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Download Imaging of Vascular Complications of Diabetes
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Imaging of Vascular Complications of Diabetes By Dr Ashok MANRAJ Medical Update 13.12.06 Complications of diabetes Catch them young, else they spread like wildfire A Metabolic – – – – Hypoglycemia Ketoacidosis Hyperosmolar coma Lactic acidosis B Infections C Vascular complications Dr Ashok Manraj Medical Update 13.12.06 Vascular complications of diabetes Microangiopathic .Retinopathy .Nephropathy .Neuropathy Macroangiopathic .Coronary artery disease .Cerebro-vascular disease .Peripheral vasc. disease Peripheral vascular disease in diabetics differs from that in non-diabetics Frequency Age of onset Clinical course Occlusion Lower limbs Vessels involved Diabetic Non-diabetics More common Less common Younger age Older age Rapid Less Rapid Multisegmental Single segment Both Unilateral Proximal & distal Distal Doppler criteria of stenosis of carotid arteries % diameter reduction Normal 1-15% 16-49% 50-79% 80-99% Doppler PSV<125 Clear window PSV<125 Min spec broad PSV <125 Spec broad PSV>125 Inc Dias flow Marked spec broad PSV>200 EDV>140 Clinically Normal Minimal disease Moderate disease Mod severe Markedly severe
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