S.no
|
Contents of the Topic |
Learning Objectives
(At the end of the session the student should be able to ) |
Teaching Guidelines |
Methodology |
Time |
1 |
Introduction to General Medicine
Medical practice, & recognize |
To explain Aims of signs, symptoms, diagnosis, differential diagnosis, treatment & prognosis diseases |
Etiology & Pathogenesis to explain signs, symptoms differential diagnosis, treatment & prognosis |
Didactic with power point
Tutorial/ Seminar |
2 Hrs |
2 |
Pain management and palliative care
_ General principles of pain
_ Assessment and treatment of pain
_ Palliative care
|
Pain importance & Co- Relation with Various diseases |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis pertaining to diseases |
Didactic with
power point
Tutorial/ Seminar |
1 Hrs |
4 |
Poisonings
_ General approach to the poisoned patient
_ Poisoning by specific pharmaceutical agents
_ Chemicals and pesticides
_ Snake bite and Envenomation
_ Drugs of misuse
_ Other bites and stings - scorpion, spider |
To identify common Poisoning, asses Severity & to give the general as well Specific treatment |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
4 ½ Hrs
|
5 |
Specific environmental and occupational hazards
_ Heatstroke and hypothermia
_ Drowning and near drowning
_ Electrical injuries
_ Radiation injury
_ Heavy metal poisoning |
To the identify duration of Exposure to various industrial into link with working environment |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
2 Hrs
|
6 |
Immune response and Infections
_ Basic considerations
_ Patterns of infection
_ Laboratory diagnosis of infections
_ Principles of immunization and vaccine use
_ Clinical syndromes
_ Fever and rash
_ Fever of unknown origin
_ Infective endocarditis
_ Intra-abdominal infections and abscesses
_ Acute infectious diarrhoeal diseases and food poisoning
_ Sexually transmitted diseases - overview & clinical approach
_ The febrile patient
_ Hospital acquired infections
_ Infections in immuno-compromised hosts
_ Infections of skin, muscle & soft tissues
_ Osteomyelitis
|
Basic understanding of immune system & its response to various diseases |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
9 Hrs
|
7 |
Specific Infections - Epidemiology, clinical features, laboratory diagnosis, treatment
and prevention of :
_ Protozoal infections
_ Amobiasis
_ Malaria
_ Giardiasis
_ Trichomoniasis
_ Giardiasis
_ Trichomoniasis
_ Trypanosomiasis
_ Bacterial infections
_ Streptococcal infections
_ Pneumococcal infections
_ Staphylococcal infections
_ Meningococcal infections
_ Gonococcal infections
_ Tetanus
_ Botulism
_ Cholera
_ Salmonellosis - Typhoid and paratyphoid fevers
_ Shigellosis and bacillary dysentery
_ Helicobacter Pylori
_ Infections due to pseudomonas & other gram - negative bacteria
_ Tuberculosis
_ Leprosy
_ Viral infections
_ Common exanthemata
- Measles
- Mumps
- Rubella
- Varicella
_ Common viral respiratory infections
-Human immunodeficiency virus (HIV)
_ Dengue fever
_ Rabies
_ Leishmaniasis
_ Toxoplasmosis
_ Legionella infections
_ Pertussis and Diphtheria
_ Gas gangrene, other clostridial infections
_ Viral gastroenteritis
_ Histoplasmosis
_ Brucellosis
_ Plague
_ Anaerobic infections
_ Mycobacterial diseases
_ Rickettsia, Mycoplasma & Chlamydial diseases
_ Donovanosis (Granuloma inguinale)
Fungal infections
_ Candidiasis
_ Aspergillosis
_ Helminthic infections
_ Nematodes
_ Cestodes
- Intestinal
_ Histoplasmosis
- Tissue
_ Cryptococcosis
_ Mucormycosis
_ Pneumocystis carinii
- Tissue
- Intestinal
|
Clarity about epidemiology & mode of infection & its prevention, importance of personal hygiene & potable water
Preventable disease
Immunization schedule
Preventive measures & symptomatic treatment
To know modes of transmission, To indentify dangve haemorrhagic & DSS, control measures & treatment
To identify high risk dengue cases & indications of referral to higher cerates
Relation to Systemic involvement
Diagnosis & management
Life cycle, clinical futures & drug of Choice for specific infestation
Diagnosis & Management & link with HIV & AIDS crypto coccal meningitis
