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mbbs syllabus bfuhs |
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Re: mbbs syllabus bfuhs
The syllabus for the MBBS FINAL PROFESSIONAL Course offered at Bab Farid University of Health Sciences is as given below: Syllabus of Final Professional M.B.B.S. (A). SURGERY (B). MEDICINE (C). OBSTETRICS (D). GYNAECOLOGY (E). PAEDIATRICS (A) SURGERY Distribution of Subjects: Paper I: General Surgery, Surgical Anat omy, Principles of Anaesthesia, Principles of Radiology, Principles of Radiot herapy and Chemotherapy . Paper II: Systematic and Operative Surgery: Musculoskeletal system, GIT, Renal system, Male and fe male reproductive system, Head and Neck, Thorax, Breast, Nervous system, Cardiovascular System, Orthopaedics and Traumatology. The course outline is as follows : Systems and the Diseases: Head, Face and Neck 1. Developmental abnormalities of face, palate, lips. 2. Principles of management of head injuries and its complications. 3. Oral cavity including tongue. 4. Diseases of salivary glands (Inflammation, Calculus, Tumours) 5. Neck lumps including lymph nodes, thyroid and parathyroid Breast 1. Diseases of the breast, nipple and areola 2. Benign and malignant tumours. Chest Wall & Thorax 1. Blunt & penetrating injuries and their complications. 2. Lung abscess and empyema thoracis. 3. Tumors and cysts in the lungs. Gastro Intestinal Tract 1. Diseases causing oesophageal obstruction. 2. Peptic ulcer disease & its complications. 3. Tumours of stomach. 4 Cditi i t bd 5. Conditions causing chro nic abdomen including malignant lesions of small and large bowel 6. Ano-rectal and peri-anal cond itions requiring surgery. Abdominal, Pelvic and Genital Trauma and Hernia. 1. Principles in management of abdominal pelvic and urogenital trauma. 2. Inguinal/ Inguinoscrotal and femoral hernia. 3. Epigastric hernia/umbilical / para-umblical hernia. 4. Incisional hernia. Liver 1. Trauma. 2. Obstructive jaundice. 3. Liver abscess. 4. Hydatid cyst. 5. Malignancy (Hepatoma & secondaries). Gall Bladder 1. Acute and chronic cholecystitis. 2. Cholelithiasis and its complications. 3. Tumours Pancreas 1. Acute, relapsing and chronic pancreatitis. 2. Pancreatic masses including cysts 3. Benign and malignant neoplasia. Spleen 1. Trauma 2. Surgical aspects of spleen Urinary Tract 1. Common congenital anomalies. 2. Infection & its sequelae. 3. Calculus disease and its sequelae. 4. Bladder lesions. 5. Enlarged prostate. 6. Urogenital trauma. 7. Neoplasms of kidney and urinary tract. External Genitalia, Male and Female 1. Developmental abnormalities. 2. Common pelvic conditions Scrotal and testicular lesions 1. Scrotal swelling. 2. Testicular swelling. Skin & Soft Tissues 1. Common benign and malignant skin lesions. 2. Wounds/ulcers/abscesses /sinuses/fistulae. 3. Soft tissue lumps. Orthopaedics and Trauma 1. Common congenital malformations of locomotive system. 2. Bone fractures & their complications. 3. Sports injuries and afflictions of tendons and bursae. 4. Bone and joint infections. 5. Arthritis. 6. Bone and cartilage tumours. 7. Spinal trauma. 8. Spinal tumours. 9. Common spinal deformities and other surgically correctable lesions. Vascular and Nerve Disorders 1. Vascular afflictions and limb ischaemia. 2. Varicosities 3. Deep venous thrombosis. 4. Peripheral nerve injuries (I) ORTHOPAEDIC SURGERY & TRAUMATOLOGY The course outline is as follows : a. Necessary Applied Basic Sciences With Reference To Orthopaedics: • Pathophysiology of trauma and shock. • Mechanical properties of bone & soft tissue. • Biomechanics of fracture. • Healing & repair (bone & soft tissues). • Healing principles of fracture. • Principles of physiotherapy • Orthotics – orthopaedic app liances to support and correct deformities • Prosthesis – artificial substi tute for missing body parts. b. Systems and Diseases 1: Congenital & Development Diseases ; Congenital talipes equino varus (CTEV) and talipes valgus; congenital dislocation of hip (CDH); flat foot; Perth’s di sease; Slipped Capital Femoral Epiphysis. Specific required skills • Clinical examination and x-ray interpretation of above mentioned diseases • Observe the manipulation/application of POP cast for CTEV, pelvic harness, Von Rosen splint, hip spica. 