III rd PROFESSIONAL - PART - II SYLLABUS
(3) GENERAL SURGERY (including Paediatric Surgery)
(i) Goal:
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The broad goal of the teaching of undergraduate students in Surgery is to produce graduates capable of delivering efficient first contact surgical care.
(ii) Objectives :
(a) KNOWLEDGE :
At the end of the course, the student shall be able to:
- Describe aetiology, pathophysiology, principles of diagnosis and management of common surgical problems including emergencies, in adults and children;
- Define indication and methods for fluid and electrolyte replacement therapy including blood transfusion;
- Define asepsis, disinfection and sterilization and recommend judicious use of antibiotics;
- Describe common malignancies in the country and their management including prevention;
- Enumerate different types of anaesthetic agents. Their indications, mode of administration, contraindications and side effects.
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(b) SKILLS:
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At the end of the course, the student should be able to:
- Diagnose common surgical conditions both acute and chronic in adult and children;
- Plan various laboratory tests for surgical conditions and interpret the results;
- Identify and manage patients of haemorrhagic, septicaemic and other types of shock;
- Be able to maintain patent air-way and resuscitate;
- a critically injured patient;
- patient with cardio-respiratory failure;
- a drowning case;
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- Monitor patients of head, chest, spinal and abdominal injuries, both in adults and children.
- Provide primary care for a patient of burns;
- Acquire principles of operative surgery, including preoperative operative and post operative care and monitoring;
- Treat open wounds including preventive measures against tetanus and gas gangrene;
- Diagnose neonatal and paediatric surgical emergencies and provide sound primary care before referring the patient to secondary / tertiary centres;
- Identify congenital anomalies and refer them for appropriate management.
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In addition to the skills referred above in items(1) to (10), he shall have observed /assisted /performed the following:
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- Incision and drainage of abscess;
- Debridement and suturing open wound;
- Venesections;
- Excision of simple cyst and tumours;
- Biopsy of surface malignancy;
- Catheterisation and nasogastric intubation;
- Circumcision;
- Meatotomy;
- Vasectomy;
- Peritoneal and pleural aspirations;
- Diagnostic proctoscopy;
- Hydrocele operation;
- Endotracheal intubation;
- Tracheostomy and cricothyroidotomy;
- Chest tube insertion
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(c) INTEGRATION:
The undergraduate teaching in surgery shall be integrated at various stages with different pre and para and other clinical departments
THEORY SYLLABUS IN SURGERY:
| SI.No. | Name of the unit | No.of Hours |
|---|---|---|
| 1. | Wounds-closed and open, wound-healing and management. | 16 |
| 2. | Hemorrhage and shock | |
| 3. | Fluid and Electrolyte balance & Acid-Base Balance. | |
| 4. | Blood transfusion | |
| 5. | Pyogenic infections - Local, diffuse and septic | 16 |
| 6. | Common clinical lesions – swelling, ulcer etc., | |
| 7. | Thermal injuries, burns, electrical injuries; | |
| 8. | Ulceration and Gangrene: Simple non- specific ulceration, acute and chronic ulcers, skin grafting, gangrene, threatened, dry and moist, vascular, infective, traumatic and toxic gangrene | |
| 9. | Chemotherapy: Definition, Sulphanamide group penicillin, Streptomycin and the newer antibiotics, principles of radiation. | |
| 10. | Diseases of the skin; Boils , Carbuncles, Impetigo, Tubreculosis, Infections, Growth, Cysts and Sebaceous Glands, Nails; | 16 |
| 11. | Infections of the Fingers and hand Anatomy, Prophylaxis The distal Segment of the fingers, Tenosynovitis, Abscess in the palm, Lymphangitis | |
| 12. | The surgery of the Blood vessels: Arteries: Injury, Diseases, Atheroma, Arteriosclerosis, Aneurysm, Thrombosis and Embolism; Veins: Injury, Phlebitis Varicose Veins, growths of the blood vessels; | |
| 13. | The diseases of lymphatic system: The diseases and growths of lymphatics, elephantiasis, infections of the lymph glands, lymphoedema, Lympho sarcoma, Lymph nodes Diseases and surgery, slides of TB. And Hodgkins. | |
| 14. | Diseases of the Mouth Palate, Lips, Cheek, Tongue, Teeth, Gums jaws - Salivary glands, Maxillofacial injuries, Tumours of jaw and mouth | 32 |
| 15. | Anatomy of oesophagus, stomach, small and large bowel and anal canal (including vermiform appendix Peritoneum, congenitat anomalies) Diseases affecting them with emphasis on cancer colon and volvulus of sigmoid - Specimens of Cancer colon and Ileocaecal TB. & Colostomy
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| 16. | Thyroid - surgical anatomy, Physiology Classification of goitres, thryrotoxicosis, tumours and surgery - specimens and slides of Thyrotoxicosis, Carcinoma and Colloid goitre. | |
| 17. | Parathyroid & Adrenal glands. Breast Surgical Anatomy, Physiology, Diseases and Surgery; specimens and slides of Fibroadenoma and Carcinoma | |
| 18. | Hernias | 32 |
| 19. | Penis - Ulcers and tumors of penis | |
| 20. | Anatomy of abdominal wall ventral hernia- Abdominal incision and Mc. Burney's point
| |
| 21. | Abdominal injuries-open and closed. | |
| 22. | Anatomy and diseases of liver
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| 23. | Thorax and chest injuries. | |
| 24. | Urinary symptoms, investigations of urinary tract | |
| 25. | Kidney - Ureter, Bladder, Prostate, Seminal Vesicles, Urethra and Genito Urinary Surgery. | |
| 26. | Cranium, spinal cord, Peripheral nerves and Head injuries. |
OPERATIVE SURGERY:
- Sepsis and Antisepsis
- Sterilization -Methods
- General surgical Techniques: Antiseptic and aseptic surgery, Theatre arrangements and technique, Ligature materials, Pre-operative preparation and post-operative treatment.
- Surgical anatomy of neck with block dissection
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Demarcation of syllabus for University Exam paperwise
Paper-I : Units 1 to 14
Paper-Il : Units 15 to 26.
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Recommended Books:
- Short Practice of Surgery by Bailey & Love.
- Principles of Surgery by Schwartz
- Text Book of Surgery by Sabiston
- Text Book of Surgery by Das
- Manual of Clinical Surgery by Das K.
- Practical guide to operative Surgery by Das S.
- Current Surgical Diagnosis & Treatment by Lawrence.
- Demonstration of Physical signs in Clinical Surgery by Hamilton Bailey.
- Manual of Surgery by Dr.G.Lakshmana prasad.
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This download link is referred from the post: NTRUHS MBBS Syllabus-1st Year, 2nd Year, 3rd Year Part-I, 3rd Year Part-II || DR. N.T.R UNIVERSITY OF HEALTH SCIENCES
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