Endocrinolgy. 4 th class

Transcription

1 Medicine Curriculum for 4 th Year Med Students Hawler Medical University College of Medicine Department of Medicine Curriculum of 4 th class Subject Class : Endocrinolgy 4 th class Number of hours needed : hrs Objectives: Enable the student recognizing common and important endocrinological diseases through clinical presentations, physical findings and investigations. Beside enabling him to treat the disease. Syllabus of Endocrinology Lectures-4 th year # Title of the lecture Content of the Lecture Date 1. Introduction Neuroendocrine Relationship 1/10/ The Pituitary Gland Tumors, Acromegaly, Gigantism,Hyperprolactinemia syndrome, Hypopituitarism, Diabetes Insipidus 15/10/ Thyroid Gland Thyroid hormones, Iodine metabolism, 29/10/2011 1

2 Hyperthyroidism 4. Thyroid Gland Hypothyroidism, Goitre 12/11/ Adrenal Glands Physiology, Hyperfunction of adrenal cortex(cushing syn.) 26/11/ Adrenal Glands Adrenocortical Insuffeciency 10/12/ Parathyroid gland Calicium & Phosphorus metabolism, Hyperparathyroidism, Hypoparathyroidism 24/12/ Endocrine Pancreas Diabetes Melitus, Prevalence, Etiology, types, Clinical features, Diagnosis 7/1/ Endocrine Pancreas Complications & Managment 18/2/ Gonads Hypogonadism, Male infertility, Hirsuitism, Disorders of the Menopause 4/3/ Hyperlipidemia Types, Clinical Features & Treatment 18/3/ Amyloidisis Clinical Features& Treatmenr 1/4/2012 References Davidson's short text book of medicine Harrisons manual of internal medicine Concise oxford textbook of medicine Infectious diseases Infectious diseases Subject : Number of hours needed : hrs Objectives: enable the student recognizing common and important infectious diseases through clinical presentations, physical findings and investigations. Beside enabling him to treat the disease. Topics 1- Introduction to infectious diseases. 2- Streptococcal and staphylococcal diseases 2

3 3- Pyrexia of unknown origin 4- Sepsis and sepsis syndromes 5- Typhoid and paratyphoid fever 6- Brucellosis 7- Common Viral infections 8- Common Rickettsial infections 9- Common fungal infections 10- Chemotherapy of infections 2hr lectures 11- HIV infection 12- AIDs associated syndromes 13- Approach to febrile patients. References: Davidson's short text book of medicine Harrisons manual of internal medicine Concise oxford textbook of medicine Washington manual of internal medicine British National Formulary Subject : Cardiovascular disease Diseases of CVS Anatomy of the heart Anatomy of coronary circulation Nerve supply of the heart and blood vessels Physiology Myocardial contraction Factors affecting the cardiac output Factors affecting the blood flow Factors affecting the coronary blood flow Homodynamic effect of respiration Symptoms of heart diseases Chest pain THE DIFFERENTIAL DIAGNOSIS OF CHEST PAIN Shortness of breath SOME CAUSES OF DYSPNOEA ARRHYTHMIA ANGINA EQUIVALENT 3

4 Investigations of cardiovascular diseases ECG ( electrocardiography ) Positions of the limb leads Positions of chest leads Relations between the limb leads ECG complexes and periods Important principles in ECG Normal ECG Analysis of ECG Rate estimation Cardiac axis P wave analysis is to detect atrial enlargement QRS complex evaluation Other types of ECG Chest radiography Spiral CT scan Cardiac MRI Echo and Doppler Cardiac catheterization Radionuclide study Abnormalities of ST segment and T wave ST elevation ST depression Causes of symmetrical deep T inversion Causes of T inversion Causes of prolonged PR period Causes of short PR period Causes of long QT period Causes of short QT period ACUTE CIRCULATORY FAILURE (CARDIOGENIC SHOCK) Causes of shock Clinical features of shock Causes of cardiogenic shock ACUTE MYOCARDIAL INFARCTION: HAEMODYNAMIC SUBSETS In acute massive pulmonary embolism In pericardial tamponade CLINICAL FEATURES OF PERICARDIAL TAMPONADE VALVULAR HEART DISEASE CAUSES OF ACUTE VALVE FAILURE Tachyarrhythmia and Brady arrhythmias Treatment Numbers of houres: 4 hours 4

