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Core
Adult Internal Medicine Disciplines
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Core Adult Internal Medicine Disciplines
Endocrinology
and Metabolism
Topics
- Basic mechanisms
of hormone action in health and disease:
- Structure and
synthesis of peptide and steroid hormones.
- Transport and
delivery of hormones to target organs.
- Negative feedback
control of hormone secretion.
- Interaction
of hormones with receptors and second messengers.
- Molecular endocrinology
- the basics.
- Assessment of endocrine
function:
- Interpreting the
results of common endocrine laboratory tests.
- Assessment and
management of functioning and nonfunctioning anterior pituitary tumours,
hyperprolactinaemia, acromegaly.
- Hypopituitarism.
- Thyroid disorders:
- Diagnosis and
management of hyper- and hypothyroidism, thyroid nodule and goitre.
- Diagnosis and
principles of management of thyroid carcinoma.
- Diagnosis and management
of syndromes of adrenocortical insufficiency and excess.
- Assessment and
principles of management of adult hypogonadism, disorders of fertility,
male impotence and use of gonadal hormone replacement.
- Assessment and
management of hirsutism and androgen excess syndromes in children and
in adult females.
- Endocrine causes
of hypertension.
- Investigation and
management of hypernatremia and hyponatremia.
- Diagnosis and management
of hypercalcemia, including hyperparathyroidism and hypercalcemia of
malignancy.
- Investigation and
management of hypocalcemia.
- Investigation and
management of osteoporosis and fractures with minimal trauma:
- Interpretation
of bone mineral density reports in the clinical context of osteoporosis
assessment.
- Paget's disease
of bone.
- Diagnoses and management
of important ectopic humoral syndromes.
- Investigation and
management of hyperlipidemia.
- Diagnosis and management
of diabetes and its important ocular, renal, neurologic and vascular
complications, including:
- Initial management
of newly presenting diabetes.
- The pathophysiological
basis of insulin-dependent and non-insulin-dependent diabetes and
implications of this for treatment.
- Management
of diabetes during surgery and during acute illness.
- Multidisciplinary
approach to modern diabetes care and the importance of patient participation
and diabetes education.
- The pathophysiological
basis of hyperglycaemia/ketoacidosis and hypoglycaemia.
- The causes
and consequences of dyslipidaemia and other diabetes related cardiovascular
risk factors.
- Management
of erectile dysfunction.
- Management
of renal disease in diabetes.
- Management
of the diabetic foot: prevention and treatment of diabetic foot
ulceration.
- Principles
of management of diabetes in pregnancy including gestational diabetes.
Practical Skills
for all Trainees
- Ophthalmoscopy
for vitreo-retinal disease.
- Managing insulin
and oral hypoglycaemic therapy.
- Fingerprick blood
glucose monitoring.
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