50 year old housewife complain of progressive weight loss; 20 lbs in 1 year, fatigue, slight memory loss and constipation. The patient has diabetes for 15 years.
Physical examination: –
Temperature: 96.8 0F (36 0C) Normal 37 0C
Pulse: 82/min. (60 to 100/ min)
Blood pressure: 170 /100 mm/Hg. (120/80 – 140/90 mm/Hg)
Moderately obese. Speaks slowly with a puffy face. Pale cool skin. 3+ leg oedema.
Laboratory Studies: –
CBC and WBC diff normal, T4 3.8 µg/dl (4.5 – 12.5 µg/dl). Serum TSH 1 µg/dl (0.2 – 3.8 µg/dl), Serum cholesterol 255 mg/dl (<200 mg/dl).
What is the most likely cause?
Likely Diagnosis - Peripheral neuropathy.
It is a disorder that occurs when these nerves malfunction because they’re damaged or destroyed. This disrupts the nerves’ normal functioning. This can be due to:
an injury
systemic illness
an infection
an inherited disorder
In this case this is due to diabetes .
50 year old housewife complain of progressive weight loss; 20 lbs in 1 year, fatigue,...
50 year old housewife complain of progressive weight loss; 20 lbs in 1 year, fatigue, slight memory loss and constipation. The patient has diabetes for 15 years. Physical examination: – Temperature: 96.8 0F (36 0C) Normal 37 0C Pulse: 82/min. (60 to 100/ min) Blood pressure: 170 /100 mm/Hg. (120/80 – 140/90 mm/Hg) Moderately obese. Speaks slowly with a puffy face. Pale cool skin. 3+ leg oedema. Laboratory Studies: – CBC and WBC diff normal, T4 3.8 µg/dl (4.5...
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