Download VNSGU MBBS Final Year Medicine Syllabus

VEER NARMAD SOUTH GUJARAT UNIVERSITY, SURAT.
T.Y. M.B.B.S.
MEDICINE
(i) GOAL :
The broad goal of the teaching of undergraduate students in Medicine is to have the

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knowledge, skills and behavioral attributes to function effectively as the first contact
physician.
(ii) OBJECTIVES :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to :

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(1) Diagnose common clinical disorders with special reference to infectious
diseases, nutritional disorders, tropical and environmental diseases;
(2) Outline various modes of management including drug therapeutics
especially dosage, side effects, toxicity, interactions, indications and contra-
indications;

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(3) Propose diagnostic and investigative procedures and ability to interpret
them;
(4) Provide first level management of acute emergencies promptly and
efficiently and decide the timing and level of referral, if required;
(5) Recognize geriatric disorders and their management.

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(iii) SKILLS :
At the end of the course, the student shall be able to :
(1)
develop clinical skills (history taking, clinical examination and other
instruments of examination to diagnose various common medical disorders and

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emergencies;
(2)
refer a patient to secondary and/or tertiary level of health care after having
instituted primary care;
(3)

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perform simple routine investigations like hemogram, stool, urine, sputum
and biological fluid examinations;
(4)
assist the common bedside investigative procedures like pleural tap, lumber
puncture, bone marrow aspiration/ biopsy and liver biopsy.

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A course of systematic instruction in the principles and practice of medicine,
including medical disease of infancy;
a. Lecture - demonstrations, seminars and conferences in clinical medicine
during the 3 years shall run concurrently with other clinical subjects.;

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b. Instructions in comprehensive medical care;

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c. Instructions in applied anatomy and physiology and pathology throughout the
period of clinical studies;
d. Instructions in dietetics, nutrition and principles of nursing Medical and in
simple ward procedure e.g. should be imparted during clinical concurrently.
iv) Attitude :

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a.
The teaching and training in clinical medicine must aim at developing the attitude
in students to apply the knowledge & skills he/she acquires for benefit and welfare of
the patients.
b. It is necessary to develop in students a sense of responsibility towards holistic

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patient care & prognostic outcomes.
c. Students should develop behavioural skills and humanitarian approach while
communicating with patients, as individuals, relatives, society at large & the co-
professionals.
Curriculum for Theory Lecture series & Tutorials and LCD for General

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Medicine including Psychiatry, Tb. & Dermatology
TERM DAY TIME LECTURES
TOPIC
4th
MON

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8-9
20
Introduction to Medicine
MON
8-9

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15
Infectious Diseases/Tropical diseases
5th
FRI
8-9

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15
Cardiovascular System
TUE
12-1
20

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GIT, Liver, Pan.
THU
8-9
20
Chest + Miscellaneous

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6th
MON
8-9
20
TB

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TUE
8-9
20
Psychiatry
SAT

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8-9
15
Skin
FRI
8-9

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15
Neurology
THU
12-1
15

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Haematology/Haemato-oncology
7th
FRI
2-4
30

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Tutorials
MON
2-3
20
Skin / STD

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TUE
8-9
20
Endo + Misc + Genetics ( 3 Lectures.)
THU

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8-9
20
Nephro. +Clinical Nutrition
8th
TUE

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2-4
40
Tutorial Medicine, Skin, Tb, Psychiatry,
WED
2-4

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40
Tutorial
LCD Medicine (10 ) Skin 1 Psychiatry (1)
TUE
12-1

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15
9th
Tb(1)
MON
2-4

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30
LCD Medicine (7)
The above timetable is general outline to guide the planning of curriculum at college
level. However, flexibility may be exercised to the extend that there may be minor re-
scheduling of course contents day-wise or term-wise. It must be ascertained that the course

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contents are covered fully and total hours allotted for the subjects are effectively
implemented.

