EP073 - Urinary Frequency and Mature-Onset Diabetes Mellitus

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated medical consultation for a 60-year-old man presenting with urinary frequency and other concerning symptoms. It details the tasks for a medical candidate, including taking a focused history, summarising findings, determining the most likely diagnosis, and discussing examination aspects and initial tests. The case also provides patient information and examiner instructions, revealing a constellation of symptoms such as increased urination, thirst, weight loss, and erectile dysfunction, which collectively point towards a strong suspicion of Type 2 Diabetes Mellitus. Crucially, the case emphasises the importance of specific diagnostic tests, like urinalysis and blood sugar assessment, to confirm this condition, highlighting the critical error of failing to perform these initial investigations.

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