Residents Rotating on Endocrinology

Learning Expectations/Obectives
It is expected that over the course of this rotation that you will develop familiarity with a wide variety of emergent and non-emergent endocrine disorders.

ENDOCRINE EMERGENCIES:

  • Glucose Metabolism (DKA/Hyperosmolar Coma; Hypoglycemia)
  • Thyroid Disease (Thyroid Storm; Myxedema Coma)
  • Adrenal Insufficiency (Sodium and Water Metabolism; Hyponatremic Encephalopathy)
  • Calcium Metabolism (Hypercalcemia; Hypocalcemia)
  • Hypertension (Pheochromocytoma)
  • Chylomicronemia Syndrome


NON-EMERGENT ENDOCRINE DISORDERS:

  • Diabetes Mellitus Types I and II. Hyperglycemia (Perioperative Management and Monitoring); Complications (Nephropathy, Retinopathy and Neuropathy)

    • Diabetes Hospital Management Cheat Sheet
  • Lipid Disorders (Familial Hypercholesterolemia; Familial Combined Hyperlipidemia; severe Hypertriglyceridemia)
  • Thyroid Disease (Nodules/Cancer; Hyperthyroidism; Graves Disease; Hashimoto's Thyroiditis; Thyroid Function Tests - Non-thyroidal illness)
  • Adrenal Disease (Cushing's Syndrome; Adrenal Masses; Hyperaldosteronism)
  • Bone and Mineral Metabolism (Hyper/hypocalcemia; Osteoporosis; Osteomalacia)
  • Pituitary (Mass effects from tumors; Hyper/hypofunction)
  • Gonadal (Primary and Secondary Hypogonadism; Menopause-Hormone Replacement Therapy; Hirsutism)

Understanding of these various topics will in most cases be a natural consequence of active participation in the clinical responsibilities of the Endocrine Consult Service. However, in the absence of adequate clinical material, some topics may require additional supplemental reading.