Murtagh's Triads

Plethoric moon facies + thin extremities + muscle weakness
Study Topic Ideas

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For investigations, consider the indications for ordering the test and the key findings for common or critical conditions.
In addition to managing the key diagnoses related to each of the presenting problems above, here are some examples of key management issues to think about.
  • Bariatric surgery referrals edit
  • Commencing insulin edit
  • Diabetes cycle of care edit
  • Thyroxine monitoring edit
  • Titrating insulin edit
For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management. This list is by no means exhaustive, but here are a few assorted diagnoses to consider.
  • Acromegaly edit
  • Addison Disease edit
  • Adrenal crisis edit
  • Conn’s syndrome edit
  • Cushing syndrome edit
  • Diabetes insipidus edit
  • Diabetes mellitus type 1 edit
  • Diabetes mellitus type 2 edit
  • Diabetic leg ulcer edit
  • Gestational diabetes edit
  • Hypercalcaemia edit
  • Hyperparathyroidism edit
  • Hyperthyroidism edit
  • Hypocalcaemia edit
  • Hypopituitarism edit
  • Hypothyroidism edit
  • Myxoedema edit
  • Osteoporosis edit
  • Phaeochromocytoma edit
  • Thyrotoxicosis edit
Foundation topics like anatomy, physiology and embryology are not the main focus of GP fellowship exams. The following are examples of topics that may be useful for quizzing any medical students you are supervising:
  • Endocrine anatomy edit
Medical students may be more focused on learning basic definitions, aetiology and pathophysiology of specific diagnoses, but registrars need to focus more on clinical problem solving. For each common presenting problem, consider what would be the red flag features, the most common differentials, as well as the most dangerous and most often missed (see Murtagh for more information on this model). For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management.
Medicine is nebulous with many conditions that arise infrequently in General Practice. These topics are not the main focus of college exams but nonetheless might occasionally appear - just as they can appear in your consultation room on a Friday afternoon. Other topics are so controversial that they are very difficult to examine. Here are some examples of topics that should not be the main focus of your study.
  • Conn’s syndrome edit
  • Phaeochromocytoma edit

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