MBBS Curriculum Surgery

Topic

Learning Objectives (At the end of the

Session the students should be able to)

Teaching guideline Methodology  Time 
Principles of Surgery  Can explain basic principles of surgery  To formulate step by step methods to give a clear understanding of various  principles of general surgery  • PPT Student Interactive Session
• Clinical Demonstration
• Bed Side Learning
• Seminar
Letc-16
1. Wounds and wound healing
2. Ulcers, Sinus and fistula
3. Infectitious diseases- cellulitis, Ludwig's angina, abscess, Furunculosis, Tetanus, Syphylis, HIV, Necrotising fasciitis, Tuberculosis
4. Swellings- lipoma, Cyst, dermoids, Sebaceous cyst, glomus tumor, papilloma, fibroma, bursae, Morran Baker's cyst, lymph cyst, Neuroma, neurofibroma, neurilemmoma, ganglion, chordoma
5. Fluid and electrolytes & Nutrition
6. Shock
7. Burns
8. Trauma
9. Tumors- Benign & Malignant, skin tumours
*Hernias  Can  differentiate types of hernias, it's complication and manage a case of hernia  prepare a guidline so that there is a clear understanding of surgcial importance  • PPT Student Interactive Session
• Clinical Demonstration
• Bed Side Learning

3Student Interactive Sessions
a) Clinical Feature, Diagnois , complications and principl of management of Umbilical , Inguinal ,Epigastric and femoral hernia 
b) Omphalittis 
* ARTERIAL DISORDERS         
A) Acute arterial obstruction diagnosis and initial management types of gangrene: diagnosis of chroni arterial insufficiency with emphasis on burger's disease athrosclerosis and crush injuries: investigations in cases of arterial obstruction ,Amputations.  Can explain the nature and associated features of occlusive arterial disease , investigations and teratment options for occlusive arterial disease, the nature and principles of management of the severely ischaemic limb, the nature and presentation of aneurysmal disease, particularly of the abdominal aorta, investigative and tereatment options for aneurysmal disease, ateritides and vasospastic disorders  To formulate a guidline so that the vascular system discases are taken care of promptly to prevent the dreaded complications  • PPT Student Interactive Session
• Clinical Demonstration
• Bed Side Learning

3Student Interactive Sessions
b) Vasclar injuries, Basic principle of Management 
*Venous Disorders Enumerate Venous anatomy and the physiology of venous.The clincal significaticance of varicose veins. Deep venous thrombosis. Venous insufficiency and venous ulceration  Indepth knowledge of anatomy of various venous systems to have better understanding of venous systems. Should clinica know and fully diagnostic test availble and be able to manage a case of venous system • PPT Student Interactive Session
• Clinical Demonstration
• Bed Side Learning

 
a)Varicose veins -diagnosis and management deep venous thrombosis- diagnosis prevention principle therapy thrombophlebitis 
*Lymphatics and Lymph Nodes Can describe anatomy and functioning of different lymphatic systems so that it builds a proper understanding of metastasis of various malignancies. The spread of tubercular disease by various lymphatic channel and knowledge about lymphomas.  To emphasise main function of lymphatic system with development of lymhatic system. The various causes of limb swelling its aetiology, clinical features investigation, treatment of lymphoedeme should be known • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Diagnosis and principal of management of lymphagitis, lymphedema, acute chronic lymphadnitis; cood abscess lymphomas, surgical manifestations of filariasis.

Peritoneum, Omentum, Mesentery and retroperitonealspace can comprehend not only inflammation affecting peritoneum lining the abdominal cavity but also those affecting the extensions of membrane in omentum and mesentery To recognise and understand principle of surgical management in pateints  of paritonitis  cause and pathophysiology of ascites , spectrum of mesenteric and retroperitoneal condition  • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Peritonitis causes recogrition and principal of management intraperitoneal abscess  
1. Breast   be able to describeAppropriate investigatin of breast disease , Breast anomalies and the complexity of benign breast disease , the indepth modern management of breast cancer  To enhance performance and comfort level of students by providing critical ares of knowledge in breast disease . • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
a)Surgical anatomy; discharge: acutemastitis, breast abscessmammary dysplasia;gyanaccomastia, fibroadenomas.
b)Assessmentand investigations of a breast lump
c)Cancer breast: diagnosis, staging, principle of management 
2. Thyroid & Parathyroid Gland  able to describe the development and anatomy of the thyroid and parathyroid glands, the physiology and investigation of thyroid and parathyroid function, the investigation of thyroid swelling, The treatment of thyrotoxicosis and thyroid failure, The indications for and teachnique of thyroid surgery , The management of thyroid cancer, The investigation and management of hyperparathyroidism, The risks and complications of thyroid and parathyroid surgery        To have knowledge for intervention teaching and action performed and attainment or progress towards descred outcomes  • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Thyroid: surgical anantomy, physioyroiddisonmers; types, clinical features, diagnosis and principles of management of goitre, thyrotoxicosis and malignancy thyroglossal cyst and fistula 
4. Adrenal  can  describe the anatomy and function of the adrenal and other endocrine glands. The diagnosis and management of endocrine disorders. The role of surgery in the management of endocrine disorders  To identify adrenal diseases and tumours and surgical role in treating adrenal disorders • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
 
