i-Human Week #8: Burning/Tingling Feet in 60-Year-Old Male
| Differential Diagnosis: Diabetic Neuropathy vs. Alcoholic
Neuropathy (Full Case Study)
,● Asked ✗ Not asked
Graded Approach Question Response Information Obtained Clinic Notes
I've been having this burning and
How can I tingling in both my feet that's
help you getting worse, especially at night
● CC Sx today? when I try to sleep.
Do you have
any pain in My lower back gets sore from
your legs or work, but nothing like the burning
● Assoc Sx back? in my feet.
Have you
noticed any Yes, I can't always feel the gas
numbness pedal when I'm driving—I have to
or loss of look down to make sure my foot is
● Assoc Sx sensation? on it.
Do you have
any
weakness in No weakness, but my balance
your legs or feels off when I get up at night to
● Assoc Sx feet? use the bathroom.
Have you
had any I haven't had an eye exam in about
changes in 4 years, but things seem blurrier
● Assoc Sx your vision? lately.
Do you have
any chest
pain or
✗ Assoc Sx palpitations? No, nothing like that.
, Graded Approach Question Response Information Obtained Clinic Notes
Have you
had any
increased
thirst or Yes, I've been waking up 2-3 times
frequent every night to urinate and I'm
● Assoc Sx urination? drinking water all day.
Do you have
any fever,
chills, or No fever, but I had a cut on my left
signs of foot last month that took 3 weeks
● Assoc Sx infection? to heal.
Do you have
any nausea
✗ Assoc Sx or vomiting? No.
Do you have
any erectile
dysfunction [Hesitates] Yes, I've had some
or sexual trouble in that area for the past
● Assoc Sx concerns? year or so.
OLD-CARTS for the HPI
Graded Information Obtained Clinic
Approach Question Response Notes
When did
About 6 months ago, just in my
the tingling
toes at first, but now it's spread
and burning
● Onset up to my ankles.
in your feet
| Differential Diagnosis: Diabetic Neuropathy vs. Alcoholic
Neuropathy (Full Case Study)
,● Asked ✗ Not asked
Graded Approach Question Response Information Obtained Clinic Notes
I've been having this burning and
How can I tingling in both my feet that's
help you getting worse, especially at night
● CC Sx today? when I try to sleep.
Do you have
any pain in My lower back gets sore from
your legs or work, but nothing like the burning
● Assoc Sx back? in my feet.
Have you
noticed any Yes, I can't always feel the gas
numbness pedal when I'm driving—I have to
or loss of look down to make sure my foot is
● Assoc Sx sensation? on it.
Do you have
any
weakness in No weakness, but my balance
your legs or feels off when I get up at night to
● Assoc Sx feet? use the bathroom.
Have you
had any I haven't had an eye exam in about
changes in 4 years, but things seem blurrier
● Assoc Sx your vision? lately.
Do you have
any chest
pain or
✗ Assoc Sx palpitations? No, nothing like that.
, Graded Approach Question Response Information Obtained Clinic Notes
Have you
had any
increased
thirst or Yes, I've been waking up 2-3 times
frequent every night to urinate and I'm
● Assoc Sx urination? drinking water all day.
Do you have
any fever,
chills, or No fever, but I had a cut on my left
signs of foot last month that took 3 weeks
● Assoc Sx infection? to heal.
Do you have
any nausea
✗ Assoc Sx or vomiting? No.
Do you have
any erectile
dysfunction [Hesitates] Yes, I've had some
or sexual trouble in that area for the past
● Assoc Sx concerns? year or so.
OLD-CARTS for the HPI
Graded Information Obtained Clinic
Approach Question Response Notes
When did
About 6 months ago, just in my
the tingling
toes at first, but now it's spread
and burning
● Onset up to my ankles.
in your feet
