Interactive education section - Diabetes Type 2

2. With the information available, a number of possible diagnoses come to mind. Which of the following diagnoses is most likely to be correct?

(After making your selection, click on each selection for feedback)

Peripheral vascular disease

Cramps

‘Restless’ legs

Peripheral neuropathy

Varicose veins

   Continuing history

Mustafa has a family history of vascular disease, has a sedentary job, and smokes at least 10 cigarettes a day and drinks about 65gm alcohol/day. You examine his feet and notice that his nails are onychogryphotic and dystrophic. The skin on his feet is dry and there is callus on his heels and he has corns on his hammer toes.

Mustafa has a decreased response to light touch, monofilament and vibration sense on the feet and a decreased ankle jerk.

Now answer the following True/False question:

1. Mustafa’s peripheral circulation is impaired.

True

False

Click here for the author's answer

Continuing history

Mustafa asks what is causing the trouble then? Select your answer from the following.

You tell him:

Mustafa, you have damage to the nerves in your legs

You have clinical diabetic peripheral neuropathy.

Your blood sugar control could be better

You should reduce your alcohol intake.

Click on each selection above for feedback

This educational section is from:
Diabetes Type 2 (CD ROM)
Publishers: medi+WORLD International 2002

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