Dr. D.Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune 18 Department of Surgery. Date Topic Learning Objectives Name of the Teacher

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1 Dr. D.Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune 18 Department of Surgery LESSON PLAN 8 TH SEMESTER LECTURE TIME : Monday: 9 am to 10 am Saturday: 9 am to 10 am Tuesday: - 2 pm to 3 pm Sr. No Date Topic Learning Objectives Name of the Teacher Renal Calculi o Incidence o Etiopathogenesis o Uncertain many theories - Supersaturation - Randalls plaque theory Types of renal calculi Calcium oxalate Phosphate 1. 15/12/2015 Urolithiasis Uric acid Dr. (Brig.) Clinical features (A) Symptoms- Gurjit Singh (B) Physical signs- Special investigations Biochemical Radiological Management Medical Surgical: Endourology 2. 19/12/2015 Esophageal Atresia / T- O Fistula Embryology Prenatal Diagnosis Postnatal Diagnosis Presentation Types Management Dr. S.V. Panchabhai

2 3. 21/12/2015 Surgical Anatomy, Embryology and Developme ntal Anomalies of GIT Surgical Anatomy Embryology Classification of GIT Anomalies Clinical Presentation Managemen Dr. S.V. Panchabhai 4. 22/12/2015 Abdominal Tuberculosi s Abdominal tuberculosis - Types - Modes of spread - Types - Clinical features - s Dr. M. Bendre 5. 26/12/2015 Anatomy Kidney, Ureter, Bladder Anatomy ½ - Kidney, Ureter, bladder Anatomy of kidney Capsules of kidney Structure of kidney Anatomy of ureter Anatomy Arterial supply Anatomy of bladder Anatomy Structure of bladder Sphincter Blood supply Lymphatic drainage Dr. S.G. Chavan 6. 28/12/2015 Diverticuli & tumours of small intestine Types of Symptomatology Dr. Bhushan

3 7. 29/12/2015 Surgical Anatomy of Anterior abdominal wall and it s diseases Boundaries Layers Blood supply Nerve Supply Lymphatic drainage Burst abdomen Etiology Pathophysiology Management Desmoid tumour-management Dr. S.V. Panchabhai 8. 2/1/2016 Inguinal Hernia Inguinal hernia surgical anatomy Differential diagnosis in male and female Dr. Priti 9. 4/1/2016 Other Hernias Sites Surgical Anatomy Clinical features Management Dr. (Brig.) Gurjit Singh 10. 5/1/2016 Acute Abdomen D/D & Principles of Manageme nt Definition Most common causes History & Clinical examination Diagnostic Modalities Cause specific treatment Dr. S.G. Chavan

4 11. 9/1/2016 Intestinal obstruction -1(etiology, symptomat ology & investigatio ns) Clinical features of intestinal obstruction Radiological findings: Xray Erect abdomen modalities Resuscitate the patient if in shock Supportive management Surgery: Explorative laparotomy to identify cause Differentiating viable and non viable bowel Release of adhesions and bands Adynamic obstruction Paralytic ileus: causes and treatment Pseudo obstruction Acute mesentric ischemia Dr. (Mrs.) D.S. Nirhale /1/2016 Intestinal obstruction -2 (Specific, and manageme nt ) Clinical features of intestinal obstruction Radiological findings: Xray Erect abdomen modalities Resuscitate the patient if in shock Supportive management Surgery: Explorative laparotomy to identify cause Differentiating viable and non viable bowel Release of adhesions and bands Adynamic obstruction Paralytic ileus: causes and treatment Pseudo obstruction Acute mesentric ischemia Dr. S.V. Panchabhai /1/2016 Surgical Anatomy of Appendix & Acute appendiciti s Surgical anatomy of Appendix Blood supply, Lymph drainage Etiology of Appendicitis Pathogenesis Clinical features Diagnosis Complications Dr. Bhushan