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Note :- These are suggested time tables. Adjustments where required, depending upon the
availability of time and facility, be made.
SYLLABUS

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(General Instruction: 1) The Lectures Stated below shall cover knowledge about applied aspects of
basic & allied sciences, practical approaches in the management of patients in the outdoor & indoor
settings as well as their management in the community. Special emphasis shall be placed on
preventive aspects, National Health Programs & dietetics & nutrition.)
2) During practical teaching & training in wards, OPD & field works proper emphasis should be

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given to common health problems in addition to other diseases. Emphasis should be given to learning
of tacit knowledge & skills in diagnosis & interpretation of finding & Lab. data.
INTRODUCTION TO MEDICINE :
4 TH SEMESER
Lect.01. : History of Medicine.

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Lect.2/3. : Concept & objectives of history taking. Diagnosis, Provisional Diagnosis,
Differential diagnosis.
Lect.04. : Symptomatology of Cardiovascular Diseases.
Lect.05. : Symptomatology of Respiratory diseases.
Lect.06. : Symptomatology in Nervous system.

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Lect.07. : Symptomatology in Gastrointestinal and Hepatobiliary diseases.
Lect.08. : Approach towards a patient with Fever / Oedema.
Lect.09. : Approach towards a patient with anaemia / jaundice.
Lect.10. : Approach towards a patient with Lymphadenopathy.
Lect.11. : Investigations ( Non- Invasive )

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X-rays, USG
C.T. ./ M.R.I. Scan
Secretions examinations
Peripheral smear
Lect.12.: Investigations ( Invasive )

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Bone marrow
F.N.A.C.
Liver biopsy
Lymph node biopsy
Endoscopies

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Lumber puncture.
Lect.13/14.: Review of common diseases in India.
Lect.15/16,: Revision.
Lect.17.: Examination.
Lect.18/20: Buffer.

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INFECTIOUS DISEASES :
5 TH SEMESTER
Lect.01 : Introduction.
Infections ? types, Modes of Infection transmission, Incubation period
Host defenses, Immunity & Immunization & Management

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including Prevention
Lect.02 : Viral hepatitis.
Lect.3/4/5: Tetanus/ Diphtheria
Lect.6/7:
Malaria

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Lect.08: Rabies
Lect.09: Typhoid fever
Lect.10/11: Gastroenteritis
Lect.12: Plague / Dengue
Lect.13/14: ( HIV ) Infection & AIDs.

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Lect.15.: Examination.
Note :- The course contents in above topics should also cover applied aspects in basic
sciences like Anatomy, Physiology, Bio-Chemistry, Micro-Biology, Pharmacology,
Pathology, FMT while giving training on Clinical features, investigations, Diagnosis,
D/D treatment & prevention.

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CARDIOVASCULAR SYSTEM
5 TH SEMESTER
Lect.01 : Introduction
Functions / anatomy / physiology and its applications

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Various terminologies used
Lect.2/3: Methods of evaluation
Non - invasive
Invasive
Lect.04 : Arrhythmias

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Concept & Classification
Presentation
Diagnosis
Pharmacotherapy in short
Lect.05: Cardiac arrest.

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Lect.06: C.C.F.
Types

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Presentations
Pathophysiology
Management

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Lect.07: C.H.D.
Aetiology and classification
CHD in adults & its importance
Lect.08: Rheumatic fever
Lect.09: Presentation and haemodynamics of various Valvular lesions including

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investigations, Diagnosis, D/D treatment & Prevention.
Lect.10: Infective endocarditis
Lect.11/12: C.A.D, (Coronary artery disease)
Lect.13: Pericardial diseases and cardiomyopathy
Lect.14: Hypertension

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Lect.15: Examination.

GASTROENTEROLOGY, HEPATOBILIARY SYSTEM & PANCREAS :
6 TH SEMESTER
Lect.01: Introduction to GIT

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Oral Cavity
Ulcers
Bleeding
Pigmentation
Oral manifestation of systemic diseases

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Lect.2/3: Oesophagus
Inflammation, Dysphagia
Lect.4/5: Stomach
Peptic ulcers
Aetiopathogenesis

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Clinical features
Investigations
D/D and management
Acute and Chronic gastritis
Lect.6/7. Small and large intestine diseases

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Secretions & functions
MAS Mal ?absorption-syndrome
Tuberculosis of Abdomen
Lect.08: Ulcerative colitis & Crohn's disease
Lect.09: Liver.

