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Medicine

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Endocrine

Question
13 out of 33
 

Which electrolyte imbalance can occur in a diabetic patient with normal blood urea & serum creatinine?



A Hyperkalemia
B Hypokalemia

C Hypernatremia
D Hypocalcemia

Ans. A

Hyperkalemia

Extra Edge: In diabetes, patient may develop hyperkalemia without renal failure because of RTA type IV. (MCQ)

Extra Edge:

1). Pancreatic transplantation (or Beta-islet cell transplantation) may improve proteinuria in early stages.

2). ACEI are given as nephro protective drug.

3). ACEI are contraindicated in CRF because they cause hyperkalemia.

Extra Edge: (Ref: Hari -18th ed. Pg -2982)

1). DM is the leading cause of blindness

2). Individuals with DM are 25 times more likely to become legally blind than individuals without DM.

3). The pathophysiologic mechanisms invoked in nonproliferative retinopathy:

a. Loss of retinal pericytes

b. Increased retinal vascular permeability

c. Alterations in retinal blood flow

d. Abnormal retinal microvasculature

e. All of which lead to retinal ischemia.

4). Fluorescein angiography is useful to detect macular edema, which is associated with a 25% chance of moderate visual loss over the next 3 years.

5). Duration of DM and degree of glycemic control are the best predictors of the development of retinopathy.

6). Hypertension is also a risk factor.

Endocrine Flashcard List

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