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First Aid for the USMLE Step 1 (2021)
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Page 354 -

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First Aid for the USMLE Step 1 (2021) | Physician Assistant (PA) School Study Aid

Page 354 -
7 Picmonics to Learn | 13 mins
Diabetes Assessment
Assessment Type 1
Juvenile Onset
Absent Insulin Production
Ketosis Prone
Assessment Type 2
Adult Onset
Insulin Resistance
Obesity
Gestational Diabetes
Onset During Pregnancy
Glucose Intolerance
Complications
Retinopathy
Peripheral Vascular Disease
Nephropathy
Neuropathy
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2 mins
Diabetic Glomerulonephropathy
Pathophysiology
Nonenzymatic Glycosylation of Glomerular Basement Membrane
Nonenzymatic Glycosylation of Arterioles
Hyperfiltration
Increased GFR
Histological Findings
Hyaline Arteriolosclerosis
Mesangial Expansion
Type IV Collagen Deposition
Kimmelstiel Wilson Lesions
Presentation
Nephrotic
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2 mins
Nonproliferative Diabetic Retinopathy
Characteristics
Increased Capillary Permeability and Leakage
Often Asymptomatic
Fundoscopic Findings
Retinal Microaneurysms
Flame-shaped Hemorrhages
Cotton Wool Spots
Hard Exudates
Macular Edema
Management
Treat Diabetes
Laser Photocoagulation
Bevacizumab
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3 mins
Proliferative Diabetic Retinopathy
Characteristics
Angiogenesis
Increased VEGF
Asymptomatic Until Late-stage
Fundoscopic Findings
Vitreous Hemorrhage
Retinal Detachment
Glaucoma
Findings of Nonproliferative Diabetic Retinopathy
Management
Laser Photocoagulation
Surgery
Bevacizumab
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2 mins
Blood Glucose Lab Value
70-100 mg/dL
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25 secs
Hemoglobin A1c Lab Value
4-6%
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1 min
Diabetes Education
Self-Monitoring (Blood Glucose)
SubQ Injection Technique
Lifestyle Changes
Symptoms of Hyperglycemia and Hypoglycemia
Sick Day Care
Foot Care
Exercise Therapy
Medication
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1 min

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