4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-1 ( WEEK 17 of 20) Venue: Lec Hall 1

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1 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-1 ( WEEK 17 of 20) Venue: Lec Hall 1 WK PATH-LEC-49 Normal structure, Thyroiditis and hyperthyroidism SURG-LEC-13 haemorrhage classification, pathophysiology, management. Col Nauman Imtiaz CMH Rawalpindi. ENT-LEC-17 Complications of Sinusitis Brig Nusrat raza EYE-LEC-18 Glaucoma -I( Evaluation): Col Amjad Akram CM-LEC-53 Infectious Disease Epidemiology I (Prevention and control of Infectious Diseases) CM-LEC-54 Infectious Disease Epidemiology II (Dynamics of Infectious Disease Transmission- Reservoir and source of infection, Susceptible host) CM-LEC-55 Infec Disease Epi III (Control of Infections, early diagnosis treatment, isolation, quarantine, disinfections. Interruption of transmission.) GYNAE-LEC-17 Antenatal care Lt Col Uzma Kallue MH PATH-LEC-50 Disorders of skeletal muscles PATH-LEC-51 Disorders of parathyroid glands Brig Tariq sarfarz PATH-LEC-52 Disorders of adrenal Gland CM-17 CM-18 CM-17 PAED-LEC-17 Nephrotic Syndrome Lt Col Shamamah Hassan CM DRILL BEH-SCN-4 CM-VISIT-3 OFF Visit to hospital for health care waste management A 45years old male patient came in OPD with the complaint of scanty, thick, foul smelling and occasional blood stained discharge from his right ear for last one year. Healso had marked hearing impairment and for last few days he had moderate to severepain in his right ear. Examination revealed a posterosuperior marginal perforation with pearly white flakes and greenish foul smelling discharge, discuss investigations and management. Lt Col Muhammad Ali Sudden loss of vision I: A known diabetic, with PDR comes with complaints of sudden loss of vision. How will you manage the case? Maj Gen Mazhar Ishaq ABCESS: A middle-aged man presents with a swelling. Patient has high-grade fever. The swelling is painful, red, and very tender. Aspiration reveals pus. Reflect and discuss the pathophysiology, diagnosis, and management of the patient. Col Nauman Imtiaz, Dept of Vascular Surgery, CMH Rwp CM-17 Infectious disease epidemiology Faculty CM-18 Infectious disease epidemiology Faculty RBC Disorders-Haematology A patient with patechiae and ecchymoses, followed after a few days with fever, chills and prostration, and there was no lymphadenopathy GIT:A 3 year old child is brought to paediatric OPD with h/o persistent diarrhea since the age of six months. He was breast fed till six month, weaned at six months. Exam reveled malnourished child, irritable, protuberant abdomen and marked wasting of buttocks. Col Talal Waqar Partograhic record of labour A 24 year old primigravidarepret in labour and is found to be 2 cm dilated. How would you monitor and deliver her? Maj Shaista CMH Rwp

2 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-1 ( WEEK 18 of 20) Venue: Lec Hall 1 WK CPC- EYE-4, ENT-4 Glaucoma : Col Amjad Akram Deviated Nasal Septum (SEPTAL SURGERY): COL ATIQUE SURG-LEC-14 Blood transfusion & complications,blood subsitutes/fluids: Brig Junaid Mushtaq CMH ENT-LEC-18 Vasomotor and Other Forms of Nonallergic Rhinitis : Col Attique Ahmed CM-LEC-56 Infec Disease Epi IV (Immunity types and immunization, EPI, Chemoprophylaxis) CM-LEC-57 Control and prevention of Communicable Diseases I (Chicken pox, Measles, Rubella) CM-LEC-58 prevention of Comm