Clinical Domains To Prepare For AKT

Health Promotion

  • Healthy Eating – Recommended Intake
  • Screening Programmes
  • Smoking Cessation

Genetics In Primary Care

  • Family Tree Charts – pedigree symbols
  • Modes of inheritance
    • Autosomal
    • Chromosomal
    • X-linked
    • Polygenic
  • Testing For Genetic Disorders
  • Important genetic disorders
    • Trisomy 21
    • Klinefelter’s
    • Marfans
    • Retinitis Pigmentosa
    • Cystic Fibrosis
    • Haemophilia
    • Duchennes Muscular dystrophy
    • Phenylketonuria
    • Albinism

Care of Acutely Ill People

  • Anaphylaxis
  • Aneurysm
  • Appendicitis
  • Basic Life Support – adult and paediatric
  • Ectopic pregnancy
  • Intestinal obstruction or perforation
  • Limb ischaemia
  • Meningitis
  • Myocardial infaction
  • Pulmonary Embolus
  • Status Epilepticus
  • Subarachoid Haemorrhage

Care Of Children and Younger People

  • Attention Deficit Hyperactivity disorder
  • Autistic Spectrum Disorder
  • Childhood Asthma
  • Child abuse, child protection
  • Childhood Hearing problems and screening
  • Childhood infections
    • common
    • rare but serious
  • Childhood vaccination schedule
  • Constipation
  • Developmental milestones
  • Eating disorders
  • Failure To Thrive
  • Febrile Convulsions
  • Glandular fever
  • Meningitis
  • Neonatal problems:
    • feeding problems
    • heart murmurs
    • neonatal jaundice
  • Nocturnal Enuresis
  • Otitis Media
  • Reporting sexual activitiy
  • Respiratory illness
    • bronchiolitis
    • whooping cough
    • cystic fibrosis
  • Urinary Tract Infection

Care Of Older People

  • Assessing cognitive function
    • MMT
    • MMSE
  • Confusion
  • Dementia
  • Dizziness
  • Falls
  • Living Wills
  • Parkinson’s Disease
  • Power of Attorney
  • Stroke / TIA

Women’s Health

  • Antenatal Care
  • Breast Disease
  • Cervical Screening
  • Contraception
  • Dysmenorrhoea
  • Ectopic Pregnancy
  • Endometriosis
  • Fibroids
  • Gynaecological Malignancies
  • Hormone Replacement Therapy
  • Infertility / Subfertility
  • Menopause
  • Miscarriage and abortion
  • Pregnancy related Illness
    • Pre-eclampsia
    • Placenta praevia etc
  • Urinary Incontinence
  • Vaginal and Uterine Prolapse

Men’s Health

  • Prostate Disease
    • BPH
    • Prostatitis
    • PSA
  • Benign Testicular Conditions
  • Erectile Dysfunction
  • Male Infertility – semen analysis
  • Paraphimosis and priapism
  • Testicular Cancer
  • Prostate Cancer
  • Testicular Torision
  • Vasectomy

Sexual Health

  • Ano-genital Warts
  • Bacterial vaginosis
  • Candidiasis
  • Chlamydia
  • Gonorrhoea
  • Grop B Hemolytic Stretococcus
  • HIV / AIDS
  • Teiter’s Syndrome
  • Sexual dysfunction
  • Syphilis
  • Trichomonas Vaginalis

Cancer and Palliative Care

  • 2 week referral criteria for suspected cancers
  • Pain management
  • WHO pain ladder
  • Syringe drivers
  • Drug conversions – opioids
  • Palliative Symptom managment
  • Screening Programmes for common cancers

Mental Health

  • Acute Psychosis / Mania
  • Alcohol and drug mususe
  • Anxiety disorders
  • Bipolar disorder
  • Depression
  • Eating Disorders
  • Mental Health Act
  • Post Traumatic Stress Disorder
  • Schizophrenia and other psychotic Illness
  • Self Harm

Cardiovascular Problems

  • Arrhythmias
  • Cardiovascular disease risk assessment
  • Coronary Heart Disease
  • Angina
  • Acute Coronary Syndrome
  • Cardiac Arrest
  • Cardiomyopathy
  • Cerbrovascular disease (CVA & STROKE)
  • Congenital Heart disease
  • Heart Failure
  • Hypertension
  • Lipid management
  • Peripheral Vasuclar Disease (arterial and venous)
  • Thromboembolic disease(DVT & PE)
  • Valve Disease
  • Atrial Fibrillation

Digestive Problems

  • Acute Abdominal Conditions
  • Appendicitis
  • Cholecystitis
  • Pancreatitis
  • Coeliac Disease
  • Constipation
  • Colorectal Cancer
    • screening
    • investigations
    • diagnosis
  • Diverticulosis
  • Gallstones
  • Gastroenteritis
  • GI cancers
    • Oesophageal
    • Gastric
    • Hepatic
    • Pancreatic
    • Colonic
  • GORD – reflux
  • Haemorrhoids
  • Inflammatory Bowel Disease
  • Irritable Bowel Syndrome
  • Non-Ulcer dyspepsia
  • Gastritis
  • Peptic Ulceration