2: Bone dysplasia (defect intrinsic to bone) • Dwarf- Achondroplasia 3: Bone and joint infections • Acute osteomyelitis and septic arthritis. • Chronic osteomyelitis. • Tuberculous arthritis/Caries spine. • Osteolysis/bone cyst, sequestrum, periosteal reaction Specific required skills • Clinical examination for above mentioned diseases • Interpretation of related x-ray and laboratory reports • Observe or assist in joint aspirati on, curettage and sequestrectomy, drainage of abscess etc. 4: Metabolic Bone diseases • Rickets; osteomalacia; osteoporosis; hyperparathyroidism; diabetes. Specific required skills • Interpretation of related X-rays • Interpretation of laborato ry reports of serum Ca, PO 4 , Alk. phosphatase, parathormone. • Management of diabetes with re lation to injury /surgical procedure and infections. 5: Neuromuscular disorders • Muscular dystrophies e.g. Duchenne type and Becker’s type; spina bifida; cerebral palsy. • Post-polio paralysis (PPP); neurofibromatosis Specific required skills • Clinical examination of sensations, deep tendon jerks, muscle power and tone clonus. • Management suggesting and explaining of orthosis, walking aids (walking stick, crutches, walkers), wheel chairs. 6: Bone Tumours a. Benign Exostosis/multiple hereditary exostosis/enchondroma, fibroma, lipoma, neuroma, osteoid osteoma, giant cell tumour. B. Malignant Osteogenic sarcoma, Ewings sarcoma, chondrosarcoma, multiple myeloma, metastatic bone tumors from thyroid, lungs, kidney, breast and prostate. c. Principles, indications, techniques an d orthotics related to amputation. Specific Required Skills • Observe biopsy – needle and open. • Observe amputation/limb salvage surgery – 7: Neck Pain, L ow Back Pain and Sciatica • Deformities of scoliosis, kyphosis. • Spinal injury, soft tissue injuries (sprains, strains etc.) • Fractures ( stable , unstable ) , neurolo g ical dama g e Specific Required Skills • Examination and basic management. • Application of cervical collar, cervical traction, lumbosacral corset. • Observe internal fixation of spinal fracture • Log rolling, prevention of bed sores, bladder care/catheter care and rehabilitation. 8: Arthritis and Musc uloskeletal Painful Disorders • Rheumatoid arthritis, ankylosing spondylitis, osteoarthritis. • Gout; frozen shoulder; tennis elbow, plantar fasciitis, trigger finger, de Quervains disease. Specific Required Skills • Clinical examination of patien ts with arthritis (differentiate on x-ray) • Interpretation of related invest igations; x-rays and laboratory. • Management; prescription writing for arthritis and painful muscle disorders. 9: Soft Tissue Injuries • Sprains/ruptures of muscles, ligaments, tendons; nerve injuries. • Arterial injuries clean/contaminated wounds. 10: Fractures • Basic and advanced trauma life support • Triage of injured patients in emergency room, • Principles of fracture classification • Principals of fracture treatment in children. • Principals of fracture fixation • Management of common orthopaedic emergencies. • Mal-united fractures; non-unions. Specific Required Skills • Examination; clinical examination of injured patient; record BP, pulse rate, respiratory rate pe ripheral pulses and capillary filling; recognition of asso ciated injuries/complications e.g. Vascular, neurological, vascu lar compartment syndrome etc. • |
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Re: mbbs syllabus bfuhs