5 Objectives : To enable the students to understand common cardiovascular disease and to give them basic principles regarding diagnosis and treatment. Topics: 1- Hypertension 2- Infective endocarditis 3-Mitral valve disease 4- Aortic & pulmonary valve disease References: Davidson s Principles and Practice of Medicine,Latest Edition Subject : Heart disease Number of hours : 8 hours Objectives: To give the students enough knowledge to diagnose easily and manage properly the heart failure and common cardiac dysrhythmias. Topics HEART FAILURE DISORDERS OF HEART RATE, RHYTHM AND CONDUCTION SINUS RHYTHMS SINUS ARRHYTHMIA SINUS BRADYCARDIA SINUS TACHYCARDIA ATRIAL TACHYARRHYTHMIAS ATRIAL ECTOPIC BEATS (EXTRASYSTOLES, PREMATURE BEATS) ATRIAL TACHYCARDIA ATRIAL FLUTTER ATRIAL FIBRILLATION 'SUPRAVENTRICULAR' TACHYCARDIAS AV NODAL RE-ENTRY TACHYCARDIA (AVNRT ATRIOVENTRICULAR RE-ENTRANT TACHYCARDIA (AVRT) AND WOLFF- PARKINSON-WHITE SYNDROME VENTRICULAR TACHYARRHYTHMIAS VENTRICULAR ECTOPIC BEATS (EXTRASYSTOLES, PREMATURE BEATS) 5

6 VENTRICULAR TACHYCARDIA (VT) TORSADES DE POINTES (TWISTING POINTS) SINOATRIAL DISEASE (SICK SINUS SYNDROME ATRIOVENTRICULAR AND BUNDLE BRANCH BLOCK ATRIOVENTRICULAR (AV) BLOCK BUNDLE BRANCH BLOCK AND HEMIBLOCK THERAPEUTIC PROCEDURES EXTERNAL DEFIBRILLATION AND CARDIOVERSION IMPLANTABLE CARDIAC DEFIBRILLATORS (ICDS) TEMPORARY AND PERMANENT PACEMAKERS CARDIAC RESYNCHRONISATION THERAPY (CRT) CARDIAC ARREST AND SUDDEN CARDIAC DEATH References: Davidson's short text book of medicine Braunwalds heart disease, 8 th edition Harrisons manual of internal medicine Cecil text book of medicine,22nd edition Subject Class : Gasteroenterology 4 th class Number of hours needed : hrs Objectives the objective of the lectures is to give students an idea on diseases of GIT, and to make the student able to recognize the clinical features of GIT diseases,how to diagnose and the way of their management 1. Investigation of GIT diseases (1 hr) 2. diseases of the mouth and tongue 1 hr 3. diseases of esophagus (2 hrs) including: anatomy and physiology of esophagus, approach yo dysphagia, 6

7 GERD, achalasia, diffuse esophageal spasm, non- reflux esophagitis, webs and rings, carcinoma of esophagus 4. Anatomy and physiology of stomach, peptic ulcer disease, complication of peptic ulcer disease (3hrs ) 5. upper GI bleeding 1 hr 6. Gastritis, stress ulcer, tumor of stomach 1hr 7. anatomy and physiology of small intestine. celiac disease, tropical sprue 1hr 8. stagnant loop syndrome, lymhangiectasia, proteien loosing enteropathy, lactose intolerance, 1 hr 9. mesenteric ischemia, tumor of small bowel 1hr 10. whipplesds, abetalipoproteinemia, chronic intestinal pseudoobstrucion, Diarrhea ( acute and chronic) 1hr 11. inflammatory bowel diseases, diverticular diseases,constipation & irritable bowel syndrome, pseudo-membranous colitis, angiodysplasia of colon, polyps and tumor of large bowel( 4 hr ) Liver diseases 8hrs Dr Tariq Al Aazami 1. Investigations of liver disease 1hr 2. Hepatitis, Acute and Chronic 2hr 3. Liver cirrhosis 1hr 4. Liver tumors 1hr 7

8 5. Pancreatic diseases acute and chronic hepatitis 2hr 6. Gall bladder diseases 1hr 4 rd Class practical hours Subject : medicine Number of hours : 2hr /week (2 unit) Objectives : methods: Enabling the students to obtain basic clinical skills for performing physical examination of cardiovascular system, respiratory (chest) system and Gastrointestinal systems (abdominal). Making the student to have insight about causes of abnormal physical findings in these systems. Performing physical examination and guiding the students to do so and correcting them to reach best performance. Beside showing them the physical examination findings. Explaining important causes for each physical signs. References ; 1. Hutchison's methods of clinical examinations 2. Macleod's Clinical Examination 3. B A T E S G U I D E T O P H Y S I C A L E X A M I N A T I O N AND H I S T O R Y T A K I N G 8