Diabetic Case: 47-year-old Woman with Pain on Urination, Frequent Urination, and Urine Urgency
Über den Vortrag
Der Vortrag „Diabetic Case: 47-year-old Woman with Pain on Urination, Frequent Urination, and Urine Urgency“ von Michael Lazarus, MD ist Bestandteil des Kurses „Year 3 – Internal Medicine“.
Quiz zum Vortrag
Which of the following would be an appropriate alternative to repeating the HbA1c test twice for diagnosing type 2 diabetes mellitus?
- Plasma glucose level after a 2-hour 75-g oral glucose tolerance test result of greater than or equal to 200 mg/dL
- Fasting plasma glucose level of 100–125 mg/dL
- Random plasma glucose level of 140–199 mg/dL
- C-peptide level greater than twice the upper limit of normal
- Anti-islet cell antibodies
Which of the following is the cutoff of HbA1c for diagnosing type 2 diabetes mellitus?
- 6.5%
- 8.0%
- 5.7%
- 9.0%
- 5.5%
After treating the UTI, what is the best next step in management for the following case? A 47-year-old woman presents with pain on urination, urinary urgency, and increased frequency for 4 days. This is the third time over the past 7 months that she has had these symptoms and was recently treated for a fungal skin infection. Family history: Father has type 2 DM complicated by end-stage chronic kidney disease. Physical examination: Temperature of 36.7°C (98.0°F), blood pressure of 110/70 mm Hg, pulse of 75 beats/min, and a BMI of 41 kg/m2. Laboratory test result: HbA1c is 8.5%.
- Recheck HbA1c to confirm the diagnosis (>6.5%)
- Order fasting glucose test (with a repeat test to confirm level > 126 mg/dL)
- Order random glucose test (with a repeat test to confirm level > 200 mg/dL)
- Perform postprandial glucose test (to check for level > 200 mg/dL)
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Dozent des Vortrages Diabetic Case: 47-year-old Woman with Pain on Urination, Frequent Urination, and Urine Urgency
Michael Lazarus, MD
Dr. Michael Lazarus is a Professor of Clinical Medicine at the David Geffen School of Medicine at the University of California, Los Angeles (UCLA).
He obtained his MD from the University of the Witwatersrand School of Health Sciences, South Africa, and trained at the Washington University School of Medicine. In 2003, he joined the faculty at UCLA and currently serves as the Medical Director of the UCLA Hospitalist Section.
He has won various teaching awards, such as the Serge & Yvette Dadone Clinical Teaching Award, and was featured in the Los Angeles Magazine's Top Doctors Guide in 2021.
Within Lecturio, Dr. Lazarus teaches courses on Endocrinology.
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