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AIMCs

Curriculum MBBS -2017-2022

PMDC/UHS Approved Curriculum

Academic Planner, Evaluation and Assessment calendar

Approved ---------------- Compiled-------------------

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CURRICULUM DIVISION AIMCs

PRINCIPAL ACADEMIC AFFAIRS

Prof. Dr. Zafar Ali Chaudhry (Principal –AIMCs)

CURRICULUM COORDINATION COMMITTEE

Prof. DR Tariq Bhatti Chairperson

Prof. Dr Qaiser Member

Prof. Dr. Irfan Qadir Member

Assist.Prof.Dr.Sohail Anjum Member

DR. Sadia Sharif Member

SYLLABUS–COMMITTEE

1. Head of the Department of Physiology Prof. Dr. Zafar Ali Chaudhry

2. Head of the Department of Biochemistry Prof. Dr. Syed Saleem ul Haq

3. Head of the Department of Anatomy Prof. Dr. Mamoona Waseem

4. Head of the Department of Pathology Prof. Dr. Ghulam Mujtaba Siddiqi

5. Head of the Department of Forensic Medicine Prof. Dr. Saeed Ahmad

6. Head of the Department of Pharmacology Prof. Dr. Zahid Qamar

7. Head of the Department of Community Medicine Prof. Dr. Faiz Ur Rehman

8. Head of the Department of Medicine Prof. Dr. M. Shoaib Randhawa

9. Head of the Department of Pediatrics Prof. Dr. Tariq Bhatti

10.Head of the Department of Medical Education Assist.Prof.Dr.Sohail Anjum

11. Head of the Department of Surgery Prof. Dr. Sikandar Hayat Gondal

12. Head of the Department of Obst. & Gynae. Prof. Dr. Farkhanda Shoaib

13. Head of the Department of Psychiatry Dr. Ghazala Musa

14. Head of the Department of Dermatology Dr. Riffat Naseem

15. Head of the Department of Orthopedics Prof. Dr. Reshad Ahmad Khan

16. Head of the Department of ENT Prof. Dr. Azhar Hameed

17. Head of the Department of Ophthalmology Prof. Dr. Abdul Rasheed Qamar

18. Head of the Department of Anesthesiology Dr. Usman

19. Head of the Department of Radiology Prof. Dr. Mahfooz –Ur-Rehman

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FOCAL PERSONS OF EACH DEPARTMENT

Sr

No.

Department HoD Focal Person

01 Anatomy Prof. Dr. Mamoona Nasim Prof. Dr. Irfan Qadir

02 Physiology Prof. Dr. Zafar Ali Chaudhry Dr. Javeria Latif

03 Biochemistry Prof. Dr. Syed Saleem ul Haq Dr. Talmeez Zaib

04 Pathology Prof. Dr. Ghulam Mujtaba Siddiqi Dr. M. Jawad Anwar

05 Medical Education Assist.Prof.Dr.Sohail Anjum Dr.Sohail Anjum

06 Community Medicine Prof. Dr. Faiz ur Rehman Dr. Faiz ur Rehman

07 Forensic Medicine Prof. Dr. Saeed Ahmad Dr. Sobia Parveen Aamir

08 Pharmacology Prof. Dr. Zahid Qamar Dr. Aisha Aziz

09 Surgery Prof. Dr. Sikandar Hayat Gondal Assistant Prof. M. Tariq Saeed

10 Medicine Prof. Dr. M. Shoaib Randhawa Dr. Muhammad Aleem ud Din

11 Gynaecology Prof. Dr. Farkhanda Shoaib Dr. Nazia Sajjad

12 Pediatrics Prof. Dr. Tariq Bhatti Dr. Khalid Mahmood

13 B.S / Psychiatry Dr. Ghazala Musa Dr. Imran Nazir

14 Anesthesia Dr. Tariq Pervez Dr. Usman Zeeshan

CONTINUOUS QUALITY IMPROVEMENT OF MBBS PROGRAM:

i. Self-Monitoring by the head of each subject and annual monitoring report

ii. Self Assessment by the Institution by inviting the Peers to review/evaluate the AIMCs

curriculum programs

iii. External review (Accreditation) every 5 years by PMDC

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Table of Contents

Sr.

NO

SECTIONS NO

1 Introduction 05

2 Framework of curriculum 08

3 Integrated Curriculum Design of MBBS Program 10 4 Allocation of Hours and Credits in the MBBS Curriculum 11

5 MBBS Subjects with Allocated hours in 5 Years 11 6 Subject base Curriculum with Allocated Hours per 5 Years 12 7 Theoretical and Practical Learning ratio in Subjects 13 8 Duration and Scheme of the MBBS Program 14 9 Learners Level in Accordance with Bloom’s Taxonomy 15 10 Assessment &Evaluation 19 11 Professional MBBS Examinations 21 12 PMDC & UHS MBBS Curriculum 27 13 Departmental Profiles and Academic Planner 27 13.1 Anatomy 27

13.2 Physiology 98

13.3 Biochemistry 150

13.4 Forensic Medicine 175

13.5 Behavioral Sciences 206

13.6 Pharmacology 224

13.7 Pathology 252

13.8 Medical Education

13.9 Community Medicine 354

13.10 Otolaryngology 383

13.11 Ophthalmology 396

13.12 Medicine and Allied specialties 415

13.13 Surgery and Allied Specialties 519

13.14 Pediatric Medicine 612

13.15 Gynecology and Obstetrics 651

13.16 Islamiyat and Pakistan Studies (as per HEC Guidelines)

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1-INTRODUCTION

Amna Innayat Medical and Educational Complex(AIMEC) is one of the largest educational

and healthcare Institutes of Sheikupura. AIMEC currently comprises of PMDC recognized

Medical & Dental College and the Punjab University affiliated law, business and IT colleges.

We also have a 510 bed tertiary care hospital with professional doctors visiting from Lahore

and with state of art equipment. Its vision and mission is alligned with the PMDC which

further is alligned to the national health needs.

1.1 VISION STATEMENT:

“The most prestigious and leading medical college in Pakistan”

VALUES

The core values of this institute are:

Promoting innovation and lifelong learning.

Acting with professionalism and uprightness.

Demonstrating leadership, team work and collaboration

Showing empathy.

1.2 MISSION STATEMENT:

“The mission of our college is to prepare the competent, inspiring and empathetic health

professionals and researchers who can contribute cost-effective health care to community

and are ready to adapt change along with effective collaboration within interdisciplinary

teams.”

In brief supplying our nation “the seven stars doctors”.

1- Life-long self-directed learner

2- Altruistic and empathetic

3- Ethical

4- Collaborator

5- Communicator

6- Researcher

7- Leader and role model

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1.3 STRATEGIC PLANNING PROCESS – APPROACH:

For planning the strategy for AIMC, a Joint Committee was established under whom

worked the Subcommittee to create a strategic plan for the next five years from Oct 2017

to Oct 2022. The subcommittee members represented the faculty and staff. An open

invitation to all faculty members to join the subcommittee was given. Through iteractive

process the subcommittee utilized the consensus approach outlined below and

constructed the strategic plan. For this matter SWOT analysis was done by thoroughly

looking into strengths and weaknesses (internal) and also opportunities and threats

(external).

Finally a strategic plan was designed so that it can help determine the future plans for a

specified period of time, also by setting the priorities and necessary steps to be taken.

Medical education

Provide excellent learner centered education for medical degree curriculum,

postgraduate education, continuing education, external/international education

and also for faculty members. Resources for education will be allocated.

Clinical care

Health care facilities operated by the school and affiliated hospital will deliver

excellent patient and community focused care while in keeping in mind the

community health problems.

Research

Up to date knowlede through innovation and discovery, would be on prime agenda

of faculty members and biomedical team .With provision of best research

resources, facilities and services.

Community Service

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Improve the health and prosperity of the demographic population, affiliated health

regions. The collaboration in area of knowledge and skills in community of

practices.

Economic Stewardship

Institutional growth by ensuring economic and operational

effectiveness.

Culture

Create an inspiring environment for teaching and learning, giving and receiving

feedback ,attitude for research work with outcome publications and most of all

community oriented health care facilities.

Lastly proposed strategies were checked for completeness, accuracy and whether they

contribute to the vision, mission of the college.

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2-Framework of curriculum

Curricular model

Grounded in educational theory and adult learning

principles

Competencies of Medical Graduate

required by PM&DC

Demonstrating competencies of a seven star doctor.

Duration and Scheme of the MBBS

Program

Six (6) Years: five (5) years of the basic MBBS Program

and

one (1) year of House Job/Internship

Integrated Curriculum Design of

MBBS Program

Subject Based (Allowed) must be synchronized with at

least temporal integration.

Learning Objectives According to SMART; Specific, Measurable, Achievable,

Relevant to the desired competencies of PMDC

(Outcomes) ,Time bound

Learning Strategies Problem Based Learning

Case-based Learning

Community Oriented Medical Education.

Learning Sites 1.Clinical Skills Laboratory

2.Experimental Laboratories

3. Wards, Labor Wards, Maternity wards, Postnatal

wards

4. Out Patient Departments

5. Accident and Emergency/Casualty departments

6. Community Settings

7. Electives in own and other Institutions.

Accident and Emergency/Casualty departments

Method of Information Transfer (MIT)

1.Large Class Learning

2.Small Group Learning

3. Logbook

5. Photographs, Slides and Software

6. Practical exercises.

7. Self-Learning:

8. Student Assignments and Projects

Conferences/Seminars/Workshops/Webinars

9. Student Presentations

10. Videos

11. Others.

12. On-line courses

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Theoretical and Practical Learning Approximate allocation of time for Theoretical and

Practical Learning is based on the ratio of contact

hours (theory: practice):

1. Basis Sciences 50:50

2. Clinical Sciences 30:70

3. House Job (year 6) 15-20: 80

Allocation of Hours and Credits in the

MBBS Curriculum

One Academic Year = 9 months = 36 weeks

Academic Week = 423 hours/week (= 1512 hours/year

= 7560 hours in 5 years.

Assessments and Examinations

Formative and Summative Assessment:

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3. Integrated Curriculum Design of MBBS Program

Two designs of the MBBS curriculum are acceptable.

i. System Based (Preferred) with horizontal and vertical

integration.

ii. Subject Based (Allowed) must be synchronized with at

Least temporal integration.

We are practicing here the subject based curriculum in the form of parallel teaching as allowed by

PMDC. In this concurrent (Parallel) teaching, each subject remains responsible for it's own

teaching programme. The timing of the teaching of topics within a subject, however, is done in

consultation with other disciplines. The timetable is adjusted so that topics within the subjects or

disciplines which are related, are scheduled at the same time. Similar topics are taught on the same

day or week while remaining part of a subject-based teaching program. Students study the

concepts of the different subjects separately, and are left themselves to uncover the relationships.

This approach has been described also as `parallel' or `concurrent' teaching. In a basic medical

science program with temporal co-ordination, physiologists address the subject of the function of

the heart at the same time as the anatomists look at the structure of the heart. Students are left to

make the links between the two subjects but this is facilitated by the timetabling, with the heart

being examined from the two perspectives in the same time-frame Programs described as

`integrated teaching programs are often, in practice, programs which are temporally co-ordinate.

The implementation of a temporally co-ordinate program introduces some of the advantages of

integrated teaching and is a good stepping off point for a more integrated curriculum.

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4- Allocation of Hours and Credits in the MBBS Curriculum

One Academic Year = 9 months

= 36 weeks Academic Week

= 42 * hours/week

= 1512 hours/year

= 7560 hours / 5 years

*- 36 hours of week + at least one hour of student study per day = 42 hours/week. In the ECTS (European

Credit Transfer System),

student learning at home is also counted.

5- MBBS Subjects with Allocated hours in 5 Years

Sr.

No

Subject Allocated

Hours/5 yrs

1 Medical subjects 5500

2 General Subjects 980

3 *Self Directed Learning 1000

Grand Total 7480

*Minimal student self-learning of 1 hour/day

=over 36 weeks every year

= over 5 years equals1000 hours.

Therefore, 5500 and 980 and 1000 equals 7480 hours.

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6-Subject base Curriculum with Allocated Hours per 5 Years

Year Medical Subjects Total

Hours

General Subjects Total

Hours

Year

1 & 2

Anatomy

Physiology

Biochemistry

Clinical sciences

Surgery 125

Medicine 125

Gynecology 50

Pediatrics 50

Pharmacology 50

Pathology 50

Community Health 50

600

600

300

500

Islamyat

Pak studies

Communication skills

Behavioral Sciences

Medical Ethics

Professionalism

25

25

50

40

50

100

Year

3

Pharmacology

Forensic Medicine

Community medicine

Pathology & Microbiology

Medicine

Surgery

Gynecology

250

100

100

250

100

100

100

Clinical Method

Research method

100

50

Year

4& 5

Community Medicine

Medicine

Pediatrics

Surgery

Pathology

Gynecology & Obstetrics

ENT

EYE

Co curriculum

100

625

100

625

200

150

100

100

200

Community Health

100

TOTAL 5500 5500 TOTAL 980

Clinical Methods, nutrition, medical ethics, professionalism,

Communication skills, radiology, behavioral sciences and evidence based

practice should be re-enforced in all clinical rotations / clerkships.

* Additional 2 weeks in Community Psychiatry, where

Possible. 2 weeks per year can be utilized by the institutions for other curricular, co curricular or remediation

activities.

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7.1 -Theoretical and Practical Learning ratio in Subjects

Approximate allocation of time for Theoretical and Practical Learning is based on the ratio

of contact hours (theory: practice).

Subjects Theory: Practical

1. Basis Sciences 50:50

2. Clinical Sciences 30:70

3. House Job (year 6) 15-20: 80

7.2 Ratio of contact hours Theory : Practical

Sr No. Subject Theory Hours Practical

Hours

Total Hours

MEDICAL BASIC SCIENCES

1 Anatomy 250 250 500

2 Physiology 250 250 500

3 Biochemistry 100 100 200

4 Islamic/Pak Studies 50 50

5 Behavioral sciences 13 12 25

6 General Pathology

and Microbiology

125 125 250

7 Pharmacology 150 150 300

8 Forensic Sciences 50 50 100

9 Community medicine 125 125 250

10 Special Pathology 125 125 250

MEDICAL CLINICAL SCIENCES

11 Opthalmology 30 70 100

ENT 30 70 100

Medicine & allied

nuclear medicine

{emergency

274 546 820

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medicine,

medicine elective,

*** Psychiatry,

Dermatology

&general practice}

12 Pediatric Medicine

50 100 150

13 Surgery & Allied 267 533 800

14 Obstrectics &

Gynecology

100 200 300

15 ClinicoPathalogical

Conferences

60 60

Total

4795

8-Duration and Scheme of the MBBS Program

Six (6) Years; five (5) years of the basic MBBS Program and one (1) year of House Job

One Academic Week = 36 hours; One Academic Year =36 Weeks

Years 1 and 2: Divided into four (4) Semesters, with two semesters in each

Years 3, 4 and 5: Annual Blocks with subjects

Year 6: Apprenticeship Training during House job.

ob Study Block Annual

Examination

1 Semester-1 Semester-2 1

2 Semester-3 Semester-4 2

3 Annual 3

4 Annual 4

5 Annual 5

HouseJob/Internship

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9- Level of the Learner:

The level of the learner would be in accordance with the Learning domains of Bloom’s Taxonomy.

Learning Domains or Bloom's Taxonomy

There are three types of Learning Domains or categories. Learners often refer to these three

domains KSA (Knowledge, Skills, and Attitude). This taxonomy of learning behaviors can be thought

of as the goals of the training process. That is, after the teaching session, the learner should have

acquires new skills, knowledge, and/or attitudes.

• Cognition Domain (Knowledge)

C1 Recognition and Recall

C2 Interpretation and application

C3 Problem-solving (analysis, synthesis and judgment)

• Psychomotor Domain (Skills)

P1 Observe

P2 Assist in the procedure

P3 Perform under supervision

P4 Perform independently

• Affective Domain (Attitudes, Values, Behaviors)

-Receiving

-Responding

-Valuing

-Organizing behaviour

-Value concept

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Cognitive Domain: (Learning outcomes related to knowledge)

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Psychomotor Domain

Learning Outcomes Related To Skills

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Affective Domain

Learning Outcomes Related To Attitudes, Behaviors, and Values

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10. Assessments and Evaluation

Both Formative and Summative assessment method will be used for learner’s evaluation.

Formative assessment would be done monthly with constructive feedback to individual

student.

Summative assessments would be done by the end of each semester.

Internal Assessment

Internal assessment will be conducted throughout the year performance. It will be based on the

written tests (60%), OSPE and Viva (30%) and small group assessments (10%).

Written Assessments

It will be done as summative Assessment .There will be total of 3 end semester assessment and

one send up assessment by the end of year. It will comprise of MCQs and SEQs according to

UHS examination pattern.

Practical:

These will comprise of OSPE (observed and unobserved) .Marks and grading for OSPE will be

done according to checklists and rubrics. Role play, Slide examination, Specimen grossing and

labeling

Oral viva:

There will be 4 viva voce assessments. These would be structured viva to reduce the bias. Oral

viva will be taken as summative assessment by the end of each semester and one for sendup

exam.

Small group assessments

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Small group assessments would be used for formative purpose. Individual Constructive

feedback would be given to each student by the end of Tutorial, PBL session, Slide seminars.

Course Requirement:

Each Student will complete the total of 250 teaching and learning contact hours as per

requirement of PMDC.

75% attendance of Lectures and practical is mandatory for the student for being eligible to

appear for annual professional exam .

Internal examination:

1. Sendup exam: each subject=50% Theory +50%practical

2. Credit of marks in semester=50%

Each semester assessment= total marks 100(50% theory+50% practical)

Credit of three semesters=S1+S2+S3=total of 300

Credit of three semesters=100+100+100(50% theory+50% practical)

Sendup examination= 300(50% theory+50% practical)

Final internal assessment=sendup +total semesters assessments = /2

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11. PROFESSIONAL MBBS EXAMINATIONS

1. First Professional MBBS Part-I Examination:

To be held at the end of the 1st year in the following subjects in course work

completed in the first year:

PART-II

(a) Anatomy and Histology

One Paper: 90 Marks

Internal Evaluation 10 Marks

Oral & Practical 90 Marks


Total 200 Marks

PART-I


One Paper: 90 Marks




Total 200 Marks

(b) Physiology

One Paper: 90 Marks


Practical & Oral Exam: 90 Marks


Total 200 Marks

(c) Biochemistry

One Paper: 45 Marks

Internal Evaluation 5 Marks Oral & Practical 45 Marks


Total 100 Marks

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(b) Physiology

One Paper: 90 Marks




Total 200 Marks

(c) Biochemistry

One Paper 45 Marks




Total 100 Marks

Note: Any students who fails to clear the first professional MBBS Part-1, & Part-11

examination separately in three chances availed or un-availed after becoming eligible for

each examination shall cease to become eligible for further medical education in Pakistan.

2. 2nd professional MBBS Examination

To be held at the end of the 3rd year in the following subjects:

(a) Pharmacology & Therapeutics

Theory 135 Marks



Animal experiment 35 Marks

Internal evaluation 15 Marks

Total 300 Marks

(b) Pathology General & Microbiology

Theory 135 Marks


Practical & Oral Exam 135 Marks


Total 300 Marks

(c) Forensic Medicine

Theory 90 Marks


Viva Voce 90 Marks


Total 200 Marks

3. 3rd Professional Examination

To be held at the end of the 4th year in the following subjects:

(a) Community Medicine

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Theory 135 Marks




Project 25 Marks

Total 300 Mark

(b) Special Pathology

Theory 135 Marks


Practical & Oral Exam 110 Marks


Total 300 Mark

(c) Otorhinolaryngology (ENT)

Theory 90 Marks




Total 200 Marks

(d) Ophthalmology

Theory 90 Marks




Total 200 Marks

4. Final Professional MBBS Examination

To be held at the end of the 5th year in the following subjects:

(a) Medicine Including Psychiatry & Dermatology

Theory

- Paper I 135 Marks

- Internal Evaluation 15 Marks

- Paper II 135 Marks


- Total 300 Marks

Clinical/Practical Exam

- Clinical 240 Marks

- OSCE 30 Marks


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- Total 300 Marks

(b) Surgery Including Orthopaedic & Anaesthesia

Theory

- Paper I 135 Marks


- Paper II 135 Marks


Total 300 Marks

Clinical/Practical Exam

- Clinical 240 Marks

- OSCE 30 Marks


- Total 300 Marks

(c) Obstetrics and Gynaecology

Paper I 90 Marks


Paper II 90 Marks




Total 400 Marks

(d) Paediatrics

Theory 90 Marks




Total 200 Marks

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SELF EVALUATION FOR QUALITY ASSURANCE

Self evaluation is the most important component of the QA. It deals with the planning

implementing, and monitoring of all teaching and learning activities including assessment.

A quality management unit is established in each basic sciences and clinical sciences

subjects under the supervision of the academic Dean. Quality management unit is

comprised of the Head of Department of each discipline, the focal person, and the other

faculty members of the relevant department. Dean academics has established this QA

system with the assistance of Medical education collaborator team chairman, who act as

coordinator amongst all the departments.

Basic and Quality development standards in AIMC

Basic Standard: The departmental curriculum committee

has given the responsibility and authority

for planning and implementing the

curriculum to secure the objectives of the

medical school.

Quality Development: The curriculum committee has provide with

the resources for planning an implementing

the methods of teaching and learning,

student assessment, course evaluation and

for innovation in the curriculum.

The Academic council should be responsible for planning of the course schedule, course

appraisal and preparation of annual reports in collaborations with the course committee

An MBBS course committee would be comprise of representatives from each departments,

and departmental committee under the chair of Head of Department.

Phase wise comities are formed to focus on preclinical , paraclinical ,and clinical disciplines.

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Organizational Structure:

Governing Body

Academic Council

Course Committee

Academic Coordinator

Departmental committees

Operational Aspects and Function for Self Evaluation:

Course Appraisal

Student progression, Analysis, departmental reports

Student feedback, survey, staff feedback

Key performance indicators

Weekly departmental report will be submitted to the concerned department and to the

Academic council Office.

Phase coordination groups

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AMNA INAYAT MEDICAL COLLEGE

AIMC-MBBS,

ANATOMY CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

DEPARTMENT OF ANATOMY,


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Contents

1. Introduction Department of Anatomy

2. Introduction Faculty, Department of Anatomy

3. PMDC Curriculum of Anatomy

4. UHS Curriculum of Anatomy

5. Time Table (1st & 2ND year MBBS)

6. Planner with learning objectives & list of assigned Teachers

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Introduction Department of Anatomy

Amna Inayat Medical College, Sheikhupura

The primary purpose of this Department is to fulfill the teaching mandate of Amna Inayat

Medical College Sheikhupura affiliated with University of Health Sciences Lahore, Punjab,

Pakistan. Anatomy is the cornerstone of medical education. Sound understanding of the

human structure forms the basis of clinical sciences. Apart from Gross Anatomy the

Department is also responsible for the teaching of Neuroanatomy, Histology and

Embryology. Every year, 100 medical students arrive here for their preclinical training and

education in Anatomy.

The Department is unique in its teaching of cadaver-based Gross Anatomy along with

modern software based learning resources to stimulate a better insight appreciation of the

human structure from the clinical perspective.

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Introduction of faculty

Department of Anatomy

Name Qualification

Designation

Professor Dr.Mamoona Nasim MBBS

M.Phil

Head of Department

Professor Dr.Mammoona

Naheed

MBBS

M.Phil

Professor of Anatomy

Dr. Noreen Kashif MBBS

Sr. Demonstrator

Dr. Sadia MBBS

Sr. Demonstrator

Dr. Khadija MBBS

Demonstrator

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SYLLABUS OF

FIRST PROFESSIONAL

PART-I (1st year)MBBS

M.B.B.S.

ANATOMY AND HISTOLOGY

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PM&DC CURRICULUM ANATOMY

IA-: Introduction to

History and disciplines of Anatomy

o Radiological, clinical and applied anatomy

Terms and planes of Gross anatomy

Developmental anatomy / embryology

Anatomical positions

IB- Overview of the Skeletal system

Axial and appendicular skeleton

Definition and Classification of bones o

Functions of bones

o Parts of a young and adult bone o Ossification of bones

o Blood supply of bones

Characteristics and classification of joints

o Characteristics features of a synovial joint o

Classification of synovial joints

o Movements at different joints

IC- Introduction to the Muscular system

Classification of muscles

Structure of skeletal muscles

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Parts of a typical skeletal muscle

Aponeurosis, tendons, bursae, ligaments and sheaths

Blood supply and nerve supply of muscles

ID- Introduction to the Nervous system

Classification of nervous system

II. GENERAL HISTOLOGY

Different types of microscopes o

Parts of a light microscope

Structure of an animal cell

o Different organelles and surface projections of a cell

Basic tissues

o Epithelium, its classification with examples

o Muscle tissue, its classification with examples

o Connective tissue, and structure of various general connective tissues

o Nervous tissue

How to prepare a histology slide

How to perform Gram staining

Applied anatomy

Commonest clinical conditions related to each histological practical

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III. GENERAL EMBRYOLOGY AND ASPECTS OF GENETICS Cell division and structure of DNA

Principles of cytogenetics

Structure of genes and relation to DNA

Terms used in embryology

Gametogenesis

Fertilization, cleavage and implantation of embryo

Molecular mechanisms involved in embryology

Development in 2nd and 3rd week of intrauterine life

Changes in embryo between 4th to 8th week

Derivatives of germinal layers

Overview of organogenesis from 3-9th month

Twinning and teratology

Applied Embryology

Genetic disorders, infertility, ectopic pregnancy, twinning, placental

abnormalities, abortion, anomalies of organogesis and foetal period,

artificial insemination, IVF, Common genetic malformations

REGIONAL/SYSTEMIC ANATOMY

IV Neuroanatomy and Head and Neck

A. Neuroanatomy

Gross and surface anatomy of the skull and cervical vertebrae

Parts of brain and spinal cord o

Limbic system

o Cranial nerve nuclei and peripheral distribution o

Ascending and descending tracts

o Spinal nerves

Sensory, motor and autonomic nervous system

Nerve lesions of cranial and somatic nerves

Membranes or meninges of brain and spinal cord and dura venous

sinuses

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Blood supply of nervous system and clinical manifestations related to

blockage and rupture of blood vessels supplying the nervous system

Cerebrospinal fluid (CSF) and ventricles

Development of nervous system (normal and abnormal)

Microscopic anatomy of CNS (nervous tissue, nerve, ganglion and

different parts of brain spinal cord

Radiological anatomy (CT scan , MRI)

Applied anatomy

4 Genetics should be taught by a multi-disciplinary team with Biochemistry and Pathology

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Meningitis, paralysis, peripheral nerve lesions

Development of the Nervous system

1. Development of brain and spinal cord

2. Development of peripheral and autonomic nerves

3. Development of meninges and ventricles.

Applied anatomy

Congenital anomalies of brain and spinal cord

Genes, transcription factors, growth factors and signaling molecules

involved in the development of all above mentioned organs and

congenital anomalies related to mutations in genes and abnormal

expression of the genetic factors

B. Head and Neck

Surface anatomy of head and neck

Skull, cervical vertebrae and their joints

Muscles and fasciae of scalp, face and neck with emphasis on

organs of special senses (eye, ear, nose and tongue)

o Microscopic structure of cornea, sclera and retina o

Microscopic structure of internal ear (Cochlea)

o Emphasis must be given to applied histology related to clinical

medicine and surgery

Blood supply of head and neck (superficial and deep)

Lymphatic drainage

Oral cavity, pharynx, larynx, trachea and oesophagus, thyroid gland,

triangles of neck

Nerve supply (sensory and motor)

Radiological anatomy

Development of branchial apparatus including face, lips, nose, palate,

tongue, skull and facial skeleton.

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Applied Anatomy

Cleft lip and palate

Fontanelle

Tracheo-esophageal fistula

Thyroglossal cyst




expression of the genetic factors5.

peripheral nerve lesions of head and neck

5 With Biochemistry and Pathology

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V Limbs: Upper limbs

o Surface anatomy o Bones and joints

o Joint movements and related muscles o Muscle compartments

o Muscles, aponeuroses, sheaths, ligaments , retinacula o Blood supply

o Lymphatic drainage

o Nerve supply (sensory and motor) and nerve plexuses o Histological features of skeletal muscles

o Microscopic structure of tendon, ligament and loose areolar

tissue, and osseous tissue

o Histological structure of various types of cartilages

Applied anatomy

Fractures of clavicle and other long bones, Colle‟s fracture, frozen

shoulder, rheumatoid arthritis and osteoarthiritis, dislocation of

shoulder joint, and brachial plexus injuries

Lower limbs

o Surface anatomy o

Bones and joints

o Joint movements and related muscles o Muscle compartments

o Muscles, aponeuroses, sheaths, ligaments , retinacula o

Blood supply

o Lymphatic drainage

Nerve supply (sensory and motor) and nerve plexuses

39

Applied anatomy

Inguinal and femoral hernias, varicose veins, fracture of lower limb bones

and dislocations of joints, motor and sensory loss, paralysis of muscles.

Sprain, atrophy, dystrophy and muscle spasms, Common fractures,

osteomyelitis and osteoporosis, dislocation, subluxation, frozen joints,

arthritis and injuries.

Development of the Musculoskeletal system

1. Development of axial and appendicular skeleton

2. Development of skeletal, smooth and cardiac muscles

Applied anatomy

Common developmental anomalies of muscles and bones





40

VI Thorax

o Surface anatomy

o Ribs, thoracic vertebrae, sternum and their joints

o Muscles of thoracic cage and extrathoracic muscles attached to

thorax

o Mechanism of respiration in context to chest wall muscles and

diaphragm

o Blood supply

o Lymphatic drainage o Mediastinum

o Thoraco-abdominal diaphragm

o Nerve supply (sensory and motor)

Applied anatomy

Fractures of ribs and vertebrae, Paralysis of diaphragm and intercostal muscles,

pleurisy, hydrothorax, pneumothorax, ishaemic heart disease, myocardial

infarction, atrial and ventricular conduction defects.

VI-A Respiratory system (gross and microscopic anatomy)

Nasal and respiratory mucosa

Larynx (vocal folds)

Pharynx

Trachea

Bronchi

Lungs and pleural cavities

Development of upper (nose, pharynx, larynx and trachea) and lower

(lungs and bronchi) respiratory organs.

41

Applied anatomy

Developmental abnormalities of nasal passage, trachea and lungs





VI-B Cardiovascular system (gross and microscopic anatomy)

Pulmonary and systemic blood circulatory systems

Arterial, venous and Portal blood circulatory systems

Histological features of cardiac muscles, arterial and venous blood

vessels

Heart and Pericardium

Applied anatomy

Atherosclerosis, varicose veins, aneurysms, angiography,

anastomoses

42

Development of heart and pericardium, major veins and arteries.

Development of the Foetal circulation and its changes at birth.

Applied anatomy

Congenital anomalies of heart and vessels





VII Abdomen

VII-A Digestive Systems (gross and microscopic anatomy)

Surface anatomy of the abdomen

Lumbar vertebrae

Abdominal Wall: Anterolateral and posterior abdominal wall

Abdominal and pelvic peritoneum

Oral mucosa

Gums

Tongue

Hard and soft palate

Teeth

Lips and oropharynx

Salivary glands

Abdominal viscera - oesophagus, stomach, duodenum, jejunum, ilium,

colon, vermiform appendix, rectum, anal canal, liver and gall bladder,

pancreas

Blood supply of abdominal wall and viscera

Lymphatic drainage of all abdominal

Sensory, motor and autonomic nerve supply of abdomen

Posterior abdominal wall and related structures

Histological features of smooth muscles

Radiological anatomy (with ultrasound U/S, computerized

tomography CT scan, Barium studies

43

Development of the Digestive System

1. Development of diaphragm, body cavities and mesenteries

2. Development of oesophagus, stomach, small and large intestines and

anal canal

3. Development of liver, pancreas and gall bladder

4. Development of spleen

Applied anatomy

Developmental defects of diaphragm

Developmental defects of esophagus, intestines and other

abdominal viscera



44


expression of the genetic factors.

VII-B Pelvis and Perineum

Surface anatomy

Bony pelvis (male and female)

Muscles and fascia of pelvis and perineum

Pelvic viscera

Perineal regions and fossae

Applied Anatomy

Rectal Prolapse, Uterine prolapse and Abscesses

VII-C Urinary system (gross and microscopic anatomy)

Kidney

Ureter

Urinary bladder and urethra

Development of the Urinary system: kidneys, urinary bladder and

urethra

Applied anatomy

Developmental abnormalities of kidneys, urinary bladder and

urethra





45

VIII - Reproductive System:

VIII-A: Male (gross and microscopic anatomy)

Scrotum

Testes

Genital ducts

Seminal vesicles, prostate and bulbourethral glands, penis

Development of the Male reproductive system: testes and genital ducts

Applied anatomy

Undescended testicles

Anomalies of testes and genital ducts

Anomalies of external genitalia





46

VIII-B: Female (gross and microscopic anatomy)

Ovaries

Uterus and fallopian tubes

Vagina

Mammary gland

Foetal membranes

Placenta, umbilical cord and their anomalies

Development of the Female Reproductive System

1. Development of ovaries

2. Development of uterus and fallopian tubes

3. Development of vagina

4. Development of external genitalia

Applied anatomy

Congenital anomalies of uterus, vagina

Anomalies of external genitalia

Undescended ovaries





IX Endocrine system (gross and microscopic anatomy)

Pituitary gland

Thyroid and parathyroid glands

Suprarenal glands

Endocrine part of pancreas

Enteroendocrine system

Development of organs/ tissue of endocrine system

47

X Immune system (gross and microscopic anatomy)

Organization and components of lymphatic system

Features of lymphatic vessels, Lymph node, Tonsils, Thymus,

Spleen, GALT and MALT

Development of lymphatic vessels, Lymph node, Tonsils, Thymus and

Spleen

Applied anatomy

Oedema, ascites, lymphangitis and lymphadenopathy

XI Integumentary system

Structure and types of skin, nails and hair.

Histological structure of thin and thick skin

Receptors, cutaneous blood and nerve supply

48

Superficial and deep fasciae

Applied anatomy

Acute and chronic skin diseases, congenital disorders of integument

Materials and aids for Learning:

Charts

Clinical skills sessions

Cross sectional anatomy

Digital atlas

Dissection of available human cadavers

Models

Plastinated Bodies

Prosected specimens

Radiological images (Computerized tomography, Magnetic

Resonance Images, Ultrasonography and others)

Skeletons

Video tapes, other software including ADAM

Emphasis must be given to applied anatomy related to clinical medicine and

surgery.

RECOMMENDED BOOKS:

1. Gray‟s Anatomy by Prof. Susan Standring, 39th edition (as reference

book).

2. Clinical anatomy for medical students by Richard Snell.

3. Clinically oriented anatomy by Keith Moore.

4. Clinical anatomy by R. J. Last (latest edition).

5. Cunningham‟s Manual of Practical Anatomy by G J Romanes. Latest

edition Vol. I, II and III.

6. The developing human, Clinically Oriented Embryology by Keith Moore.

(Latest edition).

7. Embryology by Langmann (Latest edition).

8. Wheaters, Functional Histology by Young and Heath (Latest edition)

9. Histology. A Text and Atlas by Ross & Romrell (Latest edition).

10. Medical histology by Prof. Laiq Hussain.

11. Histology by Janquero (Latest edition)

12. Barr‟s the Human Nervous system: anatomical view point (Latest

edition).

13. Neuroanatomy by Richard S. Snell (Latest edition).

49

14. Netter‟s Atlas of Gross anatomy (Latest edition).

15. Mariano De Flore atlas of Histology (Latest edition).

16. Digital atlas of microscopic anatomy by Khalid Khan

50

UHS CURRICULUM

ANATOMY AND HISTOLOGY

The course outline is as follows :-

1. History of anatomy and the different disciplines of the subject 2. Explain anatomical nomenclature

GENERAL ANATOMY

Skeletal System

1. Axial skeleton 2. Different bones of human body 3. Axial and appendicular skeleton 4. Functions of bone 5. Classification on the basis of development, region and function 6. General concepts of ossification of bones 7. Parts of young bone 8. Blood supply of long bones 9. Anatomical factors in bone injury (clinical).

Joints

1. Structural , regional and functional classification of joints 2. Characteristics of synovial joints 3. Classification of synovial joints 4. Movements of synovial joints 5. Anatomy of joints with reference to dislocation and injury (clinical).

Muscle

1. Parts of a muscle 2. Classification of muscle 3. Blood supply and nerve supply of muscle 4. Anatomy of the neuromuscular junction 5. Anatomy of muscle with reference to sprain, spasm and injury

Cardiovascular System

1. The cardiovascular system 2. Arterial and venous system

Lymphatic System

1. Anatomy of lymph node 2. Anatomy of lymph vessels 3. Function of lymphatic system

51

Nervous System

1. Nervous system in general 2. Different parts of nervous system and their functions

3. Anatomical arrangements of the cranial and spinal nerves in general

4. Autonomic nervous system

Skin and Fascia

1. Brief anatomy of the skin, superficial and deep fascia

GENERAL HISTOLOGY

1. Cell as a whole 2. Different components of a cell and description of its functions 3. Anatomy of cell membrane 4. Different parts of a microscope and their function 5. Types of epithelium and their anatomical location 6. Connective tissues and its function 7. Histological appearance of cartilage 8. Histological appearance of bone 9. Cartilage and bone 10. Identification of connective tissue, cartilage and bone under microscope 11. Histological features of muscle 12. Identification of muscle tissues under microscope 13. Histological features of central venous system 14. Histological features of peripheral nerve and spinal cord 15. Identification of nerve under microscope 16. Histology of lymphoid tissue 17. Identification of lymphoid tissue under microscope 18. Histology of blood vessel 19. Identification of blood vessel under microscope 20. Histology of skin 21. Identification of skin under microscope

GENERAL EMBRYOLOGY

1. Male and female reproductive organs 2. Cell division and gametogenesis 3. Fertilization, cleavage, blastocyst formation and implantation of the embryo 4. Stages of early embryonic development in second and third week of intrauterine life

5. Development of embryo and foetus 6. Foetal membrane (amniotic cavity, yolk sac, allantois, umbilical cord and placenta)

52

GENETICS

1. Basic principles of genetics 2. Structure and function of genes and DNA 3. Relationship of genes and DNA 4. Teratogenesis

GROSS ANATOMY

The study of gross anatomy must lay emphasis on applied anatomy as related to clinical

medicine and surgery, radiological anatomy, surface anatomy and cross sectional anatomy

Dissection, dissected specimens, models, and computer aided programs, x-rays and CT scans can be used.

Upper Limb

Duration 11 weeks

Lower Limb

Duration 11 weeks

Thorax

Duration 7 weeks

Clinical Module

1. Common developmental anomalies 2. Clinical effects of nerve injuries of the upper limb 3. Clinical effects of nerve injuries of the lower limb 4. Clinical importance of coronary circulation

RECOMMENDED BOOKS

1. Gray’s Anatomy by Prof. Susan Standring 39th

Ed., Elsevier.

2. Clinical Anatomy for Medical Students by Richard S.Snell.

3. Clinically Oriented Anatomy by Keith Moore.

4. Clinical Anatomy by R.J. Last, Latest Ed.

5. Cunningham’s Manual of Practical Anatomy by G.J. Romanes, 15th

Ed., Vol-I, II and

III.

6. The Developing Human. Clinically Oriented Embryology by Keith L. Moore, 6th

Ed.

7. Wheater’s Functional Histology by Young and Heath, Latest Ed.

8. Medical Histology by Prof. Laiq Hussain.

9. Neuroanatomy by Richard S.Snell.

53

PART-II

SYSTEMIC HISTOLOGY

Digestive System

3. Oral cavity, tongue, gums, hard palate, soft palate, pharynx and lips. 4. Oesophagus, stomach, duodenum, small intestine, large intestine, appendix.

5. Salivary gland.

6. Liver.

7. Pancreas and the difference between the endocrine and exocrine pancreas.

8. Gallbladder.

Respiratory System

10. Nasal cavity, paranasal sinuses. Larynx and trachea. 11. Bronchi and lungs.

Male Reproductive System

6. Testis, genital ducts and accessory genital glands.

Female Reproductive System

6. Ovaries, fallopian tube and uterus. 7. Vagina. 8. Mammary gland.

Urinary System

3. Kidney. 4. Ureter and urinary bladder. 5. Urethra.

Endocrine System

4. Pituitary gland. 5. Thyroid and parathyroid gland. 6. Adrenal gland and differences between the cortex and medulla.

Eye and Ear 5. Histological structure of the Eye. 6. Histological structure of the Ear.

54

SYSTEMIC EMBRYOLOGY

Head Neck and Branchial Apparatus

22. Development of the branchial apparatus and the structures which develop from each

arch.

23. Development of the tongue. 24. Development of the thyroid and parathyroid.

55

Clinical Module 5. Tracheo – oesophageal fistula. 6. Cleft lip and palate.

Digestive System 5. Development of the body cavities, mesenteries and diaphragm. 6. Development of the liver, pancreas and gallbladder. 7. Development of the spleen.

Clinical Module 10. Developmental defects of the diaphragm. 11. Developmental defects of the intestine and viscera.

Respiratory System 1. Development of the respiratory system

Cardiovascular System 1. Development of the heart and great vessels. 2. Foetal circulation and changes at birth.

Clinical Module 1. Common congenital anomalies of the heart.

Urinary System 1. Development of the kidneys, urinary bladder and urethra.

Male Reproductive System 1. Development of the testis and genital duct. 2. Causes undescended testis.

Female Genital System 1. Development of the ovaries, uterus and vagina.

Musculoskeletal System 1. Development of the musculoskeletal system.

Nervous System 1. Development of the nervous system.

56

GROSS ANATOMY

The study of gross anatomy must lay emphasis on applied anatomy as related to

clinical medicine and surgery, radiological anatomy, surface anatomy and cross-

sectional anatomy.

Dissection, dissected specimens models, computer aided programs, x-rays and CT scans

can be used.

Head and Neck 12 weeks Abdomen and Pelvis 12 weeks Brain 8 weeks

RECOMMENDED BOOKS

1. Gray’s Anatomy by Prof. Susan Standring 39th

Ed., Elsevier.

2. Clinical Anatomy for Medical Students by Richard S.Snell.

3. Clinically Oriented Anatomy by Keith Moore.

4. Clinical Anatomy by R.J. Last, Latest Ed.

5. Cunningham’s Manual of Practical Anatomy by G.J. Romanes, 15th

Ed., Vol-I, II and

III.

6. The Developing Human. Clinically Oriented Embryology by Keith L. Moore, 6th

Ed.

