PHTYSIOPULMOLOGY Thematic plan of lectures of the 1 st unit

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1 PHTYSIOPULMOLOGY Thematic plan of lectures of the 1 st unit The theme of lecture Hours 1. Tuberculosis as infectious disease. Methods of TB diagnosis. h. Tuberculin skin test. BCG-vaccination. Chemoprophylaxis. h 3. Methods and principles of antituberculous treatment. h 6 h Thematic plan of practical classes of the 1 st unit The theme of practice Hours 1. Clinical and WHO classification of tuberculosis. X-ray methods of examination. 3 h. Microbiological diagnosis of tuberculosis. 3 h 3. Tuberculin skin test. TB prevention. BCG-vaccination. 3 h 4. Methods and principles of antituberculous treatment. Module 1: «Diagnosis of tuberculosis. TB prevention. Treatment of TB patients» control work. Thematic plan of out-classes of the 1 st unit The theme of out-class Hours 1. Molecular-genetic methods of TB diagnosis: Xpert MTB/Rif h. Molecular-genetic methods of TB diagnosis: GenoType MTB DR h 3. Fast methods of TB diagnosis: BACTEC-MGIT h 4. New methods of immunological diagnosis: diaskin-test, IGRA. h 8 h Thematic plan of lectures of the nd Unit The theme of lecture Hours 4. Primary TB. Pathogenesis. Classification. Pre-local forms of Primary TB. h Primary TB complex. Clinical presentations. Diagnosis. 5. TB of intrathoracic lymph nodes. Complications of primary TB. Exudative h pleurisy, TB polyserositis. Clinical presentations. Diagnosis. Complications of primary tuberculosis. 4 h Thematic plan of practical classes of the nd unit The theme of practice Hours 5. General information about primary tuberculosis. Pathogenesis. Classification. 3 h Pre-local forms of primary tuberculosis. Clinical presentations. Diagnosis. 6. Primary TB complex. Clinic. Diagnosis. 3 h 7. TB of intrathoracic lymph nodes. Complications of primary TB. Clinic, 3 h diagnosis. 8. TB pleurisy, clinic, diagnosis. Module 1: «Primary tuberculosis» control work. h 1 h 1 h Thematic plan of out-classes of the unit h 1 h 1 h

2 Themes of out-classes Hours 1. Pulmonary forms of primary TB, peculiarities of TB pathway in adolescence and h young adults.. Differential diagnosis of primary TB complex and pneumonia. h 3. Differential diagnosis of intrathoracic lymphadenopathy in children, adolescence, h and young adults (lymphoprolypherative diseases, lymphogranulomathosis, mediastinal tumors, sarcoidosis, retentional bronchial cysts, pericardial cysts, esophageal diverticulum, hernia of diaphragm, big vessels aneurism etc.) 4. Differential diagnosis of pleural effusions. Pleurisy classification (infectious and h noninfectious). Differential diagnosis of exudate and transudate. Pleural fluid analysis in different etiology of pleural effusions. Methods of diagnosis confirmation. 8 h Thematic plan of lectures of the 3 rd Unit The theme of lecture Hours 6. Disseminated pulmonary tuberculosis. Classification. Miliary tuberculosis, h pathogenesis, clinic, diagnosis. TB meningitis, pathogenesis, clinic, diagnosis. Disseminated pulmonary tuberculosis, subacute and chronic pathway, pathogenesis, clinic, diagnosis. h Thematic plan of practical classes of the 3 rd Unit The theme of practice Hours 9. Miliary TB, pathogenesis, clinic, diagnosis. 3 h 10. TB meningitis, pathogenesis, clinic, diagnosis. 3 h 11. Subacute pulmonary disseminated TB, pathogenesis, clinic, diagnosis 3 h 1. Chronic pulmonary disseminated TB, pathogenesis, clinic, diagnosis. Module 3: «Disseminated tuberculosis» control work. h 1 h 1 h Thematic plan of out-classes of the unit 3 Themes of out-classes Hours 1. Diagnosis of military tuberculosis in HIV-infected patients: acute TB sepsis h (typhobacillosis Landusi) as atypical agranulamatous progressive form of tuberculosis. Clinical presentations. Peculiarities of clinical, microbiological, radiological, morphological diagnosis.. Differential diagnosis of pulmonary disseminated processes (disseminated h tuberculosis, disseminations of oncological nature, professional disease, interstitial lung disease, connective tissue diseases, parasitic disease etc.). 3. Differential diagnosis of TB meningitis (serous viral meningitis, oncological h disease of central nervous system, syphilitic meningitis, poliomyelitis, sarcoidosis of central nervous system, trauma of central nervous system, ischemic stroke etc.). 4. Differential pulmonary processes in HIV-infected patients: tuberculosis, h pneumonias, mycobacteriosis, viral disease, fungal diseases, carcinomatosis etc. 8 h Thematic plan of lecture course in the Unit 4 Themes of lectures Hours

