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Introduction of “Communication Skills, Professionalism & Ethics in Medical Education Modules” TOPIC in 2nd & 3rd MBBS Syllabus
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MAHARASTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
III M.B.B.S.
MEDICINE
Introduction of “Palliative Care Medicine” Topic In 3rd MBBS (Part II) in General Medicine Syllabus
- GOAL
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The broad goal of the teaching of undergraduate students in Medicine is to have the knowledge, skills and behavioral attributes to function effectively as the first contact physician.
- OBJECTIVES :
- KNOWLEDGE :
At the end of the course, the student shall be able to :
- Diagnose common clinical disorders with special reference to infectious diseases, nutritional disorders, tropical and environmental diseases;
- Outline various modes of management including drug therapeutics especially dosage, side effects, toxicity, interactions, indications and contra-indications;
- Propose diagnostic and investigative procedures and ability to interpret them;
- Provide first level management of acute emergencies promptly and efficiently and decide the timing and level of referral, if required;
- Recognize geriatric disorders and their management.
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- SKILLS :
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At the end of the course, the student shall be able to :
- develop clinical skills (history taking, clinical examination and other instruments of examination to diagnose various common medical disorders and emergencies;
- refer a patient to secondary and/or tertiary level of health care after having instituted primary care;
- perform simple routine investigations like hemogram, stool, urine, sputum and biological fluid examinations;
- 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;
- Lecture - demonstrations, seminars and conferences in clinical medicine during the 3 years shall run concurrently with other clinical subjects.;
- Instructions in comprehensive medical care;
- Instructions in applied anatomy and physiology and pathology throughout the period of clinical studies;
- Instructions in dietetics, nutrition and principles of nursing Medical and in simple ward procedure e.g. should be imparted during clinical concurrently.
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iv) Attitude :
- 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.
- It is necessary to develop in students a sense of responsibility towards holistic patient care & prognostic outcomes.
- 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 & Tutorials and LCD for General Medicine including Psychiatry, Tb. & Dermatology
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| TERM | DAY | TIME | LECTURES | TOPIC |
|---|---|---|---|---|
| 4th | MON | 8-9 | 20 | Introduction to Medicine |
| 5th | MON | 8-9 | 15 | Infectious Diseases/Tropical diseases |
| FRI | 8-9 | 15 | Cardiovascular System | |
| TUE | 12-1 | 20 | GIT, Liver, Pan. | |
| THU | 8-9 | 20 | Chest + Miscellaneous | |
| 6th | MON | 8-9 | 20 | TB |
| TUE | 8-9 | 20 | Psychiatry | |
| SAT | 8-9 | 15 | Skin | |
| 7th | FRI | 8-9 | 15 | Neurology |
| THU | 12-1 | 15 | Haematology/Haemato-oncology | |
| FRI | 2-4 | 30 | Tutorials | |
| MON | 2-3 | 20 | Skin / STD | |
| 8th | TUE | 8-9 | 20 | Endo + Misc + Genetics ( 3 Lectures.) |
| THU | 8-9 | 20 | Nephro. +Clinical Nutrition | |
| TUE | 2-4 | 40 | Tutorial Medicine, Skin, Tb, Psychiatry, | |
| 9th | WED | 2-4 | 40 | Tutorial |
| TUE | 12-1 | 15 | LCD Medicine (10 ) Skin 1 Psychiatry (1) | |
| MON | 2-4 | 30 | Tb(1) 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 contents are covered fully and total hours allotted for the subjects are effectively implemented.
Note :- These are suggested time tables. Adjustments where required, depending upon the availability of time and facility, be made.
SYLLABUS
(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 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.
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INTRODUCTION TO MEDICINE : 4 TH SEMESER
Lect.01.: History of Medicine.
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.
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Lect.06. : Symptomatology in Nervous system.
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.
