History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Differential Diagnosis
Testing
Test Results
Next Steps
Next Steps 2
Question 1
Question 2
Question 3
About the Case
Hyperglycemia in a 56-Year-Old Woman
Physical Examination
General appearance
: Well-appearing female in no apparent distress, height 1.65 m, weight 95.3 kg (BMI 34.9)
Vital signs
:
Temperature: 37° C
Pulse: 82 min
BP: 159/88 mmHg
Respirations: 12/min
Skin
: There is velvety smooth hyperpigmentation in neck folds and under arms; no other lesions or rash.
HEENT
: Moist mucous membranes, no exudates, no cervical lymphadenopathy.
Pulmonary
: Clear to auscultation bilaterally, no wheezes, rales, or rhonchi.
Cardiovascular
: Regular rate and rhythm; no murmurs, gallops, or rubs. Jugular venous distention normal.
Gastrointestinal
: Obese abdomen, soft, non-distended, normal bowel sounds, no rebound or guarding.
Genitourinary
: No signs of yeast infection or other lesions. No tenderness to flank percussion.
Musculoskeletal
: No peripheral edema, swelling or tenderness. Joints full range of motion and nontender.
Neurologic
: Decreased sensation to light touch in feet bilaterally. Cranial nerves II to VIII grossly intact, normal gait, strength 5/5 throughout.
Mental status
: Alert and oriented x3
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