platelet aggregation
Inflammation

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6
Q

What is the metabolic syndrome?

A 
Central obesity 
Increased BP 
Increased triglycerides 
Decreased HDL cholesterol 
Insulin resistance
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7
Q

Treatment of diabetic vascular disease?

A

Glycemic control
Lifestyle
Aspirin

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8
Q

How is diabetic nephropathy screened for?

A

Urinary albumin:creatinine ratio

Male

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9
Q

Management of diabetic nephropaty

A

ACE inhibitors

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10
Q

What are the 4 kinds of diabetic neuropathy?

A

Autonomic
Peripheral
Focal
Proximal

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11
Q

Example of proximal diabetic neuropathy

A

Pain in thighs & bum

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12
Q

What is focal diabetic neuropathy?

A

Sudden injury to one nerve

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13
Q

Example of focal diabetic neuropathy

A

Carpal tunnel
Foot drop
Bells palsy

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14
Q

Example of autonomic diabetic neuropathy

A

Changes in bladder, increased HR, sweating

Gastroparesis

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15
Q

Symptoms of diabetic autonomic neuropathy

A

Nausea
Bloating
Loss of appetite

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16
Q

Management of autonomic diabetic neuropathy

A

Metaclopramide
Erthyromycin
Domperidone

17
Q

Symtptoms of peripheral neuropathy

A

Numbness4Tingling

Cramp

18
Q

Complications of diabetic peripheral neuropathy

A

Infection
Ulcers
Charcot’s foot
Deformities

19
Q

Complication of autonomic neuropathy

A

Gastroparesis

20
Q

Management of diabetic peripheral neuropathy

A

Analgesia (gabapentin)

21
Q

Finds of mild diabetic retinopathy on fundoscopy

A

Dot & blot haemorrhages
Cotton wool spots
Hard exudates

22
Q

Findings of moderate diabetic retinopathy on fundoscopy

A

Findings of mild +
Venous beading
IRMA

23
Q

Findings of severe diabetic retinopathy on fundoscopy

A

Active new vessel formation

Vitreous haemorrhage

24
Q

Management of diabetic retinopathy

A

Laser
Vitrectomy
Anti-VEF

25
Q

What eye conditions are diabetics more lkely to develop?

A

Retinopathy
Secondary glaucoma
Retinal detachment

AY Endocrine (18 decks)

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