5. Neck Pharynx  To be able to assess of spinal cord injuries. The mechanisms of spinal injuries and the pathophysiology of spinal cord trauma.The basic management of spinal trauma and the major pitfalls. The prognosis of the various types of spinal cord injury, factors affecting functional outcome and common associated complications    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
   
6. Salivary Glands  can describe the surgical anatomy of the salivary glands, the presentation -pathology and investigation of salivary gland disease, The medical and surgical treatment of stones, infections and tumours that effect salivary glands. To diagnose and manage all salivary gland infections, calculi and tumours. To identify various syndromes like Sjogren,s, Mickuliz, Freys syndrome • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
 
Thorax  can discuss anatomy and physiology of the thorax, investigation of chest pathology, surgical oncology as applied to chest surgery    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Recognition and treatment of pneumothorax, pulmonary embolism; prevention;recognition and treatment flail chest; stove in chest (b) Postoprative pulmonary complications (c) Principal of management of pyothorax cancer lung  
Heart and Peri Cardium  enumerate important role of surgery in cardic disease. The role of investigation in planning surgery. The management of coronary heart disease. The role of surgery in valvular heart disease. The special role of surgery in congenital heart disease.The mangement of aortic vascular and pericardial disease    • PPT Student Interactive Session   
Cardiactamponade ;scope of cardiac surgery • Seminar conducted  Opd Disussion
• Clinical Demonstratio
Scalp, Skull and Brain To spell out anatomy and physiology of the skull and brain. Classification of head injuries. Secondary brain injury and it's avoidance. The safe treatment of head injuries. Learn G.C.S & trauma management    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Wound of scalp and its management recognition diagnosis and monitoring of patients with head injury including unconsciousness; Glasgow coma scale recognition of aute/chromic compression  
Oral Cavity, Jaws  Learn to dientity oral cavity causes Presention social implication    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Oral cavity: cleft lip and palate; leukoplakia retention cyst; ulcers of the tongue feature, diagnosis and basic principal of management of carcinoma lip, buccal mucosa and tongue prevention and staging of oral carcinomas.  
Genito-urinary  explain major symptoms of urological disease. The most c ommonly used investigations for urological conditions    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
symptoms & investigations o f the urinary tract  
Kidney and ureteter reconginse and identify: The major types of congenial abnormality of the upper urinary tract. The major types of cystic disease of the kideny. The presentation and management of open and closed trauma to the kidney and ureter . The aetiology, presentation and surgical management of obstruction to the upper urinary tact. the main types of renal calculi and the pathophysiology of their formation & modern management of urinary tract calculi.    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Investigations of renal mass; diagnosis and principal of management of urolithiasis, hydronephrosis, pyonephrosis & perinephric absess, congenital anomalies of kidney & ureter and renal tumours including wilms tumor, renal tuberculosis.  
Urinary bladder  can discuss anatomy vascular supply and innervation of the bladder in relation to function and disease. The principle of management of bladder trauma, incontinence and fistulae. The common casuse of acute and chronic urinary retention and management. The different types of bladder cancer and the principle of management    • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Causes, diagnosis and principal of management of haematuria, anuria retention of urine  
prostate and seminal vesicles  can discuss relationship of anatomical structure and biochemical function to the development and treatment of benign and malignant disease of the prostate, terminology used to describe lower urinary tract symptoms and to know their casues as well as the treatment options available which investigations are appropriate for carcinoma of the prostate, clinical staging of carcinoma of the prostate and how staging contributes to the  complex decision-making process for the best treatment option   • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical •Demonstration 
 
