Satyendra Dhar, MD @DharSaty
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Hospital Medicine Assistant Clinical Professor Images on this website are 'NOT' a substitute for clinical judgment or Medical Advice. Opinions on this website are our own and do not represent the opinions of any affiliated institutions. Please don’t use this website for medical advice but instead consult with your healthcare provider. The images listed are solely intended for educational & informational purposes 'ONLY', to allow topics in Medicine to be explained in a compact & easy to comprehend manner. Images/graphic materials may have been taken from published research articles & Google images/Scholar. Although images are curated, there is no way to guarantee a consistent standard of accuracy & quality across the library of images. πŸ‘‰ Follow 'Medical Infographics' on πŸ‘‰ https://www.DharSaty.com
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Management of Diabetes Mellitus in Patients With CKD

1. Monitor for changes in BP, serum creatinine, &
of an ACEi or ARB ... Continue ACEi or ARB ... ml/min per 1.73 m2 ... ADA/KDIGO Consensus ... ADA #KDIGO #eGFR
Estimating the Total Daily Dose (TDD) of Insulin: Weight-Based Dosing
TDD in units of insulin = N
including most 2 diabetics ... approximately 1/2 as ... Add sliding scale ... endocrinology #diabetes ... #DM2
INSULIN CONVERSION

Total daily dose of insulin (TDD) =
& most type 2 DM ... Administer: Β½ as ... for patients who are ... DharSaty #insulin #diabetes ... hyperglycemia #dm2
Bleeding manifestations 
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
typically <2 mm in diameter ... Bruise (also called ... blood normally has ... Diagnosis VWF ... Petechiae #Purpura #Bruise
Hemoglobin A1c (glycated hemoglobin) reflects the average blood glucose concentration over the course of the RBC
glucose measurements are ... ADA Recommendations ... Older adults who are ... Serum proteins are ... glycatedproteins #eAS
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
coma and death as ... Rise in blood urea ... the circulation, as ... well as stimulate ... juxtaglomerular cells, which are
DKA DIAGNOSTIC CRITERIA:
1. Serum glucose >250 mg/dL
2. Arterial pH <7.3
3. Serum bicarbonate <18 mEq/L
4. At least
DKA DIAGNOSTIC CRITERIA ... have new-onset diabetes ... DKA admissions are ... Euglycemic Diabetic ... closes and acidosis has
Creatine kinase (CK) is an intracellular enzyme present in skeletal muscle, myocardium & brain; smaller amounts
The definitive diagnosis ... Elevated levels of CK are ... creatine kinase + ADP ... , confirms the diagnosis ... Myoglobin levels rise
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
yield of available diagnostic ... > 3 cm in diameter ... categorized as ... than 10 mm in diameter ... 70% to 90% for a diagnosis
Upper Motor Neuron (UMN) lesions are lesions occurring anywhere in the CNS from the brain up
motor neurons arise ... The lesion could arise ... the differential diagnosis ... neurotransmitter as ... within itself as