Endocrinology

1. General Principles of Endocrinology

  • Hormone synthesis & action
  • Feedback loops (positive & negative)
  • Diurnal rhythm & hormone secretion patterns
  • Endocrine pharmacology
  • Approach to suspected endocrine disease
  • Endocrine imaging (US, CT, MRI, nuclear medicine)

2. Hypothalamus & Pituitary Disorders

  • Pituitary adenomas (prolactinoma, GH-secreting, ACTH-secreting)
  • Acromegaly
  • Gigantism
  • Cushing disease (pituitary)
  • Central diabetes insipidus
  • SIADH
  • Hypopituitarism (ACTH/TSH/GH/LH/FSH deficiency)
  • Pituitary apoplexy
  • Empty sella syndrome

3. Thyroid Disorders

Hypothyroidism

Hyperthyroidism

  • Graves disease
  • Toxic multinodular goiter
  • Thyroiditis (subacute, silent, postpartum)
  • Thyrotoxicosis factitia

Thyroid nodules & cancer

  • Thyroid nodule evaluation (US characteristics, TIRADS)
  • FNA interpretation (Bethesda classification)
  • Papillary thyroid carcinoma
  • Follicular carcinoma
  • Medullary thyroid carcinoma
  • Anaplastic carcinoma

4. Adrenal Disorders

Cortex

  • Cushing syndrome
  • Primary hyperaldosteronism (Conn syndrome)
  • Congenital adrenal hyperplasia (CAH)
  • Addison disease (primary adrenal insufficiency)
  • Adrenal incidentaloma
  • Adrenal hemorrhage

Medulla

  • Pheochromocytoma
  • Paraganglioma

5. Parathyroid & Calcium–Phosphate Metabolism

  • Primary hyperparathyroidism
  • Secondary & tertiary hyperparathyroidism
  • Hypoparathyroidism
  • Hypercalcemia (causes & urgent management)
  • Hypocalcemia
  • Vitamin D deficiency & toxicity
  • Disorders of phosphate balance
  • Osteoporosis in men

6. Diabetes Mellitus & Metabolic Disorders

Type 1 Diabetes

Type 2 Diabetes

  • Insulin resistance & metabolic syndrome
  • Oral anti-diabetic drugs
  • Insulin regimens
  • Complication screening (microvascular & macrovascular)

Other types

  • LADA
  • MODY
  • Gestational diabetes
  • Pancreatogenic diabetes

Acute complications


7. Lipid Disorders


8. Female Reproductive Endocrinology

  • PCOS
  • Amenorrhea (primary & secondary)
  • Infertility endocrine evaluation
  • Premature ovarian insufficiency
  • Menopause & HRT
  • Hyperprolactinemia
  • Hirsutism

9. Male Reproductive Endocrinology

  • Hypogonadism (primary/secondary)
  • Testosterone deficiency evaluation
  • Gynecomastia
  • Erectile dysfunction (endocrine causes)
  • Male infertility (hormonal causes)
  • Performance-enhancing hormones

10. Obesity & Metabolic Syndrome


11. Water, Electrolytes & Acid–Base Disorders (Endocrine-related)

  • Hyponatremia (SIADH vs endocrine causes)
  • Hypernatremia (DI vs non-DI)
  • Hyperkalemia (Addison)
  • Hypokalemia (hyperaldosteronism)
  • Acid–base disorders in endocrine diseases

12. Genetic & MEN Syndromes

  • MEN1 (pituitary, pancreas, parathyroid)
  • MEN2A / MEN2B (MTC, pheochromocytoma)
  • VHL syndrome
  • Carney complex
  • McCune–Albright

13. Endocrine Hypertension

  • Primary aldosteronism
  • Pheochromocytoma
  • Cushing syndrome
  • Thyroid disease–induced hypertension
  • Renovascular endocrine interactions

14. Endocrine Emergencies

  • Thyroid storm
  • Myxedema coma
  • Adrenal crisis
  • DKA
  • HHS
  • Severe hypercalcemia crisis
  • Pheochromocytoma crisis

15. Endocrine Tumors

  • Pituitary tumors
  • Thyroid cancers
  • Adrenal tumors
  • Pancreatic neuroendocrine tumors (pNET)
  • Carcinoid tumors & carcinoid syndrome

16. Endocrine Testing & Diagnostics

  • Dynamic hormone testing (ACTH stim test, dexamethasone suppression test)
  • Water deprivation test
  • OGTT
  • TRH, GnRH testing (rarely used today)
  • Hormone assays (total vs free hormone interpretation)
  • Endocrine imaging (US, CT, MRI, MIBG, PET)

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