Diabetic History (OSCE)

From Wikiversity

Contents 1 Type and Duration 2 Glucose Control 3 Diet and Exercise (CDA) 4 Medications 5 Modifiable Risk Factors 6 PMHx 7 FMHx 8 ROS 8.1 Neuropathy 8.2 Retinopathy 8.3 Nephropathy 8.4 Vascular 8.4.1 Cardiac 8.4.2 Peripheral Vascular Disease 9 Hospitalization 10 Other OSCE Modules

[edit] Type and Duration

• Type1DM or Type2DM?
• AGE of onset
• MANNER of diagnosis (symptoms, routine labs)

[edit] Glucose Control

• FREQUENCY of monitoring
• VALUES - usual numbers at AM and PM, taken AC or PC, range, HbA1c

• HYPOGLYCEMIC episodes
  • frequency
  • severity
  • sympathetic prodrome
  • unheralded neuroglycopenic symptoms
    • hunger, dizziness, tingling, blurred vision, difficulty thinking, and faintness

Please give time interval between last meal and fasting blood sugar test and values in all tests.It will help people.

[edit] Diet and Exercise (CDA)

• quantity (calories)
• quality

[edit] Medications

• oral hypoglycemics
• insulin (type, units, timing)
• antagonistic drugs (thiazides, corticosteroids)

[edit] Modifiable Risk Factors

• Hypertension
• Hypercholesterolemia
• Smoking
• Alcohol

[edit] PMHx

• Stroke
• MI

[edit] FMHx

[edit] ROS

[edit] Neuropathy

• Autonomic:
  • erectile dysfunction
  • orthostatic hypotension
  • gastroparesis
  • constipation

• • Peripheral:
  • anesthesia
  • paresthesia
  • hyperesthesia

[edit] Retinopathy

• date of last eye exam with an OPHTHALMOLOGIST (MD)

[edit] Nephropathy

• renal disease
• proteinuria or microalbuminuria
• last URINE ANALYSIS
• last serum creatine

[edit] Vascular

[edit] Cardiac

• angina
• dyspnea
• orthopnea
• CHF
• MI

[edit] Peripheral Vascular Disease

• claudication
• foot care

[edit] Hospitalization

• Hypoglycemia
• DKA
• HONKS (hyperosmolar nonketotic state)

[edit] Other OSCE Modules