Investigations; request and interpret urine and blood examination in trauma patient (CBC, ESR, blood urea and sugar etc; interpret x-ray of limbs with fractures and dislocations; • Catheterize male and female patients. • Shifting of patient from bed to trolley • Serving patients with bed pan and urine bottle. • Prepare patients for surgeri es and post operative care. • Dressing of surgical woun ds post operatively. • Pass nasogastric tube. • Injections I/V and I/M. • Interpret and explain the urine, st ool and blood findings with relevance to orthopaedic diseases. • Request and interpret x-rays, ultrasound, CT, MRI scans • Management; provide first aid to a person with bone injury like common sprains, fractures and dislocations (immobilization of body part, r esuscitation of injured patient. • Apply dressings, splints, plasters and other immobilization techniques in fr acture patients in emergency; maintain clear airway of patient; reductions and observation of surgical fixations; internal and external fixation of fractures (plates, nails others); manipulation and application of plaster of paris cast/back slab; use of external fixators in treatment of open fr actures; application of traction skin/skeletal. (II) ANAESTHESIOLOGY The course outline is as follows : • Pre-operative assessment of pa tients and pre-medication • Local anaesthesia o Local anaesthetic agents (pharmacology) o Regional anaesthesia (spinal and epidural) • Intravenous anaesthetic agents • Muscle relaxants • Inhalational anaesthetic agents • Anaesthesia and associated diseases. • Complications of anaesthesia. • Perioperative management. • Cardiopulmonary Resuscitation. CPR. • Recovery from anaesthesia. Pain ma nagement and postoperative care. (III) RADIOLOGY The student will be able to: • Select/advice the required radiological examination correctly • Identify gross abnormalities in the films • List indications and advantages of modern techniques • Recognize major abdominal viscera and their imaging characters Required Radiological Exam inations and Abnormalities • Plain Radiography Chest • Normal anatomy and projections • Pneumothorax • Pneumonia • Effusion • Cardiomegaly • Plumonary oedema • Fractures • Surgical emphysema • Neoplastic Diseases • Chronic inflammatory disease Skull • Normal anatomy and projections • Fracture • Lytic and sclerotic lesion • Calcifications • Pituitary fossa • Paranasal sinuses Abdomen • Normal anatomy and projections • Renal & urinar y tract stones, g all stones and other calcifications • Free gas under diaphragm, (perforation) • Enlarged liver and spleen Spine • Normal anatomy and projections. • Disc space reduction • Vertebral collapse Barium Meal and with double contrast (where applicable) • Normal anatomy and various projections • Gastric outlet obstruction • Stomach mass/filling defect • Oesophageal outline/varices/strictures • Intussusception • Colonic defects • Malabsorption pattern • Stricture • Any filling defect • Ulcerative colitis • Intravenous Urogram • Hydronephrosis and renal masses • Micturating Cystourethrogram • Reflux • Cholecystogram • Gall bladder diseases and stones • Echocardiogram • Be able to interpret the report • CT Scanning • Be able to interpret the report • MRI • Basic principle (B) MEDICINE Distribution of subjects Paper-I All except Paper-II Paper-II will include: 1.Infectious Diseases 7.Endocrinol ogy including Diabetes 2.Metabolic Diseases 8.Genitourinary System 3.Immunology 9. Genetics 4.Oncology 10.Water and Electrolyte Balance 5. Acid and Base Balance 11.Psychiatry 6. Dermatology 1. CARDIOLOGY The course outline is as follows : • Rheumatic fever and inf ective endocarditis. • Valvular heart diseases. • Mitral valve • Aortic valve • Ischaemic heart disease. • Angina • Myocardial infarction • Cardiac arrhythmias • Atrial fibrillation • Ventricular tachycardia • Premature atrial and ventricular beats. • Heart failure. • Left ventricular failure. • Congestive cardiac failure. • Cor pulmonale. • Congenital heart diseases (brief). • Cyanotic/acyanotic heart diseases. • Fallot’s tetralogy • Atrial septal defect • Ventricular septal defect • Patent ductus arteriosus • Cardiomyopathies • Pericardial diseases. • Constrictive pericarditis • Pericardial diseases • Pericardial effusion • A therosclerosis/arteriosclerosis. • Hypertension. • Peripheral vascular disease. • Symptoms and signs • Arteriosclerosis • Acute & chronic isch aemia of the leg • Aneurysms • Buerger's disease • Raynaud's disease • variocose veins • Venous thrombosis • Investigations. • Electrocardiography, Xray ch est, Echocardiography, Thallium Scan, Stress