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Lect.11.: Investigations ( Non- Invasive ) X-rays, USG C.T. ./M.R.I. Scan Secretions examinations Peripheral smear
Lect.12.: Investigations ( Invasive ) Bone marrow F.N.A.C. Liver biopsy Lymph node biopsy Endoscopies Lumber puncture.
Lect. 13/14.: Review of common diseases in India.
Lect.15/16,: Revision.
Lect. 17.: Examination.
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Lect. 18/20: Buffer.
INFECTIOUS DISEASES : 5 TH SEMESTER
Lect.01:Introduction. Infections – types, Modes of Infection transmission, Incubation period Host defenses, Immunity & Immunization & Management including Prevention Lect.02 :
Viral hepatitis. Lect.3/4/5:
Tetanus/ Diphtheria Lect.6/7:
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Malaria
Lect.08: Rabies Lect. 09:
Typhoid fever
Lect.10/11: Gastroenteritis
Lect. 12: Plague / Dengue
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Lect. 13/14: (HIV) Infection & AIDS.
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.
CARDIOVASCULAR SYSTEM : 5 TH SEMESTER
Lect.01: Introduction Functions / anatomy / physiology and its applications Various terminologies used
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Lect.2/3: Methods of evaluation Non - invasive Invasive
Lect.04 : Arrhythmias Concept & Classification Presentation Diagnosis Pharmacotherapy in short
Lect.05: Cardiac arrest.
Lect.06: C.C.F. Types Presentations Pathophysiology Management
Lect.07: C.H.D. Aetiology and classification CHD in adults & its importance
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Lect.08: Rheumatic fever
Lect.09: Presentation and haemodynamics of various Valvular lesions including 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
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Lect.14: Hypertension
Lect.15: Examination.
GASTROENTEROLOGY, HEPATOBILIARY SYSTEM & PANCREAS : 6 TH SEMESTER
Lect.01: Introduction to GIT Oral Cavity Ulcers Bleeding Pigmentation Oral manifestation of systemic diseases
Lect.2/3: Oesophagus Inflammation, Dysphagia
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Lect.4/5: Stomach Peptic ulcers Aetiopathogenesis Clinical features Investigations D/D and management Acute and Chronic gastritis
Lect.6/7. Small and large intestine diseases Secretions & functions MAS Mal-absorption-syndrome Tuberculosis of Abdomen
Lect.08: Ulcerative colitis & Crohn's disease
Lect.09: Liver. 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
Lect. 15/16: Pancreas Functions Investigations Acute and Chronic pancreatitis Manifestation and D/D & treatment.
Lect. 17/18: Misc. & Revision.
Lect.19: Examination.
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RESPIRATORY SYSTEM : 6 TH SEMESTER
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
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Lect.5/6: Bronchiectasis and lung abscess.
Lect.07: Bronchial asthma
Lect.08: Malignancies
Lect.09: Mediastinum and its disorders.
Lect.10: Pleural disease - Emphasis on pneumothorax
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Lect. 11: Pleural effusion.
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
TUBERCULOSIS : 6 TH SEMESTER
Lect.01: History and introduction
Lect.2/3: Pathogenesis and pathology
Lect.04: Role of host related factors
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Lect.05: Microbiology of AFB
Lect.06: Clinical features of pulmonary tuberculosis and its investigations
Lect.07: Anti – Tubercular drugs Pharmacology & Schedules of treatment.
Lect.8/9: Resistant tuberculosis DOTS Prophylaxis - Drugs /BCG/ Tuberculin test. HIV & TB.
