 
Class of 2023
 Go Back | | Session Title: | | IMED: Nephrology | | | | Description: | | | | Keywords: |
| Blueprint ID | Learning Objectives | | 1138 | Interpret critical clinical and laboratory findings which were key in the processes of exclusion, differentiation, and diagnosis. | | 1229 | Identify at least four endogenous factors that affect renal control of sodium and water excretion. | | 1230 | Outline at least six symptoms of physical findings of dehydration. | | 1231 | Describe the objective ways of measuring fluid balance. | | 1232 | List the electrolyte composition of the following solutions: (a) normal (0.9%) saline (b) ½ normal saline (c) 1/3 normal saline (d) 5% dextrose in water (e) Ringer’s lactate | | 1235 | Describe the possible causes, appropriate laboratory studies needed, and treatment of the following conditions: (a) hypernatremia (b) hyponatremia (c) hyperkalemia (d) hypokalemia (e) hyperchloremia (f) hypochloremia | | 1237 | List the physiological limits of normal blood gases. | | 1238 | List the factors that affect oxygen delivery and consumption. | | 1241 | Demonstrate the ability to do the following: (a) draw venous blood from an antecubital vein (b) interpret arterial blood gas | | 11001 | Demonstrate appropriate attitudes of empathy, ethics, responsibility and cultural awareness in keeping with the role of a physician. | | 11138 | Explain how fluids and electrolytes are distributed in the body compartments. | | 11139 | Describe the role of the kidneys in regulating fluid and electrolyte balance. | | 11140 | Outline the basic physiology and biochemistry of the process of respiration. | | 11141 | List the normal range of Na+, K+, HCO3-, Cl- in serum; and indicate how these ranges change in perspiration, gastric juice, bile, and ileostomy contents. | | 11142 | Indicate whether serum Na, K, HCO3, Cl, and blood pH will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): (a) excessive gastric losses o high volume pancreatic fistula (b) small intestine fistula (c) biliary fistula (d) diarrhea | | 11143 | Indicate whether serum and urine Na, K, HCO3, Cl, and osmolality will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): (a) acute tubular necrosis (b) dehydration (c) inappropriate ADH secretion (SIADH) (d) diabetes insipidus | | 11144 | Explain the concept of a "third space," and list those conditions that can cause fluid sequestration of this type. | | 11145 | Determine whether the patient has renal failure. | | 11146 | Assess for causal conditions of hyperkalemia. | | 11147 | Determine whether hypokalemia is caused by gastrointestinal or renal conditions. | | 11148 | Determine whether the patient is experiencing water gain or water loss. | | 11149 | Develop a management plan for the patient presenting with fluid/electrolyte abnormalities. | | 11150 | Indicate the mechanisms, methods of compensation, differential diagnosis, and treatment of the following acid base disorders: (a) acute metablolic acidosis (b) acute respiratory acidosis (c) acute metabolic alkalosis (d) acute respiratory aklalosis | | 11151 | Complete a focused physical examination looking at signs of dehydration, overload, electrolyte abnormality and acid base abnormality. | | 11152 | Determine the nature of an acid-base disorder. | | 11153 | Diagnose cause of acidemia/alkalemia expeditiously. | | 11154 | Develop a management plan for the patient presenting with acid-base imbalance. | | 11155 | List the causes of acute renal failure: (a) pre-renal causes (selective renal hypo-perfusion, systemic hypo-perfusion (b) renal causes (tubular and interstitial, glomerular, vascular) (c) post-renal/obstruction (below bladder, above bladder, bladder) | | 11156 | Determine disease duration, recent onset of discoloured urine, decrease or no urine input, history of fluid loss, history of urinary tract obstruction, medications. | | 11157 | Examine patient for volume status, chest, heart, and abdomen for enlarged kidneys or bladder. | | 11158 | Conduct an effective initial plan of management for a patient with acute renal failure. | | 11159 | Identify the causal conditions of hypertension: (a) primary (b) secondary (increased cardiac output-initially; increased systemic vascular resistance) | | 11160 | Diagnose hypertension, determine patient's age at onset and duration, family history, history of medications, dietary/alcohol history, possibility of sleep apnea. | | 11161 | Determine whether hypertension is refractory/severe, prior treatment and response, sudden dyspnea, known renal problems, headaches, palpitations, sweating, muscle weakness, polyuria. | | 11162 | Identify and determine extent of end organ damage; assess cardiovascular risk status of the patient. | | 11163 | Examine fundi, heart, peripheral pulses, femoral pulses, lungs, weight; look for bruits, edema. | | 11164 | Identify hypertensive emergencies (e.g., hypertensive encephalopathy, strokes, dissecting thoracic aortic aneurysm, malignant hypertension, acute left ventricular failure, acute glomerulonephritis). | | 11165 | Develop an effective management plan for a patient with hypertension. | | |
| Blueprint ID | Course Goals | | 11632 | EPA 1 (AFMC): Obtain a history and perform a physical examination adapted to the patient''s clinical situation.
