5.

PRIMARY WORKING RULE IN

IMPRESSION
Diabetes Mellitus Type II Hx: Polydipsia, Polyuria, Tiredness, Blurry vision, Age, Family history of DM type
2, Nocturia, Physically inactive, Smoker, Obese
PE: Decreased monofilament sensation in her feet
Labs:
Hba1c= 9.2% (increased)
FBS= 206 mg/dL (increased)
(-) Ketones in Urinalysis
Triglycerides= 235 mg/dL (increased)
HDL= 31 mg/dL (decreased)
6. DIFFERENTIAL DIAGNOSIS RULE IN RULE OUT
Diabetes Mellitus Type I Hx: Polydipsia, Polyuria, PE: (-) Juvenile
Tiredness, Blurry vision, (-) Non- Obese
Nocturia, Physically inactive,
Smoker Labs: (-) Ketones in Urinalysis
PE: Decreased monofilament
sensation in her feet
Labs:
Hba1c= 9.2% (increased)
FBS= 206 mg/dL (increased)

Diabetes Mellitus Type II Hx: Polydipsia, Polyuria, CANNOT BE RULED OUT

Tiredness, Blurry vision, Age,
Family history of DM type 2,
Nocturia, Physically inactive,
Smoker, Obese
PE: Decreased monofilament
sensation in her feet
Labs:
Hba1c= 9.2% (increased)
FBS= 206 mg/dL (increased)
(-) Ketones in Urinalysis
Triglycerides= 235 mg/dL
(increased)
HDL= 31 mg/dL (decreased)
Cushing’s Syndrome Hx: Polydipsia, Polyuria, Labs:
Hypertension, Fatigue, Serum cortisol after 1mg
Obesity, Cardiomegaly Dexamethasone suppression test: 4
ug/dL (Normal)

Metabolic Syndrome Hx: Hypertension, Obesity, Hx: (-) Xanthoma

Polyuria, polydipsia (-) Osteoporosis
Labs: (-) PCOS
FBS= 206 mg/dL (increased)
Triglycerides= 235 mg/dL
(increased)
HDL= 31 mg/dL (decreased)
Diabetes Insipidus Hx: Polydipsia, Polyuria, Labs:
Blurry vision, Nocturia, SG in Urinalysis= 1.015 (Normal)
IV. Pathophysiology