Lect.10: Extra - pulmonary tuberculosis Plural effusion Empyema Others
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Lect. 11/12: Revision
Lect.13: Examination
NEUROLOGY: 7 TH SEMESTERS
Lect.01: Introduction
Lect.02: Investigations Applied anatomy & physiology History taking in neurology
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Lect.3/4: CVD ( Cerebro Vasular Disease) Types & its differential diagnosis Predisposing factors Diagnosis and management
Lect.05: S.O.L. (Space Occupying Lesions)
Lect.06: Encephalitis and meningitis
Lect.07: Epilepsy
Lect.08: Cerebellar syndrome
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Lect.09: Parkinsonism
Lect.10: Paripheral neuropathy
Lect. 11: Muscle disorders in brief
Lect. 12/13: Spinal cord disorders
Lect. 14: CSF Formation and absorption Status in various disorders
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Lect.15: Examination.
HEMATOLOGY: 7 TH SEMESTER
Lect.01: Introduction Cell line of hemopoisis Stimulating factors Physiology and Anatomy of RBCs.
Lect.02: Anemias Introduction Classification Symptoms & signs in general Basic investigations & its interpretation
Lect.03: Microcytic hypochromic anaemias Fe Kinetics C/F, investigations of Fe deficiency Treatment of Fe deficiency. D/D - Sideroblastic / thallasemic
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Lect. 04: Macrocytic anaemias Kinetics of B-12 and Folic acid 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 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-Hodgkins lymphoma)
Lect.11: Approach to a patient with bleeding disorders Recognition Investigations Physiology of Platelets Therapy
Lect.12: Blood groups & Blood Transfusion & Component Therapy
Lect. 13-14: Revision
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Lect. 15: Examination.
ENDOCRINOLOGY: 8 TH SEMESTER
Lect. 01: Introduction - Hormones Concept Types Action General Control
Lect.2/3: Pituitary Anatomy Regulation Disorders of Ant. Pituitary Acromegaly 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
Lect.6/7: Adrenal gland Anatomy Regulation Addison's & Cushing syndrome Recognition Investigations Management Pheocromocytoma
Lect.08: Vit. D. Metabolism. Ca. Metabolism and its relations to parathyroid Diagnosis & management of related disorders.
Lect.9/10: Diabetes Mellitus
Lect.11: FSH < H. Oestrogens Progesterone's Significance Disorders Its recognition and diagnosis Management
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Lect. 12: Multiple endocrine-syndrome and paraneoplastic syndrome Overview. Diabetes insipidus Miscellaneous
Lect. 13/14 : Poisoning Suicidal / Homicidal / Accidental Chemical / Biological / Corrosives / Drugs Concepts of management Optimum Barbiturate DDT Organophosphorus
Lect.15: Hyperpyrexia and Heat exhaustion Aetiology Pathophysiology C/F. Types Management Preventive measures
Lect.16: Electrical injury Types Manifestations Management 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 :
Lect.01: Anatomy & Physiology of Urinary system
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Lect.02: R.F.T. ( Renal Function Tests)
Lect.03: Acute Glomerulonephropathy
Lect.04: Chronic Glomerulonephropathy
Lect.05: Infections of urinary system.
Lect.06: Nephrotic syndrome
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Lect.07: Approach towards common problem i. Proteinuria ii. Hematuria iii. Renal colics
Lect.08: Acute & Chronic renal failure Lect.09: Dialysis - Diet - Drugs. In renal failure
Lect. 10:Revision
Lect.11: Examination
Genetics (3 lectures )
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Lect.1: Introduction
Lect.2 : Common genetic disorders
Lect.3: Application of Genetic Engineering in Medicine
NUTRITION :
Lect.11: Concepts of carbohydrate, proteins, fats, vitamins and minerals. Balanced diet.
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Lect.12: Protein energy malnutrition.
Lect.13/14: Vitamin deficiency state Scurvy / Beribery / Pellegra / Vit.A
Lect.15: Obesity / Asthenia Diagnosis “Complications and management
Lect.16: Revision
Lect.17: Examination.
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Introduction of “ Brain Death and Organ Donation” topic in subjects of Physiology, Preventive & Social Medicine, Psychiatry, Medicine & Surgery
Recommended Books:
- Hutchinsons Clinical Methods by Hunter and Bomford,
- The Principles and practise of Medicine - Sir Stanley Davidson
- Text book of Medical Treatment - Dunlop and Alstead.