Testing, Holter And Angiography Etc. 2. PULMONOLOGY COURSE OUTLINES: • Asthma. • Environmental lung di seases/occupational. • Asbestosis • Silicosis • Bagassosis • Pneumoconiosis • Byssinosis • Farmer’s lung • Pneumonia • Community acquired • Nosocomial • Lobar and bronchopneumonia • Adult respiratory distress syndrome • Acute respiratory failure • Mechanical ventilation. • Bronchiectasis. • Chronic obstructive airway diseases. • Chronic bronchitis • Emphysema • Interstitial lung diseases. • Pulmonary thromboembolism • Acute corpulmonale. • Type-I and type-II respiratory failure • Pleural effusion. • Pneumothorax. • Tuberculosis • Tumors of the lung • Disorders of chest wall and pleura • Chest trauma • Deformities of the rib cage • Dry pleurisy, pleural effusi on, empyema, pneumothorax . • Basics of pulmonary function tests. • Imaging in pulmonary diseases/investigations 3. DERMATOLOGY COURSE OUTLINES: • Anatomy, physiology of skin re lated to clinical dermatology • Infestations: scabies, pediculosis. • Bacterial and mycobacterial infections • Fungal and viral diseases. • Acne vulgaris • Eczemas. • Psoriasis • Lichen planus • Bullous disorders. • Pigmentary disorders • Disorders of nails. • Disorders of hairs. • Sexually transmitted diseases. 4. Neurology and Central Nervous System COURSE OUTLINES: o Infections and inflammatory lesions ƒ Meningitis • Bacterial. • Tuberculous. • Viral etc. |
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Re: mbbs syllabus bfuhs
ƒ Brain abscess ƒ Encephalitis ƒ Hydrocephalus o Epilepsy and other co nvulsive disorders o Cerebrovascular diseases (stroke). • Ischemic • Embolism • Infarction • Haemorrhage • Intra-cerebral • Subarachnoid o Dementia and Alzheimer’s disease. o Parkinson’s disease and other movement disorders. o Motor neuron disease. o Multiple sclerosis. o Cranial nerve disorders. • Transient mono-ocular blindness (amaurosis fugax). • Trigeminal neuralgia. • Facial palsy (Bell’s). • Vertigo, nystagmus o Spinal cord disorders. • Spinal cord compression • Hemiplegia, paraplegia, quadriplegia • Myelitis. • Spondylosis. • Syringomyelia and syringobulbia. o Peripheral nerve disorders. • Peripheral polyneuropathy • Gullian Barry syndrome • Mononeuritis multiplex. o Space occupying lesions of brain and spinal cord. o Muscular dystrophies o Myopathies, myasthenia gravis 5. ALIMENTARY SYSTEM COURSE OUTLINES: o Oral cavity ƒ Infections and inflammatory disorders ƒ Benign and malignant diseases o Esophagus. ƒ Dysphagia with special reference to ƒ Ca oesophagus ƒ GERD ƒ Achalasia ƒ Candiasis of oral cavity and oesophagus o Stomach ƒ Gastritis. ƒ Peptic ulcer o Intestines o Malabsorption syndromes. o Tropical sprue o Coeliac disease o Inflammatory bowel diseases. • Ulcerative colitis ƒ Crohn’s disease o Irritable bowel syndrome (IBS). o Liver o Ascites. o Jaundice. o Congenital hyperbilirubinaemia o Gilbert syndrome o Dubin Johnson syndrome o Rotor syndromes o Haemolytic o Obstructive o Hepatitis o Viral, acute and chronic o Toxic o Drugs o Auto immune hepatitis. o Cirrhosis of liver. o Hepatic encephalopathy. o Carcinoma liver and transplant. o Acute and chronic pancreatitis. o Upper GI bleeding, lower GI bleeding o Drugs contraindicated in liver diseases 6. KIDNEYS AND URINARY SYSTEM COURSE OUTLINES: • Acute renal failure. • Chronic renal failure • Nephrotic syndrome. • Nephritic syndrome. • Urinary tract infections ƒ Infections of the kidneys ƒ Infections of the lower urinary tract • Inflammatory lesions of the kidneys • Introduction to dialysis & renal transplant • Drugs causing renal disease (brief). ƒ Analgesic nephropathy. ƒ Lead, uric acid, hypercalcemia, radiation & hypersensitivity ƒ Nephropathy. ƒ Drugs contra indicated in renal insufficiency ƒ Drugs to be used with ca ution in renal disease. • Polycystic kidneys. • Renal vascular disorders ƒ Renal artery stenosis ƒ Renal vein thrombosis ƒ Tumours • Hemolytic uremic syndrome. • Prostatic diseases 7. ENDOCRINOLOGY COURSE OUTLINES: o Anterior pituitary. ƒ Growth hormone disorders o Acromegaly o Gigantism. o Short stature ƒ Infertility o Diseases of hypothalamus