7. Wheater’s Functional Histology by Young and Heath, Latest Ed.

8. Medical Histology by Prof. Laiq Hussain.

9. Neuroanatomy by Richard S.Snell.

57

Anatomy Department

1st year MBBS teaching Schedules

Facilitators: Professor Dr. Mamoona Naheed

Recommended books:

1. Langman’s Medical Embryology

2. Developing human By KL Moore

1 Molecular regulation and cell

signaling

Overview of

Induction and organ formation

Cell signaling

Genomic imprinting

2 Basic principles of genetics The Laws and principals governing genetics

3 Oogenesis Prenatal and postnatal maturation of oocyte

Significance of arrested development of oocyte

Hormonal control of oocyte maturation

4 Spermatogenesis Process of spermatogenesis and spermeiogeneis

Abnormal gametes

5 Ovarian cycle and ovulation Cyclic changes taking place in the uterus

Hormonal control of the cyclic changes and ovulation

6 Fertilization Conditioning of the male gamete in the female genital tract

Phases of fertilization

Results of fertilization

7 Contraception and infertility Brief overview of

Methods of contraception

Male and female infertility

In-vitro fertilization

8 Clevage and blastocyst formation Compaction

Formation of morula (division into inner and outer cell mass)

Blastocyst formation

9 Implantation Uterus at the time of implantation (decidua reaction)

Establishment of uteroplacental circulation

Differentiation of inner and outer cell mass

Abnormal implantation

Molar pregnancy

10 Gastrulation Formation of primitive streak

Invagination

Transformation of bilaminar germ disc into trilaminar germ disc

11 Formation of notochord Invagination and movement of prenotochordal cells

Notochordal plate formation

Neurenteric canal formation

Establishment of body axis

Fate map establishment

12 Derivatives of ectoderm Formation of neural tube from neural plate.

Derivatives of neural tube

Abnormalities in development of neural tube

Migration of neural crest cells

Derivatives of neural crest cells

13 Germ layer derivatives 1 Differentiation of mesoderm into its constituting components

58

(Differentiation of mesoderm and

derivatives of paraxial mesoderm)

Somite formation

Estimation of age by somites

Differentiation of somites

14 Germ layer derivatives 2

(derivatives of mesoderm and

endoderm)

Derivatives of intermediate and lateral plate mesoderm

Process of development of blood and blood vessels

Capillary hemangiomas

Derivatives of endoderm

15 Folding of embryo Cephalocaudal folding

Lateral folding

16 Monthly changes in the

development of fetus

Overview of the

Monthly changes in External appearance

Growth in length and weight

IUGR

Estimation of age of fetus

17 Fetal membranes and placenta 1 Changes in the trophoblast

Structure of placenta

Functions of placenta

Placental circulation

Placental barrier

18 Fetal membranes and placenta 2 Umbilical cord

Cord abnormalities

Amniotic fluid

Polyhrhramnios and oligohydramnios

19 Twin pregnancy Didygotic twins

Monozygotic twins

Twin defects

20 Birth defects Types of abnormalities

Principals of teratology

Teratogens associated with human malformation

21 Prenatal diagnosis and fetal

therapy

Various methods of pre-natal diagnosis

Fetal therapy

59

Histology Schedule with Learning Objectives

1st Year MBBS (2017-2018)

Week 1

Cell membrane & Organelle

Week 2

Cytoskeleton & cell junctions

Week 3

Nucleus

At the end of session the

student will be able to

Give structural details of

cell membrane & co-relate

it with function.

Enumerate membrane

bound & non membranous

organelles of cell.

Elaborate each organelle.

Use microscope efficiently.

Identify different types of

artifacts.

Understand preparation of

tissues with H & E staining

Techniques.



Provide an ample account

of cytoskeletal elements.

Enumerate cell junctions.

Give structure of each

junction.

Clinically co-relate

abnormality of any

cytoskeletal component as

well as junction.

Identify different cell

shapes (Squamous,

cuboidal, columnar, round,

polyhedral, fusiform,

pyramidal & multipolar)

under light microscope.



Enumerate components of

cell nucleus.

Provide structural detail of

chromosomes.

Give an account of cell

division (mitosis &

mieosis).

Identify different cell

shapes (Squamous,

cuboidal, columnar,

round, polyhedral,

fusiform, pyramidal &

multipolar) under light

microscope.

Week 4

Epithelium

Week 5

Epithelium

Week 6

Connective Tissue

60



Classify surface epithelia

e.g. simple (Squamous,

cuboidal, columnar &

pseudostratified) and

stratified (st. Squamous, st.

cuboidal, st. columnar &

transitional) as well as

glandular epithelia with

examples of their locations

in human body.

Give structural & functional

characteristics of epithelial

tissue.


epithelia under light

microscope and will draw

simple epithelia.



Explain structural polarity

of epithelial cells with its

surface modifications and

their participation in their

functioning.

Identify clinical problems

related to epithelia and

their associated structures.


epithelia under light

microscope and will draw

stratified epithelia.



Reproduce the structural

components & functional

characteristics of

connective tissue.

Classify various types of

connective tissue

(embryonic and adult)

with examples of their

location in our body.

Identify connective tissue

under light microscope

and will differentiate from

one another and will draw

them.

Week 7

Connective Tissue

Week 8

Cartilage (Special C. T.)

Week 9

Bone (Special C. T.)



Give the biochemical

composition of extracellular

matrix components.

Co-relate the clinical

problems faced in case of

change in any of the

components of connective

tissue.

Identify connective tissue

components under light

microscope stained with

special stains and can draw

them correctly.



Define & classify cartilage

as special connective

tissue with locations of

different types in our body.

Give structural

composition of different

types of cartilage.

Reproduce the structural

similarities and differences

among three types of

cartilage.

Identify under light

microscope and draw

different cartilages

(hyaline, articular, elastic &

fibrous).



Define the bone as

specialized connective

tissue and enlist its

components (cells, fibers

& ground substance).

Classify different bone

types with examples of

their location in human

body.

Give general arrangement

of component parts in

both types of bone

(periosteum, haversian

system etc.).

Identify all of the above

mentioned components in

slides of compact bone


Draw microscopic

structure of compact bone

Week 10

Bone (Special C. T.)

Week 11

Week 12

Muscle Tissue

61



Reproduce the steps of

process of two types of

ossification.

Give the changes in bone

structure during growth &

remodeling.

Co-relate the clinical

conditions related to bone

formation & its

mineralization.

Identify all of the above

mentioned components in

slides of compact bone


Draw microscopic structure

of compact bone

Test 1 At the end of session the


Enlist three types of

muscle tissue with their

locations in our body.

Reproduce structure of

skeletal muscles in detail

& the role of T-tubules

and sarcoplasmic

reticulum in functioning of

striated muscles.

Identify longitudinal &

horizontal sections of

skeletal muscles under

light microscope.

Draw L.S. & C. S. of

skeletal muscles.

Week 13

Muscle Tissue

Week 14

Nervous Tissue

Week 15

Nervous system




cardiac muscles with

important features that

take part in their

functioning.

Reproduce important

features of smooth muscle

fibers.

Compare & contrast these

three types in their

structure, function &

location.

Identify & differentiate all

three types under light

microscope and can draw

their L.S. & C.S.



Enlist the structural

components of nervous

tissue.

Classify neurons &

neuroglia (central &

peripheral nervous

system).

Elaborate the structure of

peripheral nerve.

Identify L. S. & C. S. of

peripheral nerve under

light microscope.

Draw section of peripheral

nerve with component

details.



Give the histological

structure of spinal cord

with components of grey

and white matter.

Identify section of spinal

cord under light

microscope & draw its

microscopic picture.

Week 16

Nervous system

Week 17

Vascular System

Week 18

Vascular System

62



Tell the histological

structure of cerebellum &

cerebrum.

Elaborate components of

grey and white matter.

Draw three layers of

cerebellum & six layers of

cerebral cortex.

Identify under light

microscope.



Classify different

components of circulatory

system structurally &

functionally.

Provide structural

components of three

layers (tunics) that form

the walls of blood vessels.

Give changes in

architecture of elastic,

muscular arteries,

arterioles and capillaries.


arteries under light

microscope, & draw

histologic picture of these

vessels.



Elaborate structure of

large sized, medium sized

veins, muscular venules

and postcapillary venules.

Compare & contrast

arteries, veins &

capillaries.

Give different types of

anastomosis.

To clinically predict the

defect in any of the tunics.

Clinical basis of

atherosclerosis.

Identify these veins under

light microscope & draw

histologic picture of these

veins.

Week 19

Lymphoid System(Introduction

& Thymus)

Week 20

Lymphoid System (Lymph

node)

Week 21

Lymphoid System (Tonsil &

Spleen)



Enumerate the names,

locations & function of

cells, tissues & organs

constitute the lymphoid

system.

Give the distinguishing

criteria of lymphoid organs

& the differences between

central & peripheral

lymphoid organs.

Elaborate the central

nature & significance of

thymus.

Give the structural

differences of thymus from

other peripheral lymphoid

organs.

Identify thymus under light

microscope & draw its

histological picture.



Elaborate structural details

of lymph node.

Co-relate Clinical

involvement of lymph

node in immune response.

Identify lymph node under

light microscope & draw its




Give structural details and

the arrangement of

lymphoid follicles in tonsil

& spleen.

To compare & contrast

different lymphoid organs.

Identify palatine tonsil and

spleen under light

microscope & draw their


Week 22

Integumentory System(thick

skin)

Week 23

Integumentory System (thin

skin)

Week 24

63



Enumerate cells and cll

layers present in both types

of skin (thick & thin).

Provide a comprehensive

account of skin layers

(epidermis, dermis and

hypodermis).

Identify thick skin under






thin skin, with its

appendages(hair, nail &

glands).

Co-relate various clinical

conditions (psoriasis,

albinism, vitiligo, blistering

disorders and carcinoma)

with structure

Identify thin skin under



Test 2

Anatomy Department

Thorax

Learning objectives

After the completion of the region the students will be able to

1. Identify and draw different parts of thoracic vertebrae, sternum and ribs with their

attachments and relations.

2. Distinguish between typical and atypical thoracic vertebrae, ribs. Highlight the

characteristic features differencing between thoracic, cervical and lumbar vertebrae

3. Demonstrate, identify and explain the structures contributing to the formation of

thoracic wall.

4. Enlist the various joints of thoracic wall with their types, ligaments and role in

movement of the thoracic wall.

5. Explain and identify the course, relations, branches and distribution of nerves and

vessels of thoracic wall.

6. Enlist the various clinico-pathological conditions of thoracic wall with their

presentations and anatomical justifications

7. Demonstrate and discuss attachments, nerve supply, blood supply and role in

respiratory movements of diaphragm and thoracic wall musculature.

8. Explain the movements of the thoracic wall (bucket-handle & pump handle)

9. Discuss the boundaries and contents of thoracic inlet and outlet

10. Explain and identify the boundaries, divisions and contents of mediastinum with

related clinical conditions

11. Identify and explain the relations, characteristic features, surface anatomy and clinical

conditions of the structures/ contents of the mediastinum

12. Discuss and identify the features, relations, surface anatomy and neurovascular supply

of pleura and lungs.

13. Explain the anatomy of broncho-pulmonary segments with their clinical significance.

64

14. Discuss and identify the features, relations, surface anatomy and neurovascular supply

of pericardium

15. Demonstrate and explain the formation and clinical significance of Pericardial sinuses.

16. Discuss and identify Heart with the internal and external features, chambers, valves,

conducting system, nerve supply, blood supply and surface anatomy

17. Justify anatomically the presenting complaints encountered in important clinical

conditions such as hydropneumothorax, pleurisy, foreign body inhalation,

hemidiaphragm, flail chest, referred pain etc

18. Explain procedures such as thoracocentesis, chest tube intubation, intercostals nerve

block anatomically.

19. Explain the lymph drainage of thoracic wall and viscera in order to find sites of

metastasis

20. Discuss and draw the dermatomes, venous drainage of thorax

21. Differentiate the and identify the various structures seen in radiographs

65

Anatomy Department

Upper Limb

Learning objectives


1. Identify, draw, demonstrate and discuss the characteristic features, attachments,

relations, ossification of the bones of the upper limb (clavicle, scapula, humerus,

radius, ulna, and bones of hand).

2. Discuss and anatomically justify the presentation of various upper limb fractures

encountered.

3. Discuss and identify the structure, relations, nerve supply, blood supply lymphatic

drainage of Breast with special emphasis on the anatomical justification of

presentation and metastasis of carcinoma breast.

4. Discuss and identify the attachments, relations, nerve supply, blood supply and actions

of the muscles of pectoral, and scapular regions.

5. Identify and discuss the course, relation and distribution of the nerves and vessels in

the pectoral and scapular region to detect the effects of injury.

6. Discuss the movements of the scapula with the role of muscles contributing to these

movements


conditions of the structures/ contents of the Axilla

8. Identify and discuss the various groups of lymph nodes of upper limb with their

afferent and efferent vessels

9. Identify and discuss the course, relation and distribution of the vessels in the axilla

10. Discuss the Course, relation, branches, distribution and areas for pulsations of the

major arteries of upper limb (axillary, profunda brachii, brachial, radial and ulnar)

11. Discuss, draw and identify the formation, relations branches and distribution of

brachial plexus.

12. Justify anatomically the presenting complaints encountered in brachial plexus injuries

and nerve lesions of upper limb


of the muscles of anterior and posterior compartments of the arm.


of the muscles of flexor and extensor muscles of the hand and fingers with their

attachment and arterial and nerve supply.


the arm, forearm and hand to detect the effects of nerve injury.

16. Discuss the formation, relations, branches and distribution of superficial and deep

palmar arches

17. Draw and explain the Cutaneous innervations of the hand

18. Identify, discuss and demonstrate the structure, mechanics, principals and movement

of the joints of the upper limb.

19. Identify and discuss the sites of arterial anastomosis and the clinical significance of

these anastomosis.

20. Discuss the mechanism of gripping

21. Differentiate and identify the various structures seen in radiographs.

66

Anatomy Department

Lower Limb

Learning objectives


1. Identify, draw, demonstrate and discuss the characteristic features, attachments,

relations, ossification of the bones of the lower limb (Hip bone, femur, tibia, fibula and

bones of foot).

2. Discuss and anatomically justify the presentation of various lower limb fractures

3. Demonstrate and explain the attachments and clinical significance of the deep fascia of

thigh

4. Identify and discuss the various groups of lymph nodes of lower limb with their

afferent and efferent vessels

5. Identify and discuss the surface anatomy, course, relations, tributaries and

communications of the superficial and deep veins of the lower limb

6. Anatomically justify the clinco-pathological conditions associated with the superficial

and deep veins of lower limb


of the muscles of anterior, posterior and medial compartments of the thigh.

8. Identify and describe the boundaries and contents of the femoral triangle, adductor

canal and popliteal fossa


conditions of the structures/ contents of the femoral triangle, adductor canal and

popliteal fossa

10. Discuss the Course, relation, branches, distribution and areas for pulsations of the

major arteries of lower limb (femoral, popliteal, anterior& posterior tibial, dorsalis)


of the muscles of gluteal region.


the gluteal region.


of the muscles of flexor and extensor compartment of the leg


the thigh, leg and foot to detect the effects of nerve injury.

15. Anatomically justify the presenting complaints seen in various nerve (superior and

inferior gluteal, femoral, obturator, sciatic, superficial and deep peroneal, tibial, medial

and lateral planter) lesions of lower limb

16. Discuss the formation, relations, branches and distribution of planter arterial arch

17. Discuss the formation, relations, and mechanics of the arches (longitudinal and

transverse) of foot

18. Discuss the mechanics and principals of walking.


of the muscles of sole of feet

20. Draw and explain the Cutaneous innervations and dermatomes of the lower limb

67

21. Identify, discuss and demonstrate the structure, mechanics, principals and movement

of the joints of the lower limb.

22. Identify and discuss the sites of arterial anastomosis and the clinical significance of

these anastomosis.

23. Differentiate and identify the various structures seen in radiographs.

68

THORAX

Week 1 Learning Objectives Week 2 Learning Objectives Week 3 Learning Objectives At the end of the week, the student

will be able to demonstrate.

Parts of Sternum, joints

formed with their type,

attachments, important

relations and ossifications.

Sternal puncture and shapes

of chest.

Parts of Ribs, joints

formed with their

type,attachments,important


Flail chest and Thoracatomy.

At the end of the week, the student

will be able to demonstrate/ write

Demonstrate parts of

Thoracic vertebrae, joints

formed with their type,

attachments, important


Intervertebral disc and

herniation.Differences

between thoracic, cervical

and lumber vertebrae

Muscles of intercostals

space, proximal and distal

attachments, innervation and

actions.Supra pleural

membrane

At the end of the week, the student will

be able to demonstrate/ write

Course, relations, branches and

distribution of typical and

atypical intercostals nerve.


distribution of typical and

atypical intercostals artery.


distribution of internal thoracic

artery.

Diaphragm with attachments,

sensory & motor innervation,

blood supply and lymphatic

drainage.

Structure traversing and

actions of diaphragm.

Diaphragmatic hernia and

referred pain.

Teaching methodologies

SGD/ PBL/Presentation


SGD/ PBL/Presentation Teaching methodologies

SGD/ PBL/Presentation Substage 1- Assessment (Formative)

Viva/ OSPE/ SEQ/ MCQ

Week 4 Learning Objectives Week 5 Learning Objectives Week 6 Learning Objectives At the end of the week, the student


Types of respiration, muscles

responsible.

Changes in various diameters

of thoracic cavity during

inspiration and expiration

Division of mediastinum.

Boundaries and contents of

superior mediastinum

(Trachea, esophagus, Phrenic

and vagus nerves, Thymus,

Subclavian brachiocephalic

and common carotid vessels

Trachea, structure blood

supply, nerve supply and

lymphatics.Tracheotomy.

Phrenic and vagus nerve,

their course relations and

branches.

Thymus, structure, blood supply and

lymphatics.




middle mediastinum

Types of pericardium with its

blood supply and nerve

supply.Pericarditis,

pericardial drainage.

Topography of Heart.

Gross features of heart

Fibrous skeleton.

Characteristic features of the

four chambers of heart.

Characteristic features of the

valves with their surface

marking.

Nerve supply, blood supply

and lymphatics of heart.

Myocardial

infarction.andAngina.




posterior mediastinum

Esophagus course, relations,

constrictions, blood, nerve

supply and lymphatics.

Thoracic duct. Formation

course relations, area of

drainage and its termination

Azygous, hemizygous,

accessory hemizygous veins

with their course, formation

and tributaries.

Sympathetic chain. Course,

relations and branches.

Sypathectomy.

Raynaunds syndrome.

69




SGD/ PBL/Presentation Teaching methodologies

SGD/ PBL/Presentation Substage 2- Assessment (Formative)


Week 7 Learning Objectives Week 8 At the end of the week, the student


Structure, blood supply,

nerve supply and lymphatics

of pleura.

Dead space.and Pleurisy

Pleural aspiration

Structure of Lung and

broncho-plumonary

segments.Blood supply,

nerve supply and lymphatics.

Demonstrate radiology of

thorax

Demostrate surface marking

of thorax

Final Stage

Modes of Assesssment

(Summative)

SEQs/ MCQs/ OSPE/ VIVA



70

UPPER LIMB

Week 1 (2–1–2018 to 6–1–2018 )

Learning Objectives

Week 2 (9–1–2018 to 13–1–2018 )

Learning Objectives Week 3 (16–1–2018 to 20–1–2018

) Learning Objectives


be able to demonstrate

Parts of the clavicle, with its

attachments, important relations,

joints formed with it, ossification,

side determination, fractures and

sex differences.

Parts of scapula with its

attachments, important relations,

and joints formed with it,

ossification, side determination,

fractures and sex differences.

Parts of humerus with its

attachments, important relation,

joints formed with it, ossification,

side determination, fractures and

sex differences.



Muscles of pectoral girdle, their

proximal & distal attachments,

nerve supply and actions.

Clavipectoral fascia, attachments

and structure traversing.

Joints of pectoral girdle with their

type, stability, movements.

Muscles of scapular region,

proximal & distal attachments,

innervation and actions.

Draw Scapular anastomosis and

its importance.

Shoulder joint with its type,

articulations, important relations,

Stability, movements and

muscles responsible (rotator

cuff), neurovascular supply and

Dislocation.




Axilla.

Axillary vessels, their

course, relations and

branches.

Draw brachial plexus, its

formation, relations,

branches and injuries (Erb’s

paralysis, Klumpke’s

paralysis)

Lymph nodes of Axilla and

their area of drainage

Breast with its Location,

structure, blood supply,

nerve supply and lymphatic

drainage.

Applied aspects (CA breast,

mastitis and mastectomy







Substage 1- Assessment (Formative)


Week 4

(23–1–2018 to27–1–2018 )

Learning Objectives

Week 5

(30–1–2018 to3–2–2018 )

Learning Objectives

Week 6

(6–2–2018 to10–2–2018 )

Learning Objectives



Anterior compartment of arm

with Inter-muscular septum and

muscles with their proximal and

distal attachments, innervation

and actions.

Course, relations and branches of

brachial artery.


be able to demonstrate/ write.

Elbow joint with its type , its

articular surfaces and important

relations.


muscles responsible.

Draw Blood supply of elbow joint

, write nerve supply.and Carrying


will be able to demonstrate/ write.

Anterior compartment of

forearm with its muscles,

their proximal and distal

attachments, innervation

and actions.

Course, relations, branches

of radial and ulnar artery.

71


musculocutaneous nerve.

Draw boundaries and contents

of cubital fossa. Posterior compartment of arm

with its muscles along with their

proximal and distal attachments,

innervation and actions.


profunda brachii artery.


radial nerve.

angle

Parts of Radius and Ulna, joints

formed with their type

attachments.Important relations.

Ossifications and fractures

Radioulnar joints with their type

, articular surfaces and important

relations.Stability, movements

and muscles responsible


of median and ulnar nerve.

Type of wrist joint, its

articular surfaces and

important relations.


muscles responsible.

Blood supply and nerve

supply.

Bones participating and

joints formed in articulated

hand







Substage 2- Assessment (Formative)


Week 7

(13–2–2018 to 17–2–2018 )

Learning Objectives

Week 8

(20–2–2018 to 24–2–2018 )

Learning Objectives

Week 9

(27–2–2018 to 3–3–2018 ) Learning

Objectives



Palmer aponeurosis.

Flexor retinaculum, its

attachments and relations.

Carpal tunnel formation.

Carpal tunnel syndrome

Draw course, relations, branches

of Superficial and deep palmar

arches.

Course, relations, branches of

digital nerves.



Muscles (Lumbrical, interossei,

thenar and hypothenar) with

their proximal and distal

attachments, innervation and

actions.

Gripping mechanism of hand

1st carpometacarpal joint, its

articular surfaces and important

relations.Stability, movements

and muscles responsible

Palmer and web spaces along

with their clinical importance.



Extensor compartment of

forearm Muscles with their

proximal and distal

attachments, innervation

and actions.


of posterior interosseous

artery.


of radial nerve.

Dorsal digital expansion its

formation and importance.

Extensor retinaculum, its

attachments and structure

passing through it.







Sub stage 3- Assessment (Formative)

72


Week 10

(6–3–2018 to10–3–2018 )

Learning Objectives

Week 11

(13–3–2018 to17–3–2018 )

Learning Objectives

Week 12

(20–3–2018 to24–3–2018 )

At the end of the week, the student will be able

to Draw/ demonstrate/ write

Course, relations, tributaries of

cephalic, basilac and median cubital

veins.

Cutaneous Innervation and

dermatomes of upper limb.


will be able to demonstrate

Radiology of upper limb

Surface marking of upper

limb

Final Stage

Modes of Assessment

(Summative)

SEQs/ Macs/ OSPE/ VIVA





73

Learning Objectives

Histology

2nd year MBBS

Facilitators; Professor Dr. Mamoona Naheed

Recommended Books:

Basic Histology Junqueira 12th edition

Functional Histology Wheater’s

diFlore’s Atlas of Histology

Date Lecture objectives Practicals

21−11−17

22−11−17

Respiratory

system

Nasal cavity,

paranasal air

sinuses,

nasopharynx,

larynx &

epiglottis.

Introduction to respiratory system,

including conduction respiratory

parts.

Microscopic structure of walls of

nasal cavity & nasopharynx.

Structure of olfactory epithelium.

Ultra-microscopic structure & types

of cells forming respiratory

epithelium.

Components & layers forming wall

of larynx.

Transition of epithelium with its

functional correlation.

Larynx & Epiglottis

28−11−17

Trachea Microscopic structure of wall of

trachea with components forming

mucosa, submucosa, cartilage and

adventitia.

Changes in microscopic structure of

bronchial tree as we go down the

conducting passages, till alveoli of

respiratory passages.

Trachea

29−11−17

Lung Microscopic structure of lung with

different cell types present.

Blood air barrier.

Clinical conditions e.g. immotile

cilia syndrome, histological basis of

asthma, cancer.

Lung

74

5−12−17

6−12−17

GIT &

Associated

Glands

Lip,

vestibule,

Oral cavity,

palate.

Introduction to various parts of

gastrointestinal tube.

Elaboration of components forming

different layers of lip structure,

including mucosa covering internal

part, red zone & cutaneous surface

covered by skin. Central layer of

skeletal muscle.

Lip

12−12−17

Monthly test − 1

12−12−17

Tongue &

structure of

taste buds.

Structure of tongue, various types

of papillae with their structure &

location.

Microscopic anatomy of taste buds

with their location & functional

correlation.

Tongue

13−12−17

Pharynx &

oesophagus

General constitution of

gastrointestinal tube, with

components of four layers.

Structure of pharynx.

Histological structure of

oesophagus with differences in

upper, middle & lower parts.

Oesophagus

19−12−17

Stomach Microscopic structure of four layers

of stomach.

Regional differences between

different regions including cardia,

fundus & body and pylorus.

Parts & Ultramicroscopic structure

of gastric glands

Structure of Cardioesophageal &

gastrodoudenal junctions.

Clinical condition reflux

esophagitis.

Stomach

20−12−17

Small

intestine

Histological structure of different

layers of small intestine.

Regional differences between three

parts.

Structure of peyer’s patch with

their clinical significance.

Duodenum

Jejunum & Ileum.

2−1−18

Lar8ge

intestine


layers of large intestine.

Microscopic structure of appendix.

Colon & appendix

3−1−18 Rectum Special features of all four layers of

rectum.

Distinguishing features from

pylorus of stomach.

Rectum

75

9−1−18 Monthly test –2

9−1−18 Anal canal Changes of epithelium at junctions.

Specialized features that

differentiate anal canal from

esophagus.

Anal canal

10−1−18 Salivary

glands

Histological structure of serous &

mucous acini.

Structure of parotid, sub-

mandibular & sub-lingual salivary

glands.

Salient features that compare &

contrast them.

Parotid, submandibular

& sublingual glands

16−1−18 Liver &

gallbladder

Division of liver parenchyma into

different lobules with their clinical

significance.

Histological structure of liver.

Microscopic anatomy of gall

bladder.

Liver & gall bladder

17−1−18 Pancreas Microscopic structure of exocrine

pancreas.

Distinguishing features of exocrine

pancreas from salivary glands.

Histology of endocrine pancreas.

Exocrine & endocrine

pancreas

23−1−18 Pituitary

gland

Microscopic anatomy of pituitary

gland with its embryological

background.

Pituitary gland

24−1−18 Thyroid &

parathyroid

gland

Histological structure of thyroid

gland with its functional

correlation.

Microscopic picture of parathyroid

gland.

Thyroid & parathyroid

gland.

30−1−18 Adrenal

gland

Histological structure of adrenal

gland with specifying three layers

of cortex.

Distinguishing features of cortex

from medulla.

Adrenal gland

31−1−18 Urinary

system

Kidney

Microscopic anatomy of kidney.

Arrangement of different parts of

nephron & collecting ducts in

cortex & medulla.

Components of filteration barrier.

Parts of juxtaglomerular apparatus

with their functional correlation &

clinical significance.

Kidney

6−2−18 Ureter &

urinary

bladder

Microscopic & ultramicroscopic

structure of urothelium.

Histology of ureteric wall.

Microanatomy of urinary bladder.

Ureter & urinary bladder

76

7−2−18 Urethra Epithelial linning of male & female

urethra.

Histological structure of male

urethra. Its differences from female

urethra.

Male urethra

13−2−18 Term test −1

13−2−18 Male

Reproductive

System

Testis

Structure of testis.

Ultra-structure of germinal

epithelium.

Blood testis barrier.

Testis

14−2−18 Epididymus

& vas

deferens


Epididymus & vas deferens.

Ultra-microscopic structure of

lining epithelium.

Epididymus & vas

deferens

20−2−18 Seminal

vesicles

Microscopic anatomy of seminal

vesicles with functional correlation.

Seminal vesicles

21−2−18 Prostate

gland

Histology of prostate gland.

Age estimation under microscope.

Prostate gland

27−2−18 Female

reproductive

system

Ovary

Structure of ovary.

Microscopic structure of different

ovarian follicles.

Ovary

28−2−18 Fallopian

tube

Histological structure of wall of

fallopian tube (oviduct).

Ultra-microscopic picture of lining

epithelium.

Fallopian tube

6−3−18 Uterus Microscopic picture of uterus.

Menstrual cycle related changes in

histology of endometrium.

Uterus three phases

(menstrual, Proliferative

& secretory).

7−3−18 Cervix &

vagina

Structure of cervix & vagina.

Change of epithelium at internal os.

Cervix & vagina


77

13−3−18 Mammary

gland

Microscopic picture of mammary

gland.

Age related changes in histology of

gland.

Microscopic differences in

parenchyma & stroma in active &

inactive glands.

Anatomical basis of clinical

conditions like cancer.

Mammary gland

(Active & inactive)

14−3−18 Special

senses

Eye lid,

conjunctiva,

cornea,

sclera and

choroids

coat.

Structure of eyelid, conjunctiva,

cornea & sclera.

Functional correlation of each part

with its histology.

Special senses

Eye lid, conjunctiva,

cornea, sclera and

choroid.

20−3−18 Retina Two layers of retina, ultra structure

of retinal layers.

Clinical anatomy of detachment of

retina.

Retina

21−3−18 Internal ear Microscopic structure of organ of

corti, with different types of cells.

Internal ear

Test 2

78

Learning Objectives

Gross Anatomy

Region: Special Embryology

2nd year MBBS

Facilitators; Professor Dr. Mamoona Naheed, Dr. Sadia

Recommended Books:

The developing Human clinically oriented Embryology Keith. L. Moore

Langman’s Medical Embryology T.W. Sadler 10th edition

S.No. Date Topic Learning objectives

At the end of each Lecture the student will

be able to Draw/ demonstrate/ write

23−11−17

24−11−17

30−11−17

Development of the skull

Development of vertebral

column, ribs and sternum

Factors contributing in the

development of skeletal system

Overview of methods of ossification

Formation of neurocranium and

viscerocranium and their derivatives

Cranio-facial defects and skeletal

dysplasias

Development of vertebral column

and vertebrae

Overview of the defects of vertebral

column

Development of ribs and sternum

1−12−17

Development of pharyngeal

arches

Factors contributing in the

formation of pharyngeal arches

Formation and fate of the

Pharyngeal Arches

7−12−17

8−12−17

Development of pharyngeal

pouches & clefts

Formation and fate of the

Pharyngeal Pouches,

Development of tympanic

membrane, middle ear cavity,

tonsils.

Development of Parathyroid glands

14−12−17

15−12−17

Development of thyroid and

tongue

Development of thyroid and tongue

Embryological basis for the nerve

supply of tongue

21−12−17 Development of face Factors contributing in formation of

facial prominences

79

Formation and fate of prominences

22−12−17

Development of face Formation and fate of the nasal

placodes

Development of the nasolacrimal

duct and lacrimal sac

Development of the salivary glands

4−1−18

Development of palate and

palatal defects

Formation and fate of primary

palate

Formation and fate of secondary

palate

Clinical presentation and

embryological basis for the palatal

defects

5−1−18 Development of eye Formation and fate of optic vesicle

Formation and fate of lens vesicle

Congenital Anomalies

11−1−18 Development of ear Formation and fate of otic vesicle,

Development of middle ear and

External Ear

12−1−18

18−1−18

19−1−18

Development of larynx, trachea

and lungs

Phases of lung maturation

Development of larynx and trachea

Development and phases of

maturation of lungs

Respiratory system defects

25−1−18

26−1−18

Development of esophagus,

stomach

Esophageal atresias

Formation and fate of dorsal and

ventral mesenteries

Enumeration of derivatives of the

Gut tube

Development of esophagus

Clinical presentation and

embryological basis for esophageal

atresias

Formation of the gastric dilatation

Rotation of the gastric dilatation

Embryological basis for the

peritoneal relations of stomach


supply of stomach

Congenital anomalies associated

1−2−18 Development of liver and gall

bladder

Foramtion and fate of hepatic

diverticulum

Histogenesis of liver and gall bladder

Development of the extra-hepatic

biliary system


2−2−18 Development of pancreas Formation and fate of dorsal and

ventral pancreatic buds

Histogenesis of pancreas

Formation of the pancreatic ducts


80

8−2−18 Development of midgut Formation and fate of primary

intestinal loop

Physiological herniation of the

midgut

Malrotation and Non-rotation

syndromes

9−2−18 Development of hind gut Formation and partitioning of cloaca

Development of the anal canal

Embryological basis for the variation

in blood supply and lymphatic

drainage of anal canal


15−2−17 Development of kidneys Formation and fate of pronephros

Formation and fate of mesonephros

Formation and fate of metanephros

Differentiation of nephron and

collecting tubules from metanephric

blastima and ureteric bud

Positional changes of kidneys

Associated congenital anomalies

16−2−18 Development of urinary system

2

Development of the urinary bladder

Development of the ureters

Development of the supra-renal

glands

Histogenesis of the supra-renal

glands


22−2−18 Development of gonads Indifferent gonads

Factors influencing the

differentiation of gonads

Sex determination and

differentiation

Development of testis

Development of ovaries

Descent of ovaries


23−2−18

1−3−18

2−3−18

Development of male genital

system (ducts)

Development of female genital

system (ducts)

Formation and fate of the Mullarian

ducts

Formation and fate of the Wolffian

ducts

Factors effecting the development

of genital ducts


8−3−18 Development of external

genitalia

Development of male external

genitalia

Development of female external

genitalia


9−3−18 Development of heart I Factors contributing in the

development of heart

Establishment of cardiogenic field

Formation of the heart tube

81

Formation of the cardiac loop

Abnormalities of the cardiac looping

15−3−18 Development of heart II Sepatum formation in the common

atria

Septum formation in the atrio-

ventricular canal

Atrial septal defects

16−3−18 Development of heart III Septum formation in the truncus

arteriosus and conus cordis

Development of semilunar valves

22−3−18 Development of heart IV Septum formation in the common

ventricle

Ventricular septal defects

Formation of conducting system

29−3−18 Heart defects Overview and clinical presentation

of

o Tetrology of Fallot

o Persistant ductus arteriosus

o Transposition of great

vessels

o Valvular stenosis

30−3−18 Development of arterial system Formation and fate of aortic arches

Formation and fate of vitelline,

dorsal aortae and umbilical veins

5−4−18 Development of arterial system

II

Arterial system defects

Fetal circulation

12−4−18 Development of venous system Formation and fate of vitelline,

umbilical and cardinal veins

Venous system defects

13−4−18 Development and pattering of

the smooth, skeletal and cardiac

muscle

Formation and patterning of the

smooth, skeletal and cardiac

muscles

19−4−18 Development and growth of the

limbs

Formation and fate of limb bud

Formation and fate of hand plate

and foot plate

Rotation of limbs

Development of joints

Overview of primary and secondary

centers of ossification

Appositional growth

Congenital malformations

20−4−18

26−4−18

Development of body cavities

and diaphragm

Overview of the formation of intra-

embryonic cavity

Division of the intra-embryonic

cavity into pleural, pericardial and

peritoneal cavities

Sources contributing in the

development of diaphragm

Descent of diaphragm


82

supply of diaphragm

Congenital hernias

27−4−18

3−5−18

Development of nervous system Overview of the formation of

neural tube

Fate of the neural tube

Differentiation of the glial and

neurons

4−5−18

10−5−18

Development of nervous system

and pituitary

Development of the spinal cord

Formation and fate of basal plates

and alar plates


with the developmental process

83

Learning Objectives

Gross Anatomy

Region: Head and Neck

2nd year MBBS

Facilitators; Dr. Mamoona Naheed, Dr. Sadia

Recommended Books:

Clinically Oriented Anatomy Keith. L. Moore 6th edition

Clinical Anatomy by Regions Richard S. Snell 8th edition

Last’s Anatomy 11th edition

Date Days Topics Learning objectives

At the end of each Lecture the student will be

able to Draw/ demonstrate/ write

21−11−2017 Monday Skull

Norma Frontalis

Bony features and attachments.

Boundaries of orbit and contents.

Structures passing through various

foramina.

22−11−2017 Tuesday Norma Verticalis &

Occipitalis

Bony features and attachments.

Sutures , fontanelle and clinical

aspects.

23−11−2017 Wednesday Norma Lateralis Bony features, sutures and clinical

aspects.

Boundaris of Temporal and

Infratemporal fossae.

24−11−2017 Thursday Norma Basalis Bony features, relations,attachments

and various foramina with structures

passing through.

25−11−2017 Friday Cranial fossae Bony features, contents, relations,

attachments and various foramina with

structures passing through.

28−11−2017 Monday Meninges & Dural

venous sinuses

Various types, attachments, special

features, spaces between meninges

and clinical aspects.

Names, locations, tributaries and

clinical aspects.

29−11−2017 Tuesday Scalp Different layers, blood supply, nerve

supply and clinical aspects.

84

30−11−2017 Wednesday Mandible Parts,bony features, joints formed with

their type,attachments, important

relations, changes with age and

ossification.

1−12−2017 Thursday Face Cutaneus innervation with clinical

aspects.

Blood supply and Lymphatic drainage

of face.

Areas of anastomosis with clinical

aspects.

2−12−2017 Friday Parotid region & 7th

Cranial nerve

Masseter muscle with its attachments,

nerve supply and blood supply.

Parotid gland with its surfaces,

relations, contents, blood supply,

nerve supply and clinical aspects.

5−12−2017 Monday Hyoid bone Parts, relations,

attachments,ossification and clinical

aspects.

6−12−2017 Tuesday Cervical vertebrae &

joints

Parts, features, muscles and ligaments

attachments, relations and ossification

of cervical vertebrae.

Type, ligaments, movements, muscles

producing movements , blood supply ,

nerve supply and clinical aspects of

cervical joints.

7−12−2017 Wednesday SUBSTAGE I

8−12−2017 Thursday Deep cervical fascia &

introduction to

triangles of neck

Layers, attachments, relations, extent,

different contents of deep cervical

fascia and various spaces formed with

their clinical importance.

Introduction to triangles of neck,

attachments, nerve supply and blood

supply of sternocleidomastoid and

trapezius with clinical aspects.

9−12−2017 Friday Anterior triangle of

neck

Suprahyoid and infrahyoid muscles

with their attachments, nerve supply

and ansacervicalis.

Thyroid and submandibular glands

with their type, relations, blood supply,

nerve supply and clinical aspects.

12−12−2017

13−12−2017

Monday

Tuesday

Anterior triangle of

neck

Cervical parts of trachea and

esophagus with their nerve supply and

blood supply.

Jugular venous system with different

tributaries, drainage and clinical

aspects.

Carotid system with different

branches, distribution and various

clinical aspects.

Deep cervical lymph nodes.

85

14−12−2017 Wednesday Posterior triangle of

neck

Boundaries, contents and clinical

aspects of posterior triangle.

15−12−2017 Thursday Cervical plexus & 11th

cranial nerve

Location, formation, branches and

distribution with clinical aspects of

cervical plexus.

Extracranial course, relations and

distribution with clinical aspects of 11th

cranial nerve.

16−12−2017 Friday Prevertebral region &

Sympathetic chain

Prevertebral muscles with their

attachments, relations, nerve supply,

actions and clinical aspects.

Location, formation, relations,

branches, distribution and clinical

aspects of cervical sympathetic chain.

19−12−2017 Monday SUBSTAGE II

20−12−2017 Tuesday Temporal &

Infratemporal fossae

Boundaries, contents, communications

of fossae.

Muscles of mastication with their

attachments, nerve supply actions and

clinical aspects.

Maxillary artery with its parts,

branches & distribution.

21−12−2017 Wednesday Infratemporal Fossa Mandibular nerve with its course,

branches, distribution & clinical

aspects.

Otic ganglion with its location, roots,

branches and clinical aspects.

22−12−2017 Thursday Temporomandibular

joint

Temporomandibular joint with its type,

ligaments, blood supply, nerve supply,

muscles producing movements,

stability and clinical aspects.

23−12−2017 Friday Trigeminal nerve Trigeminal ganglion with its branches,

distribution and clinical aspects.

2−1−2018 Monday Pterygopalatine fossa Boundaries, contents and

communications of fossa.

Pterygopalatine ganglion and maxillary

nerve with their distribution and

clinical aspects.

3−1−2018 Tuesday Nose & Olfactory

nerve

Medial wall with its structure, blood

supply, nerve supply and clinical

aspects.

Lateral wall with its structure, blood

supply, nerve supply and clinical

aspects.

Olfactory pathway and clinical aspects.

4−1−2018 Wednesday Paranasal sinuses Names, location ,boundaries, nerve

supply, blood supply and clinical

aspects.

86

5−1−2018 Thursday Oral Cavity & hard

palate

Extent, lips, vestibule, mouth, blood

supply and nerve supply.

Skeletal framework, blood supply and

nerve supply of hard palate.

6−1−2018 Friday Soft palate Palatine aponeurosis, Palatal muscles,

blood supply, nerve supply and clinical.

9−1−2018 Monday Tongue & 12th cranial

nerve

Papillae, Muscles,bloodsupply, nerve

supply , lymphatic drainage and clinical

of tongue.

Extracranial course, relations,


10−1−2018 Tuesday Pharynx & 9th cranial

nerve

Constrictor muscles and extrinsic

muscles with their attachments, nerve

supply, relations, gaps present

between them and structures passing

through.

Internal features of different parts of

pharynx with blood supply, nerve

supply and clinical importance.



11−1−2018 Wednesday SUBSTAGE III

12−1−2018 Thursday Larynx Structural frame work ( cartilages,

joints and membranes).

Muscles of larynx with their nerve

supply, actions on vocal cords and

laryngeal inlet.

13−1−2018 Friday Larynx & 10th Cranial

nerve

Interior of larynx, blood supply and

nerve supply with the clinical spects.



16−1−2018 Monday Orbit, extraocular

muscles &Lacrimal

apparatus

Boundaries and contents.

Attachments, nerve supply, actions

and clinical aspects of extraocular

muscles.

Parts, relations, nerve supply, blood

supply and clinical aspects of lacrimal

apparatus.

17−1−2018 Tuesday Coats of eye ball &

2nd, 3rd,4th,6th Cranial

nerves

Features of different layers of eye ball

with clinical aspects.

Course, relations, distribution and

clinical aspects of cranial nerves.

18−1−2018 Wednesday External ear & Middle

ear

Features, nerve supply and blood

supply of external ear.

Boundaries, contents, blood

supply,nerve supply and clinical

aspects of middle ear.

19−1−2018 Thursday Internal ear & 8th

Cranial nerve

Different parts, their structure and

location of receptors.

Course, relations and distribution of

vestibulocochlear nerve with clinical

aspects.

87

20−1−2018 Friday Surface marking &

Radiology

23−1−2018

25−1−2018

Monday

Tuesday

Wednesday

FINAL STAGE HEAD & NECK

88

Learning Objectives

Gross Anatomy

Region: Neuro-anatomy

2nd year MBBS

Recommended Books:




Date Day Topic Learning objectives

At the end of each Lecture the student will be

able to Draw/ demonstrate/ write

26−1−2018 Thursday Introduction to

nervous system

Classification of neurons.

Types of neuroglial cells and their

functions.

