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Crucigrama Sopa de Letras Hoja de Trabajo
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Chronic Diabetic Complications

Horizontales
Mildly decreased eGFR
First clinical indicator of Diabetic Nephropathy; associated with increased risk of CVD
Presence of three or more risk factors; abdominal obesity, HTN, Diabetes, HL, BP
Retinal lesions secondary to debris or ischemia
Mainstay tx for macular edema
Gold standard fundoscopic examination for diabetic retinopathy
Opacity of the lens, may be grossly visible
Hyperpigmentation, localized, insulin resistance
Microvascular changes are limited to the retina with possible macular edema or ischemia
Macroalbuminuria, Glomerulonephropathy
In the macula, white-yellow deposits assoc w/ vascular leakage
Delayed screening for diabetic retinopathy per guidelines from time of diagnosis
Oxidative stress, inflammation, HTN
Verticales
Estimated eGFR of less than 15, uremia, irreversible
Diabetic Nephropathy: Screening at time of diagnosis and annually thereafter
Laser photocoagulation approach for the treatment of proliferative DR
Violaceous, sharply demarcated, irregular borders
Proliferative diabetic retinopathy
Shower of red dots
Removal of persistent vitreous hemorrhage; tx of rapidly progressive proliferative DR
Reduces incidence of retinal vein occlusion, provides beneficial glycemic control
Should be considered in T2DM with CVD or microalbuminuria