Diagnosis link with HIV & AIDS possibility in cases
Suffering from Pneumocystis carinii Pneumonia
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
31 Hrs
|
8 |
System-Based diseases
Cardiovascular system
_ Functional anatomy, physiology and investigations
_ Major manifestations of cardiovascular disease
_ Chest pain
_ Breathlessness
_ Palpitation
_ Acute circulatory failure (cardiogenic shock)
_ Heart failure
_ Hypertension
_ Presyncope and syncope
_ Cardiac arrest and sudden cardiac death
_ Atrial fibrillation
_ Disorders of heart rate, rhythm and conduction
_ Congestive cardiac failure
_ Rheumatic fever
Valvular heart disease
_ Ischaemic heart disease
_ Congenital heart disease in the adult
_ Cor pulmonale
_ Hypertension
_ Peripheral vascular disease
_ Atherosclerosis
_ Pericardial disease
_ Myocarditis and cardiomyopathy |
To correlate to various diseases
To identify Cardinal signs of CHF
Classifications treatment guidelines
Covered in CVS
Covered in CVS
Covered in CVS
To understand major & minor Jones criteria
Clinical understanding of Valvular Heart diseases
To know about primary & Secondary Prevention of IHD
Covered already in Pediatrics Curriculum
Covered under Pulmonary Medicine
To indentify target organ damage
Early diagnosis & early treatment
Importance of lipid profile & geneses of atherosclerosis
Diagnosis & management
To know the diagnostic criteria & classification
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
19 Hrs
|
9 |
Respiratory system
_ Clinical examination of the respiratory system
_ Functional anatomy, physiology and investigations
_ Major manifestations of lung disease
_ Cough
_ Dyspnoea
_ Chest pain
_ Haemoptysis
_ Respiratory failure
_ Upper and lower respiratory infections
_ Bronchial asthma
_ Chronic obstructive pulmonary disease
_ Pulmonary tuberculosis
_ Suppurative lung diseases
_ Bronchiectasis
_ Lung abscess
_ Plural effusion and empyema
_ Interstitial and infiltrative lung diseases
_ Acute respiratory distress syndrome
_ The solitary radiographic pulmonary lesion
_ Obstructive sleep apnoea
_ Occupational lung diseases
_ Tumors of the bronchus and lung
_ Pulmonary vascular diseases
- Pulmonary hypertension
- Pulmonary thromboembolism
_ Diseases of the nasopharynx, larynx and trachea
_ Diseases of the mediastinum, diaphragm and chest wall |
Already covered under Pulmonary Medicine Department
Covered in the curriculum of dept. of pulmonary Medicine |
|
|
11 Hrs
1 Hrs
4 Hrs
|
10. |
Kidney and genitourinary system
_ Functional anatomy, physiology and investigations
_ Major manifestations of renal and urinary tract disease
_ Dysuria, pyuria, urethral symptoms
_ Disorders of urine volume
_ Hamaturia
_ Proteinuria
_ Oedema
_ Obstruction of the urinary tract
_ Acute and chronic renal failure
_ Infections of the kidney and urinary tract
_ Glomerulonephritides
_ Tubulo-interstitial diseases
_ Renal involvement in systemic disorders
_ Urinary tract calculi and nephrocalcinosis
_ Tumors of the kidney and genitourinary tract
_ Incontinence
_
Congenital abnormalities of the kidneys and urinary system
_ Drugs and the kidney
_ Renal vascular diseases
_ Renal replacement therapy |
To correlate to various diseases of renal system
Their correlation with systemic diseases
Covered under department of General Surgery
Diagnosis’s treatment & referral criteria
To know common etiology pathogens & importance of urine culture & sensitivity
covered under Department of Pediatrics
Relation of Drug to diseases leading to acute renal injury
Covered under various systemic diseases
Covered under department of General Surgery
Covered in neurological section of curriculum
Covered under Deptt. of Gen. Surgery
Must know the drugs which cause TIN leading to acute kidney injury
pathology, its complication
Indication of dialysis knowledge of renal transplant
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
12 Hrs
1 Hrs
2 Hrs
|
11. |
Gastrointestinal tract
Functional anatomy, physiology and investigations particularly role of imaging, endoscopy
and tests of function
_ Major manifestations of gastrointestinal disease
_ Abdominal pain (acute and chronic)
_ Dysphagia
