MBBS | Syllabus | General Medicine

MBBS | Syllabus | General Medicine

 

S.no

Topic

Domain
(Nice know)

Domain
(Must Know)
Domain
(Desirable to know)

Hours

     1 Pain management and palliative care
_ General principles of pain
_ Assessment and treatment of pain
_ Palliative care
Nice know 1 Hrs

2

Medical Psychiatry
_ Classification of psychiatric disorders
_ Major manifestations of psychiatric illness
_ Delusions and hallucinations
_ Depressive Symptoms
_ Anxiety symptoms
_ Deliberate self-harm and suicidal ideation
_ Alcohol misuse and withdrawal
_ Bipolar disorders
_ Depressive disorders
_ Schizophrenia
_ Neurotic, stress-related and somatoform disorders
_ Anxiety
_ Obsessive compulsive disorders_ Aetiological factors in psychiatric disorders
_ Substance abuse
– Alcohol
Treatments used in psychiatry_ The clinical interview and mental state examination
_ Disturbed and aggressive behavior
_ Misuse of drugs other than alcohol
_ Medically unexplained physical symptoms and functional somatic syndromes
_ Psychiatric and psychological aspects of chronic and progressive disease
_ Clinical syndromes
_ Organic brain syndromes
– Drugs
_ Psychological treatments
_ Physical treatments
_ Dissociative disorders
_ Sleep disorders
_ Legal aspects of psychiatry
Nice know Must Know Desirable to know

 

9 Hrs

 

3 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
Nice know Must Know Desirable to know 4 ½ Hrs

4

Specific environmental and occupational hazards
_ Heatstroke and hypothermia
_ Drowning and near drowning_ Electrical injuries
_ Radiation injury
_ Heavy metal poisoning
Nice Know Must Know 2 Hrs

5

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
Nice know Must know

Must know

Desirable to know 9 Hrs

6.

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
Nice know

Nice know

Must know

Must know

Must know

 

Desirable to know

Desirable to know

 

31 Hrs

7

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
Must Know

Must Know

19 Hrs

8

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

 

Nice Know

 

Must Know

Must Know

 

Desirable to know

 

11 Hrs

1 Hrs

4 Hrs

9

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

Nice know Must know

 

Desirable to know 12 Hrs

1 Hrs

2 Hrs

10

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 
Nice know Must know

Must know

 

Desirable to know

 

14 Hrs

3 Hrs

3 Hrs

11

Diseases of the pancreas
_ Acute and chronic pancreatitis
_ Tumors of pancreas
Nice Know Must Know

 

1 Hrs
½ Hrs

12

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
Nice know Must know

Must know

 

Desirable to know

 

11 Hrs

4 Hrs

1 Hrs

13.

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
Nice Know Must Know

 

Desirable to know

.

 

4 Hrs

1 ½ Hrs

1 Hrs

14.

Thyroid gland
_ Functional anatomy, physiology and investigations
_ Major manifestations of thyroid disease
_ Hyperthyroidism
_ Hypothyroidism
_ Thyroid enlargement
_ Abnormal thyroid function test results
Must Know

 

4 Hrs

15.

The reproductive system
_ Major manifestations of reproductive disease
_ Male hypogonadism
_ Gynaecomastia
_ Impotence
_ Short stature and delayed puberty
_ Cryptorchidsm
_ Hirsutism
_ Secondary amenorrhoea
_ Infertility
Nice Know 3Hrs

16.

The parathyroid glands
_ Major manifestations of diseases of the parathyroid glands
_ Hypercalcemia
_ Hypocalcemia
Must Know 2Hrs

17.

The adrenal glands
_ Major manifestations of adrenal disease
_ The ‘Cushingoid’ patient
_ Adrenal insufficiency
_ Pheochromocytoma
Must Know Desirable to know 1 ½ Hrs

½ Hrs

18.

The endocrine pancreas and gastrointestinal tract
_ Major manifestations of disease of the endocrine pancreas
_ Spontaneous hypoglycemia
_ Disorders affecting multiple endocrine system
Nice Know 1 ½ Hrs

19.

The hypothalamus and the pituitary gland
_ Major manifestations of hypothalamic and pituitary disease
_ Hypopituitarism
_ Visual field defects
_ Galactorrhea
Nice Know Must Know 1 Hrs

1 Hrs

20.

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
Nice Know Must Know

Must Know

 

Desirable to know 9 Hrs

1 Hr

1 ½ Hrs

21.

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
_ Vasculitides
_ Sarcoidosis
_ Amyloidosis
Nice Know Must Know

 

Desirable to know 2 Hrs

6 Hrs

2 Hrs

22.

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 
Nice Know

 

Must Know

Desirable to know

½ Hrs

3 Hrs

2 Hrs

23.

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 tumours

                 

Nice Know Must Know

Must Know

Desirable to know 19 Hrs

2 Hrs

2 ½ Hrs

Admission 2017