Hyperglycemia in a 56-Year-Old Woman

Review of Systems

  • General: Increased thirst and is drinking more water. Appetite is normal and her weight at home has been unchanged for several months. She denies lethargy, fever, chills, or night sweats.

  • Skin: No rash, pruritus, or lesions

  • HEENT: No change in vision, sore throat, dysphagia

  • Pulmonary: No cough, shortness of breath, wheezing

  • Cardiovascular: No chest pain, pressure, or discomfort; no orthopnea, dyspnea on exertion, or paroxysmal nocturnal dyspnea.

  • Gastrointestinal: No abdominal pain, nausea, vomiting, diarrhea

  • Genitourinary: Increased urinary frequency without urgency, dysuria, or blood in urine. No vaginal discharge or itching.

  • Musculoskeletal: No joint or muscle pain, no sores or lesions on feet.

  • Neurologic: Has numbness and tingling in both feet that comes and goes throughout the day. No headache, tremor, change in gait.

  • Psychiatric: No mood swings, depression, or anxiety.