Endocrine Disorders, Nutrition and Metabolism
| Code: | MI434 | Acronym: | DENM |
| Keywords | |
|---|---|
| Classification | Keyword |
| OFICIAL | Medicine |
Instance: 2023/2024 - 2S 
| Active? | Yes |
| Responsible unit: | Department of Medicine |
| Course/CS Responsible: | Integrated Master in Medicine |
Cycles of Study/Courses
| Acronym | No. of Students | Study Plan | Curricular Years | Credits UCN | Credits ECTS | Contact hours | Total Time |
|---|---|---|---|---|---|---|---|
| MIMED | 130 | Plano Oficial 2021 | 4 | - | 5 | 47 | 135 |
Teaching language
Suitable for English-speaking studentsObjectives
Main objective: To acquire the theoretical and clinical practice skills on endocrine, metabolic and nutritional pathology.Specifc objectives: To identify the most common endocrine, metabolic and nutritional disorders underlying mechanisms. To develop skills in the collection, recording and reporting of clinical information (clinical history and physical examination of endocrine, metabolic and nutritional disorders); To use the information obtained to prepare a list of problems and propose the research to differentiate the main diagnoses and resolve persistent doubts by rational use of complementary diagnostic tools (diagnostic strategy). Acquire a core of theoretical knowledge that allows the resolution of the most frequent endocrine, metabolic and nutritional conditions (resolution of clinical problems). Building a therapeutic strategy using all available means, from the non-pharmacological, such as lifestyle changes, to drugs, surgery and others means of complementary therapy, and be enable to look for information to make decisions.
Learning outcomes and competences
Syllabus and teaching methodologies were designed to allow the student to progress in the acquisition of knowledge and skills to achieve the defined learning objectives.
Evaluation methods will seek to determine whether learning objectives have been achieved and, therefore, will include a knowledgeWorking method
PresencialPre-requirements (prior knowledge) and co-requirements (common knowledge)
Students should be able to establish a dialogue with the patient, obtain a clinical history, perform a physical examination and discuss the differential diagnosis.
Students should be aware of the possible complementary diagnostic methods to use: laboratory tests, imaging tests, and other complementary diagnostic tests.
Program
Introductory Themes: 45 minutes duration; Method - Exposure.
1. Clinical and laboratory semiology of endocrine diseases;
2. Pituitary diseases (Acromegaly, Cushing's Disease, Prolactinoma, Non-functioning Adenoma, Diabetes insipidus);
3. Obesity and non-surgical treatment (nutrition, physical activity, and pharmacological treatment)
4.Surgical treatment of obesity; metabolic surgery;
5. Diabetes mellitus: Diagnosis, classification and diabetes types;
6. Late Complications of Diabetes (Neuropathy, Nephropathy, Diabetic Retinopathy and Cardiovascular Complications);
7. Gonadal dysfunction (male, female hypogonadism and erectile dysfunction);
8. Dyslipidemias;
9. Thyroid dysfunction;
10. Thyroid nodular pathology;
11. Surgical treatment of thyroid disease;
12. Disorders of phosphocalcium metabolism (hypercalcemia, hypocalcemia, metabolic bone diseases, Paget's disease, rickets);
13. Surgical treatment of parathyroid diseases;
14. Adrenal disorders (Addison's disease, congenital adrenal hyperplasia, macronodular dysplasia);
15. Endocrine-caused hypertension (hyperaldosteronism, Cushing's syndrome, pheochromocytoma);
16. Surgery in the treatment of adrenal diseases;
17. Pancreas and neuroendocrine tumors (NET's); surgical treatment;
18. Multisystem endocrine disorders (autoimmune polyglandular syndromes; multiple endocrine neoplasms);
19. Food - general principles. Assessment of nutritional status;
20. Nutrition and nutrition of patients with obesity, diabetes and dyslipidemia.
Clinical case discussion Seminars (10):
Duration 90 minutes.
Method - Clinical cases: presentation and discussion.
1. Pituitary Tumors. Faculty: Endocrinology;
2. Obesity: From prevention to therapeutics;
3. Hipercalcemia;
4. Diabetes (insulin therapy and glycemic self-monitoring);
5. Adrenal Diseases (Accidentalomas, Hyperaldosteronism, Pheochromocytoma, Cushing's syndrome);
6. Patient with diabetes: global approach;
7. Diabetes (Acute complications of diabetes);
8. thyroid cancer;
9. Thyroid nodular pathology; thyroid dysfunction;
10. Thyroid cancer. Faculty: Endocrinology, Surgery, Pathological Anatomy.
Practice – 7 practical lessons in 3 weeks: 4 lessons of Medical Endocrinology and 3 of Surgical Endocrinology.
Total: First week, 8 hours; 2nd and 3rd weeks, 4.5 hours.
Mandatory literature
Vários; Endocrinologia Clínica, Vilar L, Kater C, Naves L, Freitas MC, Albuquerque L, Diniz ET; Carvalho D, 2021. ISBN: 9788527736664Complementary Bibliography
Kelly Morrow; Krause.s food & the nutrition care process. ISBN: 978-0-323-74962-6Shlomo Melmed; Williams textbook of endocrinology. ISBN: 9780323297387
J. Larry Jameson; Harrison.s principles of internal medicine. ISBN: 978-1-264-26846-7 (volume 1)
F. Charles Brunicardi; Schwartz.s principles of surgery. ISBN: 978-1-259-83536-0 (volume 1)
Teaching methods and learning activities
Introductory Themes - 20 lessons of 45 minutes (15 hours); 2 classes of 45 minutes/weekSeminars - 10 seminars of 90 minutes (15 hours); 1 seminar/week
Clinical practice (ward consultation, support to other departments and emergency room)17 hours; 8 hours clinical practice/1st week; 4.5 hours in the 2nd and 3rd week.
Evaluation Type
Distributed evaluation with final examAssessment Components
| Designation | Weight (%) |
|---|---|
| Participação presencial | 10,00 |
| Teste | 70,00 |
| Prova oral | 20,00 |
| Total: | 100,00 |
Amount of time allocated to each course unit
| Designation | Time (hours) |
|---|---|
| Estudo autónomo | 88,00 |
| Frequência das aulas | 47,00 |
| Total: | 135,00 |
Eligibility for exams
Students must attend at least 75% of theoretical classes, theoretical practices and seminars.Calculation formula of final grade
Calculation formula = (10% continuous evaluation) + (70% theoretical evaluation) + (20% practical evaluation).The classification obtained at each evaluation has to be higher than 10.
Examinations or Special Assignments
Practical evaluation:
The practical exam will last 15 minutes and will be held at the FMUP Clinical Simulation Center (6th floor of the HSJ building) and will consist of:
. Presentation of case/problem by the professor and discussion with the student of the case;
. Observation and discussion of complementary diagnostic methods (analyses, ultrasounds, scintigraphy, CT, MRI);
. Performing 3 objective examination gestures on the model.
Validity of the classification of continuous and practical evaluation
The practical evaluation will be valid for 2 years.
Internship work/project
The Curricular Unity does not require the elaboration of a project.
Special assessment (TE, DA, ...)
For student workers, association leaders and other special situations (with the impossibility of attending practical classes), continuous evaluation may be replaced by a 60-minute practical examination with 2 teachers.
Classification improvement
The improvement of classification requires the repetition of the theoretical examination and the practical examination, and the continuous evaluation is valid for 2 years.
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