27−1−2018 Friday Receptors,

Definitions and Blood

supply of brain

Types of various receptors, their

location and type of sensation carried

by them.

Peripheral and cranial nerve

components.

Circle of Willis with formation,

branches their distribution & clinical

aspects.

30−1−2018 Monday Autonomic nervous

system

Sympathetic and parasympathetic

(afferents, efferent, ganglia and

destinations)

Differences between sympathetic and

parasympathetic systems.

31−1−2018 Tuesday Gross features of

spinal cord and blood

supply

Meninges, extent, and other external

features of spinal cord with its blood

supply

1−2−2018 Wednesday Gray matter of spinal

cord

Various gray horns, commissures,

different nuclei present in the gray

matter at different segments of spinal

cord with their functions.

2−2−2018 Thursday White matter of Different white colums, commissures,

different tracts present in white

89

spinal cord matter with their functions.

3−2−2018 Friday Gross features of

brain stem

External features of midbrain, pons

and medulla with their blood supply.

6−2−2018 Monday Fourth ventricle Boundaries, features of the floor and

clinical aspects.

7−2−2018 Tuesday Internal features of

medulla

Sections of medulla at the level of

pyramidal decussation and medial

leminiscus formation.

Clinical aspects.

8−2−2018 Wednesday Internal features of

medulla

Sections of medulla at the level of

olives and just near to the pons.

Clinical aspects.

9−2−2018 Thursday Internal features of

pons

Sections at the level of caudal and

cranial pons.

Clinical aspects.

10−2−2018 Friday Internal features of

midbrain

Sections at the level of superior and

inferior colliculi. Clinical aspects.

13−2−2018 Monday Cerebellum Parts, topography (lobes and lobules),

blood supply and functional division.

14−2−2018 Tuesday Cerebellum Gray matter structure, white matter

structure (afferents, efferents and

cerebellar peduncles), nuclei

embedded and functions with clinical

aspects.

15−2−2018 Wednesday SUBSTAGE I

16−2−2018 Thursday Introductio to

Diencephalon

&Thalamus

Various parts of diencephalon with

their location, relations, constituting

parts and functions.

Nuclei, their functions, afferents and

effernts with clinical aspects.

17−2−2018 Friday Hypothalamus Nuclei, their functions, afferents and

efferents with clinical aspects.

20−2−2018 Monday Third Ventricle Boundaries and clinical aspects

21−2−2018 Tuesday Sulci & Gyri of

cerebrum

Location, extent and names of various

sulci and gyri of cerebrum dividing it

into different lobes.

22−2−2018 Wednesday Functional areas of

cerebrum

Various motor and sensory areas with

their location, function and specific

Broadman’s number with clinical

aspects.

23−2−2018 Thursday White matter of

cerebrum

Commissural, Association and

projection fibers with their definitions,

types, functions and clinical aspects.

24−2−2018 Friday Lateral ventricle Different horns and their boundaries


27−2−2018 Monday Basal nuclei Classification,names with their

afferents, efferents and clinical

aspects.

90

28−2−2018 Tuesday CSF Circulation Formation, circulation and absorption

of CSF.

Blood brain barrier and blood CSF

barrier.

28−2−2018 Wednesday Ascending tracts Receptors, 1st order, 2nd order and 3rd

order neurons and function of each

ascending tract with clinical.

1−3−2018 Ascending tracts Receptors, 1st order, 2nd order and 3rd

order neurons and function of each

ascending tract with clinical.

2−3−2018 Descending tracts 1st, 2nd and 3rd order neurons,

termination and function of each

descending tract with clinical aspects.

3−3−2018 Descending tracts 1st, 2nd and 3rd order neurons,

termination and function of each

descending tract with clinical aspects.

6−3−2018 Reticular formation Various nuclear groups with their

afferents, efferents, their role and

clinical.

7−3−2018 Limbic system Various parts of limbic system, their

afferents, efferents and their functions


8−3−2018 FINAL STAGE NEUROANATOMY

9,10−3−2018

91

Learning Objectives

Gross Anatomy

Region: Abdomen and Pelvis

2nd year MBBS

Facilitators; Professor Dr. Mamoona Naheed, Dr. Noreen Kashif, Dr. Sadia

Recommended Books:




Date Topic Learning objectives

At the end of each Lecture the student will be able to

Draw/ demonstrate/ write

13−3−2018 Anterior abdominal

wall

Surface land marks, superficial fascia, cutaneus

innervation,blood supply, nerve supply,

lymphatic drainage and clinical aspects.

Abdominal planes, quadrants, and different

incisions.

14−3−2018 Anterior abdominal

wall

Attachments,nerve supply and actions of

abdominal muscles.

Inguinal ligament, conjoint tendon and linea

alba formation.

Deep arteries of anterior abdoinal wall.

Lumbar triangle.

15−3−2018 Rectus Sheath Formation, contents and clinical aspects.

16−3−2018 Scrotum & testis Scrotal layers, testicular coverings, blood

supply, nerve supply and lymphatic drainage


17−3−2018 Inguinal Canal &

hernia

Boundaries, structures passing through,

spermatic cord and its constituents, coverings

and clinical.

Types, causes, coverings and differntiation

between varoius types of inguinal hernias.

20−3−2018 Peritoneum Layers, vertical disposition, lesser sac, lesser

omentum, greater omentum and epiploic

foramen with clinical aspects.

21−3−2018 Peritoneum Horizontal disposition in abdomen and pelvis.

92

Compartments, Spaces and gutters in

peritoneal cavity with clinical aspects.

22−3−2018 Stomach & Celiac

trunk

Stomach with its location, parts, curvatures,

stomach bed, blood supply, nerve supply,

lymphatic drainage and clinical aspects.

Celiac trunk with its location, branches and

their distribution.

24−3−2018 Liver Location, lobes, visceral & peritoneal relations,

blood supply, nerve supply, lymphatic drainage,

surface markig & applied.

27−3−2018 Extrahepatic biliary

apparatus

Gall bladder and bile duct with their parts,

blood supply, nerve supply and clinical aspects.

28−3−2018 SUBSTAGE I

29−3−2018 Pancreas Parts, relations, blood supply, nerve supply,

lymphatics, surface marking and applied.

30−3−2018 Spleen Position, relations, features blood supply, nerve

supply & lymphatic drainage.

31−3−2018 Duodenum &

recesses

Parts, relations, blood supply, nerve supply and

lymphatics with applied aspects.

3−4−2018 Jejunum & Ileum Differences between the two with their blood

supply, nerve supply, lymphatics and applied.

4−4−2018 Colon & Blood supply

large intestine

Caecum, appendix, ascending, descending,

transverse and sigmoid colon with their blood

supply, nerve supply, lymphatics and clinical.

Superior & Inferior mesenteric vessels with

trheir branhes and distribution.

5−4−2018 SPRING BREAK

6−4−2018 Portal vein &

Portocaval

anastomosis

Formation, branches, relations & clinical

significance.

Different sites of anastomosis and clinical

correlation.

7−4−2018 Lumbar vertebrae Features, attachments,differences with other

vertebrae and ossification.

10−4−2018 Posterior abdominal

wall

Attachments of muscles with nerve supply and

actions.

Thoracolumbar fascia with its various layers.

11−4−2018 Posterior abdominal

wall

Blood supply includes, Aorta with its branches

and distribution, Inferior vena cava with its

tributaries.

Lymphatics and lymph nodes of posterior

abdominl wall.

12−4−2018 Kidneys Location, features, relations, coverings, blood

supply, nerve supply, lymphatics and applied.

13−4−2018 SUBSTAGE II

14−4−2018 Ureters and

Suprarenals

Abdominal course, relations of ureters with

their blood supply & nerve supply.

Shape, relations blood supply & nerve supply

and clinical aspects of suprarenal.

93

17−4−2018 Bony pelvis Sacrum, Pelvic walls, pelvic outlet, inlet and

structures passing through.

Sex differences and position of pelvis.

18−4−2018 Pelvic floor Pelvic diaphragm, pelvic fascia, pelvic vessels

and nerves

19−4−2018 Rectum Visceral & peritoneal relations, blood supply,

nerve supply and lymphatic drainage with

clinical aspects.

20−4−2018 Urinary bladder Features, relations, surfaces, peritoneal

relations,blood supply, nerve supply, lymphatic

drainage and clinical.

21−4−20178 Male reproductive

organs

Ductus deferens, seminal vesicles, prostate and

urethra with their location, function, blood

supply, nerve supply and clinical aspects.

24−4−2018 Female reproductive

organs(ovary &

Uterine tubes)

Ovaries and fallopian tubes with their relations,

blood supply, nerve supply, lymphatic drainage

and clinical.

25−4−2018 Uterus Position, parts, peritoneal ligaments, blood

supply, nerve supply & lymphatics & clinical

aspects.

26−4−2018 Nerves and blood

vessels of pelvis

Sacral plexus and inferior hypogastric plexus

with their formation and distribution.

Internal iliac artery with its branches and

distribution.

27−4−2018 SUBSTAGE III

28−4−2018 Introduction to

perineum &

urogenital region

Boudaries & division of perineum.

Contents of anal & urogenital trangle, nerve

supply, superficial fascia, perineal body,

perineal membrane and perineal muscles.

1−5−2018 Urogenital region Perineal pouches with their boundaries,

contents & clinical.

2−5−2018 Anal canal Features, blood supply, nerve supply ,

lymphatic drainage,& applied aspects

Pelvic sympathetic chain with its distribution.

3−5−2018 Ischiorectal fossa Boundaries, contents,spaces, clinical aspects of

ischiorectal fossa and pudendal canal with

boundaries and contents

4−5−2018 Radiology & Surface

marking

5−5−2018 FINAL STAGE ABDOMEN & PELVIS

94

Learning Objectives

Histology

2nd year MBBS

Facilitators; Professor Dr. Mamoona Naheed

Recommended Books:

Basic Histology Junqueira 12th edition

Functional Histology Wheater’s

diFiore’s Atlas of Histology

Date Lecture Objectives Practicals

21−11−17

22−11−17

Respiratory

system

Nasal cavity,

paranasal air

sinuses,

nasopharynx,

larynx &

epiglottis.

Introduction to respiratory system,

including conduction respiratory

parts.

Microscopic structure of walls of

nasal cavity & nasopharynx.

Structure of olfactory epithelium.

Ultra-microscopic structure & types

of cells forming respiratory

epithelium.

Components & layers forming wall

of larynx.

Transition of epithelium with its

functional correlation.

Larynx & Epiglottis

28−11−17

Trachea Microscopic structure of wall of

trachea with components forming

mucosa, submucosa, cartilage and

adventitia.

Changes in microscopic structure of

bronchial tree as we go down the

conducting passages, till alveoli of

respiratory passages.

Trachea

29−11−17

Lung Microscopic structure of lung with

different cell types present.

Blood air barrier.

Clinical conditions e.g. immotile

cilia syndrome, histological basis of

asthma, cancer.

Lung

95

5−12−17

6−12−17

GIT &

Associated

Glands

Lip,

vestibule,

Oral cavity,

palate.

Introduction to various parts of

gastrointestinal tube.

Elaboration of components forming

different layers of lip structure,

including mucosa covering internal

part, red zone & cutaneous surface

covered by skin. Central layer of

skeletal muscle.

Lip

12−12−17

Monthly test − 1

12−12−17

Tongue &

structure7 of

taste buds.

Structure of tongue, various types

of papillae with their structure &

location.

Microscopic anatomy of taste buds

with their location & functional

correlation.

Tongue

13−12−17

Pharynx &

oesophagus

General constitution of

gastrointestinal tube, with

components of four layers.

Structure of pharynx.


oesophagus with differences in

upper, middle & lower parts.

Oesophagus

19−12−17

Stomach Microscopic structure of four layers

of stomach.

Regional differences between

different regions including cardia,

fundus & body and pylorus.

Parts & Ultramicroscopic structure

of gastric glands

Structure of Cardioesophageal &

gastrodoudenal junctions.

Clinical condition reflux

esophagitis.

Stomach

20−12−17

Small

intestine


layers of small intestine.

Regional differences between three

parts.

Structure of peyer’s patch with


Duodenum

Jejunum & Ileum.

2−1−18

Large

intestine


layers of large intestine.

Microscopic structure of appendix.

Colon & appendix

3−1−18 Rectum Special features of all four layers of

rectum.

Distinguishing features from

pylorus of stomach.

Rectum

96


9−1−18 Anal canal Changes of epithelium at junctions.

Specialized features that

differentiate anal canal from

esophagus.

Anal canal

10−1−18 Salivary

glands

Histological structure of serous &

mucous acini.

Structure of parotid, sub-

mandibular & sub-lingual salivary

glands.

Salient features that compare &

contrast them.

Parotid, submandibular

& sublingual glands

16−1−18 Liver &

gallbladder

Division of liver parenchyma into

different lobules with their clinical

significance.

Histological structure of liver.

Microscopic anatomy of gall

bladder.

Liver & gall bladder

17−1−18 Pancreas Microscopic structure of exocrine

pancreas.

Distinguishing features of exocrine

pancreas from salivary glands.

Histology of endocrine pancreas.

Exocrine & endocrine

pancreas

23−1−18 Pituitary

gland

Microscopic anatomy of pituitary

gland with its embryological

background.

Pituitary gland

24−1−18 Thyroid &

parathyroid

gland

Histological structure of thyroid

gland with its functional

correlation.

Microscopic picture of parathyroid

gland.

Thyroid & parathyroid

gland.

30−1−18 Adrenal

gland

Histological structure of adrenal

gland with specifying three layers

of cortex.

Distinguishing features of cortex

from medulla.

Adrenal gland

31−1−18 Urinary

system

Kidney

Microscopic anatomy of kidney.

Arrangement of different parts of

nephron & collecting ducts in

cortex & medulla.

Components of filteration barrier.

Parts of juxtaglomerular apparatus

with their functional correlation &


Kidney

6−2−18 Ureter &

urinary

bladder

Microscopic & ultramicroscopic

structure of urothelium.

Histology of ureteric wall.

Microanatomy of urinary bladder.

Ureter & urinary bladder

97

7−2−18 Urethra Epithelial linning of male & female

urethra.

Histological structure of male

urethra. Its differences from female

urethra.

Male urethra

13−2−18 Term test −1

13−2−18 Male

Reproductive

System

Testis

Structure of testis.

Ultra-structure of germinal

epithelium.

Blood testis barrier.

Testis

14−2−18 Epididymus

& vas

deferens


Epididymus & vas deferens.

Ultra-microscopic structure of

lining epithelium.

Epididymus & vas

deferens

20−2−18 Seminal

vesicles

Microscopic anatomy of seminal

vesicles with functional correlation.

Seminal vesicles

21−2−18 Prostate

gland

Histology of prostate gland.

Age estimation under microscope.

Prostate gland

27−2−18 Female

reproductive

system

Ovary

Structure of ovary.

Microscopic structure of different

ovarian follicles.

Ovary

28−2−18 Fallopian

tube

Histological structure of wall of

fallopian tube (oviduct).

Ultra-microscopic picture of lining

epithelium.

Fallopian tube

6−3−18 Uterus Microscopic picture of uterus.

Menstrual cycle related changes in

histology of endometrium.

Uterus three phases

(menstrual, Proliferative

& secretory).

7−3−18 Cervix &

vagina

Structure of cervix & vagina.

Change of epithelium at internal os.

Cervix & vagina


98

13−3−18 Mammary

gland

Microscopic picture of mammary

gland.

Age related changes in histology of

gland.

Microscopic differences in

parenchyma & stroma in active &

inactive glands.

Anatomical basis of clinical

conditions like cancer.

Mammary gland

(Active & inactive)

14−3−18 Special

senses

Eye lid,

conjunctiva,

cornea,

sclera and

choroids

coat.

Structure of eyelid, conjunctiva,

cornea & sclera.

Functional correlation of each part

with its histology.

Special senses

Eye lid, conjunctiva,

cornea, sclera and

choroid.

20−3−18 Retina Two layers of retina, ultra structure

of retinal layers.

Clinical anatomy of detachment of

retina.

Retina

21−3−18 Internal ear Microscopic structure of organ of

corti, with different types of cells.

Internal ear

Test 2

99

AMNA INAYAT MEDICAL

COLLEGE

AIMC-MBBS,

PHYSIOLOGY CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

Department of Physiology, Amna Inayat Medical College

Prepared by: Dr. Javaria Latif

Supervised by: Dr. Sadia

Zafar

Focal person: Dr. Sadia

Zafar

Departmental Committee: Dr. Sadia Zafar, Associate Professor Physiology

Dr. Rukhsana Mirza, Associate Professor Physiology

Dr. Javaria Latif, Assistant Professor Physiology

100

Contents

1.0. INTRODUCTION

1.1. Department of Physiology, Faculty and staff

1.2. PMDC Table of Subjects, spacing and allocated hours of MBBS

Program

1.3. Allocated contact hours (Theory, Practical, Total) of Physiology

Subject,

in year 1 & 2 of MBBS Program

1.4. Semester planner of contact hours (Theory, Practical, Total) of

Physiology

Subject, in year 1 & 2 of MBBS Program.

1.5. Assessments/Evaluations/Examinations-Planner

1.6. Scheme of Semesters and Send up Assessments/Evaluations and

University Examinations of year MBBS Program.

1.7. Blooms Taxonomy

1.8. Learning Strategies

2.0. CURRICULUM OF PYSIOLOGY SUBJECT

2.1 PMDC Curriculum

2.1. UHS Curriculum

3.0. LESSON PLANERS AND TIME TABLE

3.1 Time Table of Lectures/Demonstrations/Practical of Year 1 and 2.

3.2 Lesson planner with titles and learning objectives of “Theory and

Practical” of

year-1.


Practical” of

Year-2.

4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS

4.1 Continuous Assessments

4.2 Evaluations at End of Semester

4.3 Evaluations at end of year (Send Up)

4.4 University Examinations (Professional 1.a & 1.b)

4.5 Student Feedback Form (Student will fill and submit his/her feedback

form) at end of each year regarding, quality of teaching, quality of

learning resources and any recommendations to improve effectiveness

of teaching and assessments/evaluations)

5.0 Recommended books, Journals, websites

101

Department of Physiology: Faculty and Staff

1 Professor& HOD Dr. Zafar Ali Chaudhry MBBS, MPhil, PhD

2 Associate Professor Dr. Sadia Zafar MBBS, MPhil

3 Associate Professor Dr. Rukhsana Mirza MBBS, MPhil

4 Assistant Professor Dr. Javaria Latif MBBS, MPhil

5 Senior Demonstrator Dr. shumailaDogar MBBS, MPhil-I

6 Senior Demonstrator Dr. Maria Usman MBBS, MPhil-I

7 Senior Demonstrator Dr. HinaPervaiz MBBS, MPhil-I

8 Demonstrator Dr. Imran Hussain MBBS

9 Demonstrator Dr. Rabia Islam MBBS

Lab Staff:

1. Sabir Lab Technician

2. MobeenComputer Operator

102

PMDC TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE

SUBJECT 1ST YEAR 2ND YEAR 3RD YEAR 4RTH YEAR 5THYEAR TOTAL

HOURS

BEHAVIOURAL SCIENCES 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS

ISLAMIC PAKISTAN AND

STUDIES

15HRS 15HRS 10HRS 10HRS - 50HRS

ANATOMY 250HRS 250HRS - - - 500HRS

PHYSIOLOGY 250HRS 250HRS - - - 500HRS

BIOCHEMISTRY 100HRS 100HRS - - - 200HRS

PHARMACOLOGY - - 300HRS - - 300HRS

PATHOLOGY 15HRS 25HRS 260HRS 200HRS - 500HRS

FORENSIC MEDICINE - - 100HRS - - 100HRS

COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRS - 250HRS

MEDICINE AND Allied

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATOLOGY AND

GENERAL PRACTICE

25HRS 30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS

PAEDIATRIC MEDICINE 5HRS 10HRS 15HRS 50HRS 70HRS 450HRS

SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY

10HRS 10HRS 50HRS 100HRS 130HRS 300HRS

OPHTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS

OTORHINOLARYNGOLOGY(ENT) 5HRS 10HRS 15HRS 70HRS - 100HRS

CLINICOPATHOLOGICAL

CONFERENCE

- - - 60HRS - 60HRS

TOTAL 740 HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS

103

TOTAL NUMBER OF CONTACT HOURS

SUBJECT: Physiology, 20117-2018

Total number of Contact hours for 1st Year MBBS

MITs Total number Total contact hours

Lectures 103 103

Practicals 24 48

Small group

discussions

36 72

Assessments 10 21

CMEs 3 6

Total contact hours=250 hours

Duration of lecture = one hour

Duration of practical= 2 hours

Duration of SGD = 2 hours

Duration of assessments= Variable (monthly test, term test, send up)

Duration of CME = 2 hours

Each semester test = 2+1= 3hours

Sendup examination= 3+3= 6hours

104

Allocated hours divided into Theory and practical

Subject: Physiology 1st year MBBS, 2017-2018

Semester Theory

(hrs)

Practical

(hrs)

Small

group

discussion

(hrs)

CME

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 35 16 24 2 5 82

Semester 2 31 16 24 2 5 78

Semester 3 37 16 24 2 5 84

Send up

exam

3 3 6

Grand Total

250

105

Semester planner for First year MBBS, 2017-2018

Subject Physiology

Semesters Semester 1 Semester 2 Semester 3

To

pic

s

1. Homeostasis

1. Nerve &

muscle

Physiology

1. Circulatory

system

2. Cell & Membrane

transport

2. Heart

Physiology

2.Respiration

3.Genetics

3. Skin &

Temperature

regulation

4.Blood Physiology

Total duration of session =9 months

Total semesters=3

Each semester duration = 3 months

Academic session from =

106

Assessment and Examination Planner

For 1st and 2nd Year MBBS, 2017-2018

Year

Semester

1

(3months)

Asse

ssme

nt 1

Semester

2

(3months)

Asse

ssme

nt 2

Semester

3

(3months)

Asse

ssme

nt 3

Asse

ssme

nt

Asse

ssme

nt

Semester

S1

Monthly

test= 2

Term

test=1

S2

Monthly

test= 2

Term

test=1

S3

Monthly

test= 2

Term

test=1

Send-up

UHS

Prof

Exam

Monthly test marks= Total Marks=50

MCQs+ SEQ marks division of monthly test= 25 + 25= 50

End semester term test= Total Marks 200

a. Theory marks= Total Marks 90= 45MCQs + 45SEQs

b. Practical Marks= Total Marks 90 (further division according to UHS format)

c. Attendance criteria= 75%= 10 marks

d. General attitude of student= 5 marks

e. Extracurricular activities = 5 marks

Send-up Marks= Total Marks 200






Internal Evaluation= a. Assessment 1+Assessment 2 +Assessment 3= 50% score

b. Send-up=50% score

107


SUBJECT: Physiology, 2017-2018

Total number of Contact hours for 2nd Year MBBS


Lectures 103 103

Practicals 33 48

Small group

discussions

36 72

Assessments 10 21

CMEs 3 6



Duration of practical= one & half hour


Duration of CME= 2 hours


Each semester test = 2+1= 3 hours

Sendup examination= 3+3= 6 hours

108


Subject: Physiology 2nd year MBBS, 2017-2018

Semester Theory

(hrs)

Practical

(hrs)

Small

group

discussion

(hrs)

CME

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 33 16 24 2 5 80

Semester 2 41 16 24 2 5 88

Semester 3 29 16 24 2 5 76

Send up

exam

3 3 6

Grand Total 250

109

Semester planner Second Year MBBS, 2017-2018

Subject Physiology


To

pic

s

1. Autonomic

Nervous system

1.CNS

(sensory+motor)

1. Renal Physiology

2. Gastrointestinal

tract

2. Special senses

2. Reproductive

Physiology

(male+female)

3.Endocrine Physiology


Total semesters=3


Academic session from = 3-11-2016 to

110


For 1st and 2nd Year MBBS, 2017-2018

Year

Semester

1

(3months)

Asse

ssme

nt 1

Semester

2

(3months)

Asse

ssme

nt 2

Semester

3

(3months)

Asse

ssme

nt 3

Asse

ssme

nt

Asse

ssme

nt

Semester

S1

Monthly

test= 2

Term

test=1

S2

Monthly

test= 2

Term

test=1

S3

Monthly

test= 2

Term

test=1

Send-up UHS Prof

Exam
















b. Send-up= 50% score

111

Introduction to teaching strategies

Physiology department of Amna Inayat Medical College teaches First

Professional M.B.B.S. (part I & II) and B.D.S. first professional under supervision

of Dr. Sadia Zafar. Our basic aim is to improve basic knowledge of physiology by

teaching them physiological skills and improving their professional attitude.

SCOPE AND VISION

We contribute to nation building process by providing our students unlimited

opportunities. We train our young medical professionals in an academically

conductive environment. Our vision is to promote passion of research in

medical students by assigning projects. Our aim is to employ latest techniques

like flipped classroom method that encourage our students to prepare for the

lesson before class, thus the class becomes a dynamic environment in which

students elaborate on what they have already studied and this makes students

to think critically during interactive session at the end of each class.

Course Objectives:

To provide our students the basic physiologic concepts regarding human body

with special emphasis on brain storming (PBL & SDL) and integration of basic

knowledge with practical skills.

112

PMDC Curriculum of MBBS first professional Part I & II

SCHEME OF STUDIES

1. First Professional MBBS Part-I Examination

To be held at the end of the 1st

year in the following subjects in course work

completed in the first year:

PART-I


One Paper: 90 Marks




Total 200 Marks

(b) Physiology

One Paper: 90 Marks




Total 200 Marks

(c) Biochemistry

One Paper: 45 Marks




Total 100 Marks

PART-II


One Paper: 90 Marks




Total 200 Marks

(b) Physiology

One Paper: 90 Marks




Total 200 Marks

113

(c) Biochemistry

One Paper: 45 Marks




Total 100 Marks

*Note: Any students who fails to clear the first Professional MBBS Part-I & Part-II

examination separately in three chances availed or un-availed after becoming

eligible for each examination shall cease to become eligible for further medical

education in Pakistan.

PART-I

PHYSIOLOGY Basic Concepts Clinical/Applied Concepts

General Physiology/Cell

Functional organization of human body Abnormalities of the cell and its

organelles

Homeostasis

Control systems in the body

Cell membrane and its functions

Intercellular Connections

Cell organelles

Transport through cell membrane

Genetics

Blood

Composition and General Functions

Plasma Proteins

Red Blood Cell (Erythropoiesis) Anaemia

Haemoglobin& Blood Indices, Iron

metabolism, Fate of Hb.

Blood indices in various disorders

White Blood Cells,

Leucopoiesis,functions

Leucopaenia, Leucocytosis

Platelets Thrombocytopaenia

Haemostasis Clotting disorders (Haemophilia etc.)

Blood Groups,

Blood Transfusion & complications

Reticuloendothelial System – Spleen

Blood grouping/cross matching &

significance

Immunity

Nerve and muscle

The neuron-structure & functions

Properties of Nerve Fibres Nerve conduction studies

Physiology of action Potential including

compound action potentials

EMG

Conduction of Nerve Impulse, Nerve

Degeneration and regeneration

Synapses

Nerve Injury

Structure of the Muscle

114

Skeletal muscle contraction Rigor Mortis & Contractures

Isometric and isotonic contraction

Smooth muscle contraction

Neuromuscular Transmission Myasthenia Gravis

Excitation — contraction coupling Myopathies/Neuropathies

Motor Unit

Conduction of Nerve Impulse, Nerve

Degeneration and regeneration

Synapses

Nerve Injury

Structure of the Muscle

Skeletal muscle contraction Rigor Mortis & Contractures

Isometric and isotonic contraction

Smooth muscle contraction

Neuromuscular Transmission Myasthenia Gravis

Excitation — contraction coupling Myopathies/Neuropathies

Motor Unit

Neuromuscular Blockers

Gastrointestinal Tract

Structure and General Functions

Enteric nervous system (Gut Brain)

Mastication, Swallowing and their control Dysphagia, achlasia of esophagus

Functions and movements of stomach Examination of abdomen, peptic Ulcer,

Pancreatitis

Functions and movements of small

intestine

Gastric function tests

Functions and movements of large intestine

Hormones of GIT

Vomiting and its pathway Vomiting and effects

Defecation and its pathway Diarrhoea, Constipation

Functions of Liver Jaundice, Liver functions tests

Cardiovascular system

Introduction to heart & circulation Correlation of cardiac cycle with ECG &

heart sounds

Physiology of cardiac muscle

Action potential in atrial & ventricular muscle and pace-maker potential

Regulation of cardiac functions

Cardiac impulse-origin & propagation

Cardiac cycle – various events

Significance of Apex beat/abnormalities

ECG-Recording & interpretation ECG interpretation in cardiac muscle

abnormalities and cardiac arrhythmias

Arrhythmias- mechanism of development Flutter, Fibrillation-Ectopics

Functional types of blood vessels

Haemodynamics of blood flow

Local control of blood flow Conduction defects

Systemic circulation, characteristics & control

Regulation of peripheral resistance

Arterial pulse Jugular venous pulse

Arterial blood pressure (short/long term

regulation)

Radial/other pulses

115

Cardiac output (regulation/measurement) Hypertension, types & effects

Heart Sounds/murmurs

Venous return & its regulation Clinical evaluation of heart sounds and

murmurs

Coronary circulation Ischemic Heart Disease

Splanchnic circulation Heart Failure

Pulmonary circulation Echocardiogram

Cerebral circulation

Cutaneous circulation- Triple response Types of shock

Fetal circulation and readjustments at birth

Cardiovascular changes during exercise

Respiratory System

Organization/functions of Respiratory

Tract

Examination of Chest

Functions of Lungs ( respiratory & non

respiratory)

Types of respiration (Intrapleural pressure,

pneumothorax, effusion)

Mechanics of Breathing Atelactasis

Surfactant and Compliance Lung function tests (Spirometry)

Protective reflexes

Lung volumes and capacities Obstructive/Restrictive lung disease

(FEV1/FVC)

Dead space

Diffusion of Gases (gas laws, composition)

Ventilation/perfusion Abnormal Ventilation/Perfusion

Transport of O2 in blood

Transport of CO2 in blood

Regulation of respiration

(Nervous/Chemical)

Respiratory failure

Abnormal breathing Asphyxia

Hypoxia-types and effects Hypoxia, cyanosis, dyspnoea

Physiology of Cyanosis Artificial respiration

Physiology of high altitude, space, deep

sea diving

Oxygen therapy

Oxygen debt Caisson’s disease

Respiratory changes during exercise

PART-II

PHYSIOLOGY Body fluids and Kidneys

Compartments of body fluids &

measurement

Renal function tests

Tissue and lymph fluids

Fluid Excess/depletion

Structure of Kidney/Nephron

General functions of kidney

GFR-factors regulating

Formation of urine, filtration, reabsorption, secretion

Plasma Clearance

Concentration & Dilution of urine Renal failure/uraemia

Electrolyte Balance

Water Balance

116

Regulation of blood pressure by kidneys Nephrotic syndrome

Hormones of kidneys

Acidification of urine Artificial kidney/Hemodialysis

Acid Base balance Metabolic acidosis/alkalosis

Micturition Abnormalities of micturition including

incontinence

Nervous system

Organization of Nervous system Significance of Dermatomes

Classification of nerve fibres

Properties of Synaptic transmission

Neurotransmitters and neuropeptides

Types and function of sensory receptors Receptors & Neurotransmitters (applied

aspect)

Functions of spinal cord, ascending tracts

Reflex action/ reflexes Interpretation of Reflexes

Muscle spindle / muscle tone UMN/LMN Lesion-features and

localisation

Tactile, temperature and pain sensations

Structure of cerebral cortex

Injuries and diseases of spinal cord,

Analgesia system

Sensory Cortex Disorders of cranial nerves

Motor Cortex

Motor pathways, (Pyramidal & extra

pyramidal)

Hemiplegia/Paraplegia

Basal Ganglia, connections and functions Parkinsonism & other lesions of basal

ganglia

Cerebellum, connections and functions Cerebellar Disorders

Vestibular Apparatus/Regulation of

Posture & Equilibrium

Sleep Disorders

Reticular formation

Physiology of sleep/EEG

Physiology of memory Higher mental function assessment

Physiology of speech Abnormalities of speech

Thalamus-Nuclei & functions Thalamic syndrome

Hypothalamus & limbic System Lesion of Hypothalamus

Cerebrospinal fluid

Regulation of body temperature

Functions of skin Hydrocephalus

Autonomic Nervous System

Physiology of aging

Special senses

Structure & functions of eye-ball Intraocular pressure & Glaucoma

Optical Principles

Accommodation of eye

Errors of refraction Visual acuity

Photochemistry of vision

Colour vision/night blindness Colour blindness, fundoscopy

Dark and light adaptation

Neural function of Retina

Visual pathway, light reflex and pathway

Visual cortex

Field of vision and lesions of visual

pathway

117

Intraocular fluids

Eye movements and control

Visual evoked potentials and

electroretinogram

Physiological anatomy of cochlea

Functions of external & middle Ear

Functions of inner Ear-Organ of Corti

Auditory pathway Hearing test audiometry

Physiology of smell- receptors and

pathway

Types of deafness

Physiology of taste Auditory evoked potentials

Olfaction/taste abnormalities

Endocrinology

General principles(classification,

mechanism of action, feed back control)

Acromegaly, Giantism

Biosynthesis, transport, metabolism,

actions and control of secretion of

hormones of:

Hormonal assay

Hypthalamus

Anterior Pituitary Dwarfism

Posterior Pituitary Panhypopituitarism

Thyroid gland Sheehan’s syndrome

Parathyroid, calcitonin Diabetes insipidus

Adrenal Medulla Syndrome of inappropriate ADH secretion

Andrenal Cortex Myxoedema, Cretinism, thyrotoxicosis

Pancreas

GIT Pheochromocytoma

Pineal gland Cushing’s syndrome, Conn’s syndrome

Thymus Addision’s disease, Adrenogenital

syndrome

Kidney Diabetes Mellitus &Hypoglycemia

Physiology of growth Zollinger Ellison’s

Reproduction

Functional anatomy of Male reproductive system Chromosomal abnormalities

Spermatogenesis

Semen analysis Male infertility

Erection and ejaculation

Testosterone

Male puberty

Oogenesis and functional anatomy of female gonads

Oestrogen& Progesterone Female infertility

Menstrual cycle Contraception

Puberty and Menopause Pregnancy Tests

Pregnancy — Physiological changes in mother during pregnancy

Placenta

Parturition

Lactation

Neonatal Physiology

118

EXPERIMENTAL PHYSIOLOGY

Haematology

Study of the microscope

Determination of:

Haemoglobin (Hb%)

Erythrocyte sedimentation Rate (ESR)

Packed cell volume (PCV)/Haematocrit

Bleeding Time (BT)

Clotting Time (CT)

Blood Groups

Study of Neubauer chamber

RBCs Count

Red cell indices

WBCs Count

Differential leucocyte Count (DLC)

Osmotic fragility of RBCs

Demontration of prothrombin time and thrombin time

Respiratory System

Clinical examination of chest

Measurement of Pulmonary volumes and capacities (Spirometry)

Nervous System

Examination of superficial reflexes

Examination of deep reflexes

Examination of sensory, motor system

Clinical examination of cranial nerves

Cardiovascular System

Frog’s Heart

Recording of normal cardiogram and affect of temperature

Effect of drugs on cardiac contractility

Effect of Ions on cardiac contractility

Properties of cardiac muscle in frog’s heart (Demonstration)

Study of sheep’s heart

Cardiopulmonary resuscitation

Cold pressor test

Triple response

Examination of arterial pulse

ECG recording/interpretation

Measurement of arterial blood pressure

Effect of exercise & posture on BP

Examination of Apex Beat

Heart Sounds- auscultation of normal sounds/murmurs

Special Senses

Field of vision by confrontation method

Field of vision by Perimetry

Light reflex

Ophthalmoscopy

Visual acuity

Colour Vision

Hearing tests

Audiometry

119

Taste Sensation

Olfaction sensation

Frog’s Nerve & Muscle

Simple muscle twitch (SMT) in frog and effect of temperature

Effect of fatigue on muscle contraction

Tatanization in frog’s muscle (Demonstration)

Effect of two successive stimuli on SMT (Demonstration)

Effect of preload and after load on SMT (Demonstration)

Determination of velocity of conduction in

sciatic nerve (Demonstration)

Use of Physiograph (polygraph)

Elicit fatigue in human index finger

Miscellaneous

Recording of body temperature

Pregnancy tests

Introduction to biostatistics e.g. data collection and analysis

- Vitalograph

- Nerve conduction studies

- Muscle conduction

120

UHS Curriculum of MBBS first professional part I &

II

146

Assessment and Examination Scheme

For 1st and 2nd Year MBBS (2017-2018)

Year

Semester

1

(3months)

Asse

ssme

nt 1

Semester

2

(3months)

Asse

ssme

nt 2

Semester

3

(3months)

Asse

ssme

nt 3

Asse

ssme

nt

Asse

ssme

nt

Semester

S1

Monthly

test= 2

Term

test=1

S2

Monthly

test= 2

Term

test=1

S3

Monthly

test= 2

Term

test=1

Send-up

UHS

Prof

Exam

















147

University Examinations

First Professional MBBS, Part-I& Part-II

Theory:

9 SEQs= 9×5= 45 marks

45 MCQs= 45×1= 45 marks

Total= 45+45= 90 marks

Practical + OSPE + Viva voce= 90 marks

Viva voce= 35 marks

a. Internal= 15 marks

b. External= 20 marks

Ospe= 25 marks

a. Non observed stations 10×1= 10 marks

b. Observed stations 3×5= 15 marks

Ospe (C1=30%, C2= 40%, C3= 30%)

Practical= 30 marks

a. Practical= 20 marks

b. Procedure writing= 5 marks

c. Yearly work book assessment= 5 marks

Theory+Practical+Internal evaluation (total marks)

Total marks= 90+90= 180 marks

Internal Evaluation= 20 marks

148

Evaluation form for assessment of sessions of small group discussions

Physiology department of Amna Inayat Medical College

Name of class:

Date:

For overall rating of each of following items, circle the appropriate number.

No. 1= Least effective and No. 5= Outstanding

1. Physical arrangement and comfort 1 2 3 4 5

2. Choice of methods tutor used 1 2 3 4 5

3. Participation level 1 2 3 4 5

4. Group atmosphere 1 2 3 4 5

5. Interest of participants 1 2 3 4 5

6. Was the session focused 1 2 3 4 5

7. To what extent learning objectives were fulfilled 1 2 3 4 5

The three most important things we talked about today were

A.

B.

C.

Here is what I learned today:

A new idea for me was:

I am confused about:

Here’s what I do not understand:

149

Evaluation form for course assessment

Physiology Department of Amna Inayat Medical College

Course Title:

Date:

(Circle the appropriate number)

1= Standards not met, 5= Standards fully met

1. Objectives were met 1 2 3 4 5

2. Topics were logically organized 1 2 3 4 5

3. Used time appropriately 1 2 3 4 5

4. Assignments were useful 1 2 3 4 5

5. Required reading was useful 1 2 3 4 5

6. Used student’s experiences well 1 2 3 4 5

7. Grading standards were clear 1 2 3 4 5

8. Required an appropriate amount of work 1 2 3 4 5

9. Responded to ethnic and cultural diversity 1 2 3 4 5

10. Evaluation activities were appropriate 1 2 3 4 5

11. Used appropriate teaching method 1 2 3 4 5

12. Communicated ideas and concepts fairly 1 2 3 4 5

13. Provided timely and thoughtful feedback 1 2 3 4 5

14. Tutor available outside of class if needed 1 2 3 4 5

15. Tutor sensitive to students background and needs 1 2 3 4 5

16. Tutor demonstrated thorough and up-to-date knowledge 1 2 3 4 5

17. Topic was useful in my professional development 1 2 3 4 5

18. Topic was stimulating and thought provoking 1 2 3 4 5

Additional comments about likes, dislikes, strengths and weaknesses:

150

Recommended Books Physiology

1. Textbook of Physiology by Guyton and Hall (Latest edition)

2. Review of Medical Physiology by William F. Ganong (Latest edition)

Reference Books:

1. Human Physiology by Laurali Sherwood

2. Essentials of Medical physiology by Prof. Dr. Mushtaq Ahmed

3. Physiology by Berne and Levy

4. Physiology by Linda and Costanzo

151

AMNA INAYAT MEDICAL

COLLEGE

AIMC-MBBS,

Biochemistry CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

Department of Biochemistry, Amna Inayat Medical College

152

Department of Biochemistry

Existing Faculty Members

Name Designation

1 Dr.Syed Saleem-ul Haque Professor & HoD

2

3

Dr.Hamid

Dr.Talmeez Zeb

Professor

Assistant Professor

4 Dr.Samra Hafiz Assistant Professor

5 Dr.Shameem Assistant Professor

6

7

Dr.Ayesha

Miss Saadya

Demos

Non Teaching Staff/ Supporting staff

1 Fayyaz LAB attendant

153

ALLOCATION OF HOURS

155

Learning Sites and Strategies Department ensured student-centered active learning in the

context of real problems. It may take different forms, for example,

Basic clinical oriented learning“ Problem Based Learning”, and

“Community Oriented Medical Education.”

1. Large Class Learning (Lectures|)

2. Tutorials

3. LAB Practical exercises

4. Small Group Learning.

5. Self-Learning

6. Student Assignments and Projects

7. Student Presentations

8. Videos

9. Conferences/Seminars/Workshops

156

PMDC CURRICULUM

PMDC CURRICULUM BIOCHEMISTRY For MBBS Part-1

Cell Biochemistry

Introduction to biochemistry

Biochemical composition and functions of the cell

Biochemistry of eukaryotes, prokaryotes and archaea

Cell membranes and their chemical composition

Importance of lipids and proteins in cell membranes

Signaling pathways and receptors

Methods to study cell biochemistry (microscopy, centrifugation,

spectrophotometry, chromatography, electrophoresis and thermal cycler)

Body fluids and pH regulation

Ionization of water, weak acids and bases

pH and pH scale

pK values, dissociation constant and titration curve of weak acids

Body buffers and their mechanism of action

Henderson – Hasselbach‟s equation

Acid base regulation in human body

Biochemical mechanisms for control of water and electrolyte

balance..