_ Dyspepsia
_ Vomiting
_ Constipation
_ Diarrhoea
_ Abdominal lump
_ Weight loss
_ Gastrointestinal bleeding - upper and lower
_ Approach to the patient with gastrointestinal disease
_ Diseases of the mouth and salivary glands - oral ulcers, candidiasis, parotitis
_ Diseases of the oesophagus - GERD, other motility disorders,
oesophagitis, carcinoma oesophagus
_ Diseases of the stomach and duodenum - gastritis, peptic ulcer disease, tumors of stomach
_ Diseases of the small intestine
_ Acute gastroenteritis & food poisoning
_ Intestinal tuberculosis
_ Inflammatory bowel disease
_ Malabsorption syndrome
_ Bacillary dysentery
_ Amoebic colitis
_ Ulcerative colitis
_ Irritable bowel disease
- Peritoneal
- Nodal
- Gastrointestinal
_ Ascites
_ Peritoneal carcinomatotis
_ Tumors of small intestine
_ Acute, sub-acute and chronic intestinal obstruction
_ Disorders of the colon and rectum
_ Abdominal tuberculosis
_ Acute and chronic peritonitis
_ Tumors of the colon & rectum
_ Ischaemic gut injury
_ Anorectal disorders
_ Diseases of the peritoneal cavity |
To correlate with diseases
To correlate with various diseases of GIT & of other systems
Covered under Gen Surgery
Causes, & urgent management
Identification & correlation with systemic diseases
To view –in relation to cancer HIV & AIDS. Foods/Alcohol & use of analgesics
Differential diagnosis & management
Not to be taken lightly as symptoms come late, even of cancer like diseases
Diagnosis, investigation & management
Students should also know the importance of fresh foods, safe water & excreta disposal
Always keep one possibility of TUB. abdomen any chronic abdominal diseases
Diagnosis & management
Also link with Vitamins, macronutrients & Micronutrients
First – diagnosis & then find causes
To know every aspect of IT
To know everything about it
Correlate with psychiatric problems auto immune phenomenon, diagnosis & management be able to differential
Abdominal tuberculosis in these 4 categories & RNTCP management
Be able to difference that abdominal tub
Diagnosis & its differential diagnosis
Non responding cases – investigate for it
Focus on primary tumors
Covered –(Gen. Surgery Dept.)
Salient features
Covered
Covered (Gen. Surgery Dept.)
Covered (Gen. Surgery Dept.)
Covered (Gen. Surgery Dept.)
Covered (Gen. Surgery Dept.)
Covered (Gen. Surgery Dept.) & also under Gen Medicine
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
14 Hrs
3 Hrs
3 Hrs
|
12. |
Diseases of the pancreas
_ Acute and chronic pancreatitis
_ Tumors of pancreas
|
Mainly in relation, to alcohol & any patient of vomiting pain epigastrium
Gen. Surgery |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
1 Hrs
½ Hrs |
13. |
Liver and Biliary tract disease
_ Functional anatomy, physiology and investigations of hepatobiliary disease
_ Major manifestations of liver disease
_ ‘Asymptomatic’ abnormal liver function tests
_ Jaundice
_ Acute (fulminant) hepatic failure
_ Liver abscess - amoebic & pyogenic
_
Viral hepatitis - acute and chronic
_ Alcoholic liver disease
_ liver disease Cirrhosis of liver and chronic
_ Portal hypertension and ascites
_ Gallbladder and biliary tract diseases
_ Functional anatomy
_ Acute and chronic ‘cholecystitis’
_ Cholelithiasis
_ Hepatic (portosystemic) encephalopathy
_ Hepatorenal failure
_ Drugs, toxins and liver
_ Fatty liver and non alcoholic steatohepatitis
_ Infiltrative diseases of liver
_ Tumors of gall bladder and bile ducts
_ Wilson’s disease
_ Hemachromatosis
_ Tumors of the liver |
To correlate with diseases
In chronical order
Look for uncommon causes
Differential diagnosis according to prevalence
Cardinal signs, symptoms, treatment & specific investigation
Complete know ledge from ABC to XYZ
How to stop progress & measures of recovery
Early identification prevention
To know every measure to diagnose early & early management to avoid hepatic failure & its complication
Covered Gen. Surgery
Covered Gen. Surgery
Covered Gen. Surgery
Covered Gen. Surgery
All recovery measures of hepatic failure
Complication identification & management
Just names & type of injury caused
Causes & management
Common causes, presentation, diagnosis treatment