Diseases II (Mumps, Whooping cough, diphtheria) Maj Shamaila Mohsin GYNAE-LEC-18 Secondary amenorrhea (Col Rubina Mushtaq CMH) PATH-LEC-53 Inflammatory and neoplastic disorders of salivary glands PATH-LEC-54 Disorders of bone I PATH-LEC-55 Disorder of bone II CM-17 CM-18 CM-17 EYE-LEC-19 Glaucoma -II ( Classification, POAG, PACG):Col Amjad Akram: PAED-LEC-18 UTI Lt Col Asma Razzaq CM DRILL PATH-PRAC 17,18 ( GP 1,2), CM-TUT-9 (GP 3,4) PATH-PRAC 17,18 ( GP 1,2), CM-TUT-9 (GP 3,4) OFF A 45years old male patient came in OPD with the complaint of scanty, thick, foul smelling and occasional blood stained discharge from his right ear for last one year. Healso had marked hearing impairment and for last few days he had moderate to severepain in his right ear. Examination revealed a posterosuperior marginal perforation with pearly white flakes and greenish foul smelling discharge, discuss investigations and management. Lt Col Muhammad Ali Sudden loss of vision I: A known diabetic, with PDR comes with complaints of sudden loss of vision. How will you manage the case? Maj Gen Mazhar Ishaq ABCESS: A middle-aged man presents with a swelling. Patient has high-grade fever. The swelling is painful, red, and very tender. Aspiration reveals pus. Reflect and discuss the pathophysiology, diagnosis, and management of the patient. Col Nauman Imtiaz, Dept of Vascular Surgery, CMH Rwp CM-17 Infectious disease epidemiology Faculty CM-18 Infectious disease epidemiology Faculty PATH-P-17 Adeno carcinoma prostate & BPH PATH-P-18 Teratoma ovary CM-TUT-9 SPSS Hands on practice 1. Faculty RBC Disorders-Haematology A patient with patechiae and ecchymoses, followed after a few days with fever, chills and prostration, and there was no lymphadenopathy GIT:A 3 year old child is brought to paediatric OPD with h/o persistent diarrhea since the age of six months. He was breast fed till six month, weaned at six months. Exam reveled malnourished child, irritable, protuberant abdomen and marked wasting of buttocks.lt Col Talal Waqar Partograhic record of labour A 24 year old primigravidarepret in labour and is found to be 2 cm dilated. How would you monitor and deliver her? Maj Shaista CMH Rwp

3 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-1 ( WEEK 19 of 20) Venue: Lec Hall 1 WK PATH-LEC-56 Disorders of soft tissue I SURG-LEC-15 Burn: Col Rizwan Aslam, CMH Rwp ENT-LEC-19 Acute and Chronic Rhinitis Granulomatous Diseases of Nose EYE-LEC-20 Glaucoma -III (Surgery) Col Amjad Akram CM-LEC-59 Diseases III (Meningitis, Acute Respiratory Infections, TB) Dr Aliya Hissam CM-LEC-60 Diseases IV (Polio, Typhoid fever, Diarrheal diseases) Dr Sumaira Masood CM-LEC-61 Diseases V(Influenza, SARS) Dr Samreen Misbah GYNAE-LEC-19 Hypertensive disorders in pregnancy Maj Rabia CMH PATH-LEC-57 Hydrocephalus,brain abcess and brain hemorrhage PATH-LEC-58 Disorders of soft tissue II Brig Tariq sarfarz PATH-LEC-59 Demyelinating and degenerative diseases of brain CM-19 CM-20 CM-19 PAED-LEC-19 Acute and chronic Renal failure Lt Col Faisal Basheer CM DRILL BEH-SCN-5 CM-VISIT-3 OFF Visit to MCH/ Reproductive health center A 36 years old female patient presented with the complaint of impaired hearing from both ears for the last 10 to 12 years. It was accompanied by noise in ears and her hearing was better in loud environment. Her problem had aggravated during her last pregnancy three years ago. She had more problem in hearing in