3 7. Secondary tuberculosis. Pathogenesis. Limited forms of secondary TB: h focal TB, tuberculoma, clinic, diagnosis. Infiltrative lung tuberculosis, clinic, diagnosis. 8. Cavitary and progressive forms of secondary TB: caseous pneumonia, h cavernous, fibrous-cavernous TB. Clinic, diagnosis. Complications of secondary TB. Drug-resistant TB. 9. Infection control of TB. TB/HIV co-infection. h 6 h Thematic plan of practical classes course in the Unit 4 Themes of practical course Hours 13. Secondary tuberculosis. Pathogenesis. Limited forms of secondary TB: focal 3 h TB, tuberculoma, clinic, diagnosis. 14. Infiltrative lung tuberculosis, clinic, diagnosis. Caseous pneumonia as acuteprogressive 3 h form of TB, clinic, diagnosis. 15. Cavitary forms of secondary tuberculosis: cavernous, fibrous-cavernous 3 h tuberculosis, clinic, diagnosis. Complications of secondary tuberculosis. Drugresistant tuberculosis. Types of drug-resistance. Methods of drug-resistant detection. The main principles of DRTB treatment. 16. Main forms of extrapulmonary TB. TB of peripheral lymph nodes, TB of bones 3 h and joints, TB of genitourinary tract, abdominal TB. Clinical presentations, methods of detection and diagnosis. 17. TB/HIV co-infection. Situation in the world and KR. Pathogenesis of TB in HIV-patients. Clinical presentations and pathway of TB in HIV-patients depending on stage of immunodeficiency. Detection of TB-cases in HIVpatients. Detection of HIV-cases in TB patients. Microbiological and radiological diagnosis of tuberculosis in HIV-patients. TB prevention in HIVpatients. Monitoring of TB cases in HIV-patients. Prognosis. Module 4. Secondary TB. DR-TB. Extrapulmonary TB control work. h 1 h 18. Infection control in health-care facilities, congregate settings, and households. Administrative control measures, environmental control measures, individual control measures. Interpretation of X-ray films and clinical cases. The final class. Credit. Counting of students individual rating. h 1 h 18 h Thematic plan of out-classes in the unit 4 Themes Hours 1. Differential diagnosis of pulmonary hemorrhages. Urgent help and hemostatic h therapy of lung hemorrhages.. Differential diagnosis of spontaneous pneumothorax different types (opened, h closed, valve). Urgent help in different types of spontaneous pneumothorax (Belau passive drainage, three-ampule system). 4 h

4 NEUROLOGY Unit 1 Theme: «Principles of an examination of the motor, sensory, cerebellar system and higher brain functions» Duration: during 5th semester Work Hours 1 Curricular classes Extracurricular work 14 Plan of subjects of practical classes TOTAL 36 1 Principles of examination of the motor system. Syndromes of lesion. 4 Principles of examination of the extra pyramidal system. Syndromes of lesion. Principles of examination of the cerebellar system. Syndromes of lesion. 6 3 Principles of examination of the sensory system. Syndromes of lesion. 4 4 Symptoms of tensions. Pain s points. 5 Principles of examination of higher brain functions. Syndromes of lesion of frontal, parietal, temporal, occipital lobes. 4 6 Unit 1 TOTAL Theme: «Principles of an examination of cranial nerves, vegetative nervous system. The examination in neurology» Duration: during 5th semester Work Hours 1 Curricular classes 6 Extracurricular work 10 Plan of subjects of practical classes TOTAL 36 1 Syndromes of lesion of I and II CN. Principles of examination of cranial nerves of medulla oblongata, Warolii s pons, midbrain. 8 3 Principles of examination of spinal syndromes. 4 4 Principles of examination of vegetative nervous system. 4 5 Meningeal and hypertensive syndromes. 6 The examination in neurology. 4