Surgery deptt. over view
Over view
Over view
Covered under (Gen. Surgery Dept.) |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
11 Hrs
4 Hrs
1 Hrs |
14. |
Endocrinology and Metabolism
Diabetes mellitus
_ Epidemiology
_ Physiology, pathophysiology and investigations
_ Aetiology and pathogenesis
_ Major manifestations of disease
_ Hyperglycaemia
_ Acute metabolic complications
- Diabetic ketoacidosis
- Hypoglycemia
_ Management of diabetes
- Hyperglycemic non-ketotic coma
_ End organ damage
_ Long-term complications (micro and macrovascular)
_ Long-term supervision
_ Special problems in management
_ Prospects in diabetes mellitus
|
To correlate with diseases
Identification causes & management
Diagnosis & protocol of management
History, diagnosis & management
OHA & insulin therapy
Diagnosis,Management, & advice
Management
Goals
Over view
Over view |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
4 Hrs
1 ½ Hrs
1 Hrs |
15. |
Thyroid gland
_ Functional anatomy, physiology and investigations
_ Major manifestations of thyroid disease
_ Hyperthyroidism
_ Hypothyroidism
_ Thyroid enlargement
_ Abnormal thyroid function test results
|
To correlate with diseases
Diagnosis medical & surgical management
All about it
Categorizes in etiology based
For diagnosis & during management
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
4 Hrs |
16 |
The reproductive system
_ Major manifestations of reproductive disease
_ Male hypogonadism]----------------------------------------à
_ Gynaecomastia]----------------------------------------------à
_ Impotence------------------------------------------------------à
_ Short stature and delayed puberty
_ Cryptorchidsm
_ Hirsutism
_
Secondary amenorrhoea
_
Infertility
|
To correlate with various diseases
Identification & its consequences T be correlated with lab tests
Diagnostic guidelines, investigations,management
Classify causes in primary & secondary.
oerview
Diagnosis & treatment
Under gynae Dept.
Identify treatable untreatable causes & further advices
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
3 Hrs |
17. |
The parathyroid glands
_ Major manifestations of diseases of the parathyroid glands
_ Hypercalcemia
_ Hypocalcemia |
To be correlate with various diseases
Treatment &prevention |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
2 Hrs |
18. |
The adrenal glands
_ Major manifestations of adrenal disease
_ The ‘Cushingoid’ patient
_ Adrenal insufficiency
_ Pheochromocytoma |
To be correlated clinically
Clinical presentation diagnosis
Diagnosis clinical feature & management
In D?D of resistant hypertension treatment |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
1 ½ Hrs
1 ½ Hrs |
19. |
The endocrine pancreas and gastrointestinal tract
_ Major manifestations of disease of the endocrine pancreas
_ Spontaneous hypoglycemia
_ Disorders affecting multiple endocrine system
|
To correlate with diseases
Early recognition prompt treatment
Over view |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
1 ½ Hrs |
20. |
The hypothalamus and the pituitary gland
_ Major manifestations of hypothalamic and pituitary disease
_ Hypopituitarism
_ Visual field defects
_ Galactorrhea |
To correlated with various diseases
Primary or secondary &
Headache its relation to pituitary tumors
Hormonal essay
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
1 Hrs
1 Hrs |
21. |
Hematological disorders
_ Functional anatomy, physiology and investigations
_ Major manifestations of hematological diseases
_ Anaemia
_ Polycythemia
_ Leucopenia
_ Leucocytosis
_ Thrombocytopenia
_ Thrombocytosis
_ Pancytopenia
_ Lymphadenopathy
_ Splenomegaly
_ Bleeding
_ Venous thrombosis
_ Infections
_ Anemias
_ Myeloproliferative disorders
_ Bleeding disorders
_ Disorders of coagulation and venous thrombosis
_ Blood products and transfusion
_ Bone marrow transplantation
_ Abnormal coagulation screen
_ Haematological malignancies
|
To be correlated with various hematological & systemic disease
Classification/management
Classification and preventive measures, ,genetics over view
In relation to bone marrow depression, myelofibrosis .