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Introduction
LFT & their interpretation
Lect.10/11: Hepatitis - Acute & Chronic

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Lect.12/13: Cirrhosis of liver
Lect.14: Gall bladder diseases

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Lect. 15/16: Pancreas
Functions
Investigations
Acute and Chronic pancreatitis
Manifestation and D/D & treatment.

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Lect.17/18: Misc. & Revision.
Lect.19: Examination.

RESPIRATORY SYSTEM
6 TH SEMESTER

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Lect.01: Applied Anatomy and physiology of R.S.
Lect.02: P.F.T. ( Pulmonary Function Testing)
Lect.03: Resp. Infection- Pneumonias.
Lect.04: Chronic bronchitis and emphysema
Lect.5/6: Bronchiectasis and lung abscess.

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Lect.07: Bronchial asthma
Lect.08: Malignancies
Lect.09: Mediastinum and its disorders.
Lect.10: Pleural disease - Emphasis on pneumothorax
Lect.11: Pleural effusion.

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Lect.12: Occupational lung disease. Its concept and short review
Lect.13: Revision - Fungal & Parasitic diseases
Lect. 14:Respiratory emergencies & Introduction to mechanical ventilators

Collagen Vascular Disorders

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Lect.1: Allergy - Concept & hypersensitity, Autoimmunity
Lect.2: Collagen disease.
Lect.3: Rheumatoid arthritis
Lect.4: Sero negative arthritis
Lect.5: Revision HIV , Alcohol related disease

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Lect.6: Examination

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TUBERCULOSIS
6 TH SEMESTER
Lect.01: History and introduction
Lect.2/3: Pathogenesis and pathology

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Lect.04: Role of host related factors
Lect.05: Microbiology of AFB
Lect.06: Clinical features of pulmonary tuberculosis and its investigations
Lect.07: Anti ? Tubercular drugs
Pharmacology & Schedules of treatment.

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Lect.8/9: Resistant tuberculosis
DOTS
Prophylaxis - Drugs /BCG/ Tuberculin test.
HIV & TB.
Lect.10: Extra - pulmonary tuberculosis

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Plural effusion
Empyema
Others
Lect.11/12: Revision
Lect.13: Examination

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NEUROLOGY
7 TH SEMESTERS
Lect.01: Introduction
Applied anatomy & physiology
History taking in neurology

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Lect.02: Investigations
Lect.3/4: CVD ( Cerebro Vasular Disease)
Types & its differential diagnosis
Predisposing factors
Diagnosis and management

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Lect.05: S.O.L. (Space Occupying Lesions)
Lect.06: Encephalitis and meningitis
Lect.07: Epilepsy
Lect.08: Cerebellar syndrome
Lect.09: Parkinsonism

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Lect.10: Paripheral neuropathy
Lect.11: Muscle disorders in brief
Lect.12/13: Spinal cord disorders

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Lect.14: CSF
Formation and absorption

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Status in various disorders
Lect.15: Examination.
HEMATOLOGY
7 TH SEMESTER
Lect.01: Introduction

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Cell line of hemopoisis
Stimulating factors
Physiology and Anatomy of RBCs.
Lect.02: Anemias
Introduction

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Classification
Symptoms & signs in general
Basic investigations & its interpretation
Lect.03: Microcytic hypochromic anaemias
Fe Kinetics

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C/F, investigations of Fe deficiency.
Treatment of Fe deficiency.
D/D - Sideroblastic / thallasemic.
Lect. 04: Macrocytic anaemias
Kinetics of B-12 and Folic acid

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C/F, investigations and management of B-12 / FA deficiency.
Lect.05: Anaemias (continued)
Brief of Chronic infections and inflammation Hemolytic anaemias
Lect.06: Hemoglobinopathies
Lect.07: Hypoplastic / Aplastic anemia