5 7 Unit Duration: during 8th semester Unit 3 Theme: «Vascular, inflammatory and demyelinating diseases of the brain and the spinal cord» TOTAL 6 Work Hours 1 Curricular classes 4 Extracurricular work 1 Plan of subjects of lecture TOTAL 36 1 Prophylaxis of acute stroke. Modern principles of treatment of stroke 3 Rehabilitation of stroke 4 Primary headache Plan of subjects of practical classes TOTAL 8 1 Principles of examination of patients Ischemic acute stroke 3 Hemorrhagic acute stroke, subarachnoid hemorrhage 4 Chronic cerebrovascular insufficiency 5 Spinal stroke. Vascular myelopathy 6 Inflammatory diseases of brain 7 Inflammatory diseases of spinal cord 8 Demyelinating disease of nervous system Unit 3 TOTAL 16 Unit 4 Theme: «Diseases of peripheral nervous system. Progressive and specific diseases of nervous system. Myasthenia. Epilepsy. Urgent states in neurology» Duration: during 8th semester Work Hours 1 Curricular classes 18 Extracurricular work 18 TOTAL 36

6 Plan of subjects of lecture 1 Consciousness and its disturbance Specific diseases of nervous system 3 Urgent conditions in neurology Plan of subjects of practical classes TOTAL 6 1 Diseases of peripheral nervous system (lesion of cranial nerves) Diseases of peripheral nervous system (polyneuropathies, radiculopathies, neuropathies) 3 Diseases with the disturbance of neuromuscular transmission 4 Degenerate diseases of nervous system 5 Epilepsy 6 Unit 4 Duration: during 8th semester Unit 5 Theme: «Traumatic injury and tumors of brain and spinal cord. Congenital anomaly of brain» TOTAL 1 Work Hours 1 Curricular classes 1 Extracurricular work 4 Plan of subjects of lecture TOTAL 36 1 Intervertebral hernia. Diagnostics of tumor of brain and spinal cord Plan of subjects of practical classes TOTAL 4 1 Craniocerebral trauma Tumors of brain and spinal cord 3 Congenital anomaly of brain. Hydrocephaly 4 Unit 5 TOTAL 8

7 MEDICAL GENETICS Unit 1 Theme: «Chromosome diseases. Heritable diseases with the lesion of the muscular, pyramidal, extrapyramidal and cerebellar systems» Duration: 10 weeks Work Hours 1 Curricular classes 18 Extracurricular work 18 Plan of subjects of lectures TOTAL 36 Introduction to the medical genetics. Classification of hereditary diseases. Methods of 1 the diagnostics of hereditary diseases. Laboratory diagnostic methods: cytogenetic, biochemical, molecular-genetic. Chromosomal disease 3 Hereditary muscular dystrophies (Duchenne's dystrophy, Erb dystrophy, Landouzy-Dejerine disease). Spinal muscular dystrophy (spinal muscular atrophy of Werdig- Hoffmann and Charcot-Marie-Tooth disease) 4 Hereditary diseases with affection of pyramidal and extrapyramidal and cerebellar systems. Plan of subjects of practical classes Total 8 1 Method of the composition and the analysis of family trees. Chromosome diseases (Down's disease, Klinefelter's syndrome, Turner's syndrome). 3 Hereditary muscle dystrophies (Duchenne's dystrophy, scapulohumeral dystrophy, Landouzy-Dejerine disease). Spinal and muscular dystrophies (Werdnig-Hoffmann disease, Charcot-Marie-Tooth disease). 4 The affection of the pyramidal and cerebellar systems (Fridreich ataxia, Strumpell s palsy). 5 The affection of the extrapyramidal system (Wilson disease, Huntington's chorea, torsion dystonia, Parkinson's disease) Unit 1 TOTAL 10 Unit Theme: «Heritable diseases with the disturbance of lipidic, carbohydrate, aminoacid metabolism. Mitochondrial and peroxisome diseases» Duration: 8 weeks