calm and quiet environment as compared to noisy places. Discuss differential diagnosis, and management. Lt Col Saeed Ullah Evaluation of diplopia: A middle aged female has diplopia in primary gaze. How will you manage the case? Maj Teyyeb Azeem PRE OPERTAIVE CARE:Patients who need surgery may be suffering from medical conditions. Reflect and discuss preoperative preparation of patients::hypertension, arrhythmias, IHD, Anemia, liver failure: Major M Nadeem Ch, Dept of Orthopaedics, CMH Rwp Haemoglobinopathies Haematology (a child with chronic ill health, pallor and protuberant abdomen) NEPHROLOGY:A three year sold child presented to OPD with h/o gen swelling of the body. Initially the swelling was around periorbital region more marked in morning later on became generalized. Examination reveled gen anasarca with asites. Urine is positive for proteins: BRIG TANVEER ASHRAF Pain management in normal labour A 30 year old PG a school teacher by profession is keen for pain relief in labour that would not interfere with fetal well being. How would you counsel and manage her? Maj Sadia Zainab MH Rwp CM-19 Control of communicable diseases (Parasitic Infestations) Faculty CM-20 Control of communicable diseases (Parasitic Infestations) Faculty

4 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-1 ( WEEK 20 of 20) Venue: Lec Hall 1 WK PATH-TUT-5 Bone and soft tissue ANAE-LEC-04 Chronic Pain: Maj Gen Amjad Iqbal ENT-LEC-20 Neoplasms of Nasal Cavity and paranasal nasal sinuses; Lt Col Shahzad Hanif CM-LEC-62 Diseases VI (Viral hepatitis) Dr Humaira Mahmood CM-LEC-63 Diseases VII (Cholera, Food poisoning) Maj Fawad CM-LEC-64 Dis VIII (Malaria, Dengue, Yfever, Leishmaniasis) Maj Shamaila GYNAE-LEC-20 Spontaneous miscarriage Maj Ayesha Shuja CMH PATH-LEC-60 Degenerative disorders of CNS PATH-LEC-61 Tumours of CNS PATH-LEC-62 Inflammatory conditions and tumours of oral cavity Brig (R) Shahid Jamal CM-19 CM-20 CM-19 EYE-LEC-21 Glaucoma -IV (Drugs) Col Amjad Akram PAED-LEC-20 ARI/ Pheumonia in children Brig Imran Asghar CM DRILL PATH-PRAC 19,20 ( GP 1,2), CM-TUT-10 (GP 3,4) PATH-PRA 19,20 ( GP 1,2),CM-TUT-10 (GP 3,4) OFF A 36 years old female patient presented with the complaint of impaired hearing from both ears for the last 10 to 12 years. It was accompanied by noise in ears and her hearing was better in loud environment. Her problem had aggravated during her last pregnancy three years ago. She had more problem in hearing in calm and quiet environment as compared to noisy places. Discuss differential diagnosis, and management. Lt Col Saeed Ullah Evaluation of diplopia: A middle aged female has diplopia in primary gaze. How will you manage the case? Maj Teyyeb Azeem PRE OPERTAIVE CARE:Patients who need surgery may be suffering from medical conditions. Reflect and discuss preoperative preparation of patients::hypertension, arrhythmias, IHD, Anemia, liver failure: Major M Nadeem Ch, Dept of Orthopaedics, CMH Rwp Haemoglobinopathies Haematology (a child with chronic ill health, pallor and protuberant abdomen) NEPHROLOGY:A three year sold child presented to OPD with h/o gen swelling of the body. Initially the swelling was around periorbital region more marked in morning later on became generalized. Examination reveled gen anasarca with asites. Urine is positive for proteins: BRIG TANVEER ASHRAF Pain management in normal labour A 30 year old PG a school teacher by profession is keen for pain relief in labour that would not interfere with fetal well being. How would you counsel and manage her? Maj Sadia Zainab MH Rwp CM-19 Control of communicable diseases (Parasitic Infestations) Faculty CM-20 Control of communicable diseases (Parasitic Infestations) Faculty PATH-P-19 Leiomyoma uterus PATH-P-20 Cyst adenoma CM-TUT-10 SPSS Hands on practice 1. Faculty