Benign prostatic hyperplasia:diagnosis and management.Carcinoma prostate  
Urethra & penis enumerate common congenital abnormalities of the urethra, management of urethral trauma and urethral stricture, the common disease of the penis and the principles of their surgical management  To treat and manage urethral and penile diseases. To identify urethral injuries  • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Diagnosis and principal of management of phimosis, Paraphimosis and carcinoma penis; prinicapal of management of urethra injuries. Urethral strictures. Hypospadius:  
Testis and scrotum can describe  how to recognise and understand imperfect testicular descent and appreciate the main indications of intervention. Testicular torsion as urological emergency. The principles of the management of varicocele, hydrocele and epididymal cyst. The classification and management of testicular tumours. The treatment options of infertile men. To prepare a guideline for testicular disease incliding emergencies and tackle torsion immediately • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
   -Treatment of undescended testis; torsion testis; hydrocoele, hematocoele, pyocoele, varicocele, epididymo-orchitis and testicular tumors:  
Dysphagia can carry outmanagement of dysphagia its caues & treatment option  Proper management of dysphagia, it's causes  and treatment options  • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Causes, investigations and principle of management. Cancer oesophagus: Principal of management  
Stomach and duodenum  describe stomach physiology , different diagnosis peptic ulcer. Carcinoma stomach management  To prepare a guideline  for management of stomach & duodenal diseases with endoscopic approach as well. • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Anatomy; physiology, Congenital hypertropic pyloric stenosis; Aetiopathogenesis, diagnosis of varices and duodenal ulcer;  
Liver enumerate causes of  infections of liver, their management cirrhosis of  liver, trauma & its management with secondary of liver. The anatomy of the liver,signs of acute and chronic liver disease, investigation of liver disease, management of liver trauma, infections. • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Clinical features diagnosis and principles of management of: Amoebic liver abscess, hydatid cyst and portal hypertension. Liver trauma Surgical anatomy;primary and secondary neoplasms of liver.  
Gall bladder and  bile ducts  can describe  techniques used for imaging the biliary tree, management of gallstones, unusual disorders of the biliary tree, malignant disease of the biliary tree  To prepare a guideline for managing all gall bladder diseases including malignancy and it's newer approach by minimally invasive surgeries • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Anatomy, physiology and investigations of biliary tree;Clinical Features, diagnosis complications and principal of management of cholelithias and cholecystitis; Obstructive jaundice.Carcinoma of gall bladder, choledochalcyst:  
Pancreas, acute pancreatitis  discuss anatomy and physiology of the pancreas, investigation of the pancreas, congenital abnormalities of the pancreas, assessment and mangement of pancreatitis, diagnosis and treatment of pancreatic cancer  To know guidelines for appropriate use of endoscope and to account for changes in technology  in other aspect of clinical practice • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Clinical features, diagnosis, complications and management .chronic pancreatitis & pancreatic tumours.  
Ulcerative Colitis  enumerate causes of infections, diseases of colon , carinoma colon bleeding per rectum and  identify the causes & their management  To prepare an approach for multidisciplinary action to be conducted for ulcerative colitis • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Premalignant condition of large bowel,carcinoma colon; lower gastrointestinal haemorrhage; Enteric fever, parasitic infestations.  
Spleen  describe function of the spleen, common pathologies involving the spleen, principles and potential complications of splenectomy, the potential advantages of laparoscopic splenctomy , the importance of prophylaxis against infection following splenectomy  To prepare approach for splenomegaly and splenic diseases including trauma • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Causes, investigations and indications for splenectomy; splenic injury:  
Laparoscopy and laparoscopic surgery , intestinal obstruction  explainprinciple of laparoscopic and robotic surgery. The advantages and disadvantages of such surgery. The safety issues and indications for laparoscopic and robotic surgery. Learn about new surgical techniques with laparoscopic instruments  • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Types, Aetiology, diagnosis and principles of management; Paralytic ileus:
Acute abdomen  can discuss importance of  abdominal examination in overall assessment of acute abdomen. The mechanisms behind both the symptoms produced by acute abdominal conditions and signs elicited in order to explain the underlying disease  Prepare guideline for primary survey, FSAT and management of acute abdomen • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Causes, approach, diagnosis and principles of management
Appendix  describe aetiology and surgical anatomy of acute appendictis, clinical signs and differential diagnoses of appendicitis, management of postoperative problems, Basic surgical techniques, both open and laparoscopic, less common conditions occasionally encountered  Prepare line of treatment both conservative & surgical.  All different newer modalities  like laproscopic appendcectomy should be known • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Diagnosis and management of aute appendicitis, appendicular lump and absess:  
Rectum  describe anatomy of the rectum and its relationship to surgical disease and its treatment, pathology, clinical presentation, investigation, differential diagnosis and treatment of diseases that affect the rectum to appreciate that, Carcinoma of the rectum is common and its symptoms are similar to those of benign disase and , hence, patients with such symptoms must be carefully evaluated  Rectal disease including malignancy management and multidiscipliracy approach to be adopted  • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
carcinoma of rectum:diagnosis;clinical features and principles of management  
 Indications and management  of colostomy  to describe the anatomy of the small and large intestine. The investigations and treatment of the large intestines. That diseses of th intestine may involve functions oanatomical problems. The principles behind different types of surgery for the small and large intestine. to able to deal with acute surgical problems of the small and large intestines. to know that the surgical management of the small and large intestine disease is best conducted with a multidisciplinary team Knowledge of different colostomies and its function. How a colostomy case and its complications to be taken care of colostomy. • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Indications and management  of colostomy   
Anal canal  to discuss the anatomy of the anus and anal canal and their relationship to surgical disease and its treatment. The pathology, differential diagnosis and treatment of disease that affect the anus and analcanal. That anal disease is common and its treatment tends to be conservatives, altough surgery may be required. that too aggresive or inappropriate surgery may render the patient permanently disabled. knowledge of all diseaswe towards anal canal and its management • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Surgical anatomy. Clinical features and management of fissure, fistula in ano, peri anal and absess and haemorrhoids, anal carcinoma;  
Diagnosis and referral   to discuss the anatomy of the anus and anal canal and their relationship to anorectal anomalies and its treatment. The pathology, differential diagnosis and treament of Hirschsprung's disease. early diagnosis should be given more stress and know all investigation and its management • PPT Student Interactive Session
• Seminar conducted
• Opd Disussion
• Clinical Demonstration 
 
Anoretal anomalies, hirschsprung’s disease:  
Admission 2017