8 Work Hours 1 Curricular classes 18 Extracurricular work 18 Plan of subjects of lectures TOTAL 36 1 Violation of carbohydrate, lipid, amino acid metabolism. Peroxisomal diseases. 3 Clinical genetics of multifactorial diseases. 4 Prospects of genomic investigations in cardiology, pulmonology, nephrology. 5 Prevention and treatment of hereditary diseases Plan of subjects of practical classes unit. Total 10 1 Affections of lipids (lipoidosis) Affections of carbohydrates (galactosemia) 3 Affections of amino acids (phenylketonuria) 4 Mitochondral encephalopathies. Unit TOTAL 8

9 ENT OTORHINOLARYNGOLOGY UNIT 1 Auditory and vestibular analyzers. Morpho-physiological peculiarities of ENT-organs. Acute, chronic and nonsuppurative diseases of middle ear. DURATION: 6 WEEKS Hours in classes 4 h Hours of student out of classes 4 h Plan of subject of lecture Subject of lecture Quantity of hours 1. Introduction in otorhinolaryngology. h Auditory and vestibular analyzer.. Chronic inflammatory diseases of middle h ear 3. Nonsuppurative diseases of middle ear h Total 6 h Plan of subject of practical classes Subject of practical classes Hours 1- Auditory and vestibular analyzers. Morpho-physiological pecularities of 6 h ENT-organs. 3 Acute inflammatory diseases of external and middle ear. 3 h 4 Chronic inflammatory diseases of ear. 3 h 5 Nonsuppurative diseases of ear. 3 h 6 Passing of unit 1 3 h Total UNIT Acute and chronic diseases of nose, paranasal sinuses, pharynx DURATION: 6 WEEKS Hours in classes 4 h Hours of students out of 4 h classes 18 h

10 Plan of subject of lecture Subject of lecture Quantity of hours 1. Acute and chronic diseases of nose and h its paranasal sinuses. Rhinogenic and otogenic intracranial h complications 3. Angina. Disorders of tonsils h Total 6 h Plan of subject of practical classes Subject of practical classes Часы 1- Acute and Chronic diseases of nose and paranasal sinuses 6 h 3 Rhinogenouses and otogenouses intracranial complications 3 h 4 Angina. Diseases of tonsils. 3 h 5 Tonsillitis and associated diseases. 3 h 6 Pass of unit 3 h Total 18 h DURATION: 6 WEEKS Hours in classes 4 h Hours of student out of classes 4 h UNIT 3 EMERGENCY OTORHINOLARYNGOLOGY Plan of subject of lecture Subject of lecture Quantity of hours 1. Acute and Chronic laryngitis. Stenosis of h larynx. Intubation, tracheostomy.. Tumors of ENT h 3. Expertize in ENT h Total 6 h Plan of subject of practical classes Subject of practical classes Часы

11 1 Acute and Chronic laryngitis. Stenosis of larynx. Intubation, tracheostomy. 6 h Emergency in otorinolaringology 3 h 3 Policlinic: install ambulatory reception 6 h 4 Pass an unit 3 3 h Total 18 h

12 OPHTALMOLOGY UNIT 1 TOPIC: AGE AND CLINICAL ANATOMY OF THE EYE, FUNCTIONS OF EYE. OPTICAL EYE SYSTEM. Duration: 6 weeks Classroom hours Out-of-class hours TOTAL 4 h 4 h 48 h Thematic plan of lectures Topic of the lectures Number of hours 1 Introduction to ophthalmology. Achievements of international ophthalmology. Embryogenesis and clinical anatomy of the organ of vision Age dynamics of the functions of the organ of vision. 3 Optical system of the eye. Clinical refraction. Refraction anomalies TOTAL 6 Thematic plan for practical lessons Topic Number of hours 1. Anatomy of the eye adnexa 3. Clinical anatomy of the eye Central vision. Peripheral vision. Disturbances 3 4. Optical system of the eye. Clinical refraction. Accommodation. 3 Astigmatism 5. Clinic of myopia. Clinic of hypermetropia. Correction, treatment 3 6. To pass the unit 1 Solution of situational tasks on the learned topics 3 TOTAL 18 UNIT TOPIC: BINOCULAR VISION. METHODS OF RESEARCH IN OPHTHALMOLOGY. DISEASES OF THE ANTERIOR SEGMENT OF THE EYE. Duration: 6 weeks Classroom hours 4 ч Out-of-class hours 4 ч TOTAL 48 ч Thematic plan for lectures Topic of the lecture Number of hours 4 Binocular vision. Strabism. 5 Diseases of anterior segment of eye. Blepharitis. Diseases of lacrimal organs. Diseases of the conjunctiva. 6 Keratitis. Uveitis TOTAL 6

