Diabetic nephropathy is usually considered after a routine urinalysis and screening for microalbuminuria in patients with diabetes mellitus. However, patients may have physical findings concordant with long-standing diabetes, such as peripheral vascular occlusive disease (evidenced by carotid bruits and decreased peripheral pulses), evidence of fourth heart sound during cardiac auscultation, signs of diabetic neuropathy (decreased fine sensations and diminished tendon reflexes), hypertension, and nonhealing skin ulcers or osteomyelitis.
Learn more about the presentation of diabetic nephropathy.
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Cite this: A. Brent Alper. Fast Five Quiz: Diabetic Nephropathy Presentation and Diagnosis - Medscape - Apr 24, 2020.