Drugs and Alcohol

  • Alcohol Related Emergencies
  • Assessing Alcohol Intake – units
  • national Clinical Guidelines – care of drug users
  • Screening tools for alcohol dependence
    • CAGE
    • AUDIT
  • Testing in drug treatment
  • Treatment of alcohol dependence

ENT and Facial Problems

  • Bells Palsy
  • Cholesteatoma
  • Epistaxis
  • Glandular Fever
  • Hearing loss and audiology
  • Infective and allergic rhinitis
  • Laryngitis
  • Menier’s disease
  • Nasal Polyps
  • Oral candida
  • Oral Herpes
  • Otitis Externa
  • Otitis Media
  • Perforated Tympanic Membrane
  • Phyaryngitis
  • Salivary Stones
  • Sinusitis
  • Snoring and Sleep Apnoea
  • Suspected Head and Neck Cancer
  • Tempero-mandibular pain
  • Tonsillitis and indications for tonsillectomy
  • Trigeminal Neuralgia
  • Vertigo

Eye Disease

  • Blepharitis
  • cataract
  • Conjunctivitis (infective and allergic)
  • Corneal Ulcers and Keratitis
  • Diplopia
  • Dry eye syndrome
  • Entropion and ectropion
  • Episcleritis and scleritis
  • Glaucoma
  • Iritis and uveitis
  • Myopi, hypermetropia, astigmatism
  • Naso-lacrimal obstruction and dacryocysitis
  • Optic disc atrophy
  • Retinal detachement
  • Retinopathy
  • Strabismus
  • Stye and chalazion
  • Vitreous detachment / haemorrhage

Metabolic Problems

  • Acromegaly
  • Addison’s Disease
  • Body Mass Index Calculation
  • Cushing’s Syndrome
  • Chronic Kidney Disease and eGFR
  • Diabetes insipidus
  • Diabetes Mellitus – Type 1 and 2
  • Diabetic Emergencies
  • Hypooglycaemia
  • Hyperglycaemic ketoacidosis
  • Hyperglycaemic hyperosmolar non-ketotic coma
  • Diabetic nutrition – glycaemic index
  • Hyperlipidaemia
  • Hyperuricaemia
  • Impaired Glucose Tolerance
  • Obesity
  • Phaeochromocytoma
  • Prolactinoma
  • Thyroid Disorders
  • Thyroid Emergencies
    •  Myxoedema coma
    • hyperthyroid crisis

Neurological Problems

  • Amyotrophic lateral sclerosis
  • Bells Palsy
  • Brain Tumours
  • Carpal Tunnel Syndrome
  • Epilepsy
  • Headache – BASH guidelines
  • Huntingdon’s Disease
  • Meningitis / encephalitis
  • Multiple Sclerosis
  • Parkinson’s disease
  • Polyneuropathies
  • raised intracranial pressure
  • Subarachnoid haemorrhage
  • Temporal Arteritis
  • Trauma and Concussion
  • Trigeminal Neuralgia
  • Vertigo

Respiratory

  • Asthma
  • Atypical Pneumonias
  • Bronchiectasis
  • Community Acquired Pneumonia
  • COPD
  • Influenza (including avian flu and swine flu)
  • Lung Cancer
  • Pneumothorax
  • Smoking Cessation
  • Spirometry
  • Tuberculosis
  • vaccination against respiratory illness

Musculoskeletal Problems

  • Acute Arthropathies
  • Ankylosing Spondylitis
  • Back Pain
  • Cervicalgia
  • Disease-modifying anti-rheumatic drugs
  • Fibromyalgia
  • Frozen Shoulder
  • Gout
  • Indications for imaging
  • Joint Injections
  • NSAIDs including monitoring
  • Osteoarthritis
  • Osteoporosis
  • Polymyalgia Rheymatica
  • Rheumatoid Arthritis
  • Septic Arthritis

Skin Disease

  • Acne and Rosacea
  • Angioedema
  • Dicoid Lupus
  • Disorders of hair and nails
  • Disseminated herpes simplex
  • Drug Eruptions
  • Erythroderma
  • Generalised pruruitis
  • Granulama Annulare
  • Leg Ulcers and Lymphoedema
  • Lichen Planus
  • Necrotising Fasciitis
  • Pemphigus and pemphigoid
  • Psoriasis
  • Scabies and head lice
  • Skin infections
    • Bacterial
    • Viral
    • Fungal
  • Skin Tumours (benign and malignant)
  • Stevens-Johnson syndrome
  • Toxic Epidermal necrolysis
  • Urticaria and vasculitis
  • Vitiligo