Diabetes mellitus type 1 physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
Physical examination of type 1 DM include:<ref>http://www.aafp.org/afp/2005/0501/p1705.pdf</ref> | Physical examination of type 1 DM include:<ref>http://www.aafp.org/afp/2005/0501/p1705.pdf</ref><ref>Type 1 Diabetes mellitus "Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo"Harrison's Principles of Internal Medicine, 19e Accessed on December 27th,2016</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
!Examination findings | !Examination findings | ||
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|Appearance of patient | |Appearance of patient | ||
|Patient is usually well appearing | |Patient is usually well appearing | ||
| | |Patients are ill appearing, may be confused or in state of coma | ||
|- | |- | ||
|Vital Signs | |Vital Signs | ||
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Blood glucose level- Elevated | Blood glucose level- Elevated | ||
|Pulse rate- Tachycardia with regular rhythm, weak volume | |Pulse rate- Tachycardia with regular rhythm, weak volume | ||
Temperature- Normal or elevated | Temperature- Normal or elevated or hypothermia | ||
Blood pressure- Low blood pressure | Blood pressure- Low blood pressure | ||
Line 52: | Line 52: | ||
|Neck | |Neck | ||
|Neck examination is normal | |Neck examination is normal | ||
| | |Neck examination is normal | ||
|- | |- | ||
|Lungs | |Lungs |
Revision as of 03:09, 28 December 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Patients with classic onset presentation of type 1 DM are usually well appearing. Whereas type 1 DM patients presenting with diabetic ketoacidosis is usually remarkable for tachycardia, tachypnea (kussumal breathing) and dehydration.
Physical Examination
Physical examination of type 1 DM include:[1][2]
Examination findings | Classic new onset | Diabetic ketoacidosis |
---|---|---|
Appearance of patient | Patient is usually well appearing | Patients are ill appearing, may be confused or in state of coma |
Vital Signs | Pulse rate- Normal
Temperature- Normal Blood pressure- Normal Respiratory rate- Normal Oxygen saturation- Normal Blood glucose level- Elevated |
Pulse rate- Tachycardia with regular rhythm, weak volume
Temperature- Normal or elevated or hypothermia Blood pressure- Low blood pressure Respiratory rate-
Oxygen saturation- usually normal but some cases may have low blood pressure Blood glucose level- markedly elevated |
Skin | Skin examination is usually normal, but in some cases may reveal dry skin | Poor skin turgor |
HEENT | HEENT examination is usually normal, in some cases eye examination may reveal opacity of lens(Cataract) | Dry Mucous membrane, eye appear sunken |
Neck | Neck examination is normal | Neck examination is normal |
Lungs | Lungs examination is normal | Lungs examination is usually normal, but in some cases lung examination may reveal underlying triggering causes of diabetes ketoacidosis eg: pneumonia |
Heart | Heart examination is normal | Heart examination is usually normal |
Abdomen | Abdominal examination is normal | Abdominal tenderness may be elicited |
Back | Back examination is normal | Back examination is usually normal |
Genitourinary | Genitourinary examination is usually normal | Genitourinary examination is usually normal |
Extremities | Extremities examination is usually normal, some cases may elicit finding of decreased sensation in the extremities | Extremities examination is usually normal |
Neuromuscular | Neuromuscular examination is usually normal, | Neuromuscular examination is usually normal |
References
- ↑ http://www.aafp.org/afp/2005/0501/p1705.pdf
- ↑ Type 1 Diabetes mellitus "Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo"Harrison's Principles of Internal Medicine, 19e Accessed on December 27th,2016