Linked Program Competencies
To This Course Goal: me-1 me-2 cm-1 cm-2 ld-3 ha-1 sc-1 sc-2 pr-1 | | 11633 | EPA 2 (AFMC): Formulate and justify a prioritized differential diagnosis.
Linked Program Competencies
To This Course Goal: me-4 me-6 cm-1 cm-2 cm-3 co-3 ld-3 ha-1 ha-2 sc-2 pr-1 | | 11634 | EPA 3 (AFMC): Formulate an initial plan of investigation based on the diagnostic hypotheses.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 pr-1 | | 11635 | EPA 4 (AFMC): Interpret and communicate results of common diagnostic and screening tests.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1 | | 11636 | EPA 5 (AFMC): Formulate, communicate and implement management plans.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1 | | 11637 | EPA 6 (AFMC): Present oral and written reports that document a clinical encounter.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-3 cm-5 co-1 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1 | | 11638 | EPA 7 (AFMC): Provide and receive the handover in transitions of care.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 pr-1 | | 11639 | EPA 8 (AFMC): Recognize a patient requiring urgent or emergent care, provide initial management and seek help.
Linked Program Competencies
To This Course Goal: me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-1 sc-1 sc-2 sc-3 pr-1 | | 11640 | EPA 9 (AFMC): Communicate in difficult situations.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1 | | 11643 | EPA 12 (AFMC): Educate patients on disease management, health promotion and preventative medicine.
Linked Program Competencies
To This Course Goal: me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 co-1 co-2 co-3 co-4 ld-1 ld-2 ld-3 ha-1 ha-2 ha-3 sc-1 sc-2 sc-3 pr-1 | | me-1 | Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation. | | me-2 | Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation. | | cm-1 | Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families. | | cm-2 | Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals. | | ld-3 | Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system. | | ha-1 | Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes. | | sc-1 | Scholar
Develop a plan for personal continued education. | | sc-2 | Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice. | | pr-1 | Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards. | | me-4 | Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient. | | me-6 | Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem. | | cm-3 | Communicator
Discuss relevant health care information and management plans with patients and their families. | | co-3 | Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role). | | ha-2 | Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized. | | me-5 | Medical Expert
Develop a management plan for key clinical problems following assessment of a patient. | | cm-4 | Communicator
Develop a shared plan of care with patients, their families, and other health care professionals. | | cm-5 | Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter. | | ld-2 | Leader
Apply evidence and management processes to effectively allocate health care resources. | | co-1 | Collaborator
Demonstrate effective collaboration skills within the health care system. | | sc-3 | Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility. | | co-2 | Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations. | | ha-3 | Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels. | | me-3 | Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation. | | ld-1 | Leader
Identify strategies to effectively manage practice and career. | | co-4 | Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration. |
| (089-1) ACUTE RENAL FAILURE (ANURIA OR OLIGURIA) | | (089-2) CHRONIC RENAL FAILURE | | (045) ACID-BASE ABNORMALITIES | | (079-1) HYPERKALEMIA | | (099-1) HYPERNATREMIA | | (009-1) HYPERTENSION | | (079-2) HYPOKALEMIA | | (099-2) HYPONATREMIA | | (051) ABNORMAL, SERUM LIPIDS | | (052) ABNORMAL LIVER FUNCTION TESTS |
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