Carbohydrates

Definition, biochemical function and classification

Structure and functions of monosaccharides and their derivatives

Disaccharides and their important examples

Oligosaccharides and their combination with other macromolecules

Polysaccharides and their important examples and biochemical role

Biochemical importance of carbohydrates

Proteins

Definitions, biochemical importance and classification of proteins

based on physiochemical properties

Amino acids and their structure, properties and functions

157

Classification and nutritional significance of amino acids

Dissociation, titration and importance of amino acids

Structure of proteins and their significance in pH maintenance

Separation of proteins e.g. salting out, electrophoresis,

chromatography, centrifugation

Immunoglobulins and their biomedical significance

Plasma proteins and their clinical significance

Nucleotides and Nucleic Acids

Chemistry of purines and pyrimidines, their types, structure and function

Chemistry and structure of nucleoside and nucleotide and their

biochemical role

Derivatives of purines and pyrimidines, their role in health and disease

Nucleic acids, their types, structure and functions (gout)

Lipids and Fatty Acids

Classification of lipids and their biochemical functions

Structure and biochemical function of phospholipids, glycolipids and

sphingolipids

Classification of fatty acids and their biochemical functions

Functions of essential fatty acids

Identification of fats and oils (saponification, acid number)

Eicosanoides and their function in health and disease (overview)

Steroids and their biochemical role

Cholesterol, its structure, chemistry and functions

Lipid peroxidation and its significance

Enzymes

Classification/nomenclature

Properties of enzymes and catalysts

Functions of enzymes and catalysts

Co-enzymes and co-factors

Isozymes and their clinical importance

Factors affecting enzyme activity (Michaelis – Menten and Lineweaver burk

equations)

Classification of enzyme inhibitors and their biochemical importance

Therapeutic use and application of enzymes in clinical diagnosis

Porphyrins and Haemoglobin

Chemistry and biosynthesis of porphyrins and related disorders

Structures, functions and types of haemoglobin

Oxygen binding capacity of haemoglobin, factors affecting and regulating

the

oxygen binding capacity of haemoglobin

Degradation of haeme, formation of bile pigments, its types, transport and

158

excretion

Hyperbilirubinimia, biochemical causes and differentiation

Haemoglobinopathies (Hb-S, Thalassaemia etc.) and their

biochemical causes

Vitamins and minerals

Vitamins and their different types

Classification of vitamins, their chemical structure and biochemical function

Absorption of vitamins and minerals

Daily requirements, sources of water and fat soluble vitamins

Effects of vitamin deficiency

Role of vitamins as co-enzymes

Hypo- and hyper-vitaminosis

Minerals in human nutrition, sources, biochemical actions and

recommended daily allowance (RDA).

Sodium, potassium, chloride, calcium, phosphorus, magnesium,

sulfur, iodine, fluoride

Trace elements (Fe, Zn, Se, I, Cu, Cr, Cd and Mn)

Nutrition

Caloric requirements of the body

Balanced diet

Nutritional requirements in:

pregnancy

lactation

newborn, youth and old age

Nutritional disorders and protein energy malnutrition (Marasmus,

Kwashiorkor and Marasmic-Kwashiorkor)

159

UHS CURRICULUM BIOCHEMISTRY FOR MBBS PART 1

164

LABORTARY EXPERIMENT

165

DEPARTMENTAL LESSON PLANNER

TIME TABLE FOR 1ST YEAR MBBS( 2017-18)

BIOCHEMISTRY DEPARTMENT

8:AM to

10:AM

10:20A.M

to 11:20

A.M

11:20A.M to

12:20A.M

12 .20 to

1.20

1.30:PM

to 3:PM

MONDAY

PRACTICAL

BATCH C

TEST MONTHLY

(Theory Paper)

TUESDAY

PRACTICAL

BATCH B

LECTURE 1

WEDNESDA

Y

PRACTICAL

BATCH A

LECTURE 2

TUTORIAL

Thursday

LECTURE 3

FRIDAY

LECTURE 4

166

YEARLY LESSON PLANNER FOR M.B.B.S 1st Year (2017-18)

LECTURE

No.

Date

Title/Topic

Topic to be covered (in detail)

Lect. by 1 1st week

1-12-17

Thursday

C

E

L

L

B

I

O

C

H

E

M

Biochemical composition and functions of the cell

Dr. Saleem

2 2-12-17

Friday

Cell membranes and their chemical composition

3 2nd week

6-12-17

Tuesday

Importance of lipids and proteins in cell membranes

4 7-12-17

Wednesday

Chemistry of signals and receptors

5 8-10-17

Thursday

Signal transduction

6 9-12-17

Friday

Membrane transport including active transport, passive

transport

7 3rd week

13-12-17

Tuesday

Membrane transport including simple and

facilitated diffusion

8 14-12-17

Wednesday

Methods to study cell biochemistry

9 15-12-17

Thursday

Acid Base

Balance and

Body Fluids

Ionization of water, week acids and bases, pH and pH

scale

Dr.Saleem

10 16-12-17

Friday

pK values, dissociation constant and titration curve of

week acids

11 4th week

20-12-17

Tuesday

Body buffers and their mechanism of action

12 21-12-17

Wednesday

Henderson – Hesselbach equation

13 22-12-17

Thursday

Acid base regulation in human body

14 23-12-17

Friday

Biochemical mechanisms for control of water and

electrolyte balance

15 5th week

3-1-18

Tuesday

Types of particles in solution(Colloids/Crystaloids)

Classification of Particals

167

16 4-1-18

Wednesday

Importance of selectively permeable membranes,

osmosis and osmotic

pressure Gibbs-Donnan’sEquilibrium

17 5-1-18

Thursday

CARBOHYDRA

TES

CHEMISTRY

, surface tension, Emulsions, viscosity also in relation to

body fluids

Dr.Shamim

18 6-1-18

Friday

Carbohydrates definition, their biochemical function

and classification

19 6th week

10-1-18

Tuesday

Monasaccharides-Nomenclature

20 11-1-18

Wednesday

Monosacharides-Isomarism

21 12-1-18

Thursday

Chemical properties of Monosacharides

22 13-1-18

Friday

Structure, functions and derivatives of

imp.monosaccharides

23 7th week

17-1-18

Tuesday

Structure and function of oligosaccharides and

disaccharides

24 18-1-18

Wednesday

Polysaccharides and their biochemical role-

Homopolysacharides

25 19-1-18

Thursday

Heteropolysacharides-GAG’S

26 20-1-18

Friday

Glycoconjugates(proteoglycans/Glycoproteins

27 8th week

24-1-18

Tuesday

Mucopolysacaridesis

28 25-1-18

Wednesday

Amino Acids

and Proteins

Proteins and their biochemical importance Dr.Samra

29 26-1-18

Thursday

Classification of Aminoacids:

standard/Non-standard

Essential/Non-Essential

30 27-1-18

Friday

Classification of Aminoacids:

Polar /Non-Polar, α/β Amino acids

Peptide bond

31 31-1-18

Tuesday

Classification of Proteins-Structural

(Simple/compound/Derived Proteins)

32 9th week

1-2-18

Wednesday

Classification of Proteins-Functional

33 2-2-18

Thursday

Compound/Conjugated Proteins

34 3-2-18

Friday

Derived Proteins-(Primary/Secondary derived

35 10th week

7-2-18

Tuesday

Three dimensional structure of Proteins Primary and

secondary

36 8-2-18

Wednesday

Tertiary and Quaternary structure of Proteins and bonding

forces

37 9-2-18 Amphoteric properties of A.A.&proteins

168

Thursday

38 10-1-18

Friday

Haemoglobin structure

39 11th week

14-2-18

Tuesday

Haemoglobinopathies

40 15-2-18

Wednesday

Collagenopathies(Scurvey,Marfansyndrome,osteogenesis

imperfect ),abnormal intracellular deposits of proteins)

41 16-2-18

Thursday

Immunoglobulins structure and functions

42 17-2-18

Friday

Plasma proteins

43 12th week

21-2-18

Tuesday

Protein separation techniques (Electrophoresis/Isoelectrc

Focusing/Chromatography)

Amino acid titration

43 22-2-18

Wednesday

Nucleotide

and Nucleic

Acids

Nucleotides and their biochemical role.

Dr.Shamim

44 23-2-18

Thursday

. Structure, function and biochemical role of nucleotides

45 24-2-18

Friday

Synthesis of purines and pyramidines and their clinical

role

46 13th week

28-2-18

Tuesday

. Structure, function and types of nucleic acids

47 1st week

1-3-18

Wednesday

DNA

2-3-18

Thursday

RNA

48 3-3-18

Friday

Lipids Classification of lipids and their biochemical functions Dr.Talmez

49 14th week

7-3-18

Tuesday

Structure and biochemical function of phospholipids,

glycolpids, and

sphingolipids

50 8-3-18

Wednesday

Classification of fatty acids and their biochemical

functions

51 9-3-18

Thursday

Functions of essential fatty acids

52 10-3-18

Friday

Eicosanoides and their function in health and disease

53 15th week

14-3-18

Tuesday

Steroids and their biochemical role

54 15-3-18

Wednesday

Cholesterol, its structure chemistry and function

55 16-3-18

Thursday

Lipid peroxidation and its significance

56 17-3-18

Friday

Lipoprotein Structure

57 16th week

21-3-18

Tuesday

Fatty Liver

58 22-3-18 Enzymes Enzyme-Nomenclature Dr.Talmez

169

Wednesday

59 24-3-18

Friday

Classification of Enzymes

60 17th week

28-3-18

Tuesday

Classification

61 29-3-18

Wednesday

Properties of Enzymes

62 30-3-18

Thursday

Enzymes and catalysts

63 31-3-18

Friday

Function of enzymes and catalysts

64 18th week

04-4-18

Tuesday

Co-enzymes and co-factors

65 05-04-18

Wednesday

Iso-enzymes and their clinical importance

66 06-04-18

Thursday

Factors affecting enzyme activity (Michaelis – Menten

and Lineweaverbuk

67 07-04-18

Friday

Regulation of enzyme Activity

68 19th Week

11-04-18

Tuesday

Classification of enzyme inhibitors and their biochemical

importance

69 12-04-18

Wednesday

Therapeutic use and application of enzymes in clinical

diagnosis

0 13-04-18

Thursday

Enzyme Deficiency Diseases

66 14-04-18

Friday

Haemoglobin

Metabolism

Porphyrins Dr.Saleem

71 18-04-18 Metabolism of haem

72 20th Week

19-04-18

Wednesday

Synthesis and structure of haemoglobin

73 20-04-18

Thursday

Types and function of haemoglobin

74 21-04-18

Friday

O2 binding capacity of haemoglobin and factors

regulating & affecting it

75 21 Week

25-04-18

Tuesday

Breakdown of haemoglobin, formation of bile pigments

their transport and

excretion

76 26-04-18

Wednesday

Biochemical causes of hyper-bilirubinaemia and

differentiation between

different types of jaundice

77 27-04-18

Thursday

Causes and types of haemoglobinopathies

78 28-04-18

Friday

Porphyrias

79 22 Week

02-05-18

Tuesday

Porphyrias

170

80 03-05-18

Wednesday

Vitamins

Classification of vitamins, their chemical structure &

biochemical function

Dr.Saleem

81 04-05-18

Thursday

Daily requirements, sources,functions and deficiency

effects of fatr soluble vitamins-Vitamin A

82 05-05-18

Friday

Vitamin A

83 23rd Week

09-05-18

Tuesday

Vitamin D

84 10-05-18

Wednesday

Vitamin E and Vitamin k

85 11-05-18

Thursday

Water soluble Vitamins-Vitamin C & B1(Thiamine)

86 12-05-18

Friday

Vitamin B2(Riboflavin),B3(Niacin)

87 24th Week

16-05-18

Tuesday

Pantothenic acid and Biotin Dr.Talmez

88 17-05-18

Wednesday

Folic acid and Cobalamin(B12)

89 18-05-18

Thursday

Role of vitamins as co-enzymes

90 19-05-18

Friday

Hypervitaminosi

25th Week

23-05-18

Tuesday

Minerals (1) Minerals in human nutrition, sources, biochemical

actions and recommended

daily allowance (RDA)-Iron

Dr.Samra

91 24-05-18

Wednesday

Calcium and Phosphorus

92 25-05-18

Thursday

Iron metabolism

93 26-05-18

Friday

Zinc & Copper ,Selinium

94 26th Week

30-05-18

Tuesday

Nutrition Caloric requirements of the body.

Dr.Shamim

95 31-05-18

Wednesday

Balanced diet

96 27th Week

01-06-18

Thursday

Protein energy malnutrition

97 02-06-18

Friday

. Marasmus

98 28th Week

06-07-18

Tuesday

Kwashiorkor

99 07-07-18

Wednesday

Marasmic-kwashiorkor

100 08-07-18

Thursday

Nutritional requirements in:

Pregnancy

171

Department of Biochemistry


DEPARTMENT OF BIOCHEMISTRY

Practical Schedule of 1st Year MBBS 2017-2018

Date Day Batch Practical Responsibility

Instrumentation

1st

week

Monday

Tuesday

Wednesday

C

A

B

pH Metery, centrifuge, spectrophotometer,

water bath, hot air oven, water distillation

unit, glass wares

Demos

2nd

Week

Monday

Tuesday

Wednesday

C

A

B

Solutions Demos

Molar, Molal, Normal & percentage

solutions

3rd

Week

Monday

Tuesday

Wednesday

C

A

B

Solutions Demos

Molar, Molal, Normal & percentage

solutions

4th

week

Monday

Tuesday

C

A

Test/ ospe

101 09-07-18

Friday

Lactation

102 29 Week

13-07-18

Tuesday

Extracellular

Matrix

MINERALS(11

)

Types of Collagen ,structure , biosynthesis,degradation of

collagen, Collagenopathies

Dr.Samra

103 14- 07-18

Wednesday

ELASTIN ,Characteristics of Elastin,Role of alpha 1antitrypsin

in elastic degradation,genetic disorder of elastin

104 15-07-18

Thursday

Fibrilin 1 as a protein of Myofibrils,Marfan syndrome,

Fibronectin & role in cell adhesion

105 16-07-18

Friday

Glycoaminoglycans structure, Classification ,functions &

disorders

106 30th Week

20-07-18

Tuesday

Structure & functions of Glycoprotein

107 07-06-18

Wednesday

Na & K Dr.Samra

108 08-06-18

Thursday

Sulphur, magnesium, flouride

172

Wednesday B

5th

week

Monday

Tuesday

Wednesday

C

A

B

Carboydrates Demos

Molisch’s test & Iodine test

6th

week

Monday

Tuesday

Wednesday

C

A

B

Benedicts test ,& Barfoeds test

7th

week

Monday

Tuesday

Wednesday

C

A

B

Tollen’s Test & Salivenoff’s Test

8th

week

Monday

Tuesday

Wednesday

C

A

B

Osazone test

9th

week

Monday

Tuesday

Wednesday

C

A

B

Hyrolysis of Sucrose

10th

week

Monday

Tuesday

Wednesday

C

A

B

Hydrolysis of Starch

11th

week

Monday

Tuesday

Wednesday

C

A

B

Test/ospe

12th

week

Monday

Tuesday

Wednesday

C

A

B

LIPIDS Demos

Spot test Solubility of Lipids

13th

week

Monday

Tuesday

Wednesday

C

A

B

Emulsification

14th

week

Monday

Tuesday

Wednesday

C

A

B

Saponification

15th

week

Monday

Tuesday

Wednesday

C

A

B

Test/ospe

16th

week

Monday

Tuesday

Wednesday

C

A

B

PROTEINS

Ninhydrin Test &Biuret test

Demos

17th

week

Monday

Tuesday

C

A

Xanthoprotiec test &Hopkins cole test

173

Wednesday B

18 th

week

Monday

Tuesday

Wednesday

C

A

B

Heat coagulation test

19th

week

Monday

Tuesday

Wednesday

C

A

B

Salt saturation test

20th

week

Monday

Tuesday

Wdnesday

C

A

B

Ice cold test

21

week

Monday

Tuesday

wednesday

C

A

B

Test/ospe

22th

week

Monday

Tuesday

Wednesday

C

A

B

URINE

Normal urine

Demos

23th

week

Monday

Tuesday

wednesday

C

A

B

Abnormal urine

24th

week

Monday

Tuesday

wednesday

C

A

B

Tests for proteins

25th

week

Monday

Tuesday

Wednesday

Bile salts &blood

26th

week

Monday

Tuesday

Wednesday

Carbohydrates &ketone bodies

27th

week

Monday

Tuesday

Wednesday

Tests for organic constituents

28th

week

Monday

Tuesday

Wednesday

Tests for inorganic constituents!1

29th

week

Monday

Tuesday

Wednesday

Test/ospe

174

DEPARTMENTAL ASSESSMENT /

EVALUATION & EXAMINATIONS

FOR M.B.B.S PART 1

Assessments and Examinations: 1. Minimum attendance 80%.

2. Summative Assessment:

Summative Assessment consists of the sum of the Continuous Assessment score

(Internal assessment based on assessment of student performance during monthly

tests &Term exams) and end of year University Examination.

SHEDULE OF MONTHLY TEST TERM ,SEND –UP & ANNUAL EXAM (UHS)

DEC

Test 1

100

Marks

JAN

Test

2

(100)

FEB

Test3

(100)

MAR

1st

Term

(150)

April

Test 4

(100)

MAY

Test5

(100)

June

2nd

Term

(150)

July

Pre

Send-

up

Exam

(100)

August

Send-up

Exam

(180)

Annual

University

Exam

(200)

DESCRIPTION OF MONTHLY TEST (100 marks)

Examination Components

Theory

MCQs Based (35 Marks)

SEQs Based (35 Marks)

Viva Voce (30 Marks)

For TERM EXAM (150 marks)

Theory

MCQs Based (50 Marks)

SEQs Based (50 Marks)

Viva Voce (50 Marks)

UNIVERSITY EXAMINATION (200 Marks)

Theory paper (90 MARKS)

MCQ : 45

SEQ: 45

Total Marks for VIVA, OSPE,Practicals+Inteternal Assessment = 100 Marks

175

RECOMMENDED BOOKS

176

AMNA INAYAT MEDICAL

COLLEGE

AIMC-MBBS,

FORENSIC MEDICINE & TOXICOLOGY CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY,


177

CONTENTS

1.9. INTRODUCTION

1.10. Department of Forensic Medicine, Faculty and staff


Program

1.12. Allocated contact hours (Theory, Practical, Total) of Forensic

medicine Subject, in year 3rd of MBBS Program


Forensic medicine Subject, in year 3rd of MBBS Program.



University Examinations of3rd year MBBS Program.

1.16. Teaching Strategies

2.0. CURRICULUM OF FORENSIC MEDICINE SUBJECT.

2.1 PMDC Curriculum


3.4 Time Table of Lectures/Demonstrations/Practical of 3rd year.


Practical” of 3rd year


4.1 Continuous Internal Assessments

4.2 Assessment at End of Semester

4.3 Assessment at end of year (Send Up)






Recommended books, Journals, websites

178

Introduction to Forensic Medicine

FORENSIC MEDICINE is a state medicine which deals with the application of

principles of medical to the purpose of law and to furthering of justice.

Forensic medical examination is a highly responsible and difficult task requiring

trained staff and purpose built and well equipped examination centers for examination

of the living and dead. The subject spreads into almost every branch of medicine. It

covers the responsibilities of doctors towards the State, patients and towards each

others.

At the completion of Forensic Medicine plan of study student should :-

Know the rights & duties of a doctor when he / she comes in contact with the

courts.

Know the principles of Forensic Medicine including the recognition, collection,

identification, preservation & documentation of physical evidence with in the

criminal justice system.

Be able to document & orally describe crime scenes, physical evidence &

scientific processes.

Be able to perform medicolegal autopsies & medicolegal examination of living

victims of physical & sexual assault.

Have an understanding of certain provisions of law falling under Pakistan Penal

Code (PPC) & Criminal procedure Code (Cr.PC)

179

DEPARTMENT OF FORENSIC MEDICINE STAFF MEMBERS

DESIGNATION NAME QUALIFICATION

HEAD OF DEPARTMENT

PROFESSOR OF

FORENSIC MEDICINE DR. Saeed Ahmed M.B.B.S, DMJ

ASSISTANT PROFESSOR DR. Sobia Aamir M.B.B.S, DMJ

DEMONSTRATOR DR. Imtiaz Ahmed M.B.B.S

LAB. ASSISTANT Naik Muhammad

180

TABLE OF SPACING AND HOURS OF SUBJECTS IN MBBS COURSE

SUBJECT 1ST

YEAR

2ND

YEAR

3RD YEAR 4RTH

YEAR

5THYEAR TOTAL

HOURS



STUDIES









MEDICINE AND Allied

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATOLOGY AND

GENERAL PRACTICE

25HRS 30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS


SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY




CLINICOPATHOLOGICAL

CONFERENCE

- - - 60HRS - 60HRS

TOTAL 740

HRS

790HRS 1060HRS 1265HRS 940HRS 4795HRS

181

Distribution of subjects

Instructional contents into

Theory and Practical learning.

Type of subject

Theory Content Practical Skills Content

All Basic Sciences 50% 50%

Pre-Clinical Sciences

(Pharmacology and

Therapeutics, Forensic

Medicine, Community

Medicine, Pathology)

40% 60%

Clinical Sciences 30% 70%

Internship/House Job 0% 100%

182

ALLOCATED HOURS IN FORENSIC MEDICINE SUBJECT IN

3RD YEAR MBBS PROGRAME

Total number of Contact hours for Third Year MBBS

MITs Total number Total contact hrs

Lectures 85 63

Practical’s 18 27

Grand tutorials 6 9

Assessments 3 3

Total contact hours= 100 hours

Duration of lecture= 45min

Duration of practical= 90min

Duration of Grand tutorial= 90min

Duration of assessments= 1 Hour

183

SEMESTER/TERM PLANNER FOR 3RD YEAR MBBS

SUBJECT FORENSIC MEDICINE

Sr.

NO. SEMESTER/TERM – I SEMESTER/TERM - 2 SEMESTER/TERM - 3

TOPICS TOPICS TOPICS

1.

2.

3.

4.

5.

Autopsy & Exhumation

Thanatology

Personal identity

General aspects of

Toxicology

Laws relating to drugs and

poisons

Traumatology

Asphyxial Deaths

Accidents in Home &

Environment

Corrosives, Irritants,

Asphyxiates.

Medicolegal aspects of Sex

Legal procedures

Law relating to medical

man

Medicolegal aspect of

insanity

Insecticides, Poisons

effecting Nervous system,

Analgesics


Total semesters = 3


Academic session 3rd Year MBBS from 5-12-16 to 30-9-17

184

ASSESSMENT AND EXAMINATION PLANNER

FOR 3RD YEAR MBBS

Third Year MBBS

Year

Semester

1

3 months

Assessment

Semester

2

3 months

Assessment

Semester

3

3 months

Assessment

Assessment

Assessment

Semester

S1

Monthly test=

2

Term test=1

S2

Monthly test=

2

Term test=1

S3

Assessment

for semester

3

Send-up

UHS second

Prof Exam

Monthly test marks = Total Marks=50



f. Theory marks= Total Marks 40

g. Practical /viva Marks= Total Marks 40

h. Attendance criteria= 75%= 10 marks

i. General attitude of student= 5 marks

j. Extracurricular activities = 5 marks


f. Theory marks= Total Marks 40

g. Practical/viva Marks= Total Marks 40 (further division according to UHS format)

h. Attendance criteria= 75%= 10 marks

i. General attitude of student= 5 marks

j. Extracurricular activities = 5 marks



Credit of three semesters=100+100+100 (50% theory+50% practical)

Sendup examination= 100 (50% theory+50% practical)

Final internal assessment= sendup +total semesters assessments = /2

185

YEARLY PLANNER ACCORDING TO SEMESTER

TITILE DESCRIPTIONN Interactive

Lectures

(IL)

PRACTICALS Tutorial/Grand

Tutorial

Assessments

(Summative,

Formative)

Semester 1 15 DEC to 15

March

28 6 2 1

WINTER BREAK 25.12.2017 to 01.1.2018

TITILE DESCRIPTIONN THEORY PRACTICALS Tutorial/Grand

Tutorial

Summative

Assessment

Semester 2 16 March to 15

June

28 6 2 1

SPRING BREAK 01.4.2018 to 8.4.2018


Tutorial

Summative

Assessment

Semester 3 16 June to 15

Sep

28 6 2 1

SUMMER BREAK 15.6.2018 to 14.7.2018

TITILE DESCRIPTIONN Observed

stations

Unobserved

stations

Feed back Formative

Assessment

OSPE

revision

1st week of Oct 02 8 One to one 1

TITILE DESCRIPTIONN Theory

Marks

Practical

Marks

Viva

Marks

Summative

Assessment

Send Up

exam

2nd week of

October

50 % 25% 25% 1

186

TEACHING STRATEGIES

Our aim is to employ latest techniques like flipped classroom method that encourage our

students to prepare for the lesson before class, thus the class becomes a dynamic

environment in which students elaborate on what they have already studied and this

makes students to think critically during interactive session at the end of each class.

Special emphasis will be given on brain storming (PBL & SDL) and integration of basic


MITs (Method of Information Transfer)

Subject information will be delivered to the learners through Interactive Lectures, small group

teaching , Practical through out the academic year

Lectures

Lectures/week Small Group Teaching

/Month

Tutorilas/week Grand

Tutorial

/Month

3 2 3 1

Interactive Lecture:

There would be 3 Lectures a week. These would be interactive lectures through power point

presentations and hand outs where needed.

Small Group Teaching:

There will be 2 contact sessions. It will comprise of PBL or TBL, Small Group Discussions twice a

month. In 1st contact students will be given tasks and then next session would be for the group

discussion and evaluation.

Tutorials:

There will be 3 Tutorials/week and 1 Grand tutorial in a month. It will comprise of

Interactive session (Questions &Answers)

Student presentations (Power points ,role play)

Online Assignments Review

187

CURRICULUM PRESCRIBED BY

P.M.D.C. / U.H.S

FORENSIC MEDICINE & TOXICOLOGY

COURSES OF STUDY

1. FORENSIC MEDICINE

a) PAKISTAN’S LEGAL SYSTEM

Students should be able to:

Describe the powers and jurisdiction of courts, procedures for

inquest, and legal Procedures.

Define important Legal terms.

Debate the application of relevant Legal sections of the penal code.

Define the role of a medical doctor in the medico-legal system.

Give medical evidence in courts.

Document information to be prepared by a medical doctor for legal

procedures.

Describe Procedure of Court attendance and recording of evidence.

b) FORENSIC SCIENCES

The student will:

Describe the role of Forensic Sciences in Crime detection.

188

c) LAW IN RELATION TO MEDICAL MEN

The student will:

Understand and act according to and within the framework of

Privileges and obligations of Registered medical practitioner.

Maintain a Doctor-patient relationship in the context of he highest

ethical standards.

Understand and refrain from any temptations to professional

misconduct.

Guard Professional secrets and privileged communication. Maintain

highest ethical principles in medical examination and when obtaining

consent.

Define what constitutes medical negligence.

Debate the pros and cons of organ transplantation in each individual

case.

Develop and defend a personal moral view on Artificial insemination,

Therapeutic abortions, Euthanasia, Biomedical research etc. in

keeping with the norms of society and highest ethical principles.

d) PERSONAL IDENTITY

Students should be able to describe:

- Parameters of personal identity, methods of identifying living, dead,

decomposed, mutilated and burnt bodies, and skeletal and

fragmentary remains, using special techniques (Dentistry:

Radiology, Neutron Activation Analysis etc.), and objective

methods of identification (Osteomtery, Dactylo-scopy, DNA

Technique, Super imposition photography etc.).

- Methods of determination of age, sex and race by various methods

with their medico-legal aspects.

- Methods to trace evidence, Locard’s Principle of exchange and its

medico-legal significance.

189

e) THANATOLOGY

The student should be able:

To describe:

- Scientific concepts regarding death, medico-legal aspect of Brain

death, Indicators of Death, medico-legal aspects of Sudden and

unexpected deaths, causes, manner, mode and mechanisms of

death.

- Physicochemical changes subsequent to death occurring in various

body tissues and organs under various environmental conditions.

To write:

- A Certification of death according to WHO guidelines.

f) TRAUMATOLOGY

i) MECHANICAL INJURIES:

The student should be able to describe mechanisms of wound

production, classification of wounds, wounds produced by

conventional weapons and their medico-legal aspects. Firearms,

Ammunition, Classification, Nomenclature, wound Ballistics and

medico-legal aspects

ii) MECHANICAL INJURIES — MEDICO-LEGAL CONSIDERATION

The student should be able to:

- List and debate laws in relation to causing Bodily harm,

Wounding and Homicide.

- Examine an injured person, certify nature, manner of cause,

causative agent and dating of wounds.

- Link Sequelae of trauma to its original cause; and search for the

relationship of sequelae to pre-existing disease.

- Identify the causes of death from wounds.

- Distinguish between ante-mortem and post-mortem wounds.

- Diagnose whether death is suicidal, homicidal and accidental.

190

iii) The student should also have a knowledge of and be able to

describe methods of treatment and possible etiologies of

REGIONAL INJURIES, and should be able to suture simple

superficial wounds of:

Head (Scalp, Skull, Brain ) and Face. Vertebral column and its

contents, Neck, Chest, Abdomen, Limbs, Bones and Joints.

And Special truma such as: Transportation injuries, Police torture, and

Deaths in Custody.

And Should be able to determine the medicolegal aspects of Heat,

Cold, Electrical injuries.

g) VIOLENT DEATHS DUE TO ASPHYXIA.


Define, Classify, causes of; and detect the Anatomical, Physiological,

Biochemical and Pathological signs of violent death; and of

Mechanical, chemical and environmental asphyxial death and their

medicolegal implications.

h) AUTOPSY

Students should be able to list:

- Types, objectives, rules, and techniques and describe procedure for

post-mortem;

Describe:

- Methods for Assessment of Fatal period and post-mortem interval.

Post-mortem artefacts. Risks and Hazards of autopsy, and Autopsy

Protocol.

- Procedure for selection and reservation, labelling and despatch of

Biological and non-Biological materials for laboratory examination;

and should be able to collect relevant samples.

- Exhumation procedures, and debate its value and limitations.

191

i) FORENSIC SEXOLOGY


Describe the approach to Impotence, determination of Virginity,

Pregnancy and criminal processes during delivery, their medico-legal

aspects, examination procedure and reporting.

j) SEXUAL OFFENCES AND RELEVANT SECTIONS OF LAW

(ZINA AND HUDOOD ORDINANCE)


Differentiate between Natural and unnatural sexual offences and

know how to perform a Medical examination of victim and assailant,

collect specific specimens and write a required certification.

Students should be able to list:

Common sexual perversions and address their cause.

k) MISCARRIAGE


- Determine the relevant sections of law, Medico-legal aspects

applicable to miscarriage; and

Be able to:

- Examine mother and aborted material; and send aborted material in

proper preservative for examination.

l) CRIME AGAINST NEW-BORN, INFANTS AND CHILD

Students should be able to identify infanticide, and criminal and non-

accidental violence or abuse to a newborn, infant or child.

m) FORSENIC PSYCHIATRY


- Diagnose mental illness.

- Distinguish between true and feigned insanity.

- Advise on procedure of restraint of the mentally ill.

192

- List limitations to civil and criminal responsibilities of mentally ill.

n) EXAMINATION OF BIOLOGICAL SPECIMENS

Students should be able to describe:

- Forensic importance of Biological specimens (Blood, Semen, Salvia,

Vomitus, Breath, Urine, Hair).

- The method of their collection, preservation, despatch and the

common laboratory tests performed.

2. TOXICOLOGY

a) GENERAL PRINCIPLES OF TOXICOLOGY

The student should be able to describe:

- The scope of toxicology.

- Where to access the laws regulating drugs and noxious products.

- Describe common Toxicants in our environments and their abuse.

- Describe to cause of drug dependence, the fate and detoxification of

poisons in the biological tissues,

Be able to:

- Diagnose toxicological cases in acute and chronic exposure in living

and dead.

- Utilize general principles of treatment with anti-dotal therapy and

management.

- Handle specimens.

- Work within the framework of duties of Doctor in cases of poisoning.

- Prepare and interpret chemical examiners reports.

b) THE STUDENT WILL BE ABLE TO DESCRIBE

- Autopsy techniques with collection, preservation and dispatch of

Biological material to analytical laboratory.

c) SPECIFIC POISONS

193

Study of Poisons/drugs of abuse prevailing in our society along with

medico-legal aspects is recommended. Emphasis must be given to the

following poisons/drugs:

i) Alcohol

ii) Opiates, Opioids and other narcotics

iii) Salicylates and paracetamol

iv) Hypnotics and Sedatives

v) Stimulants (Cocaine), cannabis

vi) Poisonous Plants (Aconite, Belladonna, Hyoscyamus, Stramonium,

Digitalis, Ergot, Mushrooms, Nux Vomica, Oleander, Tobacco)

vii) Venomous insects (Snakes)

viii) Inorganic elements, Antimony, Arsenic, lead, Mercury,

Phosphorus

ix) Volatile Poisons and corrosives (Carbon monoxide, Hydro carbons,

Cyanides, Sulphuric Acid, Oxalic Acid, Carbolic Acid and Alkalis)

x) Pesticides, Herbicides and Insecticides

Practical work will include:

1. In FORENSIC MEDICINE

_ Autopsies — 10 with log book.

_ Medico-legal Examination of injured.

_ Estimation of age and Forensic Radiology.

_ Sexual assaults and sex related cases

(impotence, pregnancy etc.)

• Procedure of preservation, dispatch of Biological and other

evidentiary material.

_ Practical in Biological Laboratory

(Identification of Blood, Semen, Saliva, etc.).

• Procedure of Consent taking and Medical certification.

194

2. IN TOXICOLOGY, students should have an understanding of and be able to

describe:

_ Diagnostic and management process.

(Alcohol, Narcotics and Insecticide poisons).

_ Collection, preservation and despatch

of biological materials.

_ Visual, olfactory and tactile identification

of common poisons found in communities and country.

3. VISITS

For proper orientation and practical demonstration, visits are also

suggested to a:

_ Court.

_ Forensic Science Laboratory.

_ Psychiatric unit or Jail.

_ Site during conduction of exhumation.

*Note: All autopsies and Medico-legal work has to be done by forensic

medicine department.

195

DEPARTMENT OF FORENSIC MEDICINE & TOXICOLOGY

AMNA INNAYAT MEDICAL COLLEGE & EDUCATIONAL COMPLEX

LESSON PLANNER OF 3RD YR MBBS CLASS SESSION -------------

Sr,

No

TOPICS Learning

Objective

Lectures Lecturer

1. AUTOPSY & EXHUMATION

Objective, rules & techniques

Preparation of autopsy

protocol. Dispatch of viscera &

other material to F. S. Lab.

Autopsy on fragmentary

remains, decomposed &

mutilated bodies. Hazards of

autopsy, negative autopsy,

autopsy artifacts, Autopsy Lab.

Essentials. Exhumation

procedure / limitation

Students

should be

able to list:

Types,

objectives,

rules, and

techniques

and describe

procedure

for post-

mortem

6

Prof saeed

ahmed

2. PERSONAL IDENTITY &

CONTACT TRACE EVIDENCE:

Parameters / methods for

establishing identity.

Identification of living /dead.

Methods of establishing age /

sex from skeletal remains. Role

of Forensic odontology,

Anthropology & Radiology in

identification. Trace evidence &

their collection

Students

should be

able to

describe:

Parameters

of personal

identity,

methods of

identifying

living, dead,

Methods to

trace

evidence

8

Prof saeed

ahmed

Sr, TOPICS Learning Lectures Lecturer

196

No Objective

3. THANATOLOGY:

Definition & diagnosis of

death. Medico-legal aspects

of sudden &

un expected death. Changes

after death & determination

of postmortem Interval.

Scientific

concepts

regarding

death,

medico-

legal aspect

of

unexpected

deaths, A

Certificatio

n of death

according

to WHO

guidelines

8

Dr sobia

aamir

4. TRAUMATOLOGY :

Law relating to offences

against human body,

Mechanical injuries – their

classifications, mechanics &

establishment of cause

effect relationship. Firearm,

regional injuries & their

interpretation.

Transportation accidents.

Evaluation of disability.

mechanism

s of wound

production,

classificatio

n of

wounds,

wounds

produced

by

convention

al weapons

and their

medico-

legal

aspects

16

Prof saeed

ahmed

197

Sr,

No

TOPICS Learning

Objective

Lectures Lecturer

5. VIOLENT ASPHYXIAL DEATHS

Definition, classification &

general aspects. Mechanical

asphyxia deaths & their

medico-legal aspects.

should be able

to: detect the

Anatomical,

Physiological

Biochemical

and

Pathological

signs of violent

asphyxial death

and their

medicolegal

implications

5

Dr sobia

aamir

6. ACCIDENTS IN HOME &

ENVIRONMENT:

Death due to drowning,

Burns, Electrocution, Heat,

Cold, Starvation & their

medico-legal aspects

Should be able

to determine

the medicolegal

aspects of Heat,

Cold, Electrical

injuries.

5

Prof saeed

ahmed

7. MEDICO-LEGAL ASPECTS OF

SEX:

Impotence, sterility,

virginity, pregnancy &

delivery, Abortion, sexual

offences, Medical

examination , specimens

collection & certification.

Related Laws & medico-legal

aspects.

Be able to

perform

medicolegal

autopsies of

dead &

medicolegal

examination of

living victims of

sexual assault.

4

Dr sobia

aamir

198

Sr,

No

TOPICS Learning

Objective

Lectures Lecturer

8. LEGAL PROCEDURES:

Law & legal procedures. Law

courts & attendance at the

courts. Medical evidence.

Important Forensic

definitions

Have an

understanding

of certain

provisions of

law falling

under

Pakistan Penal

Code (PPC) &

Criminal

procedure

Code (Cr.PC)

3

Prof saeed

ahmed

9. LAW RELATING TO MEDICAL

MAN:

Consent in medical

treatment. Responsibilities

of Doctors. Professional

secrecy. Privileged

communication Medical

negligence P.M.D.C. Medical

Ethics

Know the

rights & duties

of a doctor

when he / she

comes in

contact with

the courts.

4

Prof saeed

ahmed

10. MEDICO-LEGAL ASPECTS OF

INSANITY/ Psychiatry.

Determination of criminal

responsibilities of insane.

Procedure for admission in

Mental Hospital. Important

Psychiatric definitions

Diagnose

mental illness.

List

limitations to

civil and

criminal

responsibilitie

s of mentally

ill.

2

Prof saeed

ahmed

199

Sr,

No

TOPICS Learning

Objective

Lectures Lecturer

11. GENERAL TOXICOLOGY:

General & medico-legal

aspects of poison. Diagnosis

of poisoning in living & dead.

Management of poisoning

cases, analytical techniques

& interpretation of results.

Self poisoning, over dosage &

drug dependence.

laws

regulating

drugs,

cause of

drug

dependenc

e, general

principles

of

treatment

& duties of

Doctor in

cases of

poisoning.

6

Dr sobia

aamir

12. SPECIAL TOXICOLOGY:

Specific poisons like

Corrosives, Irritants,

Asphyxiates, Insecticides &

poisons effecting Nervous

system. Laws relating to

drugs & poisons.

Study of

Poisons/dru

gs of abuse

prevailing

in our

society

along with

medico-

legal

aspects

18

Dr sobia

Aamir

200

SECOND PROFESSIONAL MBBS EXAMINATION

FORENSIC MEDICINE & TOXICOLOGY

TABLE OF SPECIFICATIONS

SR No. TOPIC SEQ’S MCQ’S

1. a) Pakistan’s Legal System 1 5

b) Law In Relation To Medical Man

c) Forensic Psychiatry

2. THANATOLOGY 1 3

3. TRAUMATOLOGY a) General Traumatology

1 9

b) Special Traumatology

c) Firearm Injuries,

d) Transportation Injuries e) Thermal Injuries

f) Electrical Injuries

g) Violent Deaths Due Asphyxia

h) Drowning etc.

4. PERSONAL IDENTITY AND 1 5

EXAMINATION OF

BIOLOGICAL SPECIMEN

(TRACE EVIDENCE)

5. AUTOPSY, EXHUMATION & 1 4

FORENSIC SCIENCES

6. FORENSIC SEXOLOGY 1 4

Sexual offenses,

relevant section of

law (Zina and Hudood

and named

miscarriage /

abortion, Pregnancy,

delivery, New born

, Child Trauma Etc.

201

7. TOXICOLOGY

a) GENERAL TOXICOLOGY

1

3

b) SPECIAL TOXICOLOGY 2 12

i. Alcohol 2

ii. Opiates, Opioids and other 1

Narcotics iii. Salicylates and Paracetamol 1

iv. Hypnotics Secatives 2

v. Stimulants (eocaine) cannabis 1

vi. Poisonous Plants (Aconite , 1

Belladonna, Hyscyamus, Stramonium , Digitals, Ergot , Mushrooms , Nux, Vomica, Oleander Tobacco)

vii. Venomous Insects (Snakes) 1

viii. Inorganic Elements, Antimony, 1

Arsenic Lead, Mercury, Phosphorus.

ix. Volatile Poisons and corrosives 1

(Carbon Monoxide, Carbolic Acid and Alkalis)

x. Pesticides, Herbicides and 1

Insecticides.

202

FORMAT (PRACTICAL EXAMINATION AND OSPE)

Forensic Medicine & Toxicology (2nd Professional MBBS)

SR. NO

COMMENTS

MARKS

1.

OSPE

8 NONOBSERVED STATIONS RELATED TO PRACTICALS

(EACH OF 4MARKS)

32

2.

OBSERVED PRACTICAL

2 STATIONS

4 MARKS EACH

8

3.

STRUCTURED VIVA VOCE RELATED TO CURRICULUM

40

20 + 20

(INTERNAL+EXTERNAL)

4. ANNUAL WORK BOOK

10

5. CONTINUOUS INTERNAL ASSESSMENT

10

TOTAL

100

203

ASSESSMENT AND EXAMINATION SCHEME

FOR 3RD YEAR MBBS 2017 - 2022

Third Year MBBS

Year

Semester

1

3 months

Assessment

Semester

2

3 months

Assessment

Semester

3

3 months

Assessment

Assessment

Assessment

Semester

S1

Monthly test=

2

Term test=1

S2

Monthly test=

2

Term test=1

S3

Assessment

for semester

3

Send-up

UHS second

Prof Exam

Monthly test marks = Total Marks=50



k. Theory marks= Total Marks 40

l. Practical /viva Marks= Total Marks 40

m. Attendance criteria= 75%= 10 marks

n. General attitude of student= 5 marks

o. Extracurricular activities = 5 marks


k. Theory marks= Total Marks 40

l. Practical/viva Marks= Total Marks 40 (further division according to UHS format)

m. Attendance criteria= 75%= 10 marks

n. General attitude of student= 5 marks

o. Extracurricular activities = 5 marks






204

UNIVERSITY EXAMINATIONS

2ND PROFESSIONAL EXAMINATION

Forensic Medicine & Toxicology (2nd Professional MBBS)

EVALUATION FORMS

EVALUATION FORM FOR COURSE ASSESSMENT

FORENSIC MEDICINE DEPARTMENT OF AMNAINAYAT MEDICAL COLLEGE

Course Title:

Date:





205


















EVALUATION FORM FOR ASSESSMENT OF SESSIONS OF SMALL GROUP DISCUSSIONS

FORENSIC MEDICINE DEPARTMENT OF AMNAINAYAT MEDICAL COLLEGE

Name of class:

Date:











A.

B.

C.

