T.Y. M.B.B.S.
Chest
TUBERCULOSIS AND RESPIRATORY DISEASES:
(i) GOAL :
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The aim of teaching the undergraduate student in Tuberculosis and Chest Diseases isto impart such knowledge and skills that may enable him/her to diagnose and manage
common ailments affecting the chest with the special emphasis on management and
prevention of Tuberculosis and especially National Tuberculosis control programme.
(ii) OBJECTIVES :
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(a) KNOWLEDGE :At the end of the course of Tuberculosis and Chest diseases, the student shall be able
to:
1)
demonstrate sound knowledge of common chest diseases, their clinical
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manifestations, including emergent situations and of investigative proceduresto confirm their diagnosis'
2)
demonstrate comprehensive knowledge of various modes of therapy used in
treatment of respiratory diseases;
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3)describe the mode of action of commonly used drugs, their doses, side-
effects/toxicity, indications and contra-indications and interactions.;
4)
describe commonly used modes of management including medical and
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surgical procedures available for treatment of various diseases and to offer acomprehensive plan of management inclusive of National Tuberculosis
Control Programme.
(b) SKILLS :
The student shall be able to :
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1) interview the patient, elicit relevant and correct information and describe thehistory in chronological order;
2) conduct clinical exami9nation, elicit and interpret clinical findings and
diagnose common respiratory disorders and emergencies;
3) perform simple, routine investigative and office procedures required for
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making the bed side diagnosis, especially sputum collection and examinationfor etiologic organisms especially Acid Fast Bacilli (AFB), interpretation of
the chest x-rays and respiratory function tests;
4) interpret and manage various blood gase4s and PH abnormalities in various
respiratory diseases.
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5) Manage common diseases recognizing need for referral for specialized care,in case of inappropriateness of therapeutic response;
6) Assist in the performance of common procedures, like laryngoscopic
examination, pleural aspiration, respiratory physiotherapy, laryngeal
intubation and pneumo-thoracic drainage/aspiration
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(c) INTEGRATION :
The broad goal of effective teaching can be obtained through integration with
departments of Medicine, Surgery, Microbiology, Pathology, Pharmacology and Preventive
and Social Medicine
Lect. 01 : History and introduction.
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Lect. 2/3: Pathogenesis and pathologyLect. 04: Role of host related factors.
Lect. 05: Microbiology of AFB
Lect. 06: Clinical features of pulmonary tuberculosis
Lect. 07: Anti-tuberculous drugs
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-Pharmacology & schedules of drug therapyLect. 8/9: Resistant tuberculosis
DOTS
Prophylaxis - Drugs / BCG / Tuberculin test.
HIV & TB
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Lect 10 Extra - Pulmonary tuberculosisPleural Effusion
Others.
Lect 11/ 12: Revision
Lect. 13: Examination.
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Respiratory System :1. Applied anatomy & Physiology of R.S.
2. Lung function tests
3. Respiratory infections, pneumonias, fungus,
4. Bronchiectasis & lung Abscess.
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5. Bronchial Asthma.6. Lung & Pleural Malignancies.
7. Mediastinum & its disorders.
8. Pleural Diseases
9. Occupational Lung Disease
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10. Respiratory emergencies.Lecture cum Demos ( Resp system)
1. Lung function test and blood gas Analysis and Resp. alkalosis & Acidosis.
2. Chest bronchios emphysema
3. Suppurative lung diseases
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4. Bronchogenic carcinoma & other malignancies with Mediastinal obstruction5. Pleural disease - pneumothorax, pyopneumothorax, Pleural
L.C.D. In T.B.
1. Haemoptysis
2. Drug resistance
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3. TB & HIV