منهاج المرحلة الرابعة

 Curriculum of Fourth Year

 

 

المنهاج الدراسي للمرحلة الرابعة 

 

 تنسيق ا.م.د.زينة محمد حسن 

 medicine مادة الباطنية 

Fourth year

 

Introduction to respiratory system and Interstitial pulmonary disease      

Chronic obstructive lung disease and   Asthma                       

Pneumonia and Respiratory failure

Tuberculosis ,  Bronchogenic carcinoma  and DVT and pulmonary thromboembolism 

Introduction to cardiovascular system  and Congenital heart disease

Ischaemic heart disease

Heart failure

Arrhythmias 

Infective endocarditis  ,Rheumatic fever  , Peripheral vascular disease and ECG

Introduction to renal diseases  and Urinary tract infection

Glomerular dieases  and  Renaovascular disease

Interstitial renal disease and  hypertension

Chronic renal failure

Acute renal failure

Drugs and the kidney  ,  Renal replacement therapy

Introduction to GIT and oesophageal disease 

Gastric and duodenum               

Pancrease and small bowel

large bowel disease

Introduction to liver diseases 

Viral liver diseases

Alcoholic and non alcoholic liver diseases

Drugs and toxins , inherited liver diseases ,vascular liver diseases

Pregnancy and liver diseases  ,gall blader and extrabiliary diseases

Tumors of the liver , autoimmune liver disease

streptococcal ,staphylococcal , sepsis syndrome

typhoid ,brucellosis

fungal infection

Rectesia and coxial diseases

Haemorrhagic diseases

Anthrax pertusis ,diphtheria 

HIV and viral disease

tetnus  and antibiotics

Forensic medicine

Fourth year

مقدمة في الطب العدلي

الموت و علاماته

تحديد وقت الوفاة

الاستعراف

الشعر والبقع الدموية

اللعاب والسوائل الجسمية

تقدير الجنس والعمر من العظام

تقدير الجنس والعمر من العظام

تقدير الجنس والعمر من العظام

الحروق

الحروق

الجروح

الطلق الناري

الموت المفاجئ

الاختناق

الحمل وعلاماته

البكارة والاغتصاب

الاسقاط الجنائي

الشذوذ الجنسي

الوليد الميت وقتل الولدان

الطفل المعذب

الادمان على العقاقير

وفيات البنج

كتابة التقارير الطبية العدلية

بيانات الولادة وشهادات الوفاة

السموم

الاخلاق الطبية والسلوك المهني

Pathology

Fourth year

Oral and salivary gland

Esophagus

Stomach and small intestine

Colon and rectum

Liver

Gall bladder and pancreas

Hematology

Lymphatic

Renal system

Urinary system

Female genital system

Breast diseases

Bone and soft tissue

Cytology

Central nervous system

Skin

Male genital system

Eye and ear

 

 

Community medicine

Fourth year

 

1. GENERAL EPIDEMIOLOGY (15 Lectures)

 

Epidemiological data: types, sources and limitations

Epidemiological measurements : rates, proportions and ratios    

Descriptive epidemiology: person, place and time

Epidemiological studies: Cross-sectional, Longitudinal, Case control, Cohort, Interventional

The concept of association and causation

The concept and investigation of epidemic

2. EPIDEMIOLOGY OF COMMUNICABLE DISEASES (30 Lectures)

Definition of common terms

Infections acquired through gastrointestinal tract:

Diarrhoeal diseases: extent of the problem, causes,  risk factors and control

Comparative epidemiology of rotavirus, salmonella, cholera and shigellosis

Amoebiasis  and shigellosis  

Bacterial food poisoning

Poliomyelitis

Infectious hepatitis A

Typhoid and paratyphoid

Infections acquired through the respiratory tract (air borne infections

Acute respiratory infection (ARI): extent, causes, risk factors and strategies of control of ARI 

Mouth and throat infection: Diphtheria, Mumps,  and Sore throat   

Exanthematous infection: Measles, german measles, chicken pox…etc

Whooping cough

Tuberculosis

Leprosy

Bacterial meningitis

Percutaneous infections: infections acquired through skin:

insect bites: Malaria

 Insect bites: Leishmaniasis

Insect bites: Rickettsial    disease

Abrasions: Anthrax

wounds: tetanus

injections: hepatitis B

Animal bites: rabies

sexually transmitted diseases, AIDS

Penetration: Schistosomiasis

Hookworm and ascariasis

Zoonotic infections

3- EPIDEMIOLOGY OF NON- COMM.DISEASES

epidemiology of ischaemic heart  diseases

epidemiology  of diabetes mellitus

epidemiology of cancer

epidemiology of accidents

epidemiology of mental health and geriatrics

4. MATERNAL AND CHILD HEALTH 

Maternal health care:

Introduction to MCH care

Components of MCH care

Nutrition during pregnancy

Infection during pregnancy

Low birth weight and prematurity

Evaluation of MCH care and vital statistics

Health care for children:

Growth monitoring

Control of diarrheal diseases

Control of acute respiratory diseases

Expanded Programme of immunization

School health services : concept and plans

 

5. PRIMARY HEALTH CARE

PHC:Historical background to PHC, Rationale for PHC

Definition, contents and difficulties of PHC

Supportive programmes to PHC , Skills of PHC workers: The five star doctor

National health programmes: EPI, ARI, CDD, MCH, Promotion of breast        feeding, Training of TBAs and others

 

6. HEALTH CARE ADMINISTRATION  

The concept of systems 

Concept of  health care administration 

Planning of health care services 

Management of health care services

Evaluation of health care services

7.  Environmental health  

Definition of health and disease within the context of environment, and environmental health

Basic activities of environmental health

Water : sources , quality and related diseases

Air : sources of pollution, health effects and control of air pollution

Optional Topic related to environmental health

8. Occupational health 

Definition of occupational health, occupational hygiene and occupational medicine- Objectives/functions of occupational health services

Occupational lung diseases

Occupational skin diseases

Safety measures in occupation.

 

 

Surgery

Fourth year

 

Esophagus

Stomach and duodenum

Portal hypertension, UGIT bleeding

Vermiform appendix

Vermiform appendix & Intestinal obstruction

Colostomy, polyp & CA colon.

Liver, Gall bladder disease

Hernia

Peritoneum and intraabdominal sepsis

Anal condition

Spleen

Breast diseases

Pancreas

Thyroid gland

Adrenal gland

Hand surgery

Salivary gland

Cervical lymph adenopathy Swelling in the neck

Introduction to urology, definition and clinical symptoms   

Urological investigation : urinalysis,

Biochemical test , radiology , ultrasound,

Ct-scan, MRI, isotope study

Embryology of gut , renal anomalies, cystic

Disease of the kidney

PUJ obstruction , anomalies of the ureter

Uretrocele  , VUR

Definitions of urinary tract infection

Acute and chronic pyelonephritis , renal

Carbuncle, pyonephrosis  , TB of gut

Renal and ureteric trauma

Renal and ureteric trauma

Urinary fistulae and urinary diversions

Introduction to urolithiasis 

Renal stone diseases

Ureteric and vesicle stone

Hydronephrosis and obstructive uropathy

Renal tumors

Diseases of the bladder 

Bladder diseases 

CA bladder and urine retention

Diseases of the prostate (BPH)

Prostatic carcinoma and prostatitis

Hypospadias epispadius,  PUV

Urethral  injury , and stricture

Pyronies  disease phimosis , meatal stenosis ,

Imperfect descend of the testis , torsion

Acute scrotum , epididimoorchitis

Hydrocele , spermatocele , varicocele       

Testicular tumor and scrotal gangrene

Renal failure

Renal transplant 

Male infertility

 

Obstetrics

Fourth year

Female reproductive anatomy

Placenta &membranes

An approach to Ethical Decision Making in Obstetrics               

Menstrual cycle, Ovulation, Fertilization, Implantation.            

Endocrinology of pregnancy & parturition

Maternal Physiology.                                                                      

Immunology of pregnancy

Genetic Evaluation & Teratology.                                                  

Anatomic characteristics of fetal head &maternal pelvis          

 Normal labour & delivery, puerperium.                                  

Obstetric analgesia &anesthesia

resuscitation of new born                                                          

Antepartum  Haemorrhage: placenta Parevia.

Aplacental Abruption                   

 Postpartum Haemorrhage.

Hypertensive disorders of pregnancy.

Fetal  malposition &malpresentation.                                     

Medical complication of pregnancy.                               

Multiple Gestation

Amniotic  Fluid & its abnormalities

Intrauterine fetal death

-Identification and management of fetal distress during Antenatal and labour

Dystocia

Preterm labour& Preterm rupture of membrane

Intrauterine growth retardation

Intrauterine  fetal  death

Post  term  pregnancy

Rhesus  isoimmunization

Perinatal  & Maternal  mortality

Ultrasound  in  pregnancy & Drugs  in  obstetric

Anemia, Disorder  of   Blood  Coagulation  and  Platelets 

Surgical  complication in  Pregnancy

 

 

Behavioral sciences

Fourth year

Introduction and Definition of relevant terms, Principles of medical ethics

Theories of medical ethics

Types of doctor-patient relationship

Breaking bad news

Ethical health education

Communication barriers

Doctor  communication mistakes

The Law and Ethics

Ethical committees in health care

Component of Informed Consent

Children and young people communication

Euthanasia

Illegal abortion

Ethics in Gynecology &obstetric

Artificial Fertilization

Cloning

Organ Transplant

Addiction & Smoking among doctors and medical personnel

Ethics in Scientific Research

Anatomy of dead bodies

Ethics in operation room and among surgical patient

Ethics in death and birth and medical certificate

Death facts hospitals and private clinic and police cases

Medical ethics in Islam

Health Education in Medical Ethics: Video

Medical responsibility