206





RECOMMENDED BOOKS

Subject: Forensic Medicine & Toxicology

1. FORENSIC MEDICINE & TOXICOLOGY BY SIDDIQ HUSSAIN 22ND EDITTION

2. PAREKHS FORENSIC MEDICINE

3. PRINCIPLES AND PRACTICE OF FORENSIC MEDICINE BY DR. NASIM R AWAN

207


CURRICULUM 2017-2022

AIMC- 3rd YEAR MBBS, BEHAVIOURAL SCIENCES

CURRICULUM

&

ACADEMIC PLANNER

208

Contents

1.17. Faculty and staff

1.18. Table of spacing and hours of subjects in MBBS course

1.19. Allocated contact hours of 3RD year MBBS

1.20. Semester planner of 3RD year MBBS

1.21. Assessment planner of 3rd year MBBS

1.22. Allocated contact hours of 3rd year MBBS

1.23. Semester planner of 3rd year MBBS

5.0. Time table

6.0. Recommended books

209

Faculty and Staff:

1

Assistant Prof & HOD Dr. Ghazala Musa

MBBS, Diplomat

American board of

Psychiatry

2 Senior Medical officer/

registrar Dr. Nasir Nazir

MBBS/ FCPS psychiatry

part ii

3 Demo/clinical psychologist Ali Bhatti

Ms/M.phil in clinical

psychology

4

5

6

7

8

9

210



HOURS



STUDIES









MEDICINE AND Allied

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATOLOGY AND

GENERAL PRACTICE

25HRS 30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS


SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY




CLINICOPATHOLOGICAL

CONFERENCE

- - - 60HRS - 60HRS


211


SUBJECT: Behavioural sciences , 2017-2022

Total number of Contact hours for 3 rd Year MBBS


Lectures 62 62

Practicals 24 72

Assessments 10 21

CMEs 3 6




Duration of ospes = 2 hours




212


Subject: Behavioural sciences MBBS, 2017-2022

Semester Theory

(hrs)

Practical

(hrs)

Small

group

discussion

(hrs)

CME

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 35 16 24 2 5 82

Semester 2 31 16 24 2 5 78

Semester 3 37 16 24 2 5 84

Send up

exam

3 3 6

Grand Total

250

213

Semester planner for 3rd year MBBS, 2017-2022

Subject Behavioural sciences


To

pic

s

4. INTRODUCTION TO

BEHAVIOURAL

SCIENCES

1. MEDICAL

ETHICS,

1. SOCIOLOGY

AND

ANTHROPOLO

GY IN HEALTH

AND DISEASE

5. Bio-Psycho-Social

(BPS) Model of

Health Care..

2. Relevance of

Ethics in the Life of a

Doctor, Scope and

Meaning of Medical

Ethics......... Four

Pillars of Medical

3. Use of Non-

pharmacological

Interventions in Clinical

Practice . Communication

Skills

3. Medical Practice.

Informed Consent and

4 Crisis Intervention /

Disaster Management

Conflict Resolution,

Breaking Bad News.....


Total semesters=3

Each semester duration = 3 month

214

Assessment and Examination Calendar

For 3rd year MBBS, 2017-2022

Year

Semester

1

(3months)

Asse

ssme

nt 1

Semester

2

(3months)

Asse

ssme

nt 2

Semester

3

(3months)

Asse

ssme

nt 3

Asse

ssme

nt

Asse

ssme

nt

Semester

S1

Monthly

test= 2

Term

test=1

S2

Monthly

test= 2

Term

test=1

S3

Monthly

test= 2

Term

test=1

Send-up

UHS

Prof

Exam




p. Theory marks= Total Marks 90= 45MCQs + 45SEQs

q. Practical Marks= Total Marks 90 (further division according to UHS format)

r. Attendance criteria= 75%= 10 marks

s. General attitude of student= 5 marks

t. Extracurricular activities = 5 marks


p. Theory marks= Total Marks 90= 45MCQs + 45SEQs

q. Practical Marks= Total Marks 90 (further division according to UHS format)

r. Attendance criteria= 75%= 10 marks

s. General attitude of student= 5 marks

t. Extracurricular activities = 5 marks



215

Introduction of Department of Psychiatry/ Behavioural sciences

Department of Behavioural sciences teaches to MBBS 3rd year and 2nd year BDS

from 2011, the main objective of teaching Behavioural sciences to future doctors

to enable them understand the behavioural issues of society and mental disorder

of the patients , so they can become competent doctor and understand bio-

psycho-social problems of their patients

Department also offers student counseling and career counseling and

psychotherapies. Department of Psychiatry consist of Indoor and out door facilities

for mentally ill patients. All main neurotic and psychotic like Depression Bipolar

affective disorder and schizophrenia.

216

Aims of Behavioural sciences

To ensure the training of medical/ Dental students in BIO – Psycholo- Social model

of health care.

To equip the medical/ dental student in the use of behavioural sciences principle

to enhance his learning skills and help him become an active learner

To train the medical/ Dental student in the art and sciences of effective

communication with patients and their families

To create a sensitivity and understanding of the psychosocial aspects of health

To inculcate highest standers of medical/ dental ethics and character building drawing

from the rich medical/ dental, cultural and religious heritage.

217

Learning Objectives

Define what theory is and identify two key types of social and behavioral science theory

that are relevant to public health interventions.

Describe the key constructs of four theories that are often used in public health

interventions: the Health Belief Model, The Transtheoretical Model and Stages of Change,

Social Cognitive Theory, and the Social Ecological Model.

Understand the nature of evidence about the relative effectiveness of theory-based

interventions.

Identify the most important considerations in choosing the right theory to address a health

behavior problem in a particular population and contex

218

Academic planner for 3rd year MBBS for year 2017-2018

LECTURE

NUMBR

DATE TITLE/ TOPIC Topic to covered(Details) Teacher

1 12/12/17 INTRODUCTION TO

BEHAVIOURAL

SCIENCES

1. Traditional vs Holistic Medicine

2. What are Behavioral Sciences?

Dr.Ghazala

2 14/12/17 3. Bio-Psycho-Social (BPS) Model of

Health Care..

Dr.Nasir

3 19/12/17 4. Use of Non-pharmacological

Interventions in Clinical Practice

5. Communication Skills

Dr. Nasir

4 21/12/17 6. Counselling

7. Informational Care

Dr. Nasir

5 26/12/17 8. Crisis Intervention /

9. Disaster Management

10.Conflict Resolution

11. Breaking Bad News.....

Dr. Nasir

6 TEST

7 28/12/17 SECTION

B

MEDICAL ETHICS,

1. Relevance of Ethics in the Life of a

Doctor

2. Scope and Meaning of Medical

Ethics........

3. Four Pillars of Medical

Dr. nasir

8 02/01/18 Ethics.....................

4. Common Ethical Omissions in

Dr. Ghazala

04/01/18

Medical Practice:

5. Informed Consent and

Dr. Nasir

10 09/01/18

Confidentiality:

6. b. Medical Students and the

Ali abbas

11 11/01/18 Issues of Consent and

Confidentiality:

Dr. Nasir

12 16/01/18 Ethical Dilemmas in a Doctor's Life.

a. The Patient who Brings Gifts.

Dr. Ghazala

13 18/01/18 b. Sexual Boundaries Violation:

Sexual Relationships in Medical

Dr. Nasir

14 23/01/18 Settings

c. Charges and Fee: Patients,

Dr. Ghazla

15 25/01/18 Colleagues, Teachers, Dr. Nasir

16 30/01/18 Medical Student

d. E-Consultations.

e. Relationship with Media

Dr. Ghazala

17 01/02/18 f. Relationship with Pharmaceutical

Industry

Dr. Nasir

18 06/02/18 6. Rights and Responsibilities of

Patients.....................................

Dr. Nasir

219

19 08/02/18 7. Doctor-Patient

Relationship.......................................

.....................................

Dr. Nasir

20 13/02/18 8. Psychological Reactions in

Doctor-Patient Relationship.

Dr. Nasir

21 15/02/18 9. Transference, Counter-

transference and Resistance

Dr. Ghazala

22 20/02/18 10. Professionalism in Health Care:

How to Assess Attitudes?

Dr. Ghazala

23 Test 24 27/02/18 SECTION C

USE OF PRINCIPLES OF

PSYCHOLOGY IN

MEDICAL PRACTICE

1. Learning................ Dr. Ghazala

25 01/03/18 ......................

a. Uses of Classical Conditioning in

Clinical

Settings..............................................

Ali Bhatti

26 06/03/18 .........................

b. Operant Conditioning............

c. Shaping and

Modelling..........................

27 08/03/18 Metacognition......... Ali abbas

28 13/03/18 Memory:

a. Stages...........

b. Types............

c. Anatomy and Biochemistry of

Memory.............................................

Ali abbas

29 15/03/18 ................................................

d. Methods to improve

Memory.............................................

................................................

e. Pathological Changes...

Dr. Nasir

30 20/03/18 Perception:........................................

.......

a. Motivation and

Perception..............

b. Attention and

Perception................

Ali abbas

31 22/03/18 c. Basic Perceptual Abilities...............

d. Abnormalities of

Perception...........

e. Extrasensory Perception (ESP).......

Dr. Ghazala

32 27/03/18 5.

Thinking.............................................

Dr. Nasir

33 29/03/18 6.

Emotions............................................

.

Dr. Nasir

220

34 03/04/18 7.

Motivation.........................................

.

Ali abbas

35 05/04/18 8.

Intelligence........................................

.

Dr. nasir

36 10/04/18 Personality

Development.....................................

..........................

Personality Types and their

Relevance to Clinical Conditions........

Dr. Nasir

37 TEST

38 17/04/18 SECTION D

SOCIOLOGY AND

ANTHROPOLOGY IN

HEALTH AND DISEASE

Culture.Beliefs, Values and Norms.. Dr. Ghazala

39 19/04/18 Social Structure...................

Roles....................................

Family..................................

Dr. Nasir

40 24/04/18 Child Rearing Practices.......

Death and Dying..................

Ali abbas

41

26/04/18 Health Belief

Models...............................................

..................

Social

Support..............................................

.............................

Dr. Nasir

42 01/05/18 Treatment

Adherance.........................................

.......................

Stigma................................................

........................................

Dr. Nasir

43 03/05/18 Sick

Role....................................................

...............................Delivery of

Culturally Relevant Care and Cultural

Sensitivity.

Dr. Nasir

44 TEST

45 08/05/18 SECTION E

PSYCHOSOCIAL

ASPECTS OF HEALTH

AND DISEASE

1. Psychosocial Aspects of

Health...

Dr. Nasir

46 10/05/18 Dr. Ghazala

47 15/05/18 2. Psychosocial Aspects of

Disease....

Dr. Nasir

48 17/05/18 3. Reactions of the Patient to

Illness and Hospitalisation.

Dr. nazneen

49 22/05/18 4. Psychosocial Issues in Special

Hospital Settings ‘Chambers of

Horror’

Dr.Ghazala

50 24/05/18 a. Coronary Care Unit................ Dr. Nasir

221

51 29/05/18 b. Intensive Care Unit................ Dr. Nasir

52 31/05/18 c. The Emergency Department.. Dr. Nasir

53 03/7/18 d. The Dialysis Unit................... Dr. Nasir

54 05/07/18 e. Reproductive Health.............. Dr. Ghazala

55 19/07/18 f. Paediatrics Ward.......... Dr. Nasir

56 24/07/18 g. Cancer Ward.......................... Dr. Ghazala

57 26/07/18 h. Operating Theatre.... Dr. Nasir

58 31/07/18 Common Psychiatric Disorders

in General Health Settings

Dr. Ghazala

59 02/08/18 Stress and its Management.. Dr. Ghazala

60 07/08/18 Psychosocial Aspects of

Pain......................

Dr. Nasir

61 09/08/18 8. Psychosocial Aspects of

Sleep and Awareness.

Dr. Nasir

62 14/08/18 Psychosocial Aspects of

Aging...............

Psychosocial Peculiarities of

Dentistry...

Dr. Ghazala

Revision

Revision

Revision

Revision

Pre term paper

Term paper

Sendup

222


AIMC-MBBS

PHARMACOLOGY CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

Department Of Pharmacology, Amna Inayat Medical

College

223

Contents

1.0 INTRODUCTION

1.1 Department Of Pharmacology, Faculty And Staff

1.2 PMDC Table Of Subjects And Allocated Hours Of MBBS Program

1.3 Semester Planner Of Contact Hours(Theory, Practical, Total) Of

Pharmacology subject

1.4 Scheme Ofsemesters And Send Up Assessment/Evaluation And

University Examinations Of Year MBBS Program

1.5 Teaching strategies

2.0 CURRICULUM OF PHARMACOLOGY SUBJECT

2.1 PMDC curriculum

2.2 UHS curriculum

3.0 LESSON PLANERS AND TIME TABLES

3.1 Lesson planner with titles and learning objectives of Theory and

Practical

3.2 Time table of lectures/Demonstrations/Practical


4.1 Continuous assessment

4.2 Evaluation at end of semester

4.3 Evaluation at end of year

4.4 University examination

4.5 Student feedback form (student will fill and submit his/her feedback

form) at end of each year regarding quality of teaching, quality of of



5.0 RECOMMENDED BOOKS, JOURNALS,WEBSITES

1.1 Department Of Pharmacology

224

Introduction

VISION

The Department of Pharmacology has always placed great emphasis on the quality of

academic teaching and assisting students in studying pharmacology and its relation to

clinical fields.

MISSION

The department of Pharmacology and Therapeutics is responsible for teaching the science

of Drugs to the medical students (3rd year) as it is a basic material in studying medicine.

The department starts with an introduction of the pharmacokinetics and

pharmacodynamic, passing through drugs discovery process then provides the basic

knowledge on the functions of the different drugs clinically. Through their study courses at

the department of Pharmacology and Therapeutics, the students continue learning the

essentials of the human pathophysiology in relation to therapeutics. Moreover, the

department shares in developing students skills of mind via different up-to-date teaching

methods of academic and practical material, experiencing variable examination tools, and

applying such information in practice.

OBJECTIVES

1. Define the functions of different drug's groups.

2. Describe the mechanism of action of different drug's groups and the sequence of

events that accompany these actions.

3. Estimate the normal values with regard to different biological conditions.

4. Illustrate the degree of deviation in the normal functions of different body systems

in some clinical disorders.

5. Provide scientific explanations for different physiological changes accompany some

clinical disorders during treatment course.

TEACHING AND LEARNING METHODS

The curriculum has been designed as PMDC and UHS recommendations. The material of

the course will be presented through lectures and seminars. The program of the seminars

shall focus on the program covered in the lectures. During the seminars students must be

prepared to discuss corresponding topics covered during the lecture.

The theory classes would comprise of 120 hours of didactic teaching. The practical/tutorial

classes would comprise of 180 hours.. This will include seminars assignments.

225

Department faculty

Supporting staff

Serial No Name Designation

1 Abdul Ghafoor Lab Technician

2 Noor UlAin Lab Technician

3 Arsalan Office Boy

Serial.No Name Qualification Designation

1 Prof ZahidQamar MBBS,MCPS,MPhil Professor And HOD

2 Dr Aisha Aziz MBBS, FCPS Assistant Professor

3 DrZareen Ashraf MBBS Senior Demonstrator

4 DrJohar Ahmed MBBS Senior Demonstrator

5 DrSohaib Ashraf MBBS Demonstrator

6 DrRababMiraj MBBS Demonstrator

226

.2 PMDC Table Of Subjects And Allocated Hours Of MBBS Program

SUBJECT 1ST YEAR 2ND YEAR 3RD YEAR 4RTH YEAR 5TH YEAR TOTAL

HOURS



STUDIES









MEDICINE AND Allied

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATOLOGY AND

GENERAL PRACTICE

25HRS 30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS


SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY




CLINICOPATHOLOGICAL - - - 60HRS - 60HRS

227

CONFERENCE


228

1.3 Semester Planner of Contact Hours (Theory, Practical, Total) Of Pharmacology

subject


Subject: Pharmacology 3rd year MBBS, 2017-2018

Semester Theory

(hrs)

Practical

(hrs)

Tutorials/discussion

(hrs)

Grand

tutorials

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 37 35 20 2 4 98

Semester 2 37 35 20 2 4 98

Semester 3 37 35 20 2 4 98

Send up

exam

6

Grand

Total

300hrs

229

1.4 Scheme Of semesters And Send Up Assessment/Evaluation And University

Examinations Of Year MBBS Program

Assessment schedule

Name of exam Theory Topics Practical

S3.1 Assessment General pharma /ANS/Respiratory Introduction to

pharmacy, lab

instruments

S3.2Assessment CVS/ blood/CNS/GIT Pharmacy practical,

bio stat

S3.3Assessment Autacoids/Chemotherapy/Endo Experimental pharma,

prescription writing

Send up All topics All practicals

University exams All topics All practicals


Total semesters=3



230

Assessment/ Evaluation scheme

Serial. No S3.1 S3.2 S3.3 Send Up

Theory 35 35 35 35%

Practical 45 45 45 45%

Attendance 10 10 10 10%

Behavior 5 5 5 5%

Extra-Curricular 5 5 5 55

Total 100 marks 100 marks 100 marks 300 marks

Internal

assessment

15% 15% 15% 55%



Credit of three semesters=100+100+100 (15% each)

Sendup examination= 300 (55%)

Final internal assessment= sendup(55%) +total semesters assessments (45%)

231

SCHEME OF STUDIES

PROFESSIONAL MBBS EXAMINATIONS

2nd Professional MBBS Examination:

To be held at the end of the 3rd.

year in the following subjects:

(a) Pharmacology & Therapeutics

Theory 135 Marks

Internal Evaluation15 Marks


Animal experiment 35 Marks


Total 300 Marks

232

1.6 TEACHING STRATEGIES







MITs (Method of Information Transfer)

Subject information will be delivered to the learners through Interactive Lectures, small

group teaching, Practical trough out the academic year

Lectures

Lectures/week practical/Month Tutorials/months Grand

Tutorial

/Month

5 2x6=12 days 2x6=12days 1

Interactive Lecture:

There would be 5 Lectures a week. These would be interactive lectures through power

point presentations and handouts where needed.

Tutorials:

There will be 2 sessions of Tutorials divided in small groups and 1 Grand tutorial in a

month. It will comprise of

Interactive session (Questions &Answers)

Student presentations (Power points ,role play)

Online Assignments Review

Practical:

There will be 2 practical every month. Students will be divided into 3 batches.

233

2.0 CURRICULUM OF PHARMACOLOGY SUBJECT

2.1 PMDC CURRICULUM

PHARMACOLOGY

The details of the syllabus are as under:

Theory

1. General Pharmacology:

• Definition of Pharmacology, Objectives of learning Pharmacology, definition of

drug and drug nomenclature.

• Standard sources of drug information, pharmacopoeias, and formularies.

• Branches/Divisions of Pharmacology.

• Sources of drugs.

• Active principles of drugs and Pharmacopoeias.

• Dosage forms and doses of drugs.

• Drug administration.

• Absorption of drugs and processes involved in drug absorption ( transport of

drugs across cell-membrane)

• Factors modifying absorption of drugs.

• Bioavailability, its clinical significance and factors affecting bioavailability.

• Drugs reservoirs, distribution and redistribution of drugs, plasma protein binding.

• Pro-drug, Biotransformation of drugs, enzyme induction, enzyme inhibition and

entero-hepatic circulation.

• Plasma half-life of drugs, steady state concentration, its clinical importance and

factors affecting it.

• Excretion of drugs.

• Mechanism of drug action.

• Dose response curves, structure-activity relationship.

• Factors modifying action and doses of drugs.

• Drug-drug interactions.

2. Locally Acting Drugs

• Demulcents, Emollients, Irritants, Counter irritants, Astringents, anti-

seborrhoeics, Locally acting enzymes.

• Antiseptics and Disinfectants

• Ectoparasiticides

3. Drugs Acting on Gastrointestinal Tract

• Anti Emetics

• Drugs affecting motility of GIT

• Ulcer Healing drugs

• Purgatives/Laxatives

4. Cardiovascular Drugs

• Anti-arrhythmic Drugs

• Inotropic Drugs/Drugs used in cardiac failure.

• Anti-hypertensive Drugs

234

• Anti-anginal Drugs

• Thrombolytics/Anti-coagulants/Anti-platelets

• Anti-hyperlipidemic Drugs

5. Diuretics

6. Autocoids

7. Drugs Acting on Autonomic Nervous System

Cholinergic Drugs

• Choline Esters.

• Anticholine-esterases,.

• Cholinomimetic Alkaloids

Anti-cholinergic Drugs

• Anti-Muscarinic

• Anti-Nicotinic

Sympathomimetics/Adrenergic Drugs

• Catecholamine

• Non-Catecholamine

Sympatholytics/Antiadrenergics

• Alpha Adrenergic receptor Blockers.

• Beta Adrenergic receptor Blockers

Adrenergic Neurone Blockers

Autonomic Ganglionic Blockers

Skeletal Muscle Relaxants

a) Neuromuscular Blocking Agents.

b) Central Muscle Relaxants.

c) Directly acting skeletal muscle and relaxants.

8. Central Nervous System 3

a. Sedative-Hypnotics

b. Antiepileptics

c. General Anaesthetics

d. Local Anaesthetics

e. Drugs For Movement Disorders/ Anti Parkinsonism Drugs

f. Alcohol

g. Drugs For Migraine

h. Psychopharmacology

• Anti-psychotics

• Anxiolytics

• Anti-Depressants/Anti-mania

9. Analgesics

a) Opioids

235

b) Non-Steroidal Anti-Inflamatory Drugs (NSAID)

c) Anti-gout Drugs

d) DMARDs

10. Drugs Acting on Respiratory System

a. Drugs used in treatment of Bronchial Asthma

b. Expectorants

c. Mucolytics

d. Anti-tussives

11. Drugs Acting on Endocrine System:

a. Pituitary-Hypothalamic Drugs

b. Adrenocorticoids

c. Sex Hormones/Hormonal contraception

d. Thyroid/ Parathyroid Drugs

e. Pancreatic Hormones and Oral Antidiabetic Agents

f. Drugs used in infertility

12. Drugs Acting on Uterus

Ergometrine, Terbutaline, Dinoprostone, Carboprost, Ritodrine, Oxytocin.

13. Antimicrobial Drugs

a) Sulfonamides

b) Penicillins

c) Cephalosporins

d) Aminoglycosides

e) Tetracyclines

f) Macrolides

g) Quinolones

h) Anti-tuberculous drugs

i) Antileprotic drugs

j) Anti-fungal drugs

k) Anti-viral drugs

l) Anti-protozoal drugs

• Anti-malarial drugs

• Anti-amoebic drugs

m) Urinary tract anti-septics

n) Anti cancer drugs

o) Immunosuppressive agents

p) Miscellaneous

q) Antihelmintics

40

CLINICAL PHARMACOLOGY/THERAPEUTICS

The teaching of clinical Pharmacology should be designed to meet the daily needs

of medical graduates. It should consist of lectures and demonstrations.

• Drug treatment of peptic ulcer

• Drug treatment of bronchial asthma

• Drug treatment of epilepsy

• Treatment of Parkinsonism syndrome

236

• Drug treatment of rheumatic diseases

• Drug treatment of ischaemic heart disease.

• Drug treatment of hypertension

• Treatment of congestive heart failure

• Drug treatment of hyperlipidemia

• Drug treatment of heavy metal poisoning

• Drug treatment of oedema

• Drug treatment of different types of shock

PRACTICALS

A. EXPERIMENTAL PHARMACOLOGY

Experiments designed to observe the action of drugs on animals and isolated

tissue.

Experiments on the actions of selected drugs to be demonstrated to students on

suitable animal/tissue models.

1. Effects of drugs on reflex time.

2. Effects of drugs on CNS.

3. Effects of drugs on heart.

4. Effects of drugs on blood vessels.

5. Effects of drugs on eye.

6. Effects of acetylcholine and atropine on isolated ileum.

7. Effects of histamine and antihistamines on isolated ileum.

8. Schemes to find out unknown drug having stimulatory or inhibitory effect on

isolated ileum

B. PRESCRIPTION WRITING

General principles

• Guideline for rationale use of drugs

• Prescription writing for common ailments:

• drug concept

• Acute watery diarrhoea

• Bacillary dysentery

• Amoebic dysentery

• Ascariasis

• Tape-worm infestation

• Acute streptococcal pharyngitis

• Iron deficiency anaemia

• Allergic rhinitis

• Scabies

• Acute malarial fever

• Cerebral malaria

• Typhoid fever

• Bronchial asthma

• Hypertension

• Migraine

• Cardiac failure

• Shock

Clinicopharmacological Seminars on Rational Drug Therapy and Drug Interaction

should be conducted

237

Antibiotics, vitamins, analgesics etc.

Antibiotics

1) Frequency, distribution of antibiotic prescribed in different clinical settings/units.

2) Rational prescribing pattern of antibiotics

Parameters:

Provisional Diagnosis, Investigation, Empirical Therapy, prescribing after culture

and sensitivity.

Vitamins

Parameters:

a) Groups of vitamins prescribed.

b) Vitamins prescribed on basis of therapeutic indication or empirical.

c) Single/multiple vitamins prescribing.

d) Frequency of prescribing and rational use of vitamins/otherwise.

Analgesics

Parameters:

a) Frequency distribution of various groups of analgesics prescribed.

b) Single/multiple adverse drug prescription.

c) Non specific indications of analgesics prescribed.

Adverse Drug Reactions

a) Anti-microbials, Cytotoxic drugs, Steroids etc.

General Objectives:

It is expected that at the end of medical training, the students will be able to:

1. Prescribe drugs rationally

2. Monitor the drug therapy.

3. Observe drug interactions and adverse drug reactions (ADR).

4. Manage drug over dosage and poisoning.

238

UHS CURRICULUM

PHARMACOLOGY AND THERAPEUTICS

The course outline is as follows:

1) General Pharmacology:

1. Definition of pharmacology, objectives of learning pharmacology,

definition of drug and drug nomenclature.

2. Branches/divisions of pharmacology.

3. Sources of drugs.

4. Active principles of drugs and pharmacopoeias.

5. Dosage forms and doses of drugs.

6. Route of drug administration.

7. Absorption of drugs and processes involved in drug absorption.

8. Factors modifying absorption of drugs.

9. Transport of drugs across cell-membrane.

10. Bio-availability, its clinical significance and factors affecting bioavailability.

11. Drug reservoirs, distribution and redistribution of drugs, plasma protein

binding.

12. Pro-drug, bio-transformation of drugs, enzyme induction, enzyme

inhibition and entero-hepatic circulation.

13. Plasma half-life of drugs, steady state concentration, its clinical

importance and factors affecting it.

14. Excretion of drugs.

15. Mechanism of drug action.

16. Dose response curves, structure-activity relationship.

17. Factors modifying action and doses of drugs.

18. Pharmacokinetics, pharmacodynamics and receptors.

19. Pharmacogenetics.

2) Dermatological and topical drugs (Locally Acting Drugs)

_ Demulcents, emollients, irritants, counter irritants, astringents.

Antiseborrhoeics, locally acting enzymes.

_ Antiseptics and disinfectants.

_ Ectoparasiticides.

3) Drugs Acting on Gastrointestinal Tract:

_ Emetics and anti emetics.

_ Drugs affecting motility of GIT.

_ Ulcer healing drugs.

_ Purgatives/ laxatives.

_ Antidiarrhoeals.

4) Cardiovascular Drugs

239

_ Antiarrhythmic drugs.

_ Inotropic drugs.

_ Antihypertensive drugs.

_ Thrombolytics/ anticoagulants/ antiplatelets.

_ Antihyperlipidemic drugs.

_ Anti-anginal drugs.

_ Drug management of CCF.

5) Diuretics

6) Autocoids

7) Drugs Acting on Autonomic Nervous System Cholinergic Drugs.

_ Choline esters.

_ Anticholine-esterasescholinomimetic alkaloids.

Anti-cholinergic drugs

- Anti muscarinic

- Anti nicotinic

Sympathomimetics / adrenergic drugs:

- Catecholamine

- Non catecholamine

Sympatholytics/antiadrenergics

- Alpha adrenergic receptor blockers.

- Beta adrenergic receptor blockers

Adrenergic neuron blockers

Autonomic ganglionic blockers

Skeletal muscle relaxants

A) neuromuscular blocking agents - d-tubocurarine, suxamethonium, etc.

B) central muscle relaxants , meprobamate, mephenesin, diazepam, etc.

8) Central Nervous System

a. Sedative-hypnotics.

b. Anti-epileptics.

c. General anaesthetics.

d. Local anesthetics.

e. Drugs for movement disorder/ muscle relaxant.

f. Alcohol.

g. Drugs for migraine.

h. Stimulants of the central nervous system:

- Caffeine, theophyline, theobromine

- Brain stem stimulants: picrotoxin, nikethamide.

- Ethamivan, doxapram.

- Spinal cord stimulants: strychnine.

i. Psychopharmacology:

- Anti-psychotics.

- Anxiolytics.

- Anti-depressant / anti mania drugs.

- Alcohol and drugs of abuse.

- Anti-parkinson drugs.

- Anti epileptic drugs

9) Analgesics

a. Opioids and narcotics analgesics.

b. Nonsteroidal anti inflamatory drugs (nsaid).

c. Antigout drugs.

240

10) Drugs Acting on Respiratory System

a. Drugs used in treatment of bronchial asthma.

b. Expectorants.

c. Mucolytics.

d. Antitussives.

11) Drugs Acting on Endocrine System

a. Pituitary-hypothalamic drugs.

b. Adrenocorticoids.

c. Sex hormones

d. Thyroid/ parathyroid drugs.

e. Pancreatic hormones and oral anti diabetic drugs.

f. Oral contraceptives and anabolic steroids.

12) Drugs Acting on Uterus

a. Ergometrine.

b. Terbutaline.

c. Dinoprostone. c. Dinoprostone.

d. Carboprost.

e. Ritodrine.

f. Oxytocin.

Antimicrobial Drugs

a. Sulfonamides.

b. Penicillins.

c. Cephalosporins.

d. Aminoglycosides.

e. Tetracyclines.

f. Macrolides:

Chloramphenicol.

g. Quinolones.

h. Anti- tuberculous drugs.

i. Antileprosy drugs.

j. Anti fungal drugs.

k. Antiviral drugs.

l. Anti-protozoal drugs:

- Anti- malarial drugs.

- Anti-amoebic drugs.

m. Urinary tract antiseptics.

n. Anti cancer drugs.

o. Immunosuppressive agents.

p. Miscellaneous.

q. Vaccines and immunoglobulin drug interaction

P R A C T I C A L S

A - EXPERIMENTAL PHARMACOLOGY

Experiments designed to observe the action of drugs on animals and

isolated tissue.

Experiments on the actions of selected drugs to be demonstrated to the

students.

1. Effects of drugs on reflex time.

2. Effects of drugs on frog's heart in situ.

241

3. Effects of drugs on rabbit's eye.

4. Effects of Acetylcholine and Atropine on isolated rabbit's ileum.

5. Effects of histamine and antihistamines on isolated rabbit's ileum.

6. Schemes to find out unknown drug having stimulatory or inhibitory

effect on isolated rabbit's ileum.

7. Effects of neuromuscular blocking agents on frogs rectus abdominus

muscle.

8. Methodology of clinical trials.

9. Introduction to Biostatistics.

B. PRESCRIPTION WRITING

General principles

_ General principles

_ Guideline for rational use of drugs

_ Prescription writing for common ailments

_ Acute watery diarrhea

_ Bacillary dysentery

_ Amoebic dysentery

_ Ascariasis

_ Tape-worm infestation

_ Acute streptococcal pharyngitis

_ Iron deficiency anemia

_ Allergic rhinitis

_ Scabies

_ Acute malarial fever

_ Cerebralmalaira

_ Typhoid fever

_ Bronchial asthma

_ Hypertension

_ Migraine

_ Cardiac failure

_ Shock

Clinico-Pharmacological Seminars on Rational Drug Therapy and

Drug Interaction should be conducted

Antibiotics:

Frequency distribution of antibiotic prescribed in different clinical settings/units.

Rational prescribing pattern of antibiotics.

Parameters: provisional diagnosis, investigation, empirical therapy. Prescribing

after culture and sensitivity.

Vitamins:

Parameters

Groups of vitamin prescribed.

Vitamins prescribed on basis of therapeutic indication or empirical.

Single / multiple vitamins

Frequency of prescribing and rational use of vitamins/ otherwise.

Analgesics

Parameters

a. Frequency distribution of various groups of analgesic prescribed.

b. Single / multiple drug prescription.

c. Non specific indications of analgesic prescription.

Adverse Drug Reactions

242

a. Anti-microbials, Cytotoxic drugs , Steroids etc.

243

3.0 LESSON PLANERS AND TIME TABLES TIME TABLE 3RD YEAR M.B.B.S

Serial

No

Topic No of

lectures

Total No

Of

Lectures

Learning Objectives Facilitator

S3.1 General pharmacology 20 At the end of this

unit Students should

understand basic

principles of

pharmacology.

Should identify basic

mechanisms, sources

of drugs, action of

drugs on body in

detail, body reaction

with the drug along

with their

interactions and

adverse effects and

practical applications

as well.

1 Introduction To

Pharmacology 2

2 Teacher A

2 Routes Of Drug

Administration 2

2 Teacher B

3 Absorption Of Drugs 2 2 Teacher C

4 First pass effects,

Bio availability ,Half life 1

1 Teacher B

5 Distribution of drugs 1 1 Teacher C

6 Biotransformation 2 2 Teacher A

7 Execration & Elimination of

drug 1

1 Teacher B

8 Receptor family 2 2 Teacher A

9 Signal transduction 2 2 Teacher A

10 Dosage regimen 1 1 Teacher B

11 Agonist and antagonist 1 1 Teacher A

12 Dose response curve 1 1 Teacher C

13 Tolerance/tachyphylaxis 1 1 Teacher C

14 Pharmacogenetics 1 1 Teacher B

Autonomic nervous system 18 Students should

understand about

autonomic system

and its functions &

drugs acting on ANS

with their

classification,

receptors and

neurotransmitters.

Special focus will be

on clinical

application of these

drugs.

15 Introduction To ANS 2 2 Teacher A

16 Cholinomimetics 3 3 Teacher B

17 Parasympatholytics 2 2 Teacher A

18 Sympathomimetics 4 4 Teacher C

19 Alpha-blockers 1 1 Teacher B

20 Beta blockers 2 2 Teacher A

21 Neuromuscular blockers 2 2 Teacher C

22 Ergot alkaloids 1 1 Teacher A

23 Adrenergic & ganglionic

blockers 1

1 Teacher A

Respiratory system 2 Student will be able

to correlate rationale

use of drug therapy

in asthma

24 Treatment of asthma 2 Teacher B

S3.2 Cardiovascular system 15 Student should

evaluate the actions

of cardio active drugs

with electro

physiological

properties of heart

and should

understand the basis

of actions of these

drugs in common

cardiovascular

disorders.

25 Diuretics 3 3 Teacher A

26 Alpha /beta blockers in HTN

1

1 Teacher C

27 Vasodilators 1 1 Teacher C

28 ACE inhibitors 1 1 Teacher A

29 Ca channel blocker 1 1 Teacher C

30 Hypertensive emergency and

urgency 1

1 Teacher B

31 Anti angina drugs 2 2 Teacher A

32 Management of heart failure

2

3 Teacher A

33 Anti –arrhythmic drugs 3 3 Teacher B

244

Blood 8 They should able to

apply basic & applied

aspects of anti

coagulantdrgs ,

thrombolytics and

anti hyperlipidemic

agents

34 Anti –coagulants drugs 2 2 Teacher A

35 Thrombolytics drugs 1 1 Teacher B

36 Anti platelets drugs 2 2 Teacher A

37 Anti hyperlipidemic drugs 2 2 Teacher A

38 Treatment of anaemia 1 1 Teacher C

Gastro intestinal tract

system drugs

9 Student should be

able to recognize

rationale use of anti

diarrhoeal as well as

GI motility agents &

Treatment of peptic

ulcer disease.

39 Anti-diarrheal drugs 1 1 Teacher B

40 Laxative/purgatives 1 1 Teacher A

41 Anti-emetic drugs 2 2 Teacher C

42 Treatment of peptic ulcer 4 4 Teacher A

43 IBD/IBS 1 1 Teacher B

Central nervous system

drugs

21 Should recognize

receptors, neurotran

smitters, and drugs

thatRegulate activity

of CNS

Along with their

interactions, adverse

effects and clinical

application in

different CNS

disorders.

44 Introduction to CNS 2 2 Teacher A

45 Sedative & hypnotic drugs 3 3 Teacher B

46 Anti-epileptic drugs 3 3 Teacher A

47 Local anesthetics 1 1 Teacher A

48 General anesthetics 3 3 Teacher C

49 Anti-parkinsons drugs 2 2 Teacher A

50 Anti-psychotic drugs 2 2 Teacher B

51 Anti-depressants 2 2 Teacher B

52 Opioid analgesics 1 1 Teacher A

53 Alcohol/drug of abuse 2 2

S3.3 Autocoids 10 Students should

understand basic and

applied aspects of

these drugs and

rationale use of

these agents for the

Treatment of various

pain

Disorders.

54 Anti-histamine 2 2 Teacher B

55 Eicosanoids 2 2 Teacher C

56 Treatment of migraine 1 1 Teacher B

57 Treatment of Gout 1 1 Teacher A

58 DMARDs 1 1 Teacher B

58 NSAIDS 3 3 Teacher A

Chemotherapy 32 Student should

recognize the MOA ,

classification,

Spectrum of activity,

clinical Uses

&adverse effects of

Chemotherapeutic

agents along with

their rationale uses

in different kinds of

infections.

59 Introduction To

Chemotherapy 2

2 Teacher A

60 Penicillins 1 1 Teacher B

61 Cephalosporins 2 2 Teacher A

62 Monobactum/Carbapenems

1

1 Teacher B

63 Tetracycline/Tigecycline 1 1 Teacher C

64 Stretpgramiin&lincosamides

1

1 Teacher C

65 Macrolides 1 1 Teacher A

66 Chloramphenicol & linezolid

1

1 Teacher A

67 Aminoglycosides 1 1 Teacher A

68 Quniolones/Uti antiseptics 1 1 Teacher B

69 Sulfonamides/Co-

trimoxazole 1

1 Teacher A

70 ATT drugs 2 1 Teacher B

245

71 Anti-leprosy drugs 1 1 Teacher B

72 Anti-Malarial drugs 3 3 Teacher A

73 Anti-Ameobiasis 1 1 Teacher C

74 Anti-Helmintic drugs 1 1 Teacher C

75 Anti viral drugs 3 3 Teacher A

76 Anti fungal drugs 2 2 Teacher B

77 Cancer chemotherapy 3 3 Teacher A

78 Immunosuppressant drugs 2 2 Teacher B

79 Corticosteroids 1 1 Teacher C

Endocrinology 15 Student should be

able to identify use

of various hormones

as replacement

therapy.

Basic and applied

aspects Of drugs in

common endocrine

disorders. Should

discriminate types of

diabetes and its

management.

80 DM classification 1 1 Teacher A

81 Oral hypoglycemic Agents 3 3 Teacher A

82 Types of Insulin 2 2 Teacher A

83 Management of DM 1 1 Teacher A

84 Thyroxine 1 1 Teacher B

85 Anti- Thyroid Drugs 1 1 Teacher B

86 OCP’s 3 3 Teacher B

87 Treatment of Osteoporosis 1 1 Teacher B

88 Pituitary hormones 1 1 Teacher C

89 Adrenal hormones 1 1 Teacher C

150

90 Fridays Grand tutorials 8 Teacher

A+B+C

Total Hours

120 hrs

Teacher A: Professor

Teacher B: Associate/Assistant

Professor

Teacher C: Senior

Demonstrator/demonstrotor

246

Practical planner

S.no Practical Total No

of

practical

Learning

objectives

Facilitator

S3.1 It is expected

that at the

end of

medical

training, the

students will

be able to:

1. Prescribe

drugs

rationally

2. Monitor the

drug therapy.

3. Observe

drug

interactions

and adverse

drug reactions

(ADR).

4. Manage

drug over

dosage and

poisoning.

1 Introduction to pharmacy 1 4 Teacher C

2 Weight and measure 2 8 Teacher C

3 Labeling and wrapping of drugs 2 8 Teacher C

4 Dosage forms 2 8 Teacher C

5 Tutorials & group discussion 15 Teacher C

S3.2

6 How to prepare solutions 2 8 Teacher C

7 How to prepare mixtures 2 8 Teacher C

8 How to prepare lotion from stock

solution 2

8 Teacher C

9 How to prepare powders 2 8 Teacher C

10 How to prepare ointments 2 8 Teacher C

11 Dose calculation 1 4 Teacher C

12 Practice of p drug 1 4 Teacher C

13 Introduction to biostatistics 2 8 Teacher C

14 Tutorials & group discussion 15 Teacher C

S3.3

15 Experimental pharmacy

introduction 1

4 Teacher C

16 Effects of drugs on frog heart 2 8 Teacher C

17 Dose response curve 2 8 Teacher C

18 Drug antagonism 2 8 Teacher C

19 Effect of drugs on rabbit eye 2 8 Teacher C

20 Prescription writing 2 8 Teacher C

21 Tutorials & group discussion 14

Total practical 64 x 100 106 hrs

247

min

19 Total Tutorials & group

discussion

44 x 100

min

74 hrs

248

3.2 TIME TABLE

Day 08:45 A.M

TO 08:45 AM

08:45 A.M TO

09:30A.M

09:30 A.M TO

10:15 A.M

10:15

A.M

TO

10:35

A.M

10:35 A.M

TO 11:20

A.M

11:20

P.M TO

01:20p.

M

01:20

P.M TO

03:00P.

M

Monday Behavioral

Sciences

Pathology Pharmacology Break E.N.T Clinical

Wards

Practical

Batch C

Tuesday Forensic

Medicine

Pharmacology Pharmacology Gynaecology Clinical

Wards

Practical

Batch D

Wednesda

y

Behavioral

Sciences

Pharmacology Pharmacology Medicine Clinical

Wards

Practical

Batch A

Thursday Pathology Pharmacology Forensic

Medicine

Surgery Clinical

Wards

Practical

Batch B

Friday Pharmacolog

y

Forensic

Medicine

Pathology Eye Clinical

Wards

Grand

Tutorial

249

4.0 Assessment/Evaluation/Examination

4.1 Continuous assessment

1. Attendance

2. Punctuality

3. Class behavior

4. Interactive session participation

5. Extra-curricular activities participation

4.2 Evaluation at the end of semester

Student will be judged on following parameters

Theory:35 marks

1. MCQs

2. SEQs

Practical/ viva :45 marks

Attendance 10

Overall behavior 5

Extra-curricular 5

4.3 Evaluation at the end of the year (send up)

Student will be judged on following parameters

Theory:35 marks

1. MCQs

2. SEQs

Practical/ viva: 45 marks

Attendance

Overall behavior

Extra-curricular

250

4.4 University examination

Serial

no

THEORY SUB

TOTAL

ORAL

&PRACTICAL

INTERNAL

ASSESSMENT

SUB

TOTAL

GRAND

TOTAL

1 SEQs MCQs INT

ASSESSMENT

150

MARKS

135 MARKS 15 MARKS 150

MARKS

300

MARKS

70

MARKS

65

MARKS

15 MARKS

SEQs

10 SEQs each having 7 marks

Allocated time 2 hrs

MCQs

65 MCQs each having 1 marks

Allocated time 1 hr

252

4.5Student feedback form

Name of student (optional):

Year:

KEY:

1= unsatisfactory

2=fair

3=good

4=very good

5=excellent

1 2 3 4 5

Quality of teaching

Quality of learning resources

Learning environment

Quality of CME/workshops

Practical / tutorials content

Extra –curricular activities

Department cooperation

Comments:

253

5.0 Recommended Books, Journals, Web Sites

Recommended books

1. Basic and Clinical Pharmacology by Katzung, 13th Ed., McGraw-Hill.

2. Pharmacology by Champe and Harvey, 6th Ed., Lippincott Williams &

Wilkins.

3. Good man and Gilman Manual of pharmacology

4.katzung& Trevor’s pharmacology examination board review 11th edition by McGraw-

Hill.

