diabetic foot,

We focus this week on a selection of endocrinology modules from our partners BMJ Learning. The authors of the first module on the diabetic foot, begin with a startling estimate: every 30 seconds a leg is amputated somewhere in the world due to diabetes. Diabetic foot ulcers leave the foot at high risk of amputation so recognising early signs of trouble is critical and saves limbs. In this diagnostic picture test module, the authors outline how to differentiate between neuroischaemic ulcers and neuropathic ulcers and the issues associated with each, while emphasising the vital role for debridement in wound management and the necessity for  multidisciplinary management in patients with diabetes.
Although primary and secondary care doctors everywhere have become more proficient in recognising Coeliac disease, the authors of the second module this week point out that many still doubt when to consider the diagnosis and how to manage patients. Indeed, many patients may be symptomatic for years before being diagnosed. Recent UK guidance on recognition and assessment of Coeliac disease informs this module in which the authors review diagnosis, gastroenterologist referral, associated diseases as well as necessary dietary restrictions.
The final selection this week deals with thyroid eye disease. The module begins by recognising that there is a significant number of patients who experience substantial morbidity from this condition and for whom the currently available treatments are sub-optimal. However, recent advances in the understanding of the pathophysiology of thyroid eye disease, coupled with informative clinical trials investigating both old and new treatments are making the area an exciting one for both scientists and clinicians.


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