and posterior pituitary. ƒ Empty sella syndrome ƒ Diabetes insipidus ƒ Syndrome of inappropriat e ADH secretion (SIADH). o Thyroid gland. ƒ Hyperthyroidism (t hyrotoxicosis) ƒ Hypothyroidism (myxedema, cretinism) ƒ Inflammatory lesions ƒ Benign and malignant tumors o Adrenal Gland. ƒ Cushing Syndrome ƒ Aldosteronism Primary/Secondary. ƒ Hirsutism. ƒ Addison’s disease ƒ Acute Addisonian crisis ƒ Inflammatory lesions ƒ Adrenocortical tumors including Pheochromocytoma o Endocrine Pancreas ƒ Diabetes mellitus and hypoglycaemic states ƒ Other associated en docrine disorders o Testes ƒ Sexual precocity ƒ Heterosexual precocity ƒ Gynaecomastia ƒ Inflammations ƒ Tumours o Multiple endocrine neoplasia ƒ Type I ƒ Type II 8. RHEUMATOLOGY COURSE OUTLINES: o Osteoarthritis o Osteoporosis o Rheumatoid arthiritis an d related arthropathies o Paget’s disease of the bone. o Osteopetrosis (marbl e bone disease). o Multiple myeloma o Multi-System Immunological Diseases o Systemic lupus er ythematosis (SLE) o Serum sickness o Systemic sclerosis (scleroderma). o Mixed connective tissue diseases (brief). o Sjogren’s syndrome (brief). o Ankylosing spondylitis. o Bechet’s syndrome (brief). o Vasculitis syndromes (brief). o Anaphylactoid purpura o Polyarteritis nodosa o Hpersensitivity vasculitis o Wegner’s granulomatosis o Temporal arteritis o Takayasu’s arteritis o Thromboangitis oblitera ns (Burger’s disease) o Sarcoidosis (brief). 9. METABOLIC DISORDERS COURSE OUTLINES: ƒ Hyperlipidemia ƒ Hemochromatosis ƒ Porphyrias ƒ Wilson’s disease ƒ Gout and hypercalcemia ƒ Storage diseases. ƒ Lipid. • Leukodystrophies • Niemann pick disease. • Gaucher’s disease. ƒ Glycogen. • Fabry’s disease. ƒ Hereditary connective tissue disorders ƒ Osteogenesis imperfecta. ƒ Ehler’s danlos syndrome. ƒ Chondrodysplasias. ƒ Marfan syndrome. ƒ Alport syndrome. ƒ Disorders of amino acid metabolism and storage ƒ Homocystinuria. ƒ Alkaptonuria. ƒ Hartnup disease. ƒ Renal glycosuria 10. INFECTIOUS DISEASES COURSE OUTLINES: o Clinical syndromes. ƒ Sepsis and septic shock, meningococcaemia ƒ Acute infectious diarrhoeal diseases and bacterial food poisoning. ƒ Hospital acquired infections. o Common disease syndromes caused by the following bacteria and their drug therapy. ƒ Pneumococci ƒ Staphylococci. ƒ Streptococci. ƒ Hemophilis influenzae. ƒ Shigella. ƒ Gonococci. ƒ Pseudomonas. o Following diseases in detail. ƒ Tetanus. ƒ Enteric fever/salmonellosis. ƒ Cholera. ƒ Tuberculosis. ƒ Leprosy. ƒ Amoebiasis/giardiasi s/trichomoniasis. ƒ Malaria. ƒ AIDS. ƒ Rabies. ƒ Infectious mononucleosis. o Helminthic infestations ƒ Ascariasis ƒ Hookworm ƒ Whipworm (trichuriasis) ƒ Threadworm (entrobiasis) ƒ Taenia (tapeworm) ƒ Hydatid diseases 11. HAEMATOLOGY COURSE OUTLINES: Anaemias. • Classification • Iron deficiency • Megaloblastic o B-12 deficiency o Folic acid deficiency • Anaemia of chronic disorder • Haemolytic anaemia o Hereditary o Acquired o Intra-corpuscular o Extra-corpuscular • Aplastic anemia Haemoglobinopathies. • Sickle cell syndromes • Thalassaemias Myeloproliferative diseases. • Chronic myeloid leukemia (CML) • Polycythemia vera • Myelofibrosis • Essential thrombocytosis • Leukemias. • Acute • Chronic • Lymphomos • Non-Hodgkin’s • Hodgkin’s Blood groups and blood transfusion. Bone marrow transplantation. Disorders of haemostasis. • Thrombocytopenia • Idiopathic thrombocytopenic purpura (ITP) • Von Willebrand’s disease. • Vessel wall disorders. • Disorders of coagulation. • Haemophilia • Vitamin K deficiency. • Disseminated intravascu lar coagulation (DIC). Anticoagulants Therapy • Heparin • Oral (warfarin etc.) • Vit. K infusion • Antiplatelet drugs 12. PSYCHIATRY COURSE OUTLINES: • Mood disorders. • Major depressive episodes • Unipolar • Bipolar • Dysthymic • Atypical • Maniac episodes • Anxiety disorders. • Acute anxiety states • Panic disorders • Generalized anxiety disorders • Psychic Traumatic disorders • Obsessive-compulsive disorders • Phobic disorders • Schizophrenia. • Alcoholism. • Addiction . • Psychosexual disorders in men and women. |
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