Journals of pharmacology

1. British Journal Of Pharmacology

2. European Journal Of Pharmacology

3. Journal of Pharmacological Sciences.

254


AIMC-MBBS,

PATHOLOGY CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

DEPARTMENT OF PATHOLOGY, AMNA INAYAT MEDICAL COLLEGE

255

Contents

1.24. INTRODUCTION

1.25. Department of Pathology, Faculty and staff


Program

1.27. Allocated contact hours (Theory, Practical, Total) of Pathology

Subject,

in year 3rd& 4th of MBBS Program


Pathology

Subject, in year 3rd& 4th of MBBS Program.



University Examinations of3rd and 4th year MBBS Program.



2.0. CURRICULUM OF PYSIOLOGY SUBJECT.

2.1 PMDC Curriculum

2.2. UHS Curriculum


3.6 Time Table of Lectures/Demonstrations/Practical of Year3rd and 4th.


Practical” of 3rd year


Practical” of

3rd and 4th year.











256

DEPARTMENT OF PATHOLOGY STAFF MEMBERS

DESIGNATION NAME QUALIFICATION EXPERIENCE

HEAD OF

DEPARTMENT

PROFESSOR OF

MICROBIOLOGY

DR. GHULAM MUJTABA

SIDDIQI

M.B.B.S,M.C.P.S

M.PHIL

(MICROBIOLOGY) 30YEARS

PROFESSOR

HISTOPATHOLOGY DR.TARIQ MAHMOOD

M.B.B.S,M.C.P.S

F.C.P.S M.PHIL

(HISTOPATHOLOGY) 25 YEARS

PROFESSOR

(CHEMICAL

PATHOLOGY ) DR.NAEEM KOUSAR

M.B.B.S,D.C.P

M.PHIL

(CHEMICAL PATHOLOGY ) 30 YEARS

PROFESSOR

(HEMATOLOGY) DR QAISER HASNAIN

MBBS,D.PATH(AF-PGMI),

MRCP,FCPS(HEMATOLOGY) 24 YEARS

ASSISTANT

PROFESSOR

(HEMATOLOGY) DR.RABIYA JAMIL

M.B.B.S

M.PHIL (HEMATOLOGY 5 YEARS

ASSISTANT

PROFESSOR

(CHEMICAL

PATHOLOGY )

DR.MUHAMMAD JAWAD

M.B.B.S M.PHIL

(CHEMICAL PATHOLOGY ) 12 YEARS

ASSISTANT

PROFESSOR

HISTOPATHOLOGY DR. SADIA SHARIF B.D.S MPHIL (HISTOPATHOLOGY) 7 YEARS

SENIOR

DEMONSTRATOR DR.AYESHA SAJJAD

M.B.B.S

M.PHIL part I 4 YEARS

DEMONSTRATOR

DR. JAVARIA JAMIL

M.B.B.S

6 MONTHS

DEMONSTRATOR

DR.QURAT-UL-AIN

M.B.B.S

1 YEAR

PARAMEDICAL STAFF

NAME DESIGNATION QUALIFICATION EXPERIENCE

FAIZAN RASOOL LAB TECHNOLOGIST B.SC M.L.T 10YEARS

AFFAN LAB TECHNICIAN LAB. TECH 5 YEARS

M WAQAR LAB TECHNICIAN LAB. TECH 10 YEARS

M SHAREEF LAB TECHNICIAN LAB. TECH 16 YEARS

257


SUBJECT 1ST

YEAR

2ND

YEAR

3RD YEAR 4RTH

YEAR

5THYEAR TOTAL

HOURS



STUDIES









MEDICINE AND Allied

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATOLOGY AND

GENERAL PRACTICE

25HRS 30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS


SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY




CLINICOPATHOLOGICAL

CONFERENCE

- - - 60HRS - 60HRS

TOTAL 740

HRS

790HRS 1060HRS 1265HRS 940HRS 4795HRS

258

ALLOCATED HOURS IN PATHOLOGY SUBJECT IN

3RD AND 4TH YEARMBBS PROGRAM

Total number of Contact hours for Third Year MBBS

MITs Total number Total contact hrs

Lectures 167 125

Practicals 40 60

Grand tutorials 14 23

Assessments 3 15

CMEs 9 27


Total number of Contact hours for Fourth Year MBBS

Lectures 167 125

Practicals 30 45

Grand tutorials 9 14

Tutorials 18 27

Assessments 3 12

CMEs 9 27



Duration of lecture= 45min

Duration of practical= 100min

Duration of tutorial=90 min

Duration of Grand tutorial= 100min

Duration Of CME= 180 min

Duration of assessments= 180min

Semester test theory = 180 min

Semester practical +OSPE= 1 hour

Semester Viva=1 hour

259

SEMESTER PLANNER OF ALLOCATED HOURS OF

SUBJECT PATHOLOGY IN 3RD AND 4TH YEAR MBBS

General pathology and Microbiology

Semester Theory

(hrs)

Practical

(hrs)

Tutorial

(hrs)

CME

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 45 20 9 11 5 90

Semester 2 45 20 9 11 5 90

Semester 3 35 20 5 5 5 70

Grand Total

250

Special Pathology

Semester1 42 15 13.5 9 4 83.5

Semester 2 42 15 13.5 9 4 83.5

Semester 3 42 15 13 9 4 80

Grand Total

250

Total contact hours

500 hrs

260

SEMESTER PLANNER FOR 3RD AND 4TH YEAR MBBS

SUBJECT PATHOLOGY


To

pic

s

Fo

r g

en

era

l p

ath

olo

gy

An

d m

icro

bio

log

y

Parasitology

Special bacteriology

Neoplasia

General bacteriology

Wound healing

regeneration and

repair

Virology

Cell injury adaptation

and cell death

Hemodynamic

disorders

Mycology

Acute and chronic

inflammation

Immunology

Genetics

Sp

eci

al

Pa

tho

log

y

GIT

Respiratory system

Male genital

system

CVS

Female Genital

system

Breast

Urinary system

Musculoskeleton

system

Endocrine system

Respiratory 2

Hepatobiliary system

Hematopoietic

system


Total semesters=3



261

ASSESSMENT AND EXAMINATION PLANNER

FOR 3RD AND 4TH YEAR MBBS

Third Year MBBS

Year

Semester

1

3 months

Assessment

Semester

2

3 months

Assessment

Semester

3

3 months

Assessment

Assessment

Assessment

Semester

S1

Monthly test=

2

Term test=1

S2

Monthly test=

2

Term test=1

S3

Assessment

for semester

3

Send-up

UHS second

Prof Exam

Fourth year MBBS

Semester

S1 Monthly test=

2

Term test=1

S2

Monthly test=

2

Term test=1

S3

Monthly test=

2

Term test=1

Send-up

UHS Third

Prof Exam




u. Theory marks= Total Marks 40

v. Practical /viva Marks= Total Marks 40

w. Attendance criteria= 75%= 10 marks

x. General attitude of student= 5 marks

y. Extracurricular activities = 5 marks


u. Theory marks= Total Marks 135

v. Practical/viva Marks= Total Marks 135 (further division according to UHS format)

w. Attendance criteria= 75%= 20 marks

x. General attitude of student= 5 marks

y. Extracurricular activities = 5 marks






262

YEARLY PLANNER ACCORDING TO SEMESTER

TITILE DESCRIPTIONN Interactive

Lectures

(IL)

PRACTICALS Tutorial/Grand

Tutorial

Assessments

(Summative,

Formative)

Semester 1 15 DEC to 15

March

55 10 9 1

WINTER BREAK Last week of DECEMBER


Tutorial

Summative

Assessment

Semester 1 16 March to 15

June

55 10 9 1

SPRING BREAK 1st Week of April


Tutorial

Summative

Assessment

Semester 1 16 June to 15

Sep

55 10 9 1

SUMMER BREAK 1st July to 31 July

TITILE DESCRIPTIONN Observed

stations

Unobserved

stations

Feed back Formative

Assessment

OSPE

revision

1st week of Oct 02 18 One to one 1

TITILE DESCRIPTIONN Theory

Marks

Practical

Marks

Viva

Marks

Summative

Assessment

Send Up

exam

2nd week of

October

50 % 25% 25% 1

263

TEACHING STRATEGIES







264

PMDC SYLLABUS

SUBJECT : GENERAL PATHOLOGY AND MICROBIOLOGY

(A) GENERAL PATHOLOGY

CELL INJURY

1. Necrosis, Ischemia, Hypoxia, Infarction and Gangrene Oncosis and Autolysis.

2. Sequence of the ultrastructural and biochemical changes which occur in the cell in

response to the following:

Ischemia

Immunological injury, e.g., Asthma / SLE / Anaphylactic reaction

Physical agents, e.g., Radiation

Genetic defects, e.g., Thalassemia / Hemophilia

Nutritional deficiency, e.g., Kwashiorkor

Infectious agents

Viruses, e.g., Hepatitis

Bacteria, e.g., Staphylococcus aureus

Fungi, e.g., Candida

Parasites, e.g., Malaria

Nutritional deficiency

3. Irreversible and reversible injury

4. Apoptosis and its significance.

5. Necrosis and its types

6. Exogenous and endogenous pigmentation.

7. Dystrophic and metastatic calcification along with clinical significance.

8. Metabolic disorders

• Lipid disorders, Steatosis of liver, Hyperlipidemia

• Protein disorders

• Carbohydrate disorders

265

INFLAMMATION, MEDIATORS OF INFLAMMATION

1. Role of inflammation in the defense mechanisms of the body.

2. Vascular changes of acute inflammation and their relation to morphological and tissue

effects.

3. Process of Chemotaxis, Opsonization and Phagocytosis.

4. Role of cellular components in inflammatory exudate.

5. Exudates and transudate.

6. Important chemical mediators of inflammation.

7. Pathway of Arachidonic Acid metabolism.

8. Role of products of Arachidonic acid metabolism in inflammation.

9. Mechanism for development of fever, exogenous and endogenous pyrogens.

10. Chronic inflammation including Granulomas.

11. Granuloma and its types along with causes.

12. Systemic effects of acute and chronic inflammation and their possible outcomes.

13. Significance of ESR.

14. Induced hypothermia in medicine.

15. Healing in specialized tissue.

WOUND HEALING

1. Repair and regeneration.

2. Wound healing by first and second intention.

3. Factors that influence the inflammatory reparative response.

4. Wound contraction and cicatrisation.

5. Formation of granulation tissue.

6. Complications of wound healing.

DISORDERS OF CIRCULATION

a. Thrombo-embolic disorders and their modalities

1. Etiology and pathogenesis of thrombosis.

2. Possible consequences of thrombosis

266

3. Difference between thrombi and clots

4. Classification of emboli according to their composition.

5. Difference between arterial and venous emboli.

b. Hemorrhage, Hyperemia and Congestion

1. Definitions of common types of Hemorrhage

2. Types of hyperemia

3. Difference between hyperemia and congestion

c. Infarction

1. Types of infarction

2. Difference between anemic and hemorrhagic infarct

3. Morphological picture of infraction in different organ systems

d. Disorders of the circulation and shock

1. Edema, ascites, hydrothorax and anasarca.

2. Pathophysiology of edema with special emphasis on CHF.

3. Pathogenesis of four major types of shock (Hypovolemic,

cardiogenic, vasovagal & septic) and their causes.

4. Compensatory mechanisms involved in shock.

GROWTH DISORERS/NEOPLASIA

1. Atrophy and Hypertrophy, Agenesis, Dysgensis, Aplasia, Hypoplasia,

Hyperplasia, Metaplasia, Dysplasia, Neoplasia, Anaplasia,.

2. Cell cycle and cell types (stable, labile, permanent)

3. Mechanisms controlling cell growth

4. Classification systems of tumors.

5. Characteristics of benign and malignant tumors

6. Difference between Carcinoma and Sarcoma.

7. Grading and staging system of tumors.

8. Biology of tumor growth

9. Process of carcinogenesis

10. Host defense against tumors.

11. Mechanism of local and distant spread.

12. Local and systemic effects of tumors.

267

13. Tumor markers used in the diagnosis and management of cancers.

14. Common chemical, physical agents and viruses related to human cancer.

15. Epidemiology of common cancers in Pakistan.

16. Radiation and its effects on tissues.

17. Cancer screening.

IMMUNOLOGY

1. Antigen, antibody, epitope, hapten and adhesion molecules.

2. Difference between innate and acquired immunity.

3. Structure and function of major histocompatibility complex (MHC).

4. Cytokines.

5. Mechanism of humoral and cell medicated immunity.

6. Hypersensitivity reactions, Type I, Type II, Type III and Type IV.

7. Autograft, homograft, allograft and xenograft.

8. Immunotolerance and immunoparalysis.

9. Mechanism involved in allograft rejection and steps that can be taken

to combat rejection.

10. Classification of Immunodeficiency disorders

11. Basis of autoimmunity.

12. Tissue transplantation.

13. Pathology and pathogenesis of AIDS.

14. Lab diagnosis of immunological diseases.

GENETICS

1. Common sex linked, autosomal recessive and autosomal dominant disorders.

2. Common genetic mutations.

3. Diseases associated with consanguineous marriages.

4. Molecular biology techniques.

(B) MICROBIOLOGY

1. Defence mechanisms of the body.

2. Microbial mechanisms of invasion and virulence.

3. Difference between sterilization and disinfection.

4. Methods of disinfection and sterilization of the following:

268

a. Facility where the doctor practices,

b. Examination table,

c. Any spillage e.g. sputum, vomitus, stool, urine, blood,

d. Examination tools, e.g., thermometer, nasal and ear specula and spatula,

5. Principles of aseptic techniques such as Venepuncture, urinary

catheterization, bandaging, suturing and lumber puncture.

6. Universal precautions for infection control.

7. General principles of the following serological tests:

a. ELISA – Hepatitis (A,B,C,D,E,G) Rubella, CMV and HIV

b. PCR

c. Haemagglutination – TPHA

d. Western Blot –HIV Malaria.

8. Interpretation of :

a. Culture reports

b. Serological reports and

c. Microscopic reports of gram stain and ZN stain.

9. Principles of proper collection and submission of specimens for laboratory investigations

9. General characteristics and taxonomy of Bacteria, Rickettsia,Chlamydia, Viruses and

Fungi.

11. Communicable, Endemic, Epidemic, and Pandemic Diseases, Carriers,Pathogens,

Opportunists, Commensals and Colonizers.

12. Microorganisms responsible for infection of the following organ systems:

_ Central Nervous System

_ Respiratory System

_ Gastrointestinal System

_ Genital System

_ Urinary System

_ Infections of Bones and Joints

_ Zoonosis

_ Infection of the Skin

_ Hepatic Infections

13 Pathogenesis, Treatment, Epidemiology, Prevention and Control of the

following organisms:

269

(i) Bacteria

Staphylococcus aureus

Streptococcus pneumoniae

Beta hemolytic streptococcus group a & b

Diphtheria sp.

Bordetella sp.

Bacillus anthracis

Clostridium perfrignes

Clostridium botulinum,

Clostridium difficile

Clostridium tetani

Actinomyciesisraelli

Nocardiaasteroides

Neisseria meningitis

Neisseria gonorrhoeae

Gardenella vaginalis

Haemophilusinfluenzae

Mycobacterium tuberculosis

Mycobacterium leprae

E.coli

Klebsiella

Proteus

Salmonella

Shigella

Yersinia pestis

Pseudomonas

Vibrio cholera

Vibrio parahemolyticus

Campylobacter jejuni

Helicobacter pylori

Legionella

270

Mycoplasma pneumoniae

Chlamydia

Treponema pallidium

Leptospira

Rickettsia sp.

(ii) Viruses

Mumps

Herpes

Measles

Influenza,

Para influenza

RSV

Hepatitis A, B, C, D, E

Rota

CMV

EBV

Rubella

Chicken Pox

HIV

Rabies

(iii) Fungus

Cryptococcus neoformans

Candida albicans

Tinea species

(iv) Protozoa

Plasmodium species

Giardia lamblia

Entamoeba histolytica

Cryptosporidium

Leishmania species

Trichomonas vaginalis

Toxoplasma gondii

271

Pneumocyctiscarinii

(v) Helminths

Ascarislumbricoides

Ancylostomaduodenale

Trichuristrichuria

Enterobiusvermicularis

Filaria species

Strongyloidesstercoralis

Schistosoma species

Echinococcus species

Taeniasolium

Taeniasaginata

Hymenolepis nana

.

UHS SYLLABUS

Subject: General Bacteriology and microbiology

GENERAL PATHOLOGY

CELL INJURY

1. Necrosis, Ischemia, Hypoxia, Infarction and Gangrene

Oncosis and Autolysis.

2. Sequence of the ultrastructural and biochemical changes

which occur in the cell in response to the following:

_ Ischemia

_ Immunological injury, e.g., Asthma / SLE / Anaphylactic

reaction

_ Physical agents, e.g., Radiation

_ Genetic defects, e.g., Thalassemia / Hemophilia

_ Nutritional deficiency, e.g., Kwashiorkor

_ Infectious agents

272

_ Viruses, e.g., Hepatitis

_ Bacteria, e.g., Staphylococcus aureus

_ Fungi, e.g., Candida

_ Parasites, e.g., Malaria

_ Nutritional deficiency

3. Irreversible and reversible injury

4. Apoptosis and its significance.

5. Necrosis and its types

6. Exogenous and endogenous pigmentation.

7. Dystrophic and metastatic calcification along with clinical

significance.

8. Metabolic disorders

• Lipid disorders, Steatosis of liver, Hyperlipidemia

• Protein disorders

• Carbohydrate disorders

INFLAMMATION, MEDIATORS OF INFLAMMATION

1. Role of inflammation in the defense mechanisms of the body.

2. Vascular changes of acute inflammation and their relation to

morphological and tissue effects.

3. Process of Chemotaxis, Opsonization and Phagocytosis.

4. Role of cellular components in inflammatory exudate.

5. Exudates and transudate.

6. Important chemical mediators of inflammation.

7. Pathway of Arachidonic Acid metabolism.

8. Role of products of Arachidonic acid metabolism in inflammation.

9. Mechanism for development of fever, with reference to exogenous and

endogenous pyrogens.

10. Chronic inflammation including Granulomas.

11. Granuloma and its types along with causes.

12. Systemic effects of acute and chronic inflammation and their possible

outcomes.

13. Significance of ESR.

273

14. Induced hypothermia in medicine.

15. Healing in specialized tissue.

WOUND HEALING

1. Repair and regeneration.

2. Wound healing by first and second intention.

3. Factors that influence the inflammatory reparative response.

4. Wound contraction and cicatrisation.

5. Formation of granulation tissue.

6. Complications of wound healing.

DISORDERS OF CIRCULATION

a. Thrombo-embolic disorders and their modalities

1. Etiology and pathogenesis of thrombosis.

2. Possible consequences of thrombosis

3. Difference between thrombi and clots

4. Classification of emboli according to their composition.

5. Difference between arterial and venous emboli.

b. Hemorrhage, Hyperemia and Congestion

1. Definitions of common types of Hemorrhage

2. Types of hyperemia

3. Difference between hyperemia and congestion

c. Infarction

1. Types of infarction

2. Difference between anemic and hemorrhagic infarct

3. Morphological picture of infraction in different organ systems

d. Disorders of the circulation and shock

1. Edema, ascites, hydrothorax and anasarca.

2. Pathophysiology of edema with special emphasis on CHF.

3. Pathogenesis of four major types of shock (Hypovolemic,

cardiogenic, vasovagal & septic) and their causes.

4. Compensatory mechanisms involved in shock.

MICROBIOLOGY

1. Defence mechanisms of the body.

2. Microbial mechanisms of invasion and virulence.

274

3. Difference between sterilization and disinfection.

4. Methods of disinfection and sterilization of the following:

a. Facility where the doctor practices,

b. Examination table,

c. Any spillage e.g. sputum, vomitus, stool, urine, blood,

d. Examination tools, e.g., thermometer, nasal and ear specula and

spatula,

5. Principles of aseptic techniques such as Venepuncture, urinary

catheterization, bandaging, suturing and lumber puncture.

6. Universal precautions for infection control.

7. General principles of the following serological tests:

a. ELISA – Hepatitis (A,B,C,D,E,G) Rubella, CMV and HIV

b. PCR

c. Haemagglutination – TPHA

d. Western Blot –HIV

Malaria.

8. Interpretation of :

a. Culture reports

b. Serological reports and

c. Microscopic reports of gram stain and ZN stain.

9. Principles of proper collection and submission of specimens for

laboratory investigations

9. General characteristics and taxonomy of Bacteria, Rickettsia,

Chlamydia, Viruses and Fungi.

11. Communicable, Endemic, Epidemic, and Pandemic Diseases, Carriers

Pathogens, Opportunists, Commensals and Colonizers.

12. Microorganisms responsible for infection of the following organ

systems:

_ Central Nervous System

_ Respiratory System

_ Gastrointestinal System

_ Genital System

_ Urinary System

275

_ Infections of Bones and Joints

_ Zoonosis

_ Infection of the Skin

_ Hepatic Infections

13 Pathogenesis, Treatment, Epidemiology, Prevention and Control of the

following organisms:

(i) Bacteria

Staphylococcus aureus

Streptococcus pneumoniae

Beta hemolytic streptococcus group a & b

Diphtheria sp.

Bordetella sp.

Bacillus anthracis

Clostridium perfrignes

Clostridium botulinum,

Clostridium difficile

Clostridium tetani

Actinomyciesisraelli

Nocardiaasteroides

Neisseria meningitis

Neisseria gonorrhoeae

Gardenella vaginalis

Haemophilusinfluenzae

Mycobacterium tuberculosis

Mycobacterium leprae

E.coli

Klebsiella

Proteus

Salmonella

Shigella

Yersinia pestis

Pseudomonas

Vibrio cholera

276

Vibrio parahemolyticus

Campylobacter jejuni

Helicobacter pylori

Legionella

Mycoplasma pneumoniae

Chlamydia

Treponema pallidium

Leptospira

Rickettsia sp.

(ii) Viruses

Mumps

Herpes

Measles

Influenza,

Para influenza

RSV

Hepatitis A, B, C, D, E

Rota

CMV

EBV

Rubella

Chicken Pox

HIV

Rabies

(iii) Fungus

Cryptococcus neoformans

Candida albicans

Tinea species

(iv) Protozoa

Plasmodium species

Giardia lamblia

Entamoeba histolytica

Cryptosporidium

277

Leishmania species

Trichomonas vaginalis

Toxoplasma gondii

Pneumocyctiscarinii

(v) Helminths

Ascarislumbricoides

Ancylostomaduodenale

Trichuristrichuria

Enterobiusvermicularis

Filaria species

Strongyloidesstercoralis

Schistosoma species

Echinococcus species

Taeniasolium

Taeniasaginata

Hymenolepis nana

PRINCIPLES OF ANTI MICROBIAL ACTION.

1. Antibiotics, selective toxicity, bacteriostatic and bactericidal.

2. Host determinants in relation to selection of an antimicrobial drug for

therapy.

3. Minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC)

4. Bacterial resistance and the mechanisms involved in acquiring bacterialresistance

5. Mechanisms involved in transfer of drug resistance to bacterial resistance.

6. Mode of action of various antimicrobial drug groups.

7. Superinfection and cross sensitivity.

GENETICS

1. Common sex linked, autosomal recessive and autosomal dominant

disorders.

2. Common genetic mutations.

3. Diseases associated with consanguineous marriages.

4. Molecular biology techniques.

GROWTH DISORERS/NEOPLASIA

1. Atrophy and Hypertrophy, Agenesis, Dysgensis, Aplasia, Hypoplasia,

278

Hyperplasia, Metaplasia, Dysplasia, Neoplasia, Anaplasia,.

2. Cell cycle and cell types (stable, labile, permanent)

3. Mechanisms controlling cell growth

4. Classification systems of tumors.

5. Characteristics of benign and malignant tumors

6. Difference between Carcinoma and Sarcoma.

7. Grading and staging system of tumors.

8. Biology of tumor growth

9. Process of carcinogenesis

10. Host defense against tumors.

11. Mechanism of local and distant spread.

12. Local and systemic effects of tumors.

13. Tumor markers used in the diagnosis and management of cancers.

14. Common chemical, physical agents and viruses related to human

cancer.

15. Epidemiology of common cancers in Pakistan.

16. Radiation and its effects on tissues.

17. Cancer screening.

IMMUNOLOGY

1. Antigen, antibody, epitope, hapten and adhesion molecules.

2. Difference between innate and acquired immunity.

3. Structure and function of major histocompatibility complex (MHC).

4. Cytokines.

5. Mechanism of humoral and cell medicated immunity.

6. Hypersensitivity reactions, Type I, Type II, Type III and Type IV.

7. Autograft, homograft, allograft and xenograft.

8. Immunotolerance and immunoparalysis.

9. Mechanism involved in allograft rejection and steps that can be taken

to combat rejection.

10. Classification of Immunodeficiency disorders

11. Basis of autoimmunity.

12. Tissue transplantation.

13. Pathology and pathogenesis of AIDS.

279

14. Lab diagnosis of immunological diseases.

PMDC SYLLABUS OF SPECIAL PATHOLOGY

3RD PROFESSIONAL MBBS

1. BLOOD VESSELS & HEART

• Differentiate among atherosclerosis, Monkeberg's medial calcific sclerosis

and arteriolosclerosis.

• Describe atherosclerosis with respect to the following factors

• Etiology and pathogenesis

• Early lesion

• Late and complicated lesion

• Vessels affected

• Complications

• Classify hypertension.

• List the causes of secondary hypertension

• Describe the vascular changes in hypertension.

• Discuss the common pathogenetic mechanisms of vasculitis.

• .Classify aneurysm according to the etiology.

• Describe atherosclerotic aneurysm with respect to

• Pathogenesis.

• Type of vessel involved.

• Morphological & clinical features.

• Describe varicose veins with respect to

• Common sites

• Predisposing factors

• Clinical features.

• List the benign and malignant tumours of blood vessels.

• Describe the pathogenesis of ischemic heart disease.

• Describe myocardial infarction with respect to the following

• Sequence of changes in myocardial infarction (MI)

• Pattern of elevation of biochemical markers used in the evaluation of

M.I

• Complications

• List the causes of sudden cardiac death

• Describe cor-pulmonale and list the predisposing disorders

• Describe rheumatic fever with respect to

• Etiology

• Pathogenesis

• Morphological & clinical features

• List the causes of myocarditis

• Describe morphological and clinical features of myocarditis

280

• Describe the three major clinico-pathological groups of cardiomyopathy

(dilated, hypertrophic and restrictive)

• List the causes of pericarditis

• Describe the clinical and morphological feature of pericarditis

• List the primary & secondary cardiac tumours

• Describe the main features of Fallot's tetralogy and coarctation of aorta

2. HAEMATOPOIETIC AND LYMPHOID SYSTEMS

• Outline the stages in the formation of red blood cell and white blood cells.

• List the normal values of red cell count, haemoglobin level, packed cell

volume, MCH, MCV, MCHC, WBC count and platelet count.

• Classify anaemia on the basis of mechanism of RBC production.

• Describe the causes of iron deficiency.

• Describe the morphological and clinical features of iron deficiency

anaemia.

• List the types of megaloblastic anaemia.

• List the conditions which predispose to folate deficiency.

• Describe vit. B12 deficiency with respect to

• The conditions which producBlood picture and clinical features

• Differentiate between anaemia of chronic disease and nutritional

deficiency anaemia.

• Describe hereditary spherocytosis with respect to

• The incidence

• Etiology

• Pathogenesis

• Morphological and clinical features

• Discuss the pathogenesis of thalassaemia.

• Classify thalassaemia on the basis of clinical and genetic features.

• Differentiate between the blood picture and clinical feature of Beta-

thalassaemia minor and major.

• Discuss the mechanism of haemolyticanaemia due to glucose-6-phosphate

dehyrogenase deficiency.

• Classify immunohemolyticanaemia.

• Differentiate between warm and cold antibodies

immunohemolyticanaemia.

• Describe aplastic anaemia with respect to the


• Clinical features and Lab. Diagnosis

• Describe the mechanisms which can cause neutropenia/ agranulocytosis.

• Describe the causes of leukocytosis.

• Describe the epidemiological, morphological and clinical features of

infectious mononucleosis.

• Differentiate between acute and chronic non-specific lymphadenitis.

• Describe the different classifications (REAL and working formulations) of

non-Hodgkin's lymphoma.

281

• Describe Hodgkin's disease with respect to

• The classification

• The clinical stages


• Classify leukemia

• Discuss the prognostic factors of acute lymphoblastic and acute

myeloblasticleukemias.

• Describe the pathophysiology of chronic myeloid and chronic lymphocytic

leukemias

• Describe multiple myeloma with respect to

• Etiology

• Pathogenesis

• Morphology

• Clinical features

• Describe disseminated intravascular coagulation with respect to


• Clinical features and laboratory diagnosis

• List the causes of decreased production and decreased survival of platelets.

• Describe the pathogenesis of idiopathic & thrombotic thrombocytopenic

purpura

• Indicate the value of following tests in the assessment of bleeding

disorders

• Bleeding time

• Clothing time

• Platelets count

• Platelet function test

• Partial thromboplastin time

• Prothrombin time

• Mixing test studies

• Describe polycythemia with respect to

• Etiology

• Pathogenesis

• Clinical significance

• Lab. Diagnosis

• Describe the ABO and Rhesus blood groups and outline the way in which a

sample of blood is typed.

• List the hazards of blood transfusion and how these can be prevented.

3. RESPIRATORY SYSTEM

• List micro-organisms causing upper respiratory tract infection.

• Describe the etiology and clinical features of rhinitis and nasal polyps.

• List malignant & benign tumours of nasopharynx and larynx.

• Discuss pleural effusion, hemothorax, hydrothorax, pleuretis,

pneumothorax and chylothorax.

• Discuss acute pharyngitis, acute bacterial epiglottis and acute laryngitis.

• Classification of atelactasis on the basis of underlying mechanism.

282

• Differentiate between restrictive & obstructive lung disease on the basis of

pulmonary function tests.

• Describe the etiology pathogenesis, morphology & clinical features of

asthma.

• Describe various types of emphysema, its pathogenesis, morphology and

clinical features.

• Describe pathogenesis and clinical features of chronic bronchitis.

• Describe the predisposing factors, pathogenesis, morphology & clinical

features of bronchiectasis.

• List the clinical conditions associated with restrictive lung diseases. 57

Describe the pathogenesis, morphology & clinical features of adult respiratory

distress syndrome.

• Describe the pathogenesis, morphology & clinical features of sarcoidosis

and hypersensitivity pneumonitis.

• Describe the pathogenesis, morphology and clinical features of idiopathic

pulmonary fibrosis.

• Describe clinical features of Goodpasture's syndrome.

• List the pathogenesis, morphology & clinical features of thromboemboli.

• Describe the morphology & clinical features of pulmonary infarction.

• List the causes of pulmonary hypertension and vascular sclerosis.

• Describe the etiology, pathogenesis, morphology & clinical features of

acute bacterial pneumonia.

• List the micro-organisms causing atypical pneumonia.

• Discuss the etiology, pathogenesis & clinical features of tuberculosis of the

lung.

• List the Fungi (candida, pneumocystis carinii) causing lung infections.

• Describe the classification, etiology, pathogenesis and clinical features of

bronchogenic carcinoma.

• Describe etiology & pathogenesis of mesothelioma.

• Describe pneumoconioses with respect to etiology, pathogenesis and

clinical features.

4. THE ORAL CAVITY AND GASTROINTESTINAL TRACT

4.1 Oral cavity

• Define the term leukoplakia.

• List the possible predisposing factors (pipe smoking, ill-fitting denture,

alcohol abuse, irritant foods) of leukoplakia.

• Discuss the risk factors of oral cancer.

• Describe the clinical and morphological feature of oral cancer.

• List the benign and malignant tumours of salivary glands.

• Describe the clinical and morphological features of pleomorphic adenoma.

4.2 Esophagus

• Describe the predisposing factors of esophagitis.

• Carcinoma of the esophagus.

283

4.3 Stomach

• List the predisposing factors associated with acute gastritis.

• Describe the pathogenesis and clinical features of acute gastritis.

• Describe the pathogenesis, morphological and clinical features of chronic

gastritis.

• Describe the pathogenesis, morphological and clinical features of peptic

ulcer

Describe the gastric carcinoma with respect to

• Risk factors

• Pathogenesis

• Clinical and morphological features

• Prognosis

4.4 Intestine

• Describe the clinical and morphological features of Hirschsprung's disease.

• Describe the pathogenesis, morphological and clinical features of

• Celiac sprue

• Tropical sprue

• Describe the predisposing conditions for ischemic bowel disease.

• Describe the clinical and morphological features of ischemic bowel disease.

• Differentiate between Crohn's disease and ulcerative colitis.

• List the major causes of intestinal obstruction.

• Describe the clinico-pathological features of following diseases of intestine

• Amebiasis

• Tuberculosis

• Typhoid

• List the non-neoplastic polyps of intestine.

• Classify adenomas on the basis of epithelial architecture.

• Describe the clinical and morphological features of adenomas.

• Discuss the pathogenesis of colorectal carcinoma.

• Describe the morphological and clinical features of colorectal carcinoma.

• Describe the Aster-Collar classifications of carcinoma of the colon and

rectum.

• Describe carcinoid tumour with respect to the

• Peak incidence

• Most prevalent sites in the gut

• Morphological features.

• Describe the clinical features of carcinoid syndrome.

• Describe the etiology, pathogenesis, morphological and clinical features of

acute appendicitis.

• List the tumours of appendix.

5. LIVER & BILIARY TRACT

5.1 Liver

• Describe the pathway of bilirubin metabolism and its elimination from the

body.

284

• Describe the types of jaundice with respect to the following:

• Causes

Clinical features

• Lab diagnosis

• Differentiate between intrahepatic and extrahepatic biliary obstruction.

• List the causes of hepatic failure.

• Describe the morphological and clinical features of hepatic failure.

• Describe the important complication of liver failure (hepatic

encephalopathy, hepatorenal syndrome).

• List the common causes of cirrhosis (viral hepatitis, cryptogenic, alcohol,

biliary disease, genetic hemochromatosis, Wilson's disease, alpha-1 anti-

trypsin deficiency).

• Discuss the pathogenesis of cirrhosis.

• Describe the complications of cirrhosis (progressive liver failure, portal

hypertension, hepatocellular carcinoma).

• Differentiate among viral hepatitis A, B, C, D and E with respect to

• Route of transmission

• Incubation period

• Clinical features.

• Potential outcome of acute infection.

• Define carrier state and differentiate between acute and chronic hepatitis.

• List the common causes of liver abscess (amebic, echinococcal, bacterial,

fungal).

• Describe clinical and morphological features of liver abscess.

• List the drugs and toxins which cause hepatic injury along with their

specific effects.

• Discuss the pathogenesis of alcohol liver disease.

• Describe the morphological and clinical features of alcoholic hepatitis and

cirrhosis.

• List the causes of secondary hemochromatosis.


hemochromatosis.

• Discuss the clinico-morphological features of Wilson's disease.

• Describe the clinico-morphological features of alpha-1 anti-trypsin

deficiency.

• List the causes of neonatal hepatitis.

• Differentiate between primary and secondary biliary cirrhosis.

• Discuss the epidemiology, pathogenesis, morphological and clinical

features of hepatocellular carcinoma.

5.2 Biliary tract

• Describe the pathogenesis and risk factors of cholelithiasis.

• Describe the morphological and clinical features of acute and chronic

cholecystitis.

• Describe clinical and morphological features of gall bladder cancer.

6. THE URINARY SYSTEM

285

• Define the terms:

• Azotemia

• Uremia

• Acute renal failure

• Chronic renal failure

• Discuss the types, genesis, basis, clinical features and complications of

polycystic kidney disease.

• Describe different types and pathogenesis mechanisms of

glomerulonephritis.

• Differentiate between nephrotic and nephritic syndrome. List the

diseases included in these categories, their etiology and pathogenesis

mechanisms (membranous, minimal change, membranoproliferative&

acute poststreptococcalglomeruloneph-ritis).

• Discuss the etiology, clinical course, pathogenesis and complications of

acute pyelonephritis.

• Discuss pathogenesis mechanism, morphology clinical features and

complications of chronic pyelonephritis.

• Define acute tubular necrosis, its pathogenesis and clinical course.

• Differentiate between benign and malignant nephrosclerosis. (on the

basis of clinical date). Discuss the pathogenetic mechanism,

morphology and clinical course (Gross & microscope picture).

• Discuss the pathogenesis, clinical features and lab diagnosis of

nephrolithiasis. List the various types of renal stones.

• Define hydronephrosis, what are its causes, clinical features and

complications.

• Discuss the epidemiology, morphology and clinical features

(paraneoplastic syndrome) of renal cell carcinoma.

• Describe the clinical features, morphology and prognosis of

Wilm'stumour.

• Describe the etiology, morphology & clinical features of cyctitis.

• Describe the clinical features, etiology and morphology of transitional

cell carcinoma of the urinary bladder.

MALE GENITAL SYSTEM

• Discuss the following congenital conditions

• Hypospadias

• Undescended testis

• Describe the etiology, route of infection, pathogenesis and methods of

diagnosing urethritis.

• Gonococcal

• Non gonococcal

• Discuss the etiology, pathogenesis and natural history of

• Prostatitis

• Prostatic hyperplasia

286

• Prostatic carcinoma

• Discuss the causes, pathogenesis and clinical features of scrotal swelling.

• Testicular adnexae

• Varicocele

• Hydrocele

• Spermatocele

• Testis and epididymis

• Inflammation (Orchitis)

• Epididymitis

• Tumour

• Discuss the causes, pathogenesis and relevant investigations of male

infertility.

• Classify the tumours of the male genital tract.

• Prostate

• Testis

8. FEMALE GENITAL SYSTEM

• List the causes, routes of infection & methods of diagnosis of sexually

transmitted diseases. List the micro-organisms involved, route of

infection, pathogenesis and methods of diagnosing the following:

• Gonorrhea, syphilis, chlamydia, HPV, herpes simplex and trichomonas

vaginalis.

• Classify the neoplasms of cervix with special reference to cervical

intraepithelial neoplasia.

• Describe the clinical features and pathogenesis of adenomyosis and

endometriosis.

• Describe the causes, pathogenesis and clinical features of dysfuctional

uterine bleeding with special reference to endometrial hyperplasia,

endometrial polyp and carcinoma.

• Classify tumours of the uterus.

• Classify tumours of the ovary.

Describe the etiology, clinical features and pathogenesis of ectopic pregnancy and

toxemia of pregnancy.

• Classify gestational trophoblastic tumours with special reference to their

clinical features.

BREAST

• List the causes of lump in the breast and discuss etiology, pathogenesis,

morphology, clinical features and natural history of

• Mastitis

• Fibrocystic disease of the breast

• Benign tumours of the breast (Fibroadenoma and Phyllodestumour)

• Carcinomas of the breast (Ductal and Lobular)

• List the causes of nipple discharge with special reference to intraductal

papilloma.

287

• Describe gynaecomastia, and list its causes.

10. MUSCULOSKELETAL SYSTEM

• Describe the pathogenesis and clinical features of each of the following

• Achondroplasia.

• Osteogenesis imperfecta.

• List the causes of osteoporosis.


osteoporosis.

• Describe osteomyelitis with respect to

• Common causative micro-organism (Staphylococcus aureus,

Pseudomonas, Escherichia coli, group-B Streptococci, Salmonella,

Mycobacterium tuberculosis).

• Common routes of spread (hematogenous, direct extension from the

focus of infection, traumatic implantation).

• Complications.

• Differentiate between acute and chronic osteomyelitis.

• List the common sites involved in tuberculosis osteomyelitis (vertebral

bodies, long bones).

• Describe the pathogenesis, morphological and clinical features of Paget's

disease (osteitis deformans).

• List the benign and malignant bone forming tumours.

• List the common sites (lower end of femur, upper end of tibia, upper end

of humerus) of osteogenic sarcoma.

• Describe the morphological and clinical features of osteogenic sarcoma.

• List the benign and malignant cartilaginous tumours.

• Describe chondrosarcoma with respect Peak incidence (sixth decade)

• Common sites of origin (shoulder, pelvis, proximal femur, and ribs)

• Morphological and clinical features.

• List the most frequent sites (distal femur, proximal tibia, proximal humerus

and distal radius) of giant cell tumours of bone.

• Describe the clinical and morphological features of giant cell tumours of

bone.

• Describe the Ewing's sarcoma with respect to

• Peak incidence (second decade)

• Common sites of origin (femur, tibia, pelvis)

• Chromosomal abnormality t(11:22) (q24; q12).

• Morphological and clinical features.


osteoarthritis

• Describe rheumatoid arthritis with respect to

• Pathogenesis

• Morphological and clinical features

• Classify gout.

• Describe the pathogenesis, morphological and clinical features of gout.

288


• Duchenne muscular dystrophy

• Myotonic dystrophy

• List congenital myopathies (central core disease, nemaline myopathy and

centronuclear myopathy).

• List inflammatory myopathies (dermatomyositis, polymyositis and inclusion

body myositis).

• Describe the clino-pathological features of myasthenia gravis.

• Differentiate between lipoma and lipasarcoma.

• Describe rhabdomyosarcoma with respect to

• Peak incidence (1st

decade of life).

• Histological variants (embryonal, alveolar, sarcoma botryiodes,

pleomorphic).

• Frequent sites (head & neck region, genitourinary, retroperitonium).

11. ENDOCRINE SYSTEM

Pituitary

• List the causes of hyperpituitarism.

• Describe the morphology and clinical features of pituitary adenomas.

• Describe the clinical features of acromegaly and giantism.

• List the causes of hypopituitarism.

• Describe the etiology, pathogenesis and clinical features of

• Sheehan’s syndrome

• Dwarfism

• Describe the etiology factors, clinical features, pathogenesis and lab

findings in inappropriate secretion of ADH.

11.1 Adrenal Cortex and Medulla

• List the causes of adrenal cortical hyperfunction.

• Describe the etiology, pathogenesis clinical features and lab diagnosis

of

• Conn’s syndrome

• Adrenogenital syndrome.

• List the causes of hypofunction of adrenal cortex.

• Describe the etiology, pathogenesis, and clinical features of Addison’s

disease.

• List the tumours of adrenal medulla and cortex.

• Describe the clinical features and diagnosis of pheochromocytoma.

11.2 Thyroid

• List the etiology and clinical features of hyperthroidism.

• List the etiology and clinical features of hypothyroidism including

• Cretinism

• Myxedema.

289

• Discuss the investigation/lab tests for diagnosis of thyroid dysfunction.

• Define goiter and list its types (diffuse and multinodular).

• Describe the etiology, pathogenesis and clinical features of diffuse and

multinodular goiter.

• List the causes of solitary thyroid nodule and discuss the diagnostic

approach.

• Describe the types, with pathogenesis, morphology and clinical features

of thyroiditis with special reference to auto-immune thyroiditis

(Hashimoto’s thyroiditis and Grave’s disease).

• Classify the etiology, pathogenesis, morphology and clinical features of

• Follicular adenoma

• Papillary carcinoma

• Follicular carcinoma

• Medullary carcinoma.

• List the types of MEN syndromes.

11.3 Paratyroid

• List the etiologic factors and clinical features of hyperparathyroidism.

• List the etiologic factors and clinical features of hypoparathyroidism

• Differentiate between primary, secondary and tertiary hyperpara-

thyroidism.