- Savills system of Clinical Medicine - E. C. Warner.
- Principles of internal Medicine - Harrison.
- API Text Book of Medicine.
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- Reference Book (Clinical Medicine) : "Clinical Examination in Medicine": Author: Dr. A. P. Jain
- "Manual of Clinical Practical Medicine” : 1) Dr. G.S.Sainani 2) Dr. V.R. Joshi 3) Dr. Rajesh G. Sainani
- "Essentials of Dermatology and Sexually Transmitted Diseases”- Dr.Ramji Gupta.
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DERMATOLOGY/STD/LEPROSY
Goals:
The aim of teaching the Under graduate students in Dermatology, S.T.D. and Leprosy is to impart such knowledge and skills that may enable him to diagnose and treat common ailments and to refer rare diseases or complications and unusual manifestations of common diseases to the specialist.
OBJECTIVES :
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Knowledge :
At the end of the course of Dermatology, Sexually Transmitted Diseases & Leprosy the student shall be able to :
- Demonstrate sound knowledge of common diseases, their clinical manifestations including emergent situations and of investigative procedures to confirm their diagnosis.
- Demonstrate comparative knowledge of various modes of topical therapy.
- Demonstrate the mode of action of commonly used drugs, their doses, side effects / toxicity, indications and contraindication & interactions.
- Describe commonly used modes of management including the medical & Surgical procedures available for the treatment of various diseases and to offer a comparative plan of management for a given disorder.
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Skills :
The student shall be able to :
- Interview the patient, elicit relevant and correct information and describe the history in a chronological order :
- conduct clinical examination, elicit and interpret physical findings and diagnose common disorders and emergencies :
- perform simple, routine investigative and laboratory procedures required for making the bed-side diagnosis, especially the examination of scrapings for fungus, preparation of slit smears and staining for AFB for leprosy patients and for STD cases :
- take a skin biopsy for diagnostic purposes ;
- Manage common diseases recognizing the need for referral for specialized care, in case of inappropriateness of therapeutic response.
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Structures and functions of Skin and its appendages
Pruritus
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Infections (Bacterial, Chlamidia, Mycoplasma, Fungal & Viral)
Infestations (Ecto and Endoparasites)
Nutritional disorders
Allergic Disorders
Leprosy
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STD
HIV & Skin Papulesquamous
disorders Collagen Vascular
Disorders
Pigmentory disorder
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Drug reactions.
Recommended Books:
9. Reference Book of Medicine : “Essentials of Dermatology, Sexually Transmitted Diseases” Author: Dr. Ramji Gupta
TUBERCULOSIS AND RESPIRATORY DISEASES:
- GOAL:
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The aim of teaching teaching the undergraduate student in Tuberculosis and Chest Diseases is to 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.
- OBJECTIVES :
- KNOWLEDGE :
At the end of the course of Tuberculosis and Chest diseases, the student shall be able to:
- demonstrate sound knowledge of common chest diseases, their clinical manifestations, including emergent situations and of investigative procedures to confirm their diagnosis"
- demonstrate comprehensive knowledge of various modes of therapy used in treatment of respiratory diseases;
- describe the mode of action of commonly used drugs, their doses, side- effects/toxicity, indications and contra-indications and interactions.;
- describe commonly used modes of management including medical and surgical procedures available for treatment of various diseases and to offer a comprehensive plan of management inclusive of National Tuberculosis Control Programme.
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- SKILLS :
The student shall be able to :
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- interview the patient, elicit relevant and correct information and describe the history in chronological order;
- conduct clinical exami9nation, elicit and interpret clinical findings and diagnose common respiratory disorders and emergencies;
- perform simple, routine investigative and office procedures required for making the bed side diagnosis, especially sputum collection and examination for etiologic organisms especially Acid Fast Bacilli (AFB), interpretation of the chest x-rays and respiratory function tests;
- interpret and manage various blood gase4s and PH abnormalities in various respiratory diseases.
