1. ENDOCRINE EXAMINATION: DIABETES MELLITUS Wimpie de Lange Div. of Endocrinology Dept. of Internal Medicine October 29, 2015

3. DIABETES MELLITUS - HISTORY CVS: Angina, heart failure, hypertension, intermittend claudication GIT: “full feeling” after meals, nausea, vomiting, constipation NEUROLOGICAL: Mononeuropathies, peripheral neuropathy, radiculopathy, transient ischemic attacks, CVA (stroke) VISION: Blurred vision, cataracts, previous laser therapy

4. Classification of Diabetes Mellitus: 1.Type 1 2.Type 2 3.Type “3” 4.Gestational

5. DMT2: 1.Usually Older; 2.↑ Weight ± A Nigr.; 3.Slow Onset; 4. 5.Usually Asympt.; 6.Initially Non-insulin & 7.May present with Complications!

6. COMPLICATIONS OF DIABETES MELLITUS ACUTE: Myocardial Infarction Stroke Critical limb ischemia Metabolic 3CHRONIC: Micro Vascular MACRO Vascular

7. Pickup & Williams: Slide Show of Diabetes ERRUPTIVE XANTHOMATA

8. ACANTHOSIS NIGRICANS

12. Pickup & Williams: Slide Show of Diabetes Diabetic dermopathy

13. Pickup & Williams: Slide Show of Diabetes Necrobiosis lipoidica diabeticorum