• Discuss calcium haemostasis and causes of hyper and hypocalcemia.

Define the following macroscopic and microscope terms:

Macule, papule, nodule, plaque, vesicle, bulla, blister, putsule, scale,

lichenification, excoriation, hyperkeratosis, parakeratosis, acanthosis,

dyskeratosis, acantholysis, papillomatosis, lentiginous spongiosis.

• Describe the morphological and clinical features of urticaria.

• Classify eczematous dermatitis.

• Describe the etiology and pathogenesis of

• Contact dermatitis

• Atopic dermatitis

• Drug related eczematous dermatitis

• Photoeczematus eruptions

• Primary irritant dermatitis

• Describe the morphological and clinical features of acute eczematous

dermatitis.

• List the conditions which are associated with erythema multiforme.

• Describe the clinical features of erythema multiforme.


psoriasis.

• Describe the variants of pemphigus with respect to frequent site of

involvement and clinical features.

• Discuss the pathogenesis of pemphigus.

• Describe the clinical and morphological features of bullous pemphigoid.

• List the pre-malignant epithelial lesions.

290

• List the types of warts and their most frequent locations.

• List the predisposing factors of squamous cell carcinoma of skin.

• Describe the clinical and morphological features of basal cell carcinoma.

• List the types of Nevocellular Nevi (congenital nevus, blue nevus, spitz’s

nevus, halo nevus, dysplastic nevus) along with their clinical

significance.

• Describe the clinical and morphological features of dysplastic nevi.

• Describe malignant melanoma with respect to frequent site of origin,

clinical and morphological features.

13. NERVOUS SYSTEM

• Describe clinico-pathological features of hydrocephalus.

• Describe the categories of cerebral edema (vasogenic& cytotoxic).

• List the types of herniation of brain alongwith clinical significance.

• Describe the clinical and morphological features of intra-cranial

haemorrhage.

• Differentiate between acute purulent meningitis and acute lymphocytic

meningitis.

List the etiologic agents of chronic meningitis (mycobacterium

tuberculosis, Cryptococcus neoformas, Treponema pallidum).

• Describe clinical and morphological features of chronic meningitis.

• List the route of infecting agents causing brains abscess

• Describe the clinical and morphological features of brain abscess.

• Describe the clinical and morphological features of tuberculosis

meningitis.

• List the causative organisms of viral encephalitis (herpes simples virus,

cytomegalovirus, HIV, JC virus, arbovirus).

• Describe clinico-pathological features of Guillain Barre syndrome.

• List the infectious agents associated with polyneuropathies (leprosy, C.

diphtheria, Varicella-zoster virus).

• List the organic and inorganic compounds which can produce toxic

neuropathy (organophosphorous esters, vincristine, acrylamide,

hexame, ethanol, arsenic and lead).

• List the important types of intracranial tumours (astrocytoma,

oligodendrogliomas, ependymoma, medulloblastoma and

meningioma) along with clinical significance of glial tumours.

• List the frequent metastatic tumours to the brain (carcinoma of the

lung, breast, malignant melanoma, leukemia and lymphoma).

• List common primary peripheral nerve sheath neoplasms along with


14. CHEMICAL PATHOLOGY

1. Introduction to chemical pathology, reference/ranges conventional

and SI units.

291

2. Renal functions.

3. Causes of proteinuria and its lab diagnosis.

4. Lab diagnosis of acid base disorders.

5. Lab diagnosis of diabetese mellitus.

6. Liver function tests.

7. Lab diagnosis of hyperlipidaemia and its clinical interpretation.

8. Role of enzymes in diagnosis of pancreatitis.

9. Lab diagnosis of inborn errors of metabolism.

10.Lab diagnosis/investigations of endocrinic disorders:-

i. Thyroid function tests.

ii. Adrenal function test.

iii. Lab diagnosis of hyper and hypoparathyroidism.

iv. Role of hormone estimation in diagnosis of infertility.

v. Role of hormone estimation in diagnosis of growth disorder

UHS SYLLABUS

SUBJECT :SPECIAL PATHOLOGY

The course outline is as follows :-

1. BLOOD VESSELS & HEART

_ Atherosclerosis

_ Etiology and pathogenesis

292

_ Early lesion

_ Late and complicated lesion

_ Vessels affected

_ Complications

_ Monkeberg's medial calcific sclerosis

_ Arteriolosclerosis.

_ Hypertension

_ Classification

_ Causes of secondary hypertension

_ Vascular changes in hypertension.

_ Common pathogenetic mechanisms of vasculitis.

_ Aneurysm

_ Classification

_ Etiology.

_ Atherosclerotic aneurysm

_ Pathogenesis.

_ Type of vessel involved.

_ Morphological & clinical features.

_ Varicose veins

_ Common sites

_ Predisposing factors

_ Clinical features.

_ Benign and malignant tumours of blood vessels.

_ Pathogenesis of ischemic heart disease.

_ Myocardial infarction

_ Sequence of changes in myocardial infarction (M.I)

_ Pattern of elevation of biochemical markers used in the evaluation

of M.I

_ Complications.

_ Causes of sudden cardiac death.

_ Cor-pulmonale

_ Predisposing disorders.

_ Rheumatic Endocarditis

293

_ Bacterial Endocarditis

_ Etiology

_ Pathogenesis

_ Morphological & clinical features.

_ Complications

_ Myocarditis.

_ Morphological and clinical features of myocarditis.

_ Cardiomyopathy

_ Dilated

_ Hypertrophic

_ Restrictive.

_ Pericarditis.

_ Clinical and morphological feature of pericarditis.

_ Primary & secondary cardiac tumours.

_ Fallot's tetralogy

_ Coarctation of aorta

2. HEMATOPOIETIC AND LYMPHOID SYSTEMS

_ Stages in the formation of red blood cell and white blood cells.

_ Normal values of red cell count

_ Hemoglobin level

_ Packed cell volume

_ MCH

_ MCV

_ MCHC

_ WBC Count

_ Platelet count.

_ Anemia

_ Classification

_ Causes

_ Etiology, Blood picture, clinical features and Lab Diagnosis of;

_ Iron deficiency anemia

_ Megaloblastic anemia.

_ Folate deficiency anemia.

294

_ Vit.B12 deficiency anemia.

_ Anemia of chronic disease

_ Nutritional deficiency anemia.

_ Hereditary spherocytosis

_ Incidence

_ Etiology

_ Pathogenesis

_ Morphological and Clinical features

_ Thalassemia.

_ Classification

_ Pathogenesis

_ Blood picture

_ Clinical and genetic features.

_ Hemolytic anemia

_ Glucose-6-phosphate dehyrogenase deficiency.

_ Immunohemolytic anemia.

_ Warm and cold antibodies immunohemolytic anemias.

_ Aplastic anemia

_ Etiology

_ Pathogenesis

_ Clinical features

_ Lab. Diagnosis

_ Neutropenia

_ Agranulocytosis.

_ Leukocytosis.

_ Infectious mononucleosis

_ Epidemiology

_ Morphology

_ Clinical features

_ Acute and chronic nonspecific lymphadenitis.

_ Non-hodgkin's lymphoma

_ Classification (real and working formulations)

_ Hodgkin's disease

295

_ Classification

_ Clinical stages

_ Etiology and pathogenesis

_ Leukemia

_ Prognostic factors of acute lymphoblastic and acute myeloblasticleukemias.

_ Pathophysiology of chronic myeloid and chronic lymphocytic leukemias

_ Multiple myeloma

_ Etiology

_ Pathogenesis

_ Morphology

_ Clinical features

_ Disseminated intravascular coagulation

_ Etiology

_ Pathogenesis

_ Clinical features

_ Laboratory diagnosis

_ Causes of decreased production and decreased survival of platelets.

_ Idiopathic & thrombotic thrombocytopenic purpura

_ Value of following tests in the assessment of bleeding disorders

_ Bleeding time

_ Clotting time

_ Platelets count

_ Platelet function test

_ Partial thromboplastin time

_ Prothrombin time

_ Mixing test studies

_ Polycythemia

_ Etiology

_ Pathogenesis

_ Clinical significance

_ Lab. Diagnosis

_ ABO and Rhesus blood groups

_ Screening of Donors

296

_ Hazards of blood transfusion and their prevention.

3. RESPIRATORY SYSTEM

_ Micro-organisms causing upper respiratory tract infection.

_ Etiology and clinical features of;

_ Rhinitis

_ Nasal polyps

_ Acute pharyngitis

_ Acute tonsillitis

_ Acute bacterial epiglottis

_ Acute laryngitis

_ Pleural effusion

_ Hemothorax,

_ Hydrothorax

_ Pleuritis,

_ Pneumothorax

_ Chylothorax

_ Malignant & benign tumours of nasopharynx and larynx.

_ Atelectasis

_ Classification

_ Pathogenesis

_ Restrictive & obstructive lung disease

_ Etiology pathogenesis, morphology & clinical features of;

_ Asthma.

_ Various types of emphysema

_ Chronic bronchitis.

_ Bronchiectasis.

_ Adult respiratory distress syndrome.

_ Restrictive lung diseases.

_ Sarcoidosis

_ Hypersensitivity pneumonitis.

_ Idiopathic pulmonary fibrosis.

_ Goodpasture's syndrome.

_ Thromboemboli.

297

_ Pulmonary infarction.

_ Pulmonary hypertension and vascular sclerosis.

_ Acute bacterial pneumonia.

_ Micro-organisms causing atypical pneumonia.

_ Etiology, pathogenesis & clinical features of;

_ Tuberculosis of the lung.

_ Pneumoconiosis

_ Fungi (candida, pneumocystis carinii) causing lung infections.

_ Bronchogenic carcinoma and mesothelioma

_ Classification

_ Etiology

_ Pathogenesis

_ Clinical features

4. THE ORAL CAVITY AND GASTROINTESTINAL TRACT

_ Oral cavity

_ Leukoplakia.

_ Oral cancer

_ Risk factors

_ Morphology

_ Clinical feature

_ Benign and malignant tumours of salivary glands.

_ Pleomorphic adenoma.

_ Clinical features

_ Morphology

_ Esophagus

_ Predisposing factors of esophagitis.

_ Carcinoma of the esophagus

_ Stomach

_ Etiology, pathogenesis, morphological and clinical features of ;

_ Acute gastritis

_ Chronic gastritis.

_ Peptic ulcer.

_ Gastric carcinoma

298

_ Risk factors

_ Pathogenesis

_ Morphology

_ Clinical features and diagnosis

_ Prognosis

_ Intestine

_ Etiology, pathogenesis, morphological and clinical features of;

_ Hirschsprung's disease

_ Celiac sprue

_ Tropical sprue

_ Ischemic bowel disease.

_ Crohn's disease

_ Ulcerative colitis.

_ Acute appendicitis

_ Major causes of intestinal obstruction.

_ Clinico-pathological features of following diseases of intestine

_ Amebiasis

_ Tuberculosis

_ Typhoid

_ Non-neoplastic polyps of intestine.

_ Adenomas

_ Classification on the basis of epithelial architecture.

_ Clinical and morphological features

_ Colorectal carcinoma.

_ Classification

_ Etiology

_ Pathogenesis

_ Morphological and clinical features

_ Aster-Coller classifications of carcinoma of the colon and rectum.

_ Carcinoid tumour

_ Peak incidence

_ Most prevalent sites in the gut

_ Morphological features

299

_ Clinical features of carcinoid syndrome.

_ Etiology, pathogenesis, morphological and clinical features of tumours of

appendix.

_ Liver and Biliary Tract

_ Liver

_ Pathway of bilirubin metabolism and its elimination from the body

_ Jaundice

_ Classification

_ Causes

_ Clinical features

_ Lab diagnosis

_ Intrahepatic and extrahepatic biliary obstruction.

_ Etiology, pathogenesis, morphology, clinical features and complication of;

_ Hepatic failure

_ Cirrhosis

_ Viral hepatitis A,B,C,D and E

_ Route of transmission

_ Incubation period


_ Potential outcome of acute infection.

_ Carrier state

_ Acute and chronic hepatitis.

_ Etiology, morphological and clinical features of liver abscess.

_ Drugs and toxins causing hepatic injury

_ Pathogenesis of alcohol liver disease.

_ Morphological and clinical features of alcoholic hepatitis and cirrhosis.

_ Classification, etiology, pathogenesis, morphological and clinical features of;

_ Hemochromatosis.

_ Secondary hemochromatosis.

_ Wilson's disease.

_ Alpha-1 antitrypsin deficiency.

_ Neonatal hepatitis.

300

_ Primary and secondary biliary cirrhosis.

_ Hepatocellular carcinoma

_ Epidemiology

_ Pathogenesis

_ Morphology

_ Clinical features

_ Biliary tract

_ Pathogenesis and risk factors of cholelithiasis.

_ Morphological and clinical features of acute and chronic cholecystitis.

_ Clinical and morphological features of gall bladder cancer.

_ Pancreas.

_ Acute and chronic pancreatitis

_ Etiology

_ Pathogenesis

_ Morphology


_ Clinical and morphological features of carcinoma of pancreas.

5. THE URINARY SYSTEM

_ Etiology, pathogenesis, clinical features and complications of;

_ Azotemia

_ Uremia

_ Acute renal failure

_ Chronic renal failure

_ Polycystic kidney disease (its Classification)

_ Glomerulonephritis (its Classification)

_ Nephrotic and nephritic syndrome

_ Acute pyelonephritis.

_ Chronic pyelonephritis.

_ Hydronephrosis

_ Pathogenesis and clinical course of acute tubular necrosis.

_ Benign and malignant nephrosclerosis

_ Characteristics of various types of renal stones

_ Pathogenesis, clinical features and lab diagnosis of nephrolithiasis

301

_ Epidemiology, morphology, clinical features and prognosis of Wilm'stumour

_ Classification, Epidemiology, morphology, clinical features and prognosis of renal cell

carcinoma

_ Etiology, morphology & clinical features of cystitis.

_ Clinical features, etiology and morphology of transitional cell carcinoma of the urinary

bladder.

6. MALE GENITAL SYSTEM

_ Hypospadias

_ Undescended testis

_ Urethritis (Gonococcal, Non gonococcal)

_ Etiology

_ Route of infection

_ Pathogenesis

_ Diagnosis

_ Etiology, pathogenesis and natural history of;

_ Prostatitis

_ Prostatic hyperplasia

_ Causes, pathogenesis and clinical features of scrotal swelling.

_ Testicular adnexa

_ Varicocele

_ Hydrocele

_ Spermatocele

_ Testis and epididymis

_ Inflammation (Orchitis)

_ Epididymitis

_ Causes, pathogenesis and relevant investigations of male inferitlity.

_ Classification, pathogenesis, morphology, clinical features and prognosis of the

tumours of the male genital tract (Prostate,Testis)

7. FEMALE GENITAL SYSTEM

_ Causes, routes of infection & methods of diagnosis of sexually transmitted diseases.

_ Route of infection, pathogenesis and Lab diagnosis of;

_ Gonorrhea

_ Syphilis

302

_ Chlamydia

_ HPV

_ Herpes simplex

_ Trichomonas vaginalis.

_ Cervical intraepithelial neoplasia

_ Neoplasms of cervix

_ Causes, pathogenesis and clinical features of dysfunctional uterine bleeding with

special reference to endometrial hyperplasia,endometrial polyp and carcinoma.

_ Etiology, clinical features and pathogenesis of;

_ Adenomyosis

_ Endometriosis

_ Ectopic pregnancy

_ Toxemia of pregnancy.

_ Classification, pathogenesis, morphology, clinical features and prognosis of the tumours

of

the female genital tract (uterus, ovary and Gestational trophoblastic tumours).

8. BREAST

_ Etiology and causes of lump in the breast

_ Etiology, Pathogenesis, Morphology and clinical features;

_ Mastitis

_ Fibrocystic disease of the breast

_ Intraductal papilloma

_ Benigntumours of the breast (Fibroadenoma and Phyllodestumour)

_ Gynaecomastia

_ Carcinomas of the breast (Ductal and Lobular)

9. MUSCULOSKELETAL SYSTEM

_ Pathogenesis and clinical features of ;

_ Achondroplasia.

_ Osteogenesis imperfecta.

_ Osteoporosis.

_ Acute and chronic osteomyelitis

_ Common causative micro-organism

_ Common routes of spread

303

_ Complications.

_ Common sites involved in tuberculous osteomyelitis

_ Pathogenesis, morphological and clinical features of Paget's disease (osteitis

deformans).

_ Benign and malignant bone forming tumours.

_ Common sites, morphological and clinical features of osteogenic sarcoma.

_ Benign and malignant cartilaginous tumours.

_ Chondrosarcoma

_ Peak incidence

_ Common sites of origin

_ Morphological and clinical features.

_ Most frequent sites, clinical and morphological features of giant cell tumours of bone.

_ Ewing's sarcoma

_ Peak incidence

_ Common sites of origin

_ Chromosomal abnormality

_ Morphological and clinical features.

_ Pathogenesis, morphological and clinical features of osteoarthritis

_ Rheumatoid arthritis

_ Pathogenesis


_ Lab Diagnosis

_ Gout.

_ Classification

_ Pathogenesis


_ Lab Diagnosis

_ Pathogenesis, morphological and clinical features of;

_ Duchenne muscular dystrophy

_ Myotonic dystrophy

_ Congenital myopathies

_ Inflammatory myopathies

_ Myasthenia gravis.

304

_ Lipoma and lipasarcoma.

_ Rhabdomyosarcoma

_ Peak incidence

_ Histological variants

_ Frequent sites

10. ENDOCRINE SYSTEM

_ Pituitary.

_ Causes of hyperpituitarism.

_ Morphology and clinical features of;

_ Pituitary adenomas.

_ Acromegaly

_ Gigantism.

_ Causes of hypopituitarism.

_ Etiology, pathogenesis and clinical features of;

_ Sheehan’s syndrome

_ Dwarfism

_ Etiology, clinical features, pathogenesis and lab findings in inappropriate secretion of

ADH.

_ Adrenal Cortex and Medulla

_ Adrenal cortical hyperfunction. (CUSHNG’S SYNDROME)

_ Etiology, pathogenesis clinical features and lab diagnosis of;

_ Conn’s syndrome

_ Adrenogenital syndrome.

_ Causes of hypofunction of adrenal cortex.

_ Etiology, pathogenesis and clinical features of Addison’s disease.

_ Tumours of adrenal medulla and cortex.

_ Clinical features and diagnosis of pheochromocytoma.

_ Thyroid

_ Etiology and clinical features of hyperthyroidism.

_ Etiology and clinical features of hypothyroidism including Cretinism and Myxedema.

_ Investigation / lab tests for diagnosis of thyroid dysfunction.

_ Goiter and its types

_ Etiology, pathogenesis and clinical features of diffuse and multinodular goiter.

305

_ Causes of solitary thyroid nodule and its diagnostic approach.

_ Thyroiditis

_ Types

_ Pathogenesis

_ Morphology

_ Clinical features

_ Etiology, pathogenesis, morphology and clinical features of;

_ Follicular adenoma

_ Papillary carcinoma

_ Follicular carcinoma

_ Medullary carcinoma.

_ Undifferentiated.

_ Types of MEN syndromes.

_ Parathyroid

_ Etiology and clinical features of hyperparathyroidism and hypoparathyroidism.

_ Primary, secondary and tertiary hyperparathyroidism.

_ Calcium homeostasis

_ Causes of hyper and hypocalcemia.

_ SKIN

_ Macule, papule, nodule, plaque, vesicle, bulla, blister, putsule, scale,lichenification,

excoriation,

hyperkeratosis, parakeratosis, acanthosis,dyskeratosis, acantholysis, papillomatosis,

lentiginous

spongiosis.

_ Morphological and clinical features of urticaria.

_ Etiology, pathogenesis morphological and clinical features of;

_ Eczematous dermatitis.

_ Contact dermatitis

_ Atopic dermatitis

_ Photoeczematus eruptions

_ Primary irritant dermatitis

_ Erythema multiforme..

_ Psoriasis.

306

_ Pemphigus

_ Bullous pemphigoid.

_ Premalignant epithelial lesions.

_ Types of warts and their most frequent locations.

_ Predisposing factors, morphology, clinical features and prognosis of;

_ Squamous cell carcinoma

_ Basal cell carcinoma.

_ Types, clinical and morphological features of;

_ Nevocellular Nevi

_ Dysplastic nevi.

_ Malignant melanoma

_ Classification

_ Frequent site of origin

_ Clinical and morphological features.

11. NERVOUS SYSTEM

_ Clinico-pathological features of hydrocephalus.

_ Cerebral edema (vasogenic& cytotoxic).

_ Types of herniation of brain and their clinical significance.

_ Intra-cranial hemorrhage.

_ Etiologic agents, clinical and morphological features of;

_ Acute purulent meningitis

_ Acute lymphocytic meningitis

_ Chronic meningitis

_ Brain abscess

_ Tuberculosis meningitis.

_ Viral encephalitis

_ Clinico-pathological features of Guillain Barre syndrome.

_ Polyneuropathies

_ Toxic neuropathy

_ Important intracranial tumours (astrocytoma,oligodendrogliomas, ependymoma,

medulloblastoma and meningioma)

_ Clinical significance of glial tumours.

_ Frequent metastatic tumours to the brain

307

PATHOLOGY ACADEMIC PLANNER 3RD YEAR MBBS, 2017-2018LESSON

PLANNER

Semester 1

Subject information will be delivered to the learners through Interactive Lectures, Practical,

Tutorials, Grand Tutorial, CMEs

1st Semester MITs and Assessment with Allocated hours:

MITs Total

Number/Semester

Allocated contact

Hours/Semester

Lectures 60 45

Practical 12 20

Tutorials 5 9

CME 3 11

Assessment 1 5

Total contact hrs 90 hrs

308

SEMESTER 1: LESSON PLANNER LECTURES

SUBJECT: GENERAL PATHOLOGY AND MICROBIOLOGY

Unit

name

Chapter

Topic

Learning objectives (At the end of

lecture students should be able

to understand)

Lecture

no

Facilita

-tor

Mic

rob

iolo

gy

Ge

ne

ral

Ba

cte

rio

log

y

Introduction to

bacteriology

Introduction and structure of bacteria,

growth ,.genetics and classification.

1

Pro

f. G

hu

lam

Mu

jta

ba

Physiology of bacteria

Introduction, growth and metabolism 1

Bacterial growth

Growth cycle, Aerobic and anaerobic

growth.

1

Genetics of bacteria Introduction, Mutations 1

Classification of bacteria

Principles of classification and

classification of important bacteria

1

Normal flora

Concept of normal flora, members

&their anatomical locations

1

Pathogenesis of bacteria

Principles and stages and determinants

of pathogenesis, types of bacterial

infections

1

Host defences Principles of host defenses, innate

immunity ,acquired immunity,

1

Labortary diagnosis of

bacteria

Approaches to labortarydiagnosis

,different bacteriological methods.

2

Antimicrobial drugs Principles of antimicrobial therapy,

Bactericidal and bacteriostatic activities

1

Sterlization Principles of sterilization ,chemical

agents and physical agents .

1

Disinfection Principles of disinfection ,chemical

agents and physical agents.

1

common serological

techniques

Introduction,types of serological

techniques

1

Principles of aseptic

techniques

Care of sterile items, keeping

microorganisms free environment.

1

Mic

rob

iolo

gy

Pa

rasi

tolo

gy

Introduction General introduction, definitions 1

DrR

ab

iya

Ja

mil

Giardia lambli Introduction,life cycle & diagnosis 1

Entamoeba Introduction,life cycle & diagnosis 1

Cryptosporidium

&Trichomonas

Introduction,life cycle & diagnosis 1

Trypanosoma Introduction,life cycle & diagnosis 2

Leishmania Introduction,types, life cycle &diagnosis 1

Plasmodium Introduction,types, life cycle &

diagnosis

1

Minor protozoa Enlist the names life cycles &diagnosis

of minor protozoa.

1

309

T.solium& T. saginata Introduction,types, life cycle,teniasis,

cystecercosis& diagnosis

1

Diphyllobothrium&Ec

hinococcus

Introduction,life cycle & diagnosis 1

Schistosoma Introduction,life cycle & diagnosis 2

Chlonorchis ,

paragonimus

Introduction & diagnosis 1

Ascaris Introduction,life cycle & diagnosis 1

Entrobius Introduction,life cycle & diagnosis 1

Hookworm Introduction,life cycle & diagnosis 1

Oncocerca, wucheriria Introduction & diagnosis 1

Toxocara Introduction & diagnosis 1

cell injury and cell

death

Causes, morphology &types 1

Ge

ne

ral

Pa

tho

log

y

Ce

ll i

nju

ry ,

ad

ap

tati

on

s a

nd

ce

ll d

ea

th

Necrosis Types & morphological features of

different types.

2

DrN

ae

em

Ka

use

r

Ischemic reperfusion

injury

Main steps of mechanism 2

Chemical and free

radical cell injury

Main steps of mechanism 2

Apoptosis Causes,mechanism, morphological

changes

2

Intracellular

accumulations

Major types, mechanism,

morphological changes.

2

Cellular adaptations Major types, mechanism. 2

Autophagy and

cellular aging

Mechanism &Factors 2

General introduction

to inflammation

Definition, types, causes,

Cardinal signs

1

Ge

ne

ral

Pa

tho

log

y

Acu

te &

ch

ron

ic I

nfl

am

ma

tio

n

Acute inflammation Steps of vascular &cellular changes 1

DrR

ab

iya

Ja

mil

Chemical mediators Cellular and plasma mediators

sources &functions.

2

Systemic effects of

inflammation

Main symptoms and signs of

inflammation, fever mechanism.

2

Morphological

patterns of

inflammation

Different types with examples. 1

Chronic inflammation Causes, types, features. granuloma

and its types

1

Repair and

regeneration,

Definitions, Difference between

repair ,regeneration.

2

Ge

ne

ral

Pa

tho

log

y

Tis

sue

He

ali

ng

,Re

ge

ne

rati

on

&

Re

pa

ir

Cell cycle,

classification of body

tissues

Steps of cell cycle, different types of

tissues according to proliferative

capacity with examples.

1

DrR

ab

iya

Ja

mil

Stem cells Definition, types, clinical

importance.

2

Healing by connective First and second intention healing 2

310

tissue and the difference between them.

Factors affecting

&complications

List of local & systemic factors,

major complications

2

Primary and

secondary intention

healing

List the steps of primary and

seconadary healing and the

difference between them

1

SEMESTER 1:LESSON PLANNER PRACTICALS


Practical

No. Topics Batch

Learning objectives

Facilitator

1. Study of microscope A-B-C parts microscope , function of

microscope

2. Gram staining A-B-C Purpose,principle,Procedure,

Results

3. ZN staining A-B-C Purpose,principle,Procedure,

Results

4. Urine examination A-B-C Procedure, Physical examination,

microscopic examination

5. Stool examination A-B-C procedure,microscopic examination of

different parasites

6. Culture media A-B-C Uses of culture media,types

,classification

8. Study of bacterial

motility A-B-C

Methods to check motility

9. Study of biochemical

reactions A-B-C

Purpose,procedure and interpretation

of results

10. Sterilization

techniques A-B-C

physical methods,chemical methods

11. Acute inflammation A-B-C Draw &label histological features of

acute appendicitis.

12 Chronic inflammation A-B-C Draw &label histological features

ochroniccholecystitisf

311

LESSON PLANNER TUTORIALS

Tutorial

NO. Topic

Learning objectives( At the end of

lecture students should be able to

understand)

Facilitator

1. Parasitology Life cycles, properties lab diagnosis of

protozoa and cestodes

2. Parasitology Life cycles, properties lab diagnosis of

protozoa and cestodes

3. General Bacteriology Bacterias and their structure, growth ,

physiology ,types and pathogenesis

4. Cell injury adaptation and

cell death

Cell injury types mechanism, cellular

adaptations, intracellular accumulations

5. Inflammation

Acute inflammation events, granuloma &

its types, morphological patterns &

outcomes

Semester 2:



2nd Semester MITs and Assessment with Allocated hours:

MITs Total

Number/Semester

Allocated contact

Hours/Semester

Lectures 60 45

Practical 12 20

Tutorials 5 9

CME 3 11

Assessment 1 5


SEMESTER 2:

LESSON PLANNER (LECTURES)

312

GENERAL PATHOLOGY AND MICROBIOLOGY

Unit Chapter Topic Learning objectives Np. Of

lecture

Facilita

tor

Ge

ne

ral

Pa

tho

log

y

He

mo

dy

na

mic

Dis

ord

ers

Edema, pathophysiology, types &clinical

significance

1

DrR

ab

iya

Ja

mil

Hemorrhage,

Hypermia

Congestion

Types. Definitions ,clinical examples

and differences between them.

1

Thrombosis Causes, pathogenesis, types & 1

Embolism Types , difference between

different types of emboli

1

Infarction types, morphological pictures in

different organs

1

Hemostasis Steps of primary &secondary

hemostasis

1

Shock Types with clinical examples

pathogenesis of major types, stages

of shock.

3

Ge

ne

ral

Pa

tho

log

y

Imm

un

olo

gy

Introduction to

immunology

Innate and adaptive immunity, cells

& tissues of immune system.

1

Pro

f.N

ae

em

Ka

use

r

Antigens &antibodies antigens, antibodies, epitope

Different types of antibodies

2

cell mediated and

humoral immunity

Basic mechanism 2

Celllular basis of

immune response

Basic mechanism 2

Complement system Pathways, stimuli &products of

complement system

1

MHC Structure &function of MHC 1

Hypersensitivity

reactions

Causes, types and examples of

Hypersensitivity reactions.

4

Autoimmunity Mechanism, causes major diseases. 1

Tissue Transplantation Different types of grafts 1

Immunodeficiency

diseases.

Main features of Congenital

&acquired immunodeficiency

diseases.

2

Amyloidosis

Pathogenesis, types & morphology

1

Ge

ne

ral

Pa

tho

log

y

Ge

ne

tics

Introduction to

Genetics

Important definitions, basics of

genetics

2

Dr

Sa

dia

Sh

ari

f

Mutations

autosomal dominant

autosomal recessive

disorders

Important genetic mutations and

genetic basis of diseases.

2

Single gene defects,

Trisomies

Basics of Single gene defects,

Trisomies

1

Mic

rob

i

olo

Sp

e

cia

l

Ba

c

teri Introduction Overview of the major pathogens. 1

Pro f.

Gh

Staphylococci Properties ,transmission, 1

313

pathogenesis,clinical findings, lab

diagnosis,treatment

Streptococci Properties ,transmission,


diagnosis,treatment

2

Neisseria meningitides Properties ,transmission,


diagnosis,treatment

1

Nisseriagonorrheae Properties ,transmission,


diagnosis,treatment

1

Gram positive rods

Properties ,transmission,


diagnosis.

3

Anaerobic bacteria Properties ,transmission, ,clinical

findings, lab diagnosis.

1

Enterobactericae Properties ,transmission,


diagnosis.

2

Vibriocholera Properties ,transmission,


diagnosis.

1

Pseudomonas Properties ,transmission,


diagnosis.

1

Compylobacter and

Helicobacter

Properties, pathogenesis,clinical

findings

1

Haemophilus and

Legionella

Properties, pathogenesis,clinical

findings

1

Mycobacteria Introduction, types of

mycobacteria,transmission & their

pathogenesis & labs.

2

Mycoplasma Introduction, major features of

Mycoplasma pneumonia

1

Ricketssiae Diseases, properties,

pathogenesis,clinical findings, labs

2

Chlamydiae Introduction ,types, diseases and

pathogenesis

1

Spirochetes Introduction, types, diseases,

clinical findings, labs.

1

Actinomycetes Introduction, types, diseases,

clinical findings, labs

1

Zoonotic organisms Diseases, properties,

pathogenesis,clinical findings, labs

2

314



Practical

no. Topic Batch

Learning objectives Facilitator

1 Endometrial

hyperplasia A-B-C

Draw &label histological

features of endometrial

hyperplasia

2 Benign Prostatic

hyperplasia A-B-C

Draw &label histological features

of BPH

3. Necrosis A-B-C Morphology of necrosis

4. Fibroadenoma A-B-C Draw &label histological features

of fibroadenoma

5. Thrombosis A-B-C Draw &label histological features

of thrombosis

6. Leiomyoma A-B-C Draw &label histological features

of leiomyoma

7. Lipoma A-B-C Draw &label histological features

of Lipoma

8. Hemangioma A-B-C Draw & label Morphological

features of Hemangioma

9. Steatosis A-B-C Draw & label Morphological

features of steatosis

10 Hyperemia A-B-C Draw & label Morphological

features of hyperemia

11; Squamous cell CA A-B-C Draw &label histological features

315

of Squamous cell CA

12. Basal Cell CA A-B-C Draw &label histological features

of Basal Cell CA


Tutorial

No. Topic

Learning objectives Fcailitator

1. Wound healing and

repair

Primary & secondary healing, factors

affecting & complications.

2. Special Bacteriology Overview of major pathogens,properties,

transmission ,pathogenesis

3. Special Bacteriology Clinical findings, labortary diagnosis,

4. Immunology Antigen antibodies, cells of immune

system.

5. Immunology Hypersensitivity reactions, MHC

Semester 3



3rd Semester MITs and Assessment with Allocated hours:

MITs Total

Number/Semester

Allocated contact

Hours/Semester

Lectures 47 35

Practical 12 20

Tutorials 4 5

CME 2 5

Assessment 1 5


316

SEMESTER 3:LESSON PLANNER LECTURES


Unit Chapter Topic Learning objectives No. of

Lectures

Facilita

tor

Ge

ne

ral

Pa

tho

log

y

Ne

op

lasi

a

General introduction Nomenclature, definitions 1

Pro

f. T

ari

q M

ah

mo

od

Cell cycle Steps, control, types of tissues in

different phases of cell cycle

1

Important

terminologies

Definitions of Dysgenesis, agenesis,

aplasia, metaplasia

1

Classification system

of tumors

Learn how to classify tumors. 1

Benign & malignant

tumors

Main features and differences

between them.

1

Carcinoma & sarcoma Difference between carcinoma &

sarcoma

1

Grading and staging of

tumors

How to grade and stage a tumor

and clinical significance.

1

Carcinogenesis Mechanism, factors involved &

molecular basis of carcinogenesis.

3

Tumor markers Clinical significance of tumor

markers.

1

Host defense against

tumors.

Tumor antigens, Anti tumor

mechanisms

3

317

Effects of tumors Local & systemic effects of tumors

on host.

1

Spread of tumors Mechanisms of local &distant

spread of tumors.

2

Tumor immunity Immunological aspects of tumors 1

Etiology of tumors Common chemical physical

&biological causative agents.

1

Epidemiology of

tumors

Common cancers in Pakistan 1

Clinical aspects of

neoplasia

Main effects of tumors on host 1

Cancer screening Clinical aspects of cancer screening 1

Radiation and tumors Effects of radiations on tissues. 1

Mic

rob

iolo

gy

Vir

olo

gy

Introduction

,structure, origin, and

replication

Size ,shape ,anatomy & stages of

viral growth cycle

1

Dr

Jaw

ad

An

wa

r

Classification, types

,and modes of

transmission

Principles of classification,DNA ,RNA

viruses

1

Pathogenesis and

treatment

Introduction, pathogenesis and

mode of transmission

1

Lab disgnosis of

viruses

Introduction, microscopic

identification,

1

Adenoviruses,and

Herpes viruses

Properties, diseases,

transmission,labs ,treatment

1

Enteroviruses,

Hepatitis,A,B,C and D.

Properties , types, clinical findings,

replicative cycle,pathogenesis, labs

2

Polio viruses

Diseases, properties, replicative

cycle, pathogenesis, clinical findings

& labs.

1

Retroviruses Diseases, properties, replicative


& labs.

1

Measles, Mumps, and

Rubella



& labs.

2

Dengue virus Introduction , transmission, clinical

findings,labs

1

Parainfluenza,

Rhinovirus, RSV



& labs.

2

Mic

rob

iolo

gy

My

colo

gy

Introduction to

mycology

Introduction, structure and

growth,pathogenesis,

1

Dr

Jaw

ad

An

wa

ar

Introduction Types ,Clinical findings, labs 1

Classification of Fungi Cutaneous, subcutaneous systemic

and opportunistic fungi and their

properties.

1

318

Superficial mycosis

Types ,properties, clinical findings

&pathogenesis

1

Deep mycosis Types ,properties, clinical findings

&pathogenesis

2

Oppurtunistic mycosis Introduction, types, diseases,

properties, pathogenesis, labs &

treatment

1

Systemic mycosis Introduction, types, diseases,

properties, pathogenesis, labs &

treatment

2

Laboratory diagnosis

of fungi

Laboratory diagnosis of important

fungi.

1



Practical

No. Topics Batch

Learning objectives

Facilitator

1. Features of

malignancy A-B-C

Enlist features of malignancy.

2. Adenocarcinoma

A-B-C

Draw &label histological features of

adenocarcinoma

3. Revision Gram

staining A-B-C

Purpose,principle,Procedure,

Results

4. Revision ZN staining A-B-C Procedure, Physical examination,

microscopic examination

5. Revision Stool

examination A-B-C

procedure,microscopic examination of

different parasites

6. RevisioCulture media A-B-C Uses of culture media,types

,classification

8. Revision Study of

bacterial motility A-B-C

Methods to check motility

9.

Revision

biochemical

reactions

A-B-C

Purpose,procedure and interpretation

of results

10. Revision Sterilization

techniques A-B-C

physical methods,chemical methods

11. Revision Acute

inflammation A-B-C

Draw &label histological features of

acute appendicitis.

12 Revision Chronic

inflammation A-B-C

Draw &label histological features

ochroniccholecystitisf


Tutorial

number Topic

Learning objectives Facilitator

1. Neoplasia Carcinogenesis, mechanism of spread,

nomenclature.

2. Hemodynamics Thromboembolism ,edema, shock, hemostasis.

319

3. Virology Introduction, types, diseases, properties,

pathogenesis, labs & treatment

4. Mycology Introduction, types, diseases, properties,

pathogenesis, labs & treatment

LESSON PLANNER

SUBJECT: SPECIAL PATHOLOGY

1st SEMESTER ACADEMIC PLANNER 4th YEAR MBBS

The 1st semester will start from 15th Dec and will end by 15 March.

MITs (Method of Information Transfer):



Assessment:

Summative

Formative

There will be 1 summative assessment by the end of this semester. There would be three

Formative assessments after every 4 weeks. The constructive feedback on these formative

assessments will be given to each student individually.

1st Semester MITs and Assessment with Allocated hours:

MITs Total

Number/Semester

Allocated contact

Hours/Semester

1 MIt

time

Lectures 55 42 45 min

Practical 10 15 90 min

Tutorials 6 9 90 min

Grand

Tutorials

3 4.5 90 min

CME 3 9 180 min

Summative

Assessment

1 4 240 min

TOTAL number of contact hours = 83.5 Hrs

320

Lesson Planner of Theory for 1st semester with the Units, Topics, Leaning Objectives of the Unit

and Tutor name:

SUBJECT: SPECIAL PATHOLOGY:

SYSTE

M TOPICS

Learning Objectives

Lectu

re#

Tutor/Faci

litator

CV

S

ATHEROSCLEROSI

S

By the end of this Unit students would

be able to understand , identify

,differentiate ,describe and explain the

types pathogenesis, clinical feature

morphology , diagnosis of different

pathologies of cardiovascular system.

14

Prof. Tariq

Mehmood

-12

Lectures

DR

Jawwad-2

lectures

HYPERTENSION

VASCULITIS

ANEURYSM

TUMORS OF

BLOOD VESSELS

IHD

MI/ CAUSES OF

CARDIAC DEATH

LAB

INVESTIGATIONS

OF MI

MYOCARDITIS/

PERICARDITIS

RHEUMATIC

HEART DISEASE

CARDIAC TUMORS

GIT

/ OR

AL C

AV

ITY

GIT

INTRODUCTION

By the end of this Unit students

would be able to understand ,identify


types pathogenesis, clinical feature

morphology(gross and microscopic) ,

diagnosis of different pathologies of

oral cavity and Gastrointestinal tract

system.

20

Dr. Sadia

Sharif

PRE MALIGNANT

ORAL LESIONS

ORAL CANCER

SALIVARY GLAND

TUMORS

ESOPHAGITIS/

BARRETS

ESOPHAGUS

CA ESOPHAGUS

GASTRITIS{

ACUTE, CHRONIC}

PEPTIC ULCER

CA STOMACH

INTESTINAL

OBSTRUCTION

INTESTINAL

INFECTIONS

CELIAC SPRUE

321

POLYPS/

ADENOMA

INTESINE

COLORECTAL

CARCINOMA

CARCINOID

TUMOR

GIST/LYMPHOMA

APPENDIX

TUMOR/

INFECTIONS

Ischemic bowel

disease

IBD

UR

INA

RY

SY

ST

EM

KIDNEY

INTRODUCTION




types of terminologies pathogenesis,

clinical feature morphology(gross and

microscopic) , diagnosis (Lab, clinical)

of different pathologies of Urinary

system

16

Prof.

DR.Tariq

Mahmood

ACUTE RENAL

FAILURE

CHRONIC RENAL

FAILURE

GLOMERULONEPH

ROTIS

CHRONIC

PYELONEPHRITIS

ACUTE

PYLONEPHRITIS

POLYCYSTIC

KIDNEY DISEASE

TUMORS OF

KIDNEY

BLADDER CA

RENAL FUNCTION

TESTS

Nephrolithiasis

CYSTITIS/ ACUTE

TUBULONECROSIS

RE

SP

IRA

TO

RY

SY

ST

EM

INTRODUCTION




types of terminologies pathogenesis,

clinical feature morphology(gross and

microscopic) , diagnosis (Lab, clinical)

of different pathologies of Respiratory

system

5

(out

of

Dr. Sadia

Sharif

URT INFECTIONS

TUMORS OF

NASOPHARYNX

PLEURAL

EFFUSIONS/

ATELACTASIS

322

COPD

17)

Lesson Planner of Practical for 1st semester with the Units, Topic, Leaning

Objectives of the Unit and Tutor name.

Unit TOPICS Learning Objectives: Practic

al # Batch

Tutor

Staining of peripheral

blood smear

By the end of the practicals learners

should be able to perform , analyze

,and interpret the methods,

diagnosis.

A-B

Hemoglobin estimation A-B

DLC A-B

TLC A-B

Bleeding time A-B

Clotting time A-B

Erythrocyte

sedimentation rate A-B

Blood smear of malaria

parasite A-B

Total number of Practical =10

323

Lesson Planner of Tutorial for 1st semester with the Units, Topic, Leaning


TOPICS

Learning Objectives: Students should

be able to describe ,enlist

,understand ,differentiate

Tutorial

number

Facilitator

CVS

Pathological conditions,with their

pathogenesis, morphological features

,clinical features ,diagnosis

9 Tutorial

CVS Grand

Tutorial

GIT Tutorial

GIT Grand

Tutorial

2ND SEMESTER ACADEMIC PLANNER 4th YEAR MBBS

The 2nd semester will start from 16th March and will end by 15 June.




