R.H. is a 62-year-old woman who comes to the clinic for a routine physical assessment. She works as a banking executive and gets little exercise. She says she is “just tired.” She has gained 18 pounds over the past year and eats a high-fat diet. Her BP is 162/98, heart rate is 92, and respiration rate is 20. R.H. describes some weakness in her right foot that began about a month ago. She says it also feels a little numb. A sensory examination reveals diminished sensations of light touch, proprioception, and vibration in both feet. R.H. reports increased thirst and frequent nighttime urination. She denies any other weakness, numbness, or changes in vision. Assessment reveals an erythematous scaling rash in both inguinal areas and in axillae. What risk factors for diabetes does R.H. have? diminished vision obesity sedentary lifestyle aging R.H. states the rash has been there on and off for several years and is worse in the warm weather.
[Answered]: R.H
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