Medical history (history of illness) represents an important component in the diagnosis of diabetic coma.
Family history
- What is the general health of your family members?
- Are there any diseases in your family that are common?
- Are there any hereditary diseases in your family?
Social history
- What is your profession?
- Are you exposed to harmful working substances in your profession?
Current medical history / systemic anamnesis (somatic and psychological complaints) [if necessary, external anamnesis].
- What symptoms have you noticed?
- How long have these changes been present?
- Are you or the patient very thirsty? How much do you or the patient drink per day (in l)?
- Do you or the patient have to urinate frequently?
- Do you or the patient have a loss of appetite?
- Do you or the patient suffer from nausea, vomiting?
- Do you or the patient have abdominal pain?
Vegetative anamnesis incl. nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Are you underweight? Please tell us your body weight (in kg) and height (in cm).
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
- Do you use drugs? If yes, which drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (especially diabetes mellitus).
- Operations (operations with relevance)
- Radiotherapy
- Vaccination status
- Allergies
- Pregnancies
- Medication history
Medication history
- Acetylcholinesterase inhibitors (donezepil, galantamine, rivastigmine).
- Alpha-sympatholytics (phenoxybenzamine).
- Antiarrhythmics
- Class Ib antiarrhythmics (lidocaine).
- Diuretics (dehydrating drugs).
- Hormones
- Glucocorticoids
- Insulin
- Hypnotics (sleeping pills)
- Muscle relaxants
- Benzodiazepines (tetrazepam)
- Opiates
- Protease inhibitors
- Sedatives (tranquilizers)
- Triptans (sumatriptan)
Environmental history inc. Intoxications (poisonings)
- Intoxications as caused by:
- Alkaloids
- Alcohol
- Hypnotics (sleeping pills)
- Carbon monoxide
- Hydrocarbons (aliphatic, aromatic)
- Opiates (painkillers such as morphine)
- Sedatives (tranquilizers)
- Hydrogen cyanide/potassium cyanide