5 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-2 ( WEEK 21 of 24) Venue: Lec Hall 1 WK ANAE-LEC-05 Acute pain Brig Mushtaq SURG-LEC-16 Trauma. Tissue response, mechanism of injury, missle/shotgun/blast injuries. Major Abu Ala Nafees, CMH ENT-LEC-21 Anatomy of Oral Cavity and salivary glands Brig Nusrat raza CM-LEC-65 Diseases IX (Rabies, Plague) Dr Samreen Misbah CM-LEC-66 Diseases X (Amoebiasis, Ascariasis, Hookworm infections, Taeniasis, Hydatid Disease, Typhus) Dr Sumaira Masood CM-LEC-67 Diseases XI (Tetanus, AIDS) Dr Aliya Hissam GYNAE-LEC-21 Gestational diabetes Brig Shehla MH PATH-LEC-63 Inflammatory and neoplastic structures of neck structures Brig Shahid Jamal PATH-LEC-64 Normal structure and diseases of skin I Brig Shahid Jamal PATH-LEC-65 Diseases of skin II Brig (R) Shahid Jamal CM-21 CM-22 CM-21 EYE-LEC-22 Uveitis I (Evaluation, Classification, Anterior) Lt Col Hannan Masood PAED-LEC-21 Acute Liver Failure Brig Munir Akmal Lodhi CM DRILL PATH-PRAC 21,22 ( GP 1,2), CM-TUT-11 (GP 3,4) PATH-PRA 21,22( GP 1,2),CM-TUT-11 (GP 3,4) OFF A 15 years old boy reported with recurrent epistaxis and nasal obstruction. examination revealed a mass in right nasal cavity. Discuss diagnosis and management options: Lt Col Shahzad Ahmed Sudden loss of vision I: A known diabetic, with PDR comes with complaints of sudden loss of vision. How will you manage the case? Maj Gen Mazhar Ishaq PRE OPERTAIVE CAREPatients who need surgery may be suffering from medical conditions. Reflect and discuss preoperative preparation of patients::respiratory disease., Smoking, Infection, Diabetes mellitus.col Sabir Hussain Bhatti, Dept of Neurosurgery, CMH Rwp Polycythemia-Haematology A 51 years old male patient presents with complaint of headache for the last three months. CM-21 Interaction with supervisors-5 Faculty CM-22 Interaction with supervisors-6 Faculty PATH-P-21 Teratoma ovary PATH-P-22 Fibroadenoma & invasive ductal carcinoma CM-TUT-11 SPSS Hands on practice 2 Faculty LIVER: A seven year old girl presents with h/o malaise, and gen ill health for the last three weeks. Examination reveled jaundice, liver is enlarged 3 cm below right coastal margin, spleen 2 cm and asites is present with visible veins over abdomen.; LT COL TARIQ GHAFOOR Post partum amenorrhea A 29year old lady complaints of secondary amenorrhoea following the birth of her child one year ago. Delivery was complicated by PPH and D&C was required for removing retained placental pieces.what are the relevant points in history and investigations that would lead to correct diagnosis Maj Khalida CMH Rwp

