| Goal & Educational Purpose |
The
resident should develop the skills to recognize, diagnose treat
endocrinologic and metabolic problems that will be seen in general
internal medicine practice; the resident should know when to refer cases
to a more specialized physician or center; extensive skills should be
developed for diabetes mellitus, thyroid problems, hypertension, lipid
disorders and menopausal management. |
| Objectives |
- Diagnoses and
management of all aspects of diabetes mellitus – Type 1 and 2,
peripheral manifestations and complications, referral to ophthalmologist
and surgeon, DKA, H HNK, hypoglycemia, insulin resistance, insulin
regimens, oral agents, operative and preoperative cases, physiologic
problems, pregnancy, adolescent diabetes, etc.
- Same for thyroid
disorders – hypo, hyper types, nodules, neoplasia, goiters, masked
types, operative management, recognition and emergency treatment of
thyroid storm, etc.
- Hypertension –
skill in suspicion, diagnosis and treatment of secondary and essential
types, extensive knowledge of most recent JNC report.
- Lipid problem
evaluation and treatment with extensive knowledge of most recent NCEP
report.
- Osteoporosis and
management of post-menopausal female, osteomalacia.
- Causes of and
management of hyponatremia
- Causes of and
management of hypercalcemia and hypocalcemia, diagnosis of hyper and
hypo – parathyroidism.
- Clinical signs
and symptoms of acromegaly and other growth hormone disorders of adults,
some exposure to growth disorders of children.
- Clinical signs
and symptoms of hypopituitary and excess pituitary hormone disorders.
- Diagnoses,
treatment, general management, operative management of hypoadrenal and
hyperadrenal states.
- Clinical signs,
symptoms and differential diagnosis of pheochromocytoma
- Appreciation of
complexities, presentations and occult nature of porphyria
- Recognition and
diagnosis of hemachromatosis
- Acquaintance
with hypo- and hyper-testosterone state
- Knowledge of and
skills to evaluate impotence in men.
|
