Student DM slides

Question 1

Autonomic neuropathy

Answer 1

• Dysphagia (hard swallowing)
• heart burn
• Nocturnal diaphoresis
• Cardia arrhythmia and infarction
• Constipation and Diarrhea
• Erectile Dysfunction
• Miosis/Mydriasis

Question 2

Autonomic Neuropathy Orthostatic hypotension

Answer 2

• Most recognized dysfunction
• Treatment- Change posture

Question 3

Autonomic neuropathy

Gastroparesis

Diagnosis

Answer 3

• Slowed gastric emptying
• Caused by damage to vagus nerver
• Symptoms- N/V a feeling of fullness after eating small amount
• Effect- Food absorption - glucose intering the blood difficulty controlling glucose
• Drug effects
• Amylin/incretin mimetics- gastric empty- hypoglycemia
• Diagnosis- Uper gastro endoscopy, barium breakfast meal, gastric emptying scintigraphy