13 Thematic plan for practical lessons Topic Number of hours 1. Binocular vision. Strabism. 3. Methods of research in ophthalmology Blepharitis. Diseases of lacrimal organs, conjunctiva 3 4. Keratitis. Scleritis Uveitis 3 6. To pass the unit Solution of situational tasks on the learned topics 3 TOTAL 18 UNIT 3 TOPIC: GLAUCOMA. CATARACT. INJURY OF THE EYE. DISEASES OF THE RETINA AND OPTIC NERVE. Duration: 6 weeks Classroom hours 4 Out-of-class hours 4 TOTAL 48 Thematic plan for lectures Topics Number of hours 1 Cataract. Glaucoma. Classification. Types. Clinic. Treatment Injury of the organ of vision. Classification. Diagnostics. Clinic.. 3 Diseases of the retina and optic nerve. TOTAL 6 Thematic plan for practical lessons Topics Number of hours 1. Cataract. Classification. Symptoms. Treatment. 3. Glaucoma. Classification. Congenital glaucoma. Primary glaucoma Clinic of glaucoma. Diagnostics. Algorithm of treatment. Secondary 3 glaucoma. 4. Injury of the organ of vision. Classification. Diagnostics. Clinic. 3 Complications. Burns the organ of vision. 5. Diseases of the retina and optic nerve. Symptoms. Principles of treatment To pass the unit 3 Solution of situational tasks on the learned topics 3 TOTAL 18

14 DENTISTRY UNIT 1 Dental Caries. Inflammatory diseases of the Maxillo-Facial area Auditorium block 18 Self-study training 18 Total 36 Lectures schedule: Theme of lecture Number of hours 1 Stomatology (Dentistry) Subject and tasks. Development history. Basic problems of Dentistry& Maxillo-Facial Surgery and its importance for General Medical doctor. Dental caries. Epidemiology, clinic, diagnosis, basics of treatment and prophylaxis. Dental caries complications. 3 Periodontium and oral mucosa inflammatory diseases 4 Inflammatory diseases of the Maxillo-Facial area Total hours: 8 Practice classes schedule: Subject of practice class Number of hours 1 Principles of Dental Service in urban and rural areas. Methods of investigation in Dentistry & Maxillo- Facial Surgery Dental diseases: Caries, Pulpitis, Periodontitis. Anesthesia in Dentistry. Teeth extraction. 3 Oral mucosa diseases. Sialodenitis inflammation of Salivary glands 4 Odontogenous inflammation diseases of Maxillo- Facial area Quiz Total hours: 10 UNIT Traumatology of the Maxillo-Facial area. Oncostomatology. Congenital and gained defects and deformations of the Maxillo-Facial area Auditorium block 18 Self-study training 18 Total 36

15 Lectures schedule: Theme of lecture Number of hours 1 Traumatology of the Maxillo-Facial area. Temporo-Mandibular Joint (TMJ) diseases 3 Non-malignant and malignant tumors of Maxillo- Facial area. Clinical, diagnostical and treatment peculiarities. 4 Congenital defects and deformations of the Maxillo- Facial area 5 Gained defects and deformations of the Maxillo- Facial area. Basics of plastic operations. Total hours: 10 Practice classes schedule: Theme of practice classes Number of hours 1 Teeth and Face skeleton fractures. Clinical symptoms, Diagnosis, treatment. MFA Nonmalignant and Malignant diseases. Clinical symptoms, Diagnosis, Principles of treatment 3 Congenital and gained defects and deformations of the Maxillo-Facial area. Clinical symptoms, Diagnosis, Principles of treatment. 4 Quiz Total hours: 8