Show:
Why didnt I study in medical school?
Phasetime maybe?
Trick or treat!
Its complicated
Sher-lock me up!
100
How do you prevent microvascular complications?
Tight glycemic control
100
How do you manage a patient with hypoglycemia unawareness with frequent readings of low FS
Maintain FS >150 for several weeks, continual avoidance of hypoglycemia
100
Diabetic. 35y/o. What vaccines should i get?
Pneumovax, flu and hepatitis B (19-59)
100
https://renalpathology.files.wordpress.com/2016/03/dm11.png What should you be asking yourself?
Doesnt he need tight glycemic control. Should i start aceI, as these patients usually have proteinurea? Why did this patient get a biopsy?
100
http://escholarship.org/uc/item/6fj340w2/figure04.jpg I cant be psoriasis!
What is acanthosis nigrans?
200
When do you test pregnant women for diabetes?
At first antenatal visit and 24-28 weeks
200
What is type 1B diabetes
Ketosis prone diabetes
200
What antidiabetic medications help you lose weight?
metformin and GLP drugs, pramlintide, exenatide, sitagliptin
200
What kind of retinopathy is this? .. http://medweb4.bham.ac.uk/MBChB_CAL/Bain_Retinopathy/tour/images_big/0010027.jpg
This is Charmand.. sorry. Maculopathy
200
72M DM, obtunded, fever, upper belly pain, whats wrong? http://blog.myesr.org/wp_live_esr11_23zcq/wp-content/uploads/2015/09/Bild17.jpg
Emphysematous cholecystitis
300
What is the most diagnostic test? Most specific?
OGTT
300
What is honeymoon phase?
T1DM. where when you initially start insulin therapy, they offload the beta ceells, so theor function imroves so they produce some insulin so they can be maintained on low insulin for several weeks to months
300
How do you reduce macrovascular disease?
Smoking cessation, Aspirin if CVD>10%, statin <7.5%, BP control, metformin?, bariatric surgery
300
As a footnote, what could this be? http://www.presentdiabetes.com/images/Publish/newsletter/footnotes/12/figure2.jpg
What is Charcot foot?
300
An obtunded diabetic, Internal and external ophthalmoplegia, no light perception, and afferent pupil defect were present, Whats going on? http://img.medscapestatic.com/pi/meds/ckb/24/37324.jpg
Orbital apex syndrome in mucormycosis
400
What all antibodies can you get in T1DM
GAD 65(persist longer than -)islet cells, tyrosine phosphatases, insulin zinc transporter antibodies
400
Patients morning FS is 160, you increase insulin from 10 to 12 units lantus, FS increased to 180. What the hell happened? and what is the next step? and why would having a med student on your team be advantageous here?
When someones insulin is increased, and morning glucose is high, it could be because of these 2..... check a midnight insulin Dawn is when counter just occurs, ntd...... Somogyi is when you go too low, but counter hormones counter too much, reduce insulin
400
Statin high, low, no intensity
High- known vascular disease, LDL>190, CVD risk >7.5...... Low - >400yo,CVD ,7.5 N0 - <40yo
400
What are the screening guidelines for retinopathy/neuropathy and nephropathy?
annually. after 5 years of Dx for T1 and at Dx for t2
400
When can diabetes cause a proximal asymmetric neuropathy? and what are its features?
What is diabetic amyotrophy? it is infarction of vasa nervorum of large nerve trunks so you get nerve distribution atrophy and sensory changes instead of glove and stocking
500
What is the mechanism of action of amylin analogs/GLP and DPP4 antagonists?
increases insulin release to oral glucose
500
Who is blind, deaf and has twice the diabetes?
Wolfram syndrome, DIDMOAD
500
What are the per Kg doses of insulin for the outpatient, first timer who needs insulin, for DKA bolus dose, DKA maintenance dose and the dose after you reach 250 until the gap cloese?
out patient - 0.2/kg/day DKA - 0.1/kg bolus, can be repeated if glucose doesnt budge after 1 hour DKA, maintenance dose 0.1kg/hour till you reach 200-250, then 0.02-0.05U/kg/hour so for a 60kg -12U lantus/ 6U bolus, 6U/hour, and 1-3U/hour till the gap closes
500
What are the current guidelines for diabetic therapy to minimise complications?
Start with metformin, then basal insulin. then mealtime insulin vs sulfonylureas. If patient can afford and must be on something for weightloss - metformin, exenatide/basal insulin, gliptins
500
I have diabetes, I am non infectious. What am I? http://www.pcds.org.uk/ee/images/made/ee/images/uploads/clinical/NEM1_576_339_70_http:www.pcds.org.ukeeassetsimgwatermark.gif_0_0_80_r_b_-5_-5_.jpg
I am Pikachu, whoops sorry, glucagonoma