6 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-2 ( WEEK 22 of 24) Venue: Lec Hall 1 WK CPC- EYE-5, ENT-5 Retinal detachment: Maj Ahsan Mukhtar Nasal Polypi: Brig Nusrat Raza SURG-LEC-17 Gangrene: Dry, Gas gangrene: Brig Qasim Butt ENT-LEC-22 Common Disorders of Oral Cavity CM-LEC-68 Diseases XII (Emerging and reemerging infections) Maj Shamaila Mohsin CM-LEC-69 Diseases XIII (Hospital Acquired Infections Dr Sumaira Masood CM-LEC-70 Demography and Population Dynamics I (Concept, demographic principles and demographic processes) GYNAE-LEC-22 Ectopic pregnancy Maj Sadaf Zohra CMH PATH-LEC-66 Hemopoesis / Anamia General Aspect PATH-LEC-67 Iron deficiency anemia Maj Gen Saleem Ahmed Khan PATH-LEC-68 Megaloblastic anemia CM-21 CM-22 CM-21 EYE-LEC-23 Uveitis II (Intermediate, Posterior) Lt Col Hannan Masood PAED-LEC-22 Chronic Liver Disease Lt Col Shamamah Hassan CM DRILL BEH-SCN-6 COM CPC WORLD TB DAY SEMINAR OFF A 15 years old boy reported with recurrent epistaxis and nasal obstruction. examination revealed a mass in right nasal cavity. Discuss diagnosis and management options: Lt Col Shahzad Ahmed Sudden loss of vision I: A known diabetic, with PDR comes with complaints of sudden loss of vision. How will you manage the case? Maj Gen Mazhar Ishaq PRE OPERTAIVE CAREPatients who need surgery may be suffering from medical conditions. Reflect and discuss preoperative preparation of patients::respiratory disease., Smoking, Infection, Diabetes mellitus.col Sabir Hussain Bhatti, Dept of Neurosurgery, CMH Rwp SPORTS WEEK: Mar 2017 CM-21 Interaction with supervisors-5 Faculty CM-22 Interaction with supervisors-6 Faculty Polycythemia-Haematology A 51 years old male patient presents with complaint of headache for the last three months. LIVER: A seven year old girl presents with h/o malaise, and gen ill health for the last three weeks. Examination reveled jaundice, liver is enlarged 3 cm below right coastal margin, spleen 2 cm and asites is present with visible veins over abdomen.; LT COL TARIQ GHAFOOR Post partum amenorrhea A 29year old lady complaints of secondary amenorrhoea following the birth of her child one year ago. Delivery was complicated by PPH and D&C was required for removing retained placental pieces.what are the relevant points in history and investigations that would lead to correct diagnosis Maj Khalida CMH Rwp

7 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-2 ( WEEK 23 of 24) Venue: Lec Hall 1 WK CPC-EYE-6,ENT-6 Diabetic Retinopathy: Maj Amir Arain Upper Airway Obstruction (Tracheostomy): Col Aqeel SURG-LEC-18 Tetanus; Typhoid: Brig Irfan shukar ENT-LEC-23 Tumours of oropharynx: Col Attique Ahmed EYE-LEC-24 Retinal Vascular Diseases I (Evaluation, Hypertensive Retinopathy) Maj Ahsan Mukhtar CM-LEC-71 Demography and Population Dynamics II (Census, definition, methodology, types, Determinants of fertility). CM-LEC-72 Demography and Population Dynamics III (Population Pyramid, Demographic Transition, Epidemiological Transition, Demographic Trap and its public health importance). CM-LEC-73 Demography IV (Demographic and social implications of high population growth, Social Mobilization) GYNAE-LEC-23 Tests of fetal well being Maj Umairah Yaqub MH PATH-LEC-69 Aplastic Anemia And BM transplantation PATH-LEC-70 Hemolytic anemia PATH-LEC-71 Hemolytic anemia II/ Immune hemolytic anemia PAED-LEC-23 Childhood Anemia Lt Col Tariq Ghafoor CM-23 CM-24 CM-23 CM DRILL Free Lec / Missed lec CM-VISIT-3 OFF Visit to MCH/ Reproductive health center A one year old boy was brought with fever, and reluctance to feed. He had restricted mouth opening and bulging posterior pharyngeal wall. Discuss diagnosis and management : Lt Col Ausaf Ahmed Evaluation of diplopia: A middle aged female has diplopia in primary gaze. How will you manage the case? Maj Teyyeb Azeem POST OPERTAIVE CAREA patient has come to ward from OT after