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  #1  
Old 05-08-2012
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Default Diabetes question

55 year old man comes to the physician after being told at a health fair that he has type 2 diabetes. He is asymptomatic and besides being a 'big eater,' he has no other bad habits. He does not smoke cigarettes. He drinks 2-3 glasses of wine a week. In 5 years he is most likely to exhibit which of the following?

a.Fatty liver
b.Intermittent Claudication
c.Motor neuropathy
d.Retinopathy
e.3+ proteinuria
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  #2  
Old 05-08-2012
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The answer is retinopathy...i had this question before somewhr in uworld or qbook can't remember...but answer is retinopathy its the late complication of diabetes all others are earlier symptoms...

hope tht helps
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  #3  
Old 05-08-2012
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Quote:
Originally Posted by 5hstar View Post
The answer is retinopathy...i had this question before somewhr in uworld or qbook can't remember...but answer is retinopathy its the late complication of diabetes all others are earlier symptoms...

hope tht helps
I thought the question was asking which will be the earliest sign since he's a healthy patient with diabetes...
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Old 05-08-2012
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Quote:
Originally Posted by 5hstar View Post
retinopathy its the late complication of diabetes all others are earlier symptoms...
Diabetic Nephropathy (3+ proteinuria) is a very late complication and it happens over a course of 10+ years since it takes time for the non-enzymatic glycosylated products to deposit and cause the nephropathy. Early signs of this would be proteinuria (microalbuminuria) but not 3+; its usually less than 300 mg /day initially.

Just clearing that fact but I'm not sure what the answer ...
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they are asking in 5 years...wht he will get thats a late complication...its retinopathy... u got this questn from qbook or uworld...i know i did this questions i think in on uworld.. n answer was retinopathy
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Old 05-08-2012
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Quote:
Originally Posted by 5hstar View Post
they are asking in 5 years...wht he will get thats a late complication...its retinopathy... u got this questn from qbook or uworld...i know i did this questions i think in on uworld.. n answer was retinopathy

Its a Qbook question. I wouldn't post a UWorld question up considering people take uworld seriously.
The answer is retinopathy as you said. In the explanation it says retinopathy usually precedes the development of diabetic nephropathy and proteinuria. Reason I posted this up is because I thought proteinuria was the first sign.
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  #7  
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ohk yeah sry wasn't sure...i couldn't remember whether i did it in uworld or qbook...
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