5 14. 16/1/2016 Inflammato ry Bowel disease Crohn s disease Etiology Pathophysiology Clinical features Diagnosis Complications Ulcerative colitis Definition,Epidemiology Etiopathogenesis Clinical features Extra intestinal manifestations Diagnosis Complications Histopathological features Dr. B.D. Dhaigude /1/2016 Diseases of Omentum, mesentery and retroperiton eum Differential Diagnosis Clinical Features Dr. M. Bendre /1/2016 Surgical Anatomy of Colon and Hirschspru ng s disease Surgical Anatomy Pathology Clinical Features Diagnosis Dr. Priti /1/2016 Hemorrhoid s, Fissure in ano, Pilonidal Sinus Haemorrhoids Types, Eetiology, Clinical features, Complications and Fistula in Ano Definition Etiopathogenesis Classification Clinical Features Goodsall s Rule s Fissure in Ano Definition Etiopathogenesis Classification Dr. (Brig.) Gurjit Singh

6 Clinical Features s /1/2016 Anorectal Abscesses and Fistula in anorectal Classification Clinical features Dr. S.G. Chavan /1/2016 Carcinoma of colon Aetiology Staging of colon cancer Clinical features s Management Dr. (Mrs.) D.S. Nirhale 20. 1/2/2016 Anatomy of Rectum, Anal Canal, Rectal Prolapse Relations of the rectum Blood supply, Lymphatic drainage Nerve supply Anatomy of the anus, Anal sphincters Blood supply,lymphatic drainage Nerve supply Introduction Types of prolapse Etiology Pathogenesis Management Dr. S.V. Panchabhai 21. 2/2/2016 Carcinoma rectum and anal canal Premalignant lesions Pathology Spread Staging (Duke s) / Broder s Grading TNM Classification Dr. Bhushan

7 Clinical Features s Principles of Management Upper 1/3 Middle 1/3 Lower 1/ /2/2016 Stomas in Surgery Types of Stomas Stomas Care Dr. B.D. Dhaigude 23. 8/2/ /2/ /2/2016 Lower GI Bleed Aetiology and Principles of Manageme nt Congenital Anomalies of Gut-1 Unascende d Kidney, Horse-shoe kidney, PUJ obstruction Congenital Anomalies of Gut-2 Duplication of Ureter, Urinary Fistula, hypospadia s Etology Dr. M. Bendre Types of Anomalies of kidney,ureter Clinical Features Dr. Priti Congenital anomalies lower urinary tract Stricture urethra Classification Clinical features Hypospadias Classification Clinical features Epispadias Clinical features treatment Dr. (Brig.) Gurjit Singh /2/2016 Symptomat ology and investigatio ns of Common symptoms s for Kidney diseases o Plain X-ray KUB o IVU Dr. S.G. Chavan

8 Urinery case o RGP o Renal Angiogram o MCU o Ascending Urethrogram /2/2016 Hydroneph rosis Etology Clinical Features Dr. (Mrs.) D.S. Nirhale /2/2016 Anatomy of Urinary Bladder / Congenital Anomalies Surgical Anatomy Types of Anomalies Dr. S.V. Panchabhai /2/ /2/ /2/2016 Urinary tract Infectionsacute Urinary tract Infectionschronic Renal and Urinary bladder tumours Introduction Etiology Symptoms & signs s Risk factors 1. Tabacco smoking benzadine, 2. naphthlamine 3. Occupation 4. Mutations Pathology common types- 1. Transitional cell carcinoma 2. Squamous cell carcinoma 3. Adenoma 4. Sarcoma 5. Small cell carcinoma Signs and symptoms 1. Haematuria 2. Painful urination 3. Strangury Diagnosis 1)ultra-sonography 2) special investigation 3) Biopsy Staging- - Surgery TURBT Total cystectomy with bladder replacement Dr. Bhushan Dr. B.D. Dhaigude Dr. M. Bendre

9 Chemotherapy valrubicin Immunotherapy /2/2016 Anatomy of Prostate and BPH Surgical anatomy Clinical features Dr. Priti 33. 1/3/2016 Cancer Prostate Introduction Pathology Clinical features Mode of spread Staging s Prognosis Dr. (Brig.) Gurjit Singh 34. 5/3/2016 Stricture Urethra, phimosis, paraphimos is Introduction Pathology Clinical features s Prognosis Dr. S.G. Chavan 35. 8/3/2016 Cancer Penis Introduction Pathology Dr. (Mrs.) D.S. Nirhale