- Manage common diseases recognizing need for referral for specialized care, in case of inappropriateness of therapeutic response;
- 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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- 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.
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
Lect. 07: Anti-tuberculous drugs -Pharmacology & schedules of drug therapy
Lect. 8/9: Resistant tuberculosis DOTS Prophylaxis - Drugs / BCG / Tuberculin test. HIV & TB
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Lect 10 Extra - Pulmonary tuberculosis Pleural Effusion Others.
Lect 11/12: Revision
Lect. 13: Examination.
Respiratory System :
- Applied anatomy & Physiology ofR.S.
- Lung function tests
- Respiratory infections, pneumonias, fungus,
- Bronchiectasis & lung Abscess.
- Bronchial Asthma.
- Lung & Pleural Malignancies.
- Mediastinum & its disorders.
- Pleural Diseases
- Occupational Lung Disease
- Respiratory emergencies.
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Lecture cum Demos ( Resp system)
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- Lung function test and blood gas Analysis and Resp. alkalosis & Acidosis.
- Chest bronchios emphysema
- Suppurative lung diseases
- Bronchogenic carcinoma & other malignancies with Mediastinal obstruction
- Pleural disease - pneumothorax, pyopneumothorax, Pleural
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L.C.D. In T?.?.
- Haemoptysis
- Drug resistance
- TB & HIV
Psychiatry
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- GOAL :
The aim of teaching of the undergraduate student in Psychiatry is to impart such knowledge and skills that may enable him to diagnose and treat common Psychiatric disorders, handle Psychiatric emergencies and to refer complications/unusual manifestation of common disorders and rare Psychiatric disorders to the specialist.
- OBJECTIVES :
- KNOWLEDGE :
At the end of the course, the student shall be able to :
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- comprehensive nature and development of different aspects of normal human behaviour like learning, memory, motivation, personality and intelligence;
- recognize differences between normal and abnormal behaviour;
- classify psychiatric disorders;
- recognize clinical manifestations of the following common syndromes and plan their appropriate management of organic psychosis, functional psychosis, schizophrenia, affective disorders, neurotic disorders, personality disorders, psychophysiological disorders, drug and alcohol dependence, psychiatric disorders of childhood and adolescence;
- describe rational use of different modes of therapy in psychiatric disorders.
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- SKILLS :
The Student shall be able to :
- interview the patient and understand different methods of communications in patient-doctor relationship;
- Elicit detailed psychiatric case history and conduct clinical examination for assessment of mental status;
- Define, elicit and interpret psycho-pathological symptoms and signs;
- Diagnose and manage common psychiatric disorders;
- Identify and manage psychological reactions and psychiatric disorders in medical and surgical patients in clinical practice and in community setting.
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- INTEGRATION :
Training in Psychiatry shall prepare the students to deliver preventive, promotive, curative and re-habilitative services for the care of patients both in the family and community and to refer advanced cases for a specialized Psychiatry / Mental Hospital. Training should be integrated with the departments of Medicine, Neuro-Anatomy, Behavioral and Forensic Medicine.
4th or 5th semester 5 lectures
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- Motivation (including) frustration, conflicts etc.) Emotion (including mind- body relationship)
- Learning (different types) memory ( Types of memory, cause of forgetting etc.)
- Intelligence, emotional Quotient including M.R. and sifted child.
- Personality-Different types with mental mechanisms
- Difference between normal and abnormal behaviour. Doctor-Patient relationship and communication skills
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In 8th & 9th Semester remaining 15 lectures.
- Psychiatric classification. Difference between functional and organic psychosis. Difference
This download link is referred from the post: MUHS MBBS Syllabus-1st Year, 2nd Year, 3rd Year Part-I, 3rd Year Part-II || Maharashtra University of Health Sciences
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