Endo

Question 1

T1DM questions

Answer 1

Rule out DKA- abdo pain, N&V, weight loss, thirst, going to toilet
Check for hypoglycaemia symptoms- light-headed, tremor
Any episodes where been admitted for hypoglycaemia, or dibetic ketoacidosis
Monitoring, what does that show?
Screening for retinopathy etc?

Question 2

Long term T1DM management

Answer 2

Education programme at diagnosis
HbA1c monitored every 6 months and review hypoglycaemia and daily CBG etc
Screened annually for microvascular complications

Question 3

POI management

Question 4

PCOS management

Question 5

General endo questions to ask

Answer 5

Headaches
Problems with vision
Skin changes
Changes in weight
Problems with periods if woman
Erectile problems and libido if man

Question 6

Suspected diabetes questions

Answer 6

Weight changes
Increased frequency of urine
Thirst
Urinary infections
Skin changes- acanthosis nigricans

Question 7

HHS screening questions

Answer 7

Severe polyuria and thirst
Nausea
Confusion
Precipitating factor- illness

Question 8

Differentials for polyuria and thirst

Answer 8

Diabetes insipidus
Diabetes mellitus
Hypokalaemia
Hypercalcaemia
Diuretics

Question 9

Important acute hypercalcaemia management

Answer 9

ECG
Fluids and bisphosphonates if malignant