The presentation which won the Best Paper award at the Students' Paper Presentation in Rhapsody 2010. This paper was presented by Dr. Rimesh Pal Medical College Kolkata, 3rd Professional MBBS Student.

1. DIABETES MELLITUS PRESENTING COMPLAINTS AND CLINICAL EXAMINATION

3. OTHER COMMON SYPMTOMS

4. ACUTE SYMPTOMS

5. UNCOMMON SYMPTOMS

7. POLYDIPSIA

10. RECURRENT SKIN INFECTIONS.

11. DRY, SCALY SKIN

12. DELAYED WOUND HEALING.

13. PALPITATION & BREATHLESSNESS.

14. CLAUDICATION.

15. DIZZINESS ON STANDING.

16. SUDDEN LOSS OF CONSCIOUSNESS.

18. RECURRENT NAUSEA AND VOMITING.

19. DIARRHOEA/CONSTIPATION.

20. URINARY INCONTINENCE.

21. ERECTILE DYSFUNCTION.

23. COMMON PRESENTING COMPLAINTS

24. ACUTE SYMPTOMS HYPERGLYCAEMIC HYPEROSMOLAR STATE DIABETIC KETOACIDOSIS

26. HYPOGLYCAEMIC SYMPTOMS

29. PULSE

30. BLOOD PRESSURE

31. RESPIRATION

32. STATE OF HYDRATION(SKIN & MUCOUS MEMBRANE) KUSSMAUL BREATHING IN THE NON-ACUTE SETTING, IN ADDITION TO THE ABOVE PARAMETERS,MEASUREMENT OF BMI AND WAIST TO HIP RATIO IS OF GREAT IMPORTANCE. ORTHOSTATIC BP SHOULD ALSO BE MEASURED. LOSS OF SKIN TURGOR—INDICATIVE OF DEHYDRATION

34. CRANIAL NERVE PALSY(III, IV, VI AND VII)

35. EYE MOVEMENTS

36. PTOSIS

37. HIRSUTISM

38. CAROTID PULSE

39. CAROTID BRUIT

40. THYROID ENLARGEMENTXANTHELASMA

42. WHITE PUPILLARY REFLEX(CATARACT)

43. SLUGGISH PUPILLARY LIGHT REFLEX.FUNDAL EXAMINATION CORNEAL ARCUS FEATURES OF NON-PROLIFERATIVE AND PROLIFERATIVE DIABETIC RETINOPATHY. CLINICALLY SIGNIFICANT MACULAR EDEMA.

45. A BUILD UP OF PLAQUE.

46. OBVIOUSLY DECAYED TEETH.

47. TYPICAL BAD BREATH OF PERIODONTITIS. A COMPLETE DENTAL EXAMINATION, INCLUDING PERIODONTAL PROBING OF GUM POCKETS, IS NECESSARY TO DETERMINE THE PRESENCE AND SEVERITY OF PERIODONTAL INFECTION. PERIODONTITIS AND GINGIVITIS

48. EXAMINATION OF SKIN AND NAIL NECROBIOSIS LIPOIDICA DIABETICORUM (OVER SHIN) GRANULOMA ANNULARE (OVER ELBOW) ACANTHOSIS NIGRICANS (OVER AXILLA) DIABETIC DERMOPATHY (OVER SHIN) BULLOSIS DIABETICORUM (OVER FEET) FUNGAL NAIL INFECTIONS (IN THUMB)

49. EXAMINATION OF HANDS DUPUYTREN’S CONTRACTURE TRIGGER FINGER DIABETIC CHEIROARTHROPATHY (PRAYER SIGN) IN ADDITION, SENSORY LOSS AND MUSCLE WASTING MAY BE PRESENT TINEL’S SIGN PHALEN’S SIGN CARPAL TUNNEL SYNDROME

51. UPPER THIGH/BUTTOCKS.

53. LIPODYSTROPHY

54. LIPOHYPERTROPHY

55. LIPOATROPHYLIPOATROPHY LIPOHYPERTROPHY

58. SENSORY ABNORMALITY.

59. DRY SKIN AND HAIR LOSS.

60. ABSENT/WEAK FEMORAL PULSE.

61. FEMORAL BRUIT.

62. LOSS OF KNEE/ANKLE JERKS.ELICITATION OF ANKLE JERK

64. CALLUS.

65. LOSS OF PLANTER ARCH.

66. DIABETIC FOOT ULCER.

67. DISCOLOURISATION OF SKIN(DUE TO ISCHAEMIA).

68. FUNGAL INFECTIONS.CHARCOT NEUROARTHROPATHY CLAW TOE DIABETIC FOOT ULCER

71. CRUDE TOUCH(USING BLUNT END OF PIN)

72. PAIN(USING TIP OF PRICK).

73. TEMPERATURE

74. VIBRATION(USING 128 Hz TUNING FORK).

75. PROPRIOCEPTIONMAY BE ABNORMAL. PALPATION OF ARTERIA DORSALIS PEDIS PULSE.

77. THANK YOU