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MUSCLE WASTING:
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GENERAL SYMPTOMS:
Polyuria, polydiapsia, polyphagia, blurred vision, weakness, tiredness,
lethargy, infections, groin itch, weight loss, disturbance of conscious state,
rash (pruritis vulvae, balanitis).
GENERAL APPEARANCE:
-Evidence of dehydration
(osmotic diuresis).
-Obesity (type II DM).
-Recent weight loss (evidence of uncontrolled glycosuria).
-Abnormal endocrine facies (acromegally, Cushings syndrome).
-Pigmentation (haemochromatosis bronze diabetes).
-Kussmals breathing Air Hanger (diabetic ketoacidosis)
PALPATION:
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LOWER LIMBS:
UPPER LIMBS:
INSPECTION:
SKIN:
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EYES:
-
MOUTH:
-Evidence of candidal infections.
NECK & SHOULDERS:
-Examine carotid artery for evidence of vascular diseases.
-Check for the thickening of the upper back & shoulders (evidence of
Scleroderma).
-Acanthosis nigricans (in insulin resistant cases).
CHEST:
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