appendicectomy. Reflect and discuss the postoperative care you would provide to the patient. Major Abu Ala Nafees, Dept of Plastic surgey, CMH Rwp WBC Disorders-Haematology A patient with weakness, fatigue and sore throat HAEMATOLOGY:A 14 months old boy is brought to Paeds OPD with c/o generalized weakness, and lethargy. Exam reveled him to be markedly pale. He was fed on diluted cow s milk and weaning started at the age of 9 months. There is h/o pica as well. He has passed worm in stools many times. Lt Col Faisal Basheer Pregnancy induced hypertension A patient, 18 years of age, comes to you at 24 weeks of pregnancy. She c/o headache on her first A/N visit. Her BP is 160/110 mmhg. There is no proteinuria. How will you workup this patient employing good history, examination and relevant investigations to establish a diagnosis? Maj Talat Shaheen MH Rwp CM-23 Control of communicable diseases (Respiratory Diseases) Faculty CM-24 Control of communicable diseases (Intestinal Diseases) Faculty

8 4 TH YEAR MBBS CLASS - MODULE-3, CYCLE-2 ( WEEK 24 of 24) Venue: Lec Hall 1 WK PATH-TUT-6 Anemia ANAE--LEC-06 Cancer Pain: Brig Sarfraz ENT-LEC-24 Anatomy and Physiology of Pharynx & OESOPHAGUS Lt Col Muhammad Ali EYE-LEC-REVISION CM-LEC-74 Demography V (Urbanization and its impact on population, demographic dividend and momentum) CM-LEC-75 Military Hygiene I Col (R)Naseer Alam Tariq CM-LEC-76 Military Hygiene II Col (R)Naseer Alam Tariq PATH-LEC-72 Thalassemia PATH-LEC-73 White cell disorders Col Naseer uddin PATH-LEC-74 Leukemia Classification and Lab diagnosis Col Naseer Uddin CM-23 CM-24 CM-23 GYNAE-LEC-24 PAED-LEC-24 Screening for gynaecological cancers Seizures and Epilepsu Maj Tabassum CMH Brig Faheem Ahmed Subhani CM DRILL PATH-PRAC 23,24 ( GP 1,2), CM-TUT-12 (GP 3,4) PATH-PRA23,24 ( GP 1,2),CM-TUT-12 (GP 3,4) OFF THIRD MODULE TEST : APRIL 2017 A one year old boy was brought with fever, and reluctance to feed. He had restricted mouth opening and bulging posterior pharyngeal wall. Discuss diagnosis and management : Lt Col Ausaf Ahmed Evaluation of diplopia: A middle aged female has diplopia in primary gaze. How will you manage the case? Maj Teyyeb Azeem POST OPERTAIVE CAREA patient has come to ward from OT after appendicectomy. Reflect and discuss the postoperative care you would provide to the patient. Major Abu Ala Nafees, Dept of Plastic surgey, CMH Rwp WBC Disorders-Haematology A patient with weakness, fatigue and sore throat HAEMATOLOGY:A 14 months old boy is brought to Paeds OPD with c/o generalized weakness, and lethargy. Exam reveled him to be markedly pale. He was fed on diluted cow s milk and weaning started at the age of 9 months. There is h/o pica as well. He has passed worm in stools many times. Lt Col Faisal Basheer Pregnancy induced hypertension A patient, 18 years of age, comes to you at 24 weeks of pregnancy. She c/o headache on her first A/N visit. Her BP is 160/110 mmhg. There is no proteinuria. How will you workup this patient employing good history, examination and relevant investigations to establish a diagnosis? Maj Talat Shaheen MH Rwp CM-23 Control of communicable diseases (Respiratory Diseases) Faculty CM-24 Control of communicable diseases (Intestinal Diseases) Faculty PATH-P-23 Multinodular goiter & Folicular adenoma thyroid PATH-P-24 Papillary carcinoma of thyroid and Pleomorphic adenoma of salivary gland CM-TUT-12 SPSS Hands on practice 2 Faculty