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Definition
Classification
Diagnosis and management
Lect. 08 Introduction to WBCs.
Agranulocytosis - Aetiology & its significance Leukemias ( AML, ALL, CML, CLL)

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Lect.09: Management of leukemia
Lect.10: Lymphomas
Hodgkin's disease / NHL (Non-Hodgkin's lymphoma)
Lect.11: Approach to a patient with bleeding disorders
Recognition

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Investigations

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Physiology of Platelets
Therapy
Lect.12: Blood groups & Blood Tranfusion & Component Therapy
Lect.13-14: Revision

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Lect. 15: Examination.
ENDOCRINOLOGY
8 TH SEMESTER
Lect. 01: Introduction - Hormones
Concept

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Types
Action
Endocrine system
General
Control

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Lect.2/3: Pituitary
Anatomy
Regulation
Disorders of Ant. Pituitary
Acromegaly

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A.G. Syndrome
Disorders of Post. Pituitary
Hypopituitarism
Lect.4/5: Thyroid
Anatomy

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Regulation
Goiter
Hypothyroid state & hyperthyroid state
Classifications
Management

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Lect.6/7: Adrenal gland
Anatomy
Regulation
Addison's & Cushing syndrome
Recognition

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Investigations
Management
Pheocromocytoma
Lect.08: Vit. D. Metabolism.
Ca. Metabolism and its relations to parathyroid

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Diagnosis
&
management of related disorders.
Lect.9/10: Diabetes Mellitus

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Lect.11: FSH < H. Oestrogens Progesterone's

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Significance
Disorders
Its recognition and diagnosis
Management
Lect.12: Multiple endocrine-syndrome and paraneoplastic syndrome Overview.

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Diabetes incipidus.
Miscellaneous
Lect.13/14 : Poisoning
Suicidal / Homicidal / Accidental
Chemical / Biological / Corrosives / Drugs

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Concepts of management
Optimum
Barbiturate
DDT
Organophosphorus

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Lect.15: Hyperpyrexia and Heat exhaustion
Aetiology
Pathophysiology
C / F. Types
Management

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Preventive measures
Lect.16 : Electrical injury
Types
Manifestations
Management

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Lightening
Lect.17: Shock
Types
Pathophysiology / Complications
Management

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Lect.18/19: Revision
Lect.20: Examination
NEPHROLOGY, NUITRITION
8 TH SEMESTER
NEPHROLOGY :

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Lect.01: Anatomy & Physiology of Urinary system
Lect.02: R.F.T. ( Renal Function Tests)
Lect.03: Acute Glomerulonephropathy
Lect.04: Chronic Glomerulonephropathy

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Lect.05: Infections of urinary system.

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Lect.06: Nephrotic syndrome
Lect.07: Approach towards common problem
i.
Proteinuria
ii.

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Hematuria
iii.
Renal colics
Lect.08: Acute & Chronic renal failure
Lect.09: Dialysis - Diet - Drugs. In renal failure

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Lect.10:Revision
Lect.11: Examination
Genetics (3 lectures )
Lect.1 : Introduction
Lect.2 : Common genetic disorders

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Lect.3 : Application of Genetic Engineering in Medicine

NUTRITION :
Lect.11: Concepts of carbohydrate, proteins, fats, vitamins and minerals. Balanced diet.
Lect.12: Protein energy malnutrition.

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Lect.13/14: Vitamin deficiency state
Scurvy / Beribery / Pellegra / Vit.A
Lect.15: Obesity / Asthenia
Diagnosis
Complications and management

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Lect.16: Revision
Lect.17: Examination.
Recommended Books :
1. Hutchinson's Clinical Methods by Hunter and Bomford,
2. The Principles and practise of Medicine - Sir Stanley Davidson

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3. Text book of Medical Treatment - Dunlop and Alstead.
4. Savill's system of Clinical Medicine - E. C. Warner.
5. Principles of internal Medicine - Harrison.
6. API Text Book of Medicine.
7. Reference Book (Clinical Medicine) : "Clinical Examination in Medicine": Author:

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Dr. A. P. Jain

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