10 Clinical features Spread Staging s Prognosis /3/2016 Haematuria Investigatio ns and treatment Etiology Symptomatology Dr. S.V. Panchabhai /3/ /3/ /3/2016 Retention of Urine Aetiology & Principles of Manageme nt Anatomy of scrotum and testis, hydrocele, varicocele, epididymoorchitis Undescend ed Testis / Ectotic Testis/ Torsion Testis Etiology Clinical Features Surgical Anatomy Symptomatology Embryology Dr. Bhushan Dr. B.D. Dhaigude Dr. M. Bendre 40 21/3/2016 Testicular Tumours Development of the testis with relevant anatomy, blood testis barrier Hormonal actions Pathology of testicular tumours Clinical features Self examination of testis s required with special mention of the tumour markers Orchiectomy and RPLND TNM classification and staging Prognosis and role of radiotherapy Dr. Priti

11 41 22/3/2016 GUT Trauma Injuries to the bladder Injuries to the urethra Injuries to kidney Injuries to the ureter Symptomatology Dr. (Brig.) Gurjit Singh 42 26/3/2016 Renal Transplant Definition Indications Histocompatibility Types & technique Complications- Rejection & GVHD Post-op Care Dr. S.G. Chavan 43 28/3/2016 Actinomyco sis and Madura Foot Etiology Clinical Features Dr. (Mrs.) D.S. Nirhale 44 29/3/2016 Revision _ Dr. S.V. Panchabhai 45 2/4/2016 Revision _ Dr. Bhushan

12 46 4/4/2016 Revision _ Dr. B.D. Dhaigude 47 5/4/2016 Revision _ Dr. M. Bendre

13 Dr. D.Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune 18 Department of Surgery LESSON PLAN 8 TH SEMESTER TUTORIAL TIME: Monday: 3 pm to 4 pm & 4 pm to 5 pm Sr.No Date Topic Learning Objectives Name of the Teacher 1 14/12/2015 Instruments 1- General surgery instruments: Revision 2 14/12/2015 Radiology 1- Plain x- ray-chest Abdomen, Spine Name of the instrument Parts of instrument Indications Procedure Complications How to read Normal x-ray What to see Abnormalities 3 21/12/2015 Instruments 2 Upper GI Endoscopy 4 21/12/2015 Radiology 2- x-ray- Chest 5 28/12/2015 Instruments 3 Laparoscopy 1 Name of the instrument Parts of instrument Indications Procedure Complications Identification Triangle of safety Causes Symptoms Diagnosis etc Introduction Identification Types of ports Dr. Rishikesh Kore Dr. Pravin Shingade 6 28/12/2015 Radiology 1- Abdomen, Spine How to read Normal x-ray What to see Abnormalities Identification Where & what to see

14 Anatomical locations D/D of opacities D/D of Gas under diaphragm 7 4/1/2016 Instruments 4 Laparoscopy 2 Veress needle technique Hasson s technique General instruments Dr. Pravin Shingade 8 4/1/2016 Radiology 4- IVU: Normal, Hydronephrosis,PUJ abstruction, Congenital abnormalities 9 11/1/2016 Short procedures and Anatomy 1 Anterior abdominal wall and Abdominal Incisions 10 11/1/2016 Surgical pathology 1 Revision: How to read a 11 18/1/2016 Short procedures and Anatomy 2 - Appendectomy 12 18/1/2016 Surgical pathology 2 Skin and Subcutaneos tissue : Squamous cell ca and Melanoma 13 25/1/2016 Short procedures and Anatomy 3 Resection Anastomosis 14 25/1/2016 Surgical pathology 3 Breast Dye Technique Indications/contraindications Uses Diagnosis Other Renographies 1. Surgical anatomy 2. Description of various incision. 3. Requirement of an ideal incision. Name of the Description of Anatomy of the Pathology of the 1. Surgical anatomy 2. Indication 3. Incision 4. Steps of operation 5. Complication Surgical anatomy Types of skin malignancy Type of malignant ulcers Histopathology 1. Surgical anatomy 2. Indication 3. Types 4. Technical details 5. Complications carcinoma of breast Nipple areola complex and skin involvement Dr. Rishikesh Kore Dr. Pravin Shingade Dr. Rishikesh Kore

