RCGP Curriculum - 15.6 Metabolic Problems

This section of our curriculum guide refers to statement 15.6, Metabolic Problems, produced by the Royal College of General Practitioners (RCGP).

Photograph: Jason Heath Lancy
Photograph: Jason Heath Lancy

Metabolic problems, such as obesity, diabetes mellitus, thyroid disorders, dyslipidaemia and endocrine disturbances are a central part of the GP workload. The prevalence of obesity has trebled in the UK over the past 20 years and with this come the associated clinical problems.

Here we have collated key articles from our journals to help you meet the curriculum requirements in this area.

In this section you will find articles on:

Symptoms

Diabetes mellitus

Hyperlipidaemia

Obesity

Thyroid disorders

Other conditions

Investigations

Treatment

Emergency care

Prevention

Other related articles

 

Symptoms

Diabetes mellitus: polydipsia, polyuria, weight loss, infections
Hyperlipidaemia: xanthelasma
Hyperuricaemia: gout

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Hypothyroidism: tiredness, weight gain, constipation, hoarse voice, dry skin and hair, menorrhagia

Hyperthyroidism: weight loss, tremor, palpitations, hyperactivity, exophthalmos, double vision

Diabetes mellitus

Type 1
Type 2
Impaired glucose tolerance and metabolic syndrome

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Hyperlipidaemia

Obesity

Thyroid disorders

Parathyroid disease
Hypothyroidism
Hyperthyroidism
Goitre
Thyroid nodules

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Other conditions

Adrenal disease (Cushing’s, Addison’s, phaeocromocytoma, hyperaldosteronism)
Pituitary disease (prolactinoma, acromegaly, diabetes insipidus)

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Investigations

BMI calculation
Capillary glucose measurement
HBA1c
Albumin: creatinine ratio
Serum electrolyte and urate results
TFTs
Lipids
Visual acuity and retinal photography

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Treatment

Chronic disease management
Principles of treatment

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Emergency care

Acute management of diabetic emergencies
Acute management of thyroid emergencies
Recognition and primary care management of Addisonian crisis

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Prevention

Health promotion activities include dietary modification and exercise advice.
Obesity and diabetes as risk factors
Prevention of hyperuricaemia

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Other related articles

These curriculum resources are regularly updated with relevant articles from our range of healthcare publications. All articles are reviewed by GP advisers. We have set the standard lifetime of an article at two years and will aim to renew all articles within that timeframe. However, some older articles will remain in the listing if our reviewers believe there to be no significant changes to the topic covered.

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