Diabetic Neuropathy (Distal Symmetric Polyneuropathy)

Clinic A/P, adults, Clinic A/P, Peds

Background Present in up to 10%–15% of DM patients at the time of diagnosis. It’s present in up to 50% of patients within 10 years of diagnosis. AKA: Diabetic Peripheral Neuropathy Diagnosis How is the diagnosis made? Treatment 1st-line treatments...

Diabetic Retinopathy

Clinic A/P, adults, Clinic A/P, Peds

-Yearly Ophthalmology Eval.

Diabetic Nephropathy (Diabetic Kidney Disease)

Clinic A/P, adults, Clinic A/P, Peds

– Will get a spot urine albumin/creatinine ratio annually. Screening for microalbuminuria with a spot urine albumin/creatinine ratio identifies the early stages of nephropathy. – Will also evaluate GFR and Creatinine annually (because diabetic neuropathy...

Pressure Ulcers / Wound Care

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Clean with either saline or tap water and cover with hydrocolloid foam or another non-adherent dressing that promotes a moist environment. -Don’t clean with povidone/iodine, Dakin’s solution, hydrogen peroxide, wet-to-dry dressings, or any solutions that may...

Foot Fractures

Clinic A/P, adults

Patient with toe pain after a playground injury. XR reveals a displaced fracture involving half the joint surface of the first proximal phalanx. What should you do? Answer: Prompt orthopedic referral for surgical fixation. “Phalangeal fractures of the second to...

Monoclonal gammopathy of undetermined significance (MGUS)

Clinic A/P, adults, Hospital A/P, Adults

Patients with MGUS will require regular follow-up visits because of the risk this condition will progress to multiple myeloma “Monoclonal gammopathy of undetermined significance (MGUS) is present in approximately 2%–3% of the white population older than 50. It...