15 15 1/2/2016 Short procedures and Anatomy 4 Vagotomy and GJ Tumour cut surface Lymphnodes 1. Introduction 2. Surgical anatomy 3. Indication 4. Anaesthesia Steps of operation Dr. Pravin Shingade 16 1/2/2016 Surgical pathology 4 Diseases of Liver Hydatid cyst : a. Etiology b. Incidence c. Pathology d. Clinical presentation e. s f. Management HCC a. Etiology b. Incidence c. Pathology d. Clinical presentation e. s Management 17 8/2/2016 Instruments 5 - Colonoscopy Introduction Parts of instrument Indications & contraindications Preparation Procedure Complication Cleaning instrument Dr. Pravin Shingade 18 8/2/2016 Radiology 5- Barium swallow and Barium meal : Ca esophagus, Achlasia cardia Uses Technique Indication/Contraindications Use of double contrast Diagnosis Dr. Rishikesh Kore

16 19 15/2/2016 Instruments 6 Urology /2/2016 Radiology 6- Barium enema: Stricture, Intussusceptions, Growth 21 22/2/2016 Instruments 7 Urology /2/2016 Radiology 7- Ultrasound Images 23 29/2/2016 Instruments 8 Superspeciality : Vascular and Neurosurgery & Cardio thoracic surgery 24 29/2/2016 Radiology 8- CT scan and MRI introduction 25 7/3/2016 Short procedures and Anatomy 5 Closure of Perforation 26 7/3/2016 Surgical pathology 5 Gall Bladder: Ca GB, Cholecystitis, Mucocele and Pancreas 27 14/3/2016 Short procedures and Anatomy 6 Renal surgery 28 14/3/2016 Surgical pathology 6 Appendix, IC growth, Tuberculosis a. Identification b. Parts c. Uses Handling a. Introduction b. Indications c. Procedure d. Characteristic features e. Complications Identification Parts Uses Sterilisation Indentification on organs Common diagnoses Uses of USG Rib rasper Chest retractor Lung retractor Bulldog clamp Satinski clamp Burr hole (Indications, Procedure, Complications, After care) Introduction Types Normal & Contrast Radiation Uses 1. Introduction 2. Indication 3. Steps of operation Obligations a. Name of the b. Description of c. Anatomy of the d. Pathology of the 1. Introduction 2. Indication 3. Steps of surgery Complications a. Name of the b. Description of c. Anatomy of the d. Pathology of the Dr. Pravin Shingade Dr. Rishikesh Kore Dr. Pravin Shingade Dr. Pravin Shingade Dr. Rishikesh Kore

17 29 21/3/2016 Short procedures and Anatomy 7- Surgery for Varicose Veins 30 21/3/2016 Surgical pathology 7 Small Intestine : Stricture, GIST, Intussusceptions 31 28/3/2016 Short procedures and anatomy 8 Surgery for Hernia 32 28/3/2016 Surgical pathology 8 Diseases of Kidney: Hydronephrosis, RCC, Calculii 33 4/4/2016 Short procedures and Anatomy 9 Laparoscopic surgery 34 4/4/2016 Surgical pathology 9 Disease of Testis 35 11/4/2016 Anaesthesia drugs and Disinfection I 36 11/4/2016 Tubes and catheters I 1. Introduction 2. Surgical anatomy 3. Indication 4. Steps of operation a. Name of the b. Description of c. Anatomy of the d. Pathology of the 1. Introduction with surgical anatomy 2. Indications 3. Steps of operation 4. Complications 1. calculus hydronephrosis of kidney 2. seminoma of testis 3. torsion testis 4. hydronephrotic kidney with staghorn calculus 5. angiomyolipoma of kidney 6. hydronephrosis with hydroureter 7. carcinoma penis polycystic kidney HISTORY ADVANTAGES INSTRUMENTS PREPARATION TECHNIQUE PHYSIOLOGIC CHANGES DUE TO PNEUMOPERITONIUM COMPLICATIONS a. Name of the b. Description of c. Anatomy of the d. Pathology of the a. Name of drug b. Mechanism of action c. Dosage d. Indications e. Adverse drug reactions Types Identification Material used Dr. Rishikesh Kore Dr. Pravin Shingade Dr. Rishikesh Kore

18 37 18/4/2016 Anaesthesia drugs and Disinfection II 38 18/4/2016 Tubes and catheters II Uses Indications Sterilisation Name of drug Mechanism of action Dosage Indications Adverse drug reactions Identification Material used Uses Indications Sterilisation Dr. Rishikesh Kore