Relate with infections, malignancies |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
9 Hrs
1 Hrs
1 ½ Hrs
|
22. |
Disorders of the immune system, connective tissue and joints
_ HIV, AIDS and related disorders
_ Fibromyalgia
_ Diseases of bone
_ Introduction to the immune system and autoimmunity
_ Major manifestations of musculoskeletal disease
_ Joint pains
_ Bone pain
_ Muscle pain and weakness
_ Regional periarticular pain
_ Back and neck pain
_ Approach to articular and musculoskeletal disorders
_ Inflammatory joint disease
_ Infectious arthritis
_ Inflammatory muscle disease
_ Osteoarthritis
_ Systemic connective tissue diseases - SLE, RA, PSS
_ Ankylosing spondylitis, reactive arthritis and undifferentiated spondyloarthropathy
_ Musculoskeletal manifestations of disease in other systems
_ Primary immune deficiency diseases
_ Vasculitis
_ Sarcoidosis
_ Amyloidosis |
To know diagnosis .route of transmission & prevention and management complications
Over view
Already covered
Covered by orthopedic Dept.
Covered by orthopedic Dept
Covered by orthopedic Dept
Covered by orthopedic Dept
Covered by orthopedic Dept
Covered by orthopedic Dept
Covered by orthopedic Dept
Covered by orthopedic Dept
Covered by orthopedic Dept
Etiology clinical presentation complication & management
Diagnosis & management
Over view
Over view
Over view
Over view
In relation to various disease |
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
2 Hrs
6 Hrs
2 Hrs
|
23. |
Skin diseases
_ Major manifestations of skin disease
_ Various types of rash
_ Pruritis
_ Erythroderma
_ Urticaria
_Approach to patient with skin disease
_ Some common skin infections and infestations - scabies, fungal infections, pyoderma
_ Eczema, psoriasis and other erythematous scaly eruptions
_ Photosensitivity
_ Blisters
_ Leg ulcers
_ Alopecia
_ Acne
_ Cutaneous drug reactions
_ Disorders of pigmentation
_ Disorders of the nails
_ Skin manifestations of systemic diseases
|
Covered under Deptt. of Dermatology |
|
|
½ Hrs
3 Hrs
2 Hrs |
24. |
Neurological diseases
_ Functional anatomy, physiology and investigations
_ Major manifestations of nervous system disease
_ Headache and facial pain
_ Raised intracranial tension
_ Faintness, dizziness, syncope & vertigo
_ Sleep disorders
_ Disorders of movement
_ Ataxia
_ Sensory disturbances (numbness, tingling and sensory loss)
_ Acute confusional states
_ Coma and brain death
_ Aphasias and other focal cerebral disorders
_ Speech, swallowing and brain-stem disturbance
_ Migraine and cluster headaches
_ Seizures and epilepsy
_ Cerebrovascular disease
_ Diseases of cranial nerves
_ Diseases of spinal cord
_ Multiple sclerosis and other demyelinating diseases
_ Parkinson’s disease and other extrapyramidal disorders
_ Cerebellar disorders
_ Motor neuron disease
_ Peripheral neuropathy
_ Nutritional and metabolic diseases of the nervous system
_ Myasthenia gravis and other diseases of neuromuscular junction
_ Diseases of muscle
_ Visual disturbances
_ Sphincter disturbances
_ Dementias
_ Neurological manifestations of system diseases
_Acute and chronic meningitis
_ Viral encephalitis
_ Intracranial tumors
|
To correlate with various diseases
Definition diagnostic signs & symptoms, to know how to categorize
Categories in degenerating
Part of systemic disease
To differentiate betwwen
Degenerative, Demyelinating inflammatory malignant neurological diseases
Dealt in examination
Diagnosis & management
Point of identification.reconfirmation before final diagnosis
Covered under CVA
Pseudobulbar palsy, D?D with systemic disease andmanagement
Classification, cardinal symptoms $ management
Classification & specific medication protocol
Classification, causes, diagnosis & management
Ischaemic & hemorrhagic CVA
Clinical examination in relation to diseases nerves injury
Diagnosis .treatment
Able to identify degeneration demyelization or compression effect
Presentations on management any
Identifications management
Identification – in relation to CVA/ degenerative disorder,
Presentation sensory, major mixed
Over view
Diagnosis long term management
Muscular dystrophy classificaton
Ophtalmo(covered) in relation to medical problems, in neurology section covered
Classification & diagnosis autonomic nervous system in evolvement over view
Over view
Over view
Pyogenic & tubercular diagnosis & management
Over view
Over view
Signs of raised & focal effects
|
Etiology & Pathogenesis to explain signs, symptoms, differential diagnosis, treatment & prognosis |
Didactic with
power point
Tutorial/ Seminar |
19 Hrs
2 Hrs
2 ½ Hrs |