System Findings Interpretation and Analysis

- No unexplained weight loss, night

Constitutional Symptoms sweats, fatigue/malaise/lethargy,
recent trauma, unexplained falls

Hematologic - No anemia, purpura

Allergic/Immunologic/Lymphatic - non

- Inability at a cellular level to absorb glucose (inc

- weight loss despite increased
appetite glucose resistance) with decrease pancreatic glucose
production leads to inc fat and lipid metabolism
(catabolic state)
- Polyphagia - Inc Gluconeogenesis with glycogenolysis brain sees
Endocrine this as fasting state

- Polyuria - Hyperglycemic state exceeds renal threshold, inc

glucosuria. Glucose causes osmotic dieresis

- Inc osmotic dieresis leads to dehydration, Inc thirst and

- Polydipsia
ADH

- No depression, sleep patterns,

Psychiatric
anxiety

- No verbal output x 1 week - Expressive aphasia (Broca’s Area) , difficulty of

Neurological speaking
 - Blurred vision - Glucose readily absorbed by the lens, cx flexibility and
Eyes shape

- shortness of breath - Increase afterload due to hypertension cld lead to LVH

and thus left sided dysfunction
- No exercise intolerance, PND,
Cardiovascular orthopnea, edema, palpitations,
faintness, loss of consciousness,
claudication

- No cough, sputum, wheeze,

Respiratory
hemoptysis

- No runny nose, frequent nose bleeds

(epistaxis), sinus pain, stuffy ears,
Ears, Nose, Mouth, and Throat ear pain, ringing in ears (tinnitus),
(ENT) gingival bleeding, toothache, sore
throat, pain with swallowing
(odynophagia)

- Difficulty in swallowing
Gastrointestinal

Integumentary - No pruritus, rashes

- No pain, stiffness (morning vs day

Musculoskeletal long, improves/worsens with activity),
joint swelling
 - Long standing diabetes and hypertension increases
vascular permeability thus increase extracellular matrix
Urinary - Edema
accumulation thickens the glomerulus leads to
glomerulosclerosis.