T.Y. M.B.B.S.
Paediatrics
Paediatric including Neonatology
The course includes systematic instructions in growth and development, nutritional
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needs of a child, immunization schedules and management of common diseases of infancyand childhood including scope for Social Paediatrics and counseling.
(i) GOAL :
The broad goal of the teaching of undergraduate students in Paediatrics is to acquire
adequate knowledge and appropriate skills for optimally dealing with major health problems
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of children to ensure their optimal growth and development.(ii) OBJECTIVES :
(a)
KNOWLEDGE :
At the end of the course, the student shall be able to:
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(2) Describe the normal growth and development during foetal life, neonatalperiod, childhood and adolescence and outline deviations thereof;
(3) Describe the common paediatric disorders and emergencies in terms of
Epidemiology, aetiopathogenesis, clinical manifestations, diagnosis, rational
therapy and rehabilitation;
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(4) Age related requirements of calories, nutrients, fluids, drugs etc, in healthand disease;
(5) Describe preventive strategies for common infectious disorders,
malnutrition, genetic and metabolic disorders, poisonings, accidents and
child abuse;
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(6) Outline national Programmes relating to child health includingimmunization Programmes.
(b) SKILLS :
At the end of the course, the student shall be able to :
(2) take a detailed paediatric history, conduct an appropriate physical examination of
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children including neonates, make clinical diagnosis, conduct common bedsideinvestigative procedures, interpret common laboratory investigation results and plan
and institute therapy.
(3) Take anthropometric measurements, resuscitate newborn infants at birth, prepare oral
rehydration solution, perform tuberculin test, administer vaccines available under
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current national programmes, perform venesection, start an intravenous saline andprovide nasogastric feeding :
(4) Conduct diagnostic procedures such as a lumbar puncture, liver and kidney biopsy,
bone marrow aspiration, pleural tap and ascitic tap;
(5) Distinguish between normal newborn babies and those requiring special care and
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institute early care o all new born babies including care of preterm and low birthweight babies, provide correct guidance and counseling in breast feeding ;
(6) Provide ambulatory care to all sick children, identify indications for specialized /
inpatient care and ensure timely referral of those who require hospitalization :
(C) INTEGRATION :
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The training in paediatrics should prepare the student to deliver preventive, promotive,curative and rehabilitative services for care of children both in the community and at hospital
as part of team in an integrated form with other disciplines, e.g. Anatomy, Physiology,
Forensic Medici9ne, Community Medicine and Physical Medicine and Rehabilitation.
LIST OF LECTURE/ SEMINARS
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Lectures : 3rd / 4th Semester :1. Introduction of Paediatrics.
2. History taking in children.
3. Examination of Children.
4. Normal Growth
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5. Normal Development.6. Introduction to newborn and normal newborn baby.
7. Temperature regulation in newborn.
8. Breast feeding and lactation management.
9. Infant and child feeding ( include complimentary feeding)
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10. Normal fluid and electrolyte balance in children.11. Immunization.
Lecturers : 7th / 8th / 9th Semester :
2. Birth Asphyxia
3. Low Birth Weight Babies.
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4. Neonatal Respiratory Distress.5. Jaundice in newborn.
6. Neonatal Infections.
7. Neonatal convulsions.
8. PEM and its management.
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9. Vitamin and micronutrient deficiencies.10. Nutritional anaemia in infancy and childhood.
11. Acute diarrhoea.
12. Hypothyroidism in children.
13. Congestive heart failure - diagnosis and management.
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14. Congenital heart disease.15. Rheumatic heart disease.
16. Hypertension in children.
17. Acute respiratory infections.
18. Bronchial asthma.
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19. Nephrotic syndrome20. Acute glomerulonephritis and hematuria
21. Abdominal pain in children.
22. Chronic liver disease including ICC.
23. Haemolytic anaemia including thalassemia.
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24. Leukaemias.25. Bleeding and coagulation disorders.
26. Seizure disorders.
27. Cerebral Palsy.
28. Common exanthematous illness.
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29. Childhood tuberculosisOther Lectures to be covered :
1. Fluid and electrolyte balance -pathophysiology and principles of Management.
2. Acid-base disturbances - pathophysiology and principles of management.
3. Adolescent growth and disorders of puberty.
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4. Congenital heart disease.5. Acute respiratory infections, Measles, Mumps, Chicken pox
6. Other childhood malignancies.
7. Coagulation disorders - Haemophilia
8. Mental retardation.
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9. Approach to a handicapped child.10. Acute flaccid paralysis.
11. Behaviour disorders.
12. Meningitis.
13. Diphtheria, Pertussis and Tetanus.
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14. Childhood tuberculosis.15. HIV infection.
16. Malaria.
17. Neurocysticercosis.
18. Enteric fever.
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19. Immunization.20. Paediatric prescribing.
21. Common childhood poisonings.
Integrated Seminar Topics :
Convulsions
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ComaPUO
Jaundice
Portal hypertension
Respiratory failure
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ShockRheumatic Heart Disease
Hypertension
Diabetes mellitus
Hypothyroidism
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AnemiaBleeding
Renal failure
Tuberculosis
Malaria
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HIV infectionNeurocysticercosis
Perinatal asphyxia ( with obstetrics )
Intrauterine growth retardation ( with obstetrics)
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Preventive and Social Medicine / Community Medicine (PSM)A. The teaching of Social & Preventive Medicine shall place throughout the teaching
period.
B. Field experience in rural health is included in pre-clinical as well as during clinical
period
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C. During the students attendance at various departments which is now requiredunder medicine and surgery, such as infectious diseases. T.B. Leprosy, V.D. etc.
emphasis shall be laid as much on the preventive as on the clinical and
Therapeutic aspects of these diseases.
D. In addition to the teaching undertaken by the department of Social & Preventive
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Medicine, a joint programme with other departments is essential in order to givethe students a comprehensive picture of man, his health and illness.
E. Stress shall be laid on national programmes, including those of control of
communicable diseases and family planning and health education.
F. An epidemiological units as an integrate part of every hospital in order to achieve a
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comprehensive study disease by the students should be established.G. The objective of the internship shall be clearly defined and that a proper training
programme is oriented for this period. Objectives, and the methods by which the
internship could be made into a satisfying and fruitful experience. Sharpening and
for planning in this phase of education shall be done.
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H. As regards the qualifications of the teachers it is highly important that All teachersin Social and A preventive Medicine should have as far as possible had adequate
administrative experience in addition to the teaching experience. They should
also be encouraged to acquire skills in clinical subject specially related to
community medicine.
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I. Practical Skills : Due stress shall be laid on the students acquiring practical skill inthe following procedures.