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A 60-year-old patient comes into your office with a history

A 60-year-old patient comes into your office with a history of hypertension and a myocardial infarction 13 years ago. You notice that both of her ankles are swollen and that her skin seems shiny. She first noticed her ankle swelling 9 months ago and it has gotten progressively worse. She has a smell of ammonia on her. She also has a 2 year history of diabetes.

Bedise Kidney disease, HTN, MI, and diabete what another 2 diagnosis diseases? smell ammonia is DKA symptom?

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Dissertation: A 60-year-old patient comes into your office with a history

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