Assessment:

Summative

Formative




2nd Semester MITs and Assessment with Allocated hours:

324

MITs Total

Number/Semester

Allocated contact

Hours/Semester

1 MIt

time


Practical 10 15 90 min


Grand

Tutorials

3 4.5 90 min

CME 3 9 180 min

Summative

Assessment

1 4 240 min

TOTAL number of contact hours = 83.5 Hrs

Lesson Planner of Theory for 2nd semester with the Units, Topics, Leaning Objectives of

the Unit and Tutor name:


Name

of unit Topics

Learning objectives

students should be able to understand the:

Lecture

No.-

Facilitator

RE

SP

IRA

TO

RY

SY

ST

EM

COPD

By the end of this Unit students would be able

to understand ,identify ,differentiate ,describe

and explain the types of terminologies

pathogenesis, clinical feature

morphology(gross and microscopic) , diagnosis

(Lab, clinical) of different pathologies of

Respiratory system

12 (out

of 17) Dr Sadia Sharif

ASTHMA/

BRONCHIECTASIS

RESTRICTIVE LUNG

DISEASES

GRANULOMATOUS

LUNG DISEASES/ T.B

PNEUMOCONIOSIS

PNEUMONIA

LUNG TUMORS

VASCULAR DISEASES

OF LUNGS

FE

MA

LE

GE

NIT

AL

SY

ST

EM

INTRODUCTION/ STD

Prof. Tariq

Mehmood

CERVICAL CA

ENDOMETRIRTIS/

ADENOMYOSIS

325

DUB/ ENDOMETRIAL

HYPERPLASIAS







female genital system

10

ENDOMETRIAL

POLYPS

ENDOMETRIAL CA

UTERINE POLYPS/

TUMORS

OVARIAN TUMORS

GTDS/Tumors/PIDs

MU

SC

ULO

SK

ELE

TA

L SY

ST

EM

INTRODUCTION







Musculoskeletal system.

16

Dr. Sadia Sharif

ACHONDROPLASIA/

OI/ RICKETTS

PAGETTS DISEASE/

OSTEOPOROSIS

Osteomyelitis

BONE TUMORS

CARTILAGE TUMORS

OSTEOARTHRITIS /

RHEUMATOID

ARTHRITIS

GOUT/ MUSCULAR

DYSTROPHIES

MYOPATHIES

RHABDOMYOSARCO

MA

LIPOMA/

LIPOSARCOMA

MYESTHENIA GRAVIS

HE

PA

TO

BILLIA

RY

SY

ST

EM

JAUNDICE






(Lab, clinical) of different pathologies

ofHepatobilliary system.

15 Dr. Jawad

HEREDITARY

DISORDERS AND

SYNDROMES

Hepatic failure

LFTS

ACUTE HEPATITIS

CHRONIC

HEPATITIS/Alcohol

liver disease.

CIRRHOSIS

Hepatocellular

carcinoma

GALL STONES

CHRONIC

CHOLECYSTITIS

GB TUMOR

ANOMALIES OF

BILIARY TREE CN

S

Encephlitis/

326

Polyneuropathies







Musculoskeletal system.

2(out of

7)

Dr. Sadia Sharif

HYDROCEPHALUS/

CEREBRAL EDEMA

Lesson Planner of Practical for 2nd semester with the Units, Topic, Leaning


Unit TOPICS Learning Objectives Prac

tical Batch

Facilita

tor

Hematology

Leukemic blood smear

examination

By the end of the practicals learners

should be able to perform , analyze

,and interpret the methods, diagnosis.

10

A-B

Chronic leukemia A-B

Blood grouping A-B

Blood smear

examination in anemia A-B

Special

Pathology

Atherosclerosis A-B

Monkebergs

arteriosclerosis A-B

Infarction A-B

Chronic gastritis A-B

Adenocarcinoma

stomach A-B

Anthracosis A-B

327

Total practical = 10

Lesson Planner of Tutorial for 2nd semester with the Units, Topic, Leaning


TOPICS




Tutorial

number

Facilitator

Respiratory

system




9

Tutorial

Respiratory

system

Grand

Tutorial

Urinary system Tutorial

Female genital

system

Grand

Tutorial

Musculoskeletal

system Tutorial

Liver Tutorial

3rd SEMESTER ACADEMIC PLANNER 4th YEAR MBBS

The 3rd semester will start from 16 June and will end by 15 Sep




Assessment:

Summative

Formative




3rd Semester MITs and Assessment with Allocated hours:

MITs Total

Number/Semester

Allocated contact

Hours/Semester

1 MIt

time


practical 10 15 90 min


Grand

Tutorials

3 4 90 min

328

CME 3 9 180 min

Summative

Assessment

1 4 240 min

TOTAL number of contact hours = 83 Hrs

Lesson Planner of Theory for 3rd semester with the Units, Topics, Leaning Objectives of

the Unit and Tutor name:


Name

of unit Topics

Learning objectives

Lecture

No.- Facilitator

CN

S

Encephlitis/

Polyneuropathies




pathogenesis, clinical feature morphology(gross

and microscopic) , diagnosis (Lab, clinical) of

different pathologies of central nervous

system.

5 (out

of 7) Dr. Sadia Sharif

HYDROCEPHALUS/

CEREBRAL EDEMA

HEMORRAHAGE/

HERNIAS/

POLYNEUROPATHIE

S

INFECTIONS

MENINGITIS },BRAIN

ABSCESS

INTRACRANIAL

TUMORS/peripheral

nerve tumor

BR

EA

ST

INTRODUCTION/

CAUSES OF BREAST

LUMP






different pathologies of Beast

6 Prof. Tariq

Mehmood

MASTITIS

FIBROCYSTIC

DISEASES

Benign TUMORS

MALIGNANT

TUMORS

GYENACOMASTIA

Causes of Nipple

discharge

HE

MA

TO

PO

ET

IC A

ND

LYM

PH

OID

INTRODUCTION






different pathologies of Hematopoietic system.

18

Prof.

QaisarHussnain

Dr. RabiyaJameel

NORMAL VALUES

ANEMIAS

THALASEMIA

LEUKOCYTOSIS/

INFECTIUOS

MONONUCLEOSIS

LEUKEMIAS

LYMPHADENITIS /

LYMPHOMA

329

BLEEDING

DISORDERS

PURPURAS/DIC

BLOOD GROUPS/

POLYCYTHEMIA

EN

DO

CR

INE

Introduction






different pathologies of Endocrine system.

18

Prof,

NaeemKauser

Dr. Tariq

Mahmood

Pituitary Tumors

Hypopituitarism/

Hyperpituatarism

Post pituitary

syndrome

Hypothyroidism

Hyperthyroidism

MNG/Thyroiditis

Thyroid tumor/MEN

syndrome

Hyperparathyroidis

m/Hypoparathyroidi

sm

Hypoadrenalism/Hy

peradrenalism

Adrenal medulla

Pheochromocytoma

Diabetes

330

SK

IN

Introduction






different pathologies of skin system.

6

Dr Sadia Sharif

DERMATITIS/

DERMATOSIS

Erythema

Multiforms/BULLOU

S DISEASES

PREMLAIGNANT

DISEASES

SEC/ BASAL CELL

NEVUS/

MELANOMA MA

LE G

EN

ITA

L SY

ST

EM

CONGENITAL

ANOMALIES






different pathologies of MGS system.

4 Prof. Tariq

Mehmood

INFECTIONS/BPH

SWELLINGS/CA

prostate

Lesson Planner of Practical for 3rd semester with the Units, Topic, Learning


Unit TOPICS

Learning Objectives: students should

be able to perform ,understand and

recognize the:

Prac

tical Batch

Facilita

tor

Special

Pathology

Pneumonia

Slide examination and recognition

Gross of the Specimens, microscopic

features on pathological slide

10 A-B

Pul T.B A-B

Papillary carcinoma

thyroid A-B

Chronic pyelonephritis A-B

Transitional cell CA A-B

Chronic cervicitis A-B

Endometrial CA A-B

Invasive ductal

carcinoma breast A-B

Osteosarcoma A-B

Astrocytoma A-B

331

Introduction to

chemical pathology+

sample collection

A-B

Lesson Planner of Tutorial for 3rd semester with the Units, Topic, Learning

Objectives of the Unit and Tutor name

TOPICS




Tutorial

number

Facilitator

Liver




9

Grand

Tutorial

CNS Tutorial

Breast Grand

Tutorial

Endocrine system Tutorial

Endocrine system Grand

Tutorial

Hematology Tutorial

Hematology Grand

Tutorial

Male genital

system

Grand

Tutorial

Skin Tutorial

LESSON PLANNER (LECTURES)


CLASS: 4th YEAR MBBS

Name

of unit Topics

Learning objectives

students should be able to understand the:

Lecture

No.- Facilitator

CV

S

ATHEROSCLEROSIS

Etiology ,Pathogenesis, early lesion, Late and

complicated lesion,vessel affected,

complications

2 Prof. Tariq

Mehmood

HYPERTENSION Classification, causes of secondary

hypertension, vascular changes

1 Prof. Tariq

Mehmood

VASCULITIS Pathogenic mechanism ,classifications, Types of

vasculitis ,complications

2 Prof. Tariq

Mehmood

ANEURYSM Classification , etiology, clinical features,

Morphology, Types of vessel involved

1 Prof. Tariq

Mehmood

332

,pathogenesis

TUMORS OF BLOOD

VESSELS

Types ,pathogenesis, enlist benign and

malignant

1 Prof. Tariq

Mehmood

IHD Pathogenesis 1 Prof. Tariq

Mehmood

MI/ CAUSES OF

CARDIAC DEATH

Causes,sequence of changes in MI,

complications

1 Prof. Tariq

Mehmood

LAB

INVESTIGATIONS OF

MI

Patteren of elevation of biochemical markers 2

Dr. Jawad

MYOCARDITIS/

PERICARDITIS

Causes, pathogenesis, complications 1 Prof. Tariq

Mehmood

RHEUMATIC HEART

DISEASE

Causes, pathogenesis, complications 1 Prof. Tariq

Mehmood

CARDIAC TUMORS Types , investigations 1 Prof. Tariq

Mehmood

GIT

/ OR

AL C

AV

ITY

GIT INTRODUCTION Anatomy ,normal physiology , Histology 1 Dr. Sadia Sharif

PRE MALIGNANT

ORAL LESIONS

Leukoplakia , predisposing factors 1 Dr. Sadia Sharif

ORAL CANCER

risk factors, the clinical and morphological

feature

1

Dr. Sadia Sharif

SALIVARY GLAND

TUMORS

List the benign and malignant tumors,

clinical and morphological features of

pleomorphic adenoma.

1

Dr. Sadia Sharif

ESOPHAGITIS/

BARRETS

ESOPHAGUS

predisposing factors of esophagitis,

morphology

1

Dr. Sadia Sharif

CA ESOPHAGUS Morphology ,causes , 1 Dr. Sadia Sharif

GASTRITIS{ ACUTE,

CHRONIC}

predisposing factors associated with acute

gastritis.

Describe the pathogenesis and clinical features

of acute gastritis.

Describe the pathogenesis, morphological and

clinical features of chronic gastritis.

1

Dr. Sadia Sharif

PEPTIC ULCER

Pathogenesis, morphological and clinical

features of peptic ulcer.

1

Dr. Sadia Sharif

CA STOMACH

Risk factors , Pathogenesis, Clinical and

morphological features , Prognosis

1

Dr. Sadia Sharif

INTESTINAL

OBSTRUCTION

clinical and morphological features of

Hirschsprung's disease.

1

Dr. Sadia Sharif

INTESTINAL

INFECTIONS

clinico-pathological features of following

diseases of intestine Amebiasis , Tuberculosis,

Typhoid

2

Dr. Sadia Sharif

333

CELIAC SPRUE

pathogenesis, morphological and clinical

features of Celiac sprue ,Tropical sprue

1

Dr. Sadia Sharif

POLYPS/ ADENOMA

INTESINE

Classify adenomas on the basis of epithelial

architecture.Describe the clinical and

morphological features of adenomas

1

Dr. Sadia Sharif

COLORECTAL

CARCINOMA

Discuss the pathogenesis of colorectal

carcinoma,morphological and clinical features

of colorectal carcinoma. Describe the Aster-

Collar classifications of carcinoma of the colon

and rectum

1

Dr. Sadia Sharif

CARCINOID TUMOR

Most prevalent sites in the gut ,Morphological

features, Describe the clinical features of

carcinoid syndrome

1

Dr. Sadia Sharif

GIST/LYMPHOMA

Morphology ,pathogenesis, types

,prognosis,clinical features

1 Dr. Sadia Sharif

APPENDIX TUMOR/

INFECTIONS

Morphology ,pathogenesis, types

,prognosis,clinical features

1 Dr. Sadia Sharif

Ischemic bowel

disease

predisposing conditions for ischemic bowel

disease.Describe the clinical and morphological

features of ischemic bowel disease

1 Dr. Sadia Sharif

IBD Differentiate between Crohn's disease and

ulcerative colitis.

1 Dr. Sadia Sharif

UR

INA

RY

SY

ST

EM

KIDNEY

INTRODUCTION

Define the terms: Azotemia Uremia

Acute renal failure , Chronic renal failure

1 Prof. Tariq

Mehmood

ACUTE RENAL

FAILURE

Types, genesis, basis, clinical features and

complications

1 Prof. Tariq

Mehmood

CHRONIC RENAL

FAILURE

Types, genesis, basis, clinical features and

complications

1 Prof. Tariq

Mehmood

GLOMERULONEPHR

OTIS

different types and pathogenesis, mechanisms

of glumerulonephritis, nephrotic and nephritic

syndrome. List the diseases included in these

categories, their etiology and pathogenesis

mechanisms (membranous, minimal change,

membranoproliferative& acute post

streptococcal glumerulonephritis).

3

Prof. Tariq

Mehmood

CHRONIC

PYELONEPHRITIS

Discuss pathogenesis mechanism, morphology

clinical features and complications of chronic

pyelonephritis

1 Prof. Tariq

Mehmood

ACUTE

PYLONEPHRITIS

Etiology, clinical course, pathogenesis and

complications of acute pyelonephritis

1 Prof. Tariq

Mehmood

POLYCYSTIC KIDNEY

DISEASE

Discuss the types, genesis, basis, clinical

features and complications of polycystic kidney

acute tubular necrosis, its pathogenesis and

clinical course.

1

Prof. Tariq

Mehmood

TUMORS OF KIDNEY

epidemiology, morphology and clinical features

(paraneoplastic syndrome) of renal cell

carcinoma.

Describe the clinical features, morphology and

prognosis of Wilm'stumour.

2

Prof. Tariq

Mehmood

334

BLADDER CA

Describe the clinical features, etiology and

morphology of transitional cell carcinoma of

the urinary bladder.

1

Prof. Tariq

Mehmood

RENAL FUNCTION

TESTS

Tests ,normal value ,pathological values

,significance,

2 Dr. Jawad

Nephrolithiasis

Discuss the pathogenesis, clinical features and

lab diagnosis of nephrolithiasis. List the various

types of renal stones.

1

CYSTITIS/ ACUTE

TUBULONECROSIS

Benign and malignant nephrosclerosis. (on the

basis of clinical date). Discuss the pathogenetic

mechanism, morphology and clinical course

(Gross & microscope picture).

1

Prof. Tariq

Mehmood

RE

SP

IRA

TO

RY

SY

ST

EM

INTROD

UCTION

Differentiate between restrictive & obstructive

lung disease on the basis of pulmonary function

tests.

1

Dr. Sadia Sharif

URT INFECTIONS

List micro-organisms causing upper respiratory

tract infection

Discuss acute pharyngitis, acute bacterial

epiglottis and acute laryngitis.

1

Dr. Sadia Sharif

TUMORS OF

NASOPHARYNX

Describe the etiology and clinical features of

rhinitis and nasal polyps

List malignant & benign tumours of

nasopharynx and larynx

1

Dr. Sadia Sharif

PLEURAL

EFFUSIONS/

ATELACTASIS

Discuss pleural effusion, hemothorax,

hydrothorax, pleuretis, pneumothorax and

chylothorax Classification of atelactasis on the

basis of underlying mechanism

1

Dr. Sadia Sharif

COPD

Describe various types of emphysema, its

pathogenesis, morphology and clinical features.

Describe pathogenesis and clinical features of

chronic bronchitis

2

Dr. Sadia Sharif

ASTHMA/

BRONCHIECTASIS

Describe the etiology pathogenesis,

morphology & clinical features of asthma

Describe the predisposing factors,

pathogenesis, morphology & clinical features of

bronchiectasis.

1

Dr. Sadia Sharif

RESTRICTIVE LUNG

DISEASES

List the clinical conditions associated with

restrictive lung diseases.

2 Dr. Sadia Sharif

GRANULOMATOUS

LUNG DISEASES/ T.B

pathogenesis, morphology & clinical features of

sarcoidosis and hypersensitivity pneumonitis

etiology, pathogenesis & clinical features of

tuberculosis of the lung.

List the Fungi (candida, pneumocystis carinii)

causing lung infections

2

Dr. Sadia Sharif

PNEUMOCONIOSIS pneumoconioses with respect to etiology,

pathogenesis and clinical features.

1 Dr. Sadia Sharif

335

PNEUMONIA

Etiology, pathogenesis, morphology & clinical

features of acute bacterial pneumonia.

List the micro-organisms causing atypical

pneumonia.

1

Dr. Sadia Sharif

LUNG TUMORS

classification, etiology, pathogenesis and

clinical features of bronchogenic carcinoma.

Describe etiology & pathogenesis of

mesothelioma

2

Dr. Sadia Sharif

VASCULAR DISEASES

OF LUNGS

clinical features of Goodpasture's syndrome.

List the pathogenesis, morphology & clinical

features of thromboemboli.

Describe the morphology & clinical features of

pulmonary infarction.

List the causes of pulmonary hypertension and

vascular sclerosis.

2

Dr. Sadia Sharif

FE

MA

LE G

EN

ITA

L SY

ST

EM

INTRODUCTION/

STD

List the causes, routes of infection & methods

of diagnosis of sexually transmitted diseases.

List the micro-organisms involved, route of

infection, pathogenesis and methods of

diagnosing the following:

Gonorrhea, syphilis, chlamydia, HPV, herpes

simplex and trichomonas vaginalis.

1

Prof. Tariq

Mehmood

CERVICAL CA Classify the neoplasms of cervix with special

reference to cervical intraepithelial neoplasia

1 Prof. Tariq

Mehmood

ENDOMETRIRTIS/

ADENOMYOSIS

Describe the clinical features and pathogenesis

of adenomyosis and endometriosis.

1 Prof. Tariq

Mehmood

DUB/

ENDOMETRIAL

HYPERPLASIAS

Describe the causes, pathogenesis and clinical

features of dysfuctional uterine bleeding with

special reference to endometrial hyperplasia,

1 Prof. Tariq

Mehmood

ENDOMETRIAL

POLYPS

Describe the causes, pathogenesis and clinical

features of dysfuctional uterine bleeding with

special reference to endometrial hyperplasia,

endometrial polyp and carcinoma.

1

Prof. Tariq

Mehmood

ENDOMETRIAL CA Classify tumours of the uterus.

1 Prof. Tariq

Mehmood

UTERINE POLYPS/

TUMORS

Types ,classification ,morphology 1 Prof. Tariq

Mehmood

OVARIAN TUMORS Classify tumours of the ovary.

2 Prof. Tariq

Mehmood

GTDS/Tumors/PIDs

Describe the etiology, clinical features and

pathogenesis of ectopic pregnancy and toxemia

of pregnancy.

Classify gestational trophoblastic tumours with

special reference to their clinical features.

1

Prof. Tariq

Mehmood

MU

SC

ULO

SK

EL

ET

AL S

YS

TE

M

INTRODUCTION

List the benign and malignant cartilaginous

tumours. Describe chondrosarcoma with

respect to

1

Dr. Sadia Sharif

ACHONDROPLASIA/

OI/ RICKETTS

Describe the pathogenesis and clinical features

of Achondroplasia, Osteogenesis imperfecta.

1 Dr. Sadia Sharif

336

PAGETTS DISEASE/

OSTEOPOROSIS

List the causes of osteoporosis. Describe the

pathogenesis, morphological and clinical

features of osteoporosis


clinical features of Paget's disease (osteitis

deformans).

1

Dr. Sadia Sharif

Osteomyelitis

Describe osteomyelitis with respect to

Common causative micro-organism

(Staphylococcus aureus, Pseudomonas,

Escherichia coli, group-B Streptococci,

Salmonella, Mycobacterium tuberculosis).

Common routes of spread (hematogenous,

direct extension from the focus of infection,

traumatic implantation). Complications.

Differentiate between acute and chronic

osteomyelitis.

List the common sites involved in tuberculosis

osteomyelitis (vertebral bodies, long bones

2

Dr. Sadia Sharif

BONE TUMORS

List the benign and malignant bone forming

tumours.

List the common sites (lower end of femur,

upper end of tibia, upper end of humerus) of

osteogenic sarcoma.

Describe the morphological and clinical

features of osteogenic sarcoma.

List the most frequent sites (distal femur,

proximal tibia, proximal humerus and distal

radius) of giant cell tumours of bone.

Describe the clinical and morphological

features of giant cell tumours of bone.

Describe the Ewing's sarcoma with respect to

Peak incidence (second decade)

Common sites of origin (femur, tibia, pelvis)

Chromosomal abnormality t(11:22) (q24; q12).

Morphological and clinical features.

3

Dr. Sadia Sharif

CARTILAGE TUMORS

List the benign and malignant cartilaginous

tumours.

Describe chondrosarcoma with respect to Peak

incidence (sixth decade)

Common sites of origin (shoulder, pelvis,

proximal femur, and ribs)

Morphological and clinical features.

1

Dr. Sadia Sharif

OSTEOARTHRITIS /

RHEUMATOID

ARTHRITIS


clinical features of osteoarthritis

Describe rheumatoid arthritis with respect to

Pathogenesis,Morphological and clinical

features

2

Dr. Sadia Sharif

GOUT/ MUSCULAR

DYSTROPHIES

Classify gout. Describe the pathogenesis,

morphological and clinical features of gout.

1

Dr. Sadia Sharif

MYOPATHIES Describe the pathogenesis, morphological and 2 Dr. Sadia Sharif

337

clinical features of

Duchenne muscular dystrophy Myotonic

dystrophy

congenital myopathies (central core disease,

nemaline myopathy and centronuclear

myopathy).

List inflammatory myopathies

(dermatomyositis, polymyositis and inclusion

body myositis).

RHABDOMYOSARCO

MA

Describe rhabdomyosarcoma with respect to

Peak incidence (1st

decade of life).

Histological variants (embryonal, alveolar,

sarcoma botryiodes, pleomorphic).

Frequent sites (head & neck region,

genitourinary, retroperitonium).

1

Dr. Sadia Sharif

LIPOMA/

LIPOSARCOMA

Differentiate between lipoma and lipasarcoma. 1 Dr. Sadia Sharif

MYESTHENIA

GRAVIS

Describe the clino-pathological features of

myasthenia gravis.

1 Dr. Sadia Sharif

HE

PA

TO

BILLIA

RY

SY

ST

EM

JAUNDICE

Describe the pathway of bilirubin metabolism

and its elimination from the body.

Describe the types of jaundice with respect to

the following: Causes ,Clinical features, Lab

diagnosis Differentiate between intrahepatic

and extrahepatic biliary obstruction.

2

Dr. Jawad

HEREDITARY

DISORDERS AND

SYNDROMES

Genetic hemochromatosis, Wilson's disease,

alpha-1 anti-trypsin deficiency).

1

Dr. Jawad

Hepatic failure

List the causes of hepatic failure. Describe the

morphological and clinical features of hepatic

failure. Describe the important complication of

liver failure (hepatic encephalopathy,

hepatorenal syndrome).

1

LFTS Normal values, abnormal valure ,interpratatins 1 Dr. Jawad

ACUTE HEPATITIS

Define carrier state and differentiate between

acute and chronic hepatitis. among viral

hepatitis A, B, C, D and E with respect to Route

of transmission , Incubation period ,Clinical

features.

• Potential outcome of acute infection

1

Dr. Jawad

CHRONIC

HEPATITIS/Alcohol

liver disease.

List the drugs and toxins which cause hepatic

injury along with their specific effects.

Discuss the pathogenesis of alcohol liver

disease. Describe the morphological and clinical

features of alcoholic hepatitis and cirrhosis.

1

Dr. Jawad

CIRRHOSIS

List the common causes of cirrhosis (viral

hepatitis, cryptogenic, alcohol, biliary disease,

genetic hemochromatosis, Wilson's disease,

2

Dr. Jawad

338

alpha-1 anti-trypsin deficiency).

Hepatocellular

carcinoma

Discuss the epidemiology, pathogenesis,

morphological and clinical features of

hepatocellular carcinoma.

1

Dr. Tariq

GALL STONES 1 Dr. Jawad

CHRONIC

CHOLECYSTITIS

Morphology ,causes, pahtogensis 1 Dr. Jawad

GB TUMOR Morphology ,pathogenesis, 1 Dr. Jawad

ANOMALIES OF

BILIARY TREE

Morphology ,causes 1 Dr. Jawad

CN

S

Encephlitis/

Polyneuropathies

List the causative organisms of viral

encephalitis (herpes simples virus,

cytomegalovirus, HIV, JC virus, arbovirus).

Describe clinico-pathological features of

Guillain Barre syndrome.

List the infectious agents associated with

polyneuropathies (leprosy, C. diphtheria,

Varicella-zoster virus).

List the organic and inorganic compounds

which can produce toxic neuropathy

(organophosphorous esters, vincristine,

acrylamide, hexame, ethanol, arsenic and lead).

1

Dr. Sadia Sharif

HYDROCEPHALUS/

CEREBRAL EDEMA

Describe clinico-pathological features of

hydrocephalus.

Describe the categories of cerebral edema

(vasogenic& cytotoxic).

Differentiate between acute purulent

meningitis and acute lymphocytic meningitis.

1

Dr. Sadia Sharif

HEMORRAHAGE/

HERNIAS/

POLYNEUROPATHIE

S

List the types of herniation of brain alongwith



features of intra-cranial haemorrhage.

1

Dr. Sadia Sharif

INFECTIONS

MENINGITIS },BRAIN

ABSCESS

Differentiate between acute purulent

meningitis and acute lymphocytic meningitis

List the etiologic agents of chronic meningitis

(mycobacterium tuberculosis, Cryptococcus

neoformas, Treponema pallidum).

Describe clinical and morphological features of

chronic meningitis.

List the route of infecting agents causing brains

abscess


features of brain abscess. Describe the clinical

and morphological features of tuberculosis

meningitis

2

Dr. Sadia Sharif

INTRACRANIAL

TUMORS/peripheral

nerve tumor

List the important types of intracranial tumours

(astrocytoma, oligodendrogliomas,

ependymoma, medulloblastoma and

meningioma) along with clinical significance of

glial tumours.

List the frequent metastatic tumours to the

brain (carcinoma of the lung, breast, malignant

2

Dr. Sadia Sharif

339

melanoma, leukemia and lymphoma).

List common primary peripheral nerve sheath

neoplasms along with their clinical significance.

BR

EA

ST

INTRODUCTION/

CAUSES OF BREAST

LUMP

List the causes of lump in the breast 1 Prof. Tariq

Mehmood

MASTITIS

discuss etiology, pathogenesis, morphology,

clinical features and natural history of

Mastitis

1 Prof. Tariq

Mehmood

FIBROCYSTIC

DISEASES

Fibrocystic disease of the breast 1 Prof. Tariq

Mehmood

Benign TUMORS Benign tumours of the breast (Fibroadenoma

and Phyllodestumour)

1 Prof. Tariq

Mehmood

MALIGNANT

TUMORS

Carcinomas of the breast (Ductal and Lobular)

1 Prof. Tariq

Mehmood

GYENACOMASTIA Describe gynaecomastia, and list its causes. 1 Prof. Tariq

Mehmood

Causes of Nipple

discharge

Carcinomas of the breast (Ductal and Lobular)

List the causes of nipple discharge with special

reference to intraductal papilloma.

1

Prof. Tariq

Mehmood

HE

MA

TO

PO

ET

IC A

ND

LYM

PH

OID

INTRODUCTION

Outline the stages in the formation of red blood

cell and white blood cells.

1 Prof.

QaisarHussnain

NORMAL VALUES

List the normal values of red cell count,

haemoglobin level, packed cell volume, MCH,

MCV, MCHC, WBC count and platelet count.

deficiencyanaemia.

1

Prof.

QaisarHussnain

ANEMIAS

Classify anaemia on the basis of mechanism of

RBC production.

Describe the causes of iron deficiency. Describe

the morphological and clinical features of iron

deficiency anaemia.

List the types of megaloblastic anaemia.

List the conditions which predispose to folate

deficiency.

Describe vit. B12 deficiency with respect to

The conditions which produce it

Blood picture and clinical features

Differentiate between anaemia of chronic

disease and nutritional.

Describe hereditary spherocytosis with respect

to the incidence ,Etiology,Pathogenesis

Morphological and clinical features

Differentiate between the blood picture and

clinical feature of Beta-thalassaemia minor and

major.

Discuss the mechanism of haemolyticanaemia

due to glucose-6-phosphate dehyrogenase

deficiency.

Classify immunohemolyticanaemia.

Differentiate between warm and cold

5

Dr.Rabiya Jamil

340

antibodies immunohemolyticanaemia.

Describe aplastic anaemia with respect to the

Etiology and pathogenesis Clinical features and

Lab. Diagnosis

THALASEMIA

Discuss the pathogenesis of thalassaemia.

Classify thalassaemia on the basis of clinical and

genetic feature

Differentiate between the blood picture and

clinical feature of Beta-thalassaemia minor and

major.

1

Prof.

QaisarHussnain

LEUKOCYTOSIS/

INFECTIUOS

MONONUCLEOSIS

Describe the mechanisms which can cause

neutropenia/ agranulocytosis. Describe the

causes of leukocytosis. Describe the

epidemiological, morphological and clinical

features of infectious mononucleosis.

1

Prof.

QaisarHussnain

LEUKEMIAS

Classify leukemia

Discuss the prognostic factors of acute

lymphoblastic and acute

myeloblasticleukemias.

Describe the pathophysiology of chronic

myeloid and chronic lymphocytic leukemias

1

Prof.

QaisarHussnain

LYMPHADENITIS /

LYMPHOMA

Differentiate between acute and chronic non-

specific lymphadenitis

1 Prof.

QaisarHussnain

LYMPHOMAS

Describe the different classifications (REAL and

working formulations) of non-Hodgkin's

lymphoma.

Describe Hodgkin's disease with respect to

The classification The clinical stages, Etiology

and pathogenesis

2

Prof.

QaisarHussnain

MULTIPLE

MYELOMA

Describe multiple myeloma with respect to

Etiology Pathogenesis Morphology and Clinical

features

1 Prof.

QaisarHussnain

BLEEDING

DISORDERS

listt the causes of decreased production and

decreased survival of platelets.

Describe the pathogenesis of idiopathic &

thrombotic thrombocytopenicIndicate the

value of following tests Indicate the value of

following tests in the assessment of bleeding

disorders

Bleeding time , Clothing time ,Platelets count ,

Platelet function test ,Partial thromboplastin

time ,Prothrombin time ,Mixing test studies

1

Dr. RabiaJameel

PURPURAS/DIC

Describe the pathogenesis of idiopathic &

thrombotic thrombocytopenic purpura.

Describe disseminated intravascular

coagulation with respect to

1

Dr. Rabiya Jamil

341

BLOOD GROUPS/

POLYCYTHEMIA

Describe polycythemia with respect to

Etiology, Pathogenesis , Clinical significance

,Lab. Diagnosis

Describe the ABO and Rhesus blood groups and

outline the way in which a sample of blood is

typed.

List the hazards of blood transfusion and how

these can be prevented.

2

Dr. Rabiya Jamil

EN

DO

CR

INE

Introduction

Gross Anatomy ,,Physiology , Morphology

1

Prof,

NaeemKauser

Pituitary Tumors

Describe the morphology and clinical features of

pituitary adenomas

1

Prof,

NaeemKauser

Hypopituitarism/H

yperpituatarism

List the causes of hyperpituitarism

Describe the clinical features of acromegaly and

giantism. List the causes of hypopituitarism.

1

Prof,

NaeemKauser

Post pituitary

syndrome

Describe the etiology, pathogenesis and clinical

features of Sheehan’s syndrome Dwarfism

Describe the etiology factors, clinical features,

pathogenesis and lab findings in inappropriate

secretion of ADH.

1

Prof,

NaeemKauser

Hypothyroidism

List the etiology and clinical features of

hypothyroidism including

Cretinism , Myxedema.

Discuss the investigation/lab tests for diagnosis

of thyroid dysfunction.

Define goiter and list its types (diffuse and

multinodular).

1

Prof,

NaeemKauser

Hyperthyroidism

List the etiology and clinical features of

hyperthyroidism

1

Prof,

NaeemKauser

MNG/Thyroiditis

Describe the etiology, pathogenesis and clinical

features of diffuse and multinodular goiter.

List the causes of solitary thyroid nodule and

discuss the diagnostic approach.

Describe the types, with pathogenesis,

morphology and clinical features of thyroiditis

with special reference to auto-immune thyroiditis

2

Prof,

NaeemKauser

342

(Hashimoto’s thyroiditis and Grave’s disease).

Thyroid

tumor/MEN

syndrome

Classify the etiology, pathogenesis, morphology

and clinical features of

Follicular adenoma Papillary carcinoma

Follicular carcinoma Medullary carcinoma.

List the types of MEN syndromes.

2

Prof,

NaeemKauser

Hyperparathyroidi

sm/Hypoparathyr

oidism

List the etiologic factors and clinical features of

hyperparathyroidism.

List the etiologic factors and clinical features of

hypoparathyroidism

Differentiate between primary, secondary and

tertiary hyperpara-thyroidism.

Discuss calcium haemostasis and causes of hyper

and hypocalcemia.

1

Prof,

NaeemKauser

Hypoadrenalism/

Hyperadrenalism

List the causes of adrenal cortical hyperfunction.

Describe the etiology, pathogenesis clinical

features and lab diagnosis of Conn’s syndrome

Adrenogenital syndrome.

List the causes of hypofunction of adrenal cortex.

2

Prof,

NaeemKauser

Adrenall medulla

Describe the etiology, pathogenesis, and clinical

features of Addison’s disease.

1

Prof,

NaeemKauser

Pheochromocyto

ma

List the tumours of adrenal medulla and cortex.

Describe the clinical features and diagnosis of

pheochromocytoma.

1

Prof,

NaeemKauser

Diabetes

Types, causes , cinical features , pathogenesis 5 Prof,

NaeemKauser S

KIN

Introduction

Define the following macroscopic and microscope

terms:

Macule, papule, nodule, plaque, vesicle, bulla, blister,

putsule, scale, lichenification, excoriation,

hyperkeratosis, parakeratosis, acanthosis,

dyskeratosis, acantholysis, papillomatosis, lentiginou

spongiosis.

1

Dr Sadia Sharif

DERMATITIS/

DERMATOSIS

Describe the morphological and clinical features

of urticaria.

Classify eczematous dermatitis.

Describe the etiology and pathogenesis of

Contact dermatitis Atopic dermatitis

Drug related eczematous dermatitis

Photoeczematus eruptions Primary irritant

dermatitis

Describe the morphological and clinical features

1

Dr. Sadia Sharif

343

of acute eczematous dermatitis

Erythema

Multiforms/BULL

OUS DISEASES

List the conditions which are associated with

erythema multiforme.

Describe the clinical features of erythema

multiforme.


clinical features of psoriasis.

Describe the variants of pemphigus with respect

to frequent site of involvement and clinical

features. Discuss the pathogenesis of pemphigus.

Describe the clinical and morphological features

of bullous pemphigoid.

1

Dr. Sadia Sharif

PREMLAIGNANT

DISEASES

List the pre-malignant epithelial lesions.

List the types of warts and their most frequent

locations

1

Dr. Sadia Sharif

SEC/ BASAL CELL

List the predisposing factors of squamous cell

carcinoma of skin.


of basal cell carcinoma

1

Dr. Sadia Sharif

NEVUS/

MELANOMA


of dysplastic nevi.

Describe malignant melanoma with respect to

frequent site of origin, clinical and morphological

features.

1

Dr. Sadia Sharif

MA

LE G

EN

ITA

L SY

ST

EM

CONGENITAL

ANOMALIES

Discuss the following congenital conditions

Hypospadias, Undescended testis Spermatocele

1 Prof. Tariq

Mehmood

INFECTIONS/BPH

Testis and epididymis Inflammation (Orchitis)

Describe the etiology, route of infection,

pathogenesis and methods of diagnosing

urethritis. Gonococcal ,Non gonococcal

Discuss the etiology, pathogenesis and natural

history of Prostatitis ,Prostatic hyperplasia

1

Prof. Tariq

Mehmood

SWELLINGS/CA

prostate

Discuss the causes, pathogenesis and clinical

features of scrotal swelling.

Testicular adnexae ,Varicocele

Hydrocele Spermatocele Testis and epididymis

Discuss the causes, pathogenesis and relevant

investigations of male infertility.

Classify the tumours of the male genital tract.

Prostate . Testis

2

Prof. Tariq

Mehmood

LESSON PLANNER (PRACTICALS)


344

Unit TOPICS

Learning Objectives: students should

be able to perform ,understand and

recognize the:

Prac

tical Batch

Facilita

tor

Hematology

Collection of blood

sample Sample collection Method ,procedure,

2 A-B

Staining of peripheral

blood smear

Method ,different stains ,slide

preparation,

2 A-B

Heamoglobin

estimation Values,Procedure , interpretation,

2 A-B

DLC Values,Procedure , interpretation, 2 A-B

TLC Values,Procedure , interpretation, 2 A-B

Bleeding time OSPE, Values,Procedure ,

interpretation,

2 A-B

Clotting time Values,Procedure , interpretation, 2 A-B

Erythrocyte

sedimentation rate Values,Procedure , interpretation,

2 A-B

Blood smear of malarial

parasite Values, Procedure , interpretation,

2 A-B

Leukemic blood smear

examination OSPE,Slide examination, interpretation

2 A-B

Chronic leukemia Slide examination, interpretation 2

A-B

Blood grouping Procedure, method , interpretation 2

A-B

Blood smear

examination in anemia Procedure, method , interpretation

2 A-B

Special

Pathology

Atherosclerosis Slide recognition , pathogensis, 2

A-B

Monkebergs

arteriosclerosis Slide recognition , pathogensis,

2 A-B

Infarction Slide recognition ,understanding of

pathogenesis

2 A-B

Chronic gastritis Slide examination with H pylori 2 A-B

Adenocarcinoma

stomach



2 A-B

Anthracosis OSPE , slide examiamiton 2

A-B

Pneumonia Causes , pathogenesis ,types 2

A-B

Pul T.B Slide examination and recognition

2 A-B

Papillary carcinoma

thyroid



2 A-B

Chronic pyelonephritis Gross of the Specimens, microscopic


2 A

Transitional cell CA Gross of the Specimens, microscopic


2 A

Chronic cervicitis Gross of the Specimens, microscopic


2 A-B

Endometrial CA Gross of the Specimens, microscopic


2 A-B

345

Invasive ductal

carcinoma breast



2 A-B

Osteosarcoma Gross of the Specimens, microscopic


2 A-B

Astrocytoma Gross of the Specimens, microscopic


2 A-B

Introduction to

chemical pathology+

sample collection

Sample collection , methods , values

normal and abnormal .interpretations

2

A-B

LESSON PLANNER (TUTORIALS)

CLASS: 4TH YEAR


TOPICS




Tutorial

number

Facilitator

CVS




2

Tutorial

CVS Pathological conditions,with their 1 Grand

346



Tutorial

GIT




2

Tutorial

GIT




1 Grand

Tutorial

Respiratory

system




2

Tutorial

Respiratory

system




1 Grand

Tutorial

Urinary system




1

Tutorial

Female genital

system




1 Grand

Tutorial

Musculoskeletal

system




2

Tutorial

Liver




2

Tutorial

Liver




1 Grand

Tutorial

CNS




1

Tutorial

Breast




1 Grand

Tutorial

Endocrine system




2

Tutorial

Endocrine system




1 Grand

Tutorial

Hematology




1

Tutorial

Hematology




1 Grand

Tutorial

Male genital

system




1 Grand

Tutorial

Skin




1

Tutorial

347

MBBS SECOND PROFESSIONAL EXAMINATION


(MCQS)

SR.NO

TOPICS

MCQS

1 CELL INJURY 4

2 INFLAMMATION AND MEDIATORS OF INFLAMMATION 6

3 HEALING AND REPAIR 2

4 DISORDERS OF CIRCULATION 4

5 PARASITOLOGY 5

6 VIROLOGY 6

7 GENERAL BACTERIOLOGY 4

8 SPECIAL BACTERIOLOGY 14

348

9 MYCOLOGY 4

10 GENETICS 2

11 DISORDERS OF GROWTH 9

12 IMMUNOLOGY 5

TOTAL 65

MBBS SECOND PROFESSIONAL EXAMINATION



(SEQS)

SR.NO

TOPICS

MCQS

1 CELL INJURY 1

2 INFLAMMATION AND MEDIATORS OF INFLAMMATION 1

3 HEALING AND REPAIR 1

4 DISORDERS OF CIRCULATION 1

5 PARASITOLOGY 1

6 VIROLOGY 1

349

7 BACTERIOLOGY 4

8 MYCOLOGY 1

9 GENETICS 1

10 DISORDERS OF GROWTH 1

11 IMMUNOLOGY 1

TOTAL 14

MBBS THIRD PROFESSIONAL EXAMINATION

SPECIAL PATHOLOGY


(MCQS)

SR.NO

TOPICS

MCQS

1 CVS 5

2 HEMATOPOIETIC AND LYMPHOID SYSTEM 5

3 GIT 9

350

4 HEPATOBILIARY SYSTEM 5

5 URINARY SYSTEM 5

6 MALE GENITAL SYSTEM 5

7 FEMALE GENITAL SYSTEM 5

8 BREAST 5

9 RESPIRATORY SYSTEM 5

10 MUSCULOSKELETON SYSTEM 5

11 CNS 2

12 CLINICAL CHEMISTRY 3

13 SKIN 1

14 ENDOCRINOLOGY 5

TOTAL 65

MBBS THIRD PROFESSIONAL EXAMINATION

SPECIAL PATHOLOGY


(SEQS)

SR.NO

TOPICS

SEQS

1 CVS 1

2 HEMATOPOIETIC AND LYMPHOID SYSTEM 1

351

3 GIT 2

4 HEPATOBILIARY SYSTEM 1

5 URINARY SYSTEM 1

6 MALE GENITAL SYSTEM 1

7 FEMALE GENITAL SYSTEM 1

8 BREAST 1

9 RESPIRATORY SYSTEM 1

10 MUSCULOSKELETON SYSTEM 1

11 CNS 1

12 CLINICAL CHEMISTRY 1

14 ENDOCRINOLOGY 1

TOTAL 14

FORMAT (PRACTICAL EXAMINATION AND OSPE)

General Pathology and Microbiology (2nd Professional MBBS)

SR .NO

COMMENTS

MARKS

1.

OSPE

12 UNOBSERVED STATIONS RELATED TO PRACTICALS

(EACH OF 4MARKS)

48

2.

OBSERVED PRACTICAL (MICROBIOLOGY)

4 STATIONS

6 MARKS EACH

24

3.


58

28+30

(INTERNAL+EXTERNAL)

4. ANNUAL WORK BOOK

05

352


15

TOTAL

150

Special Pathology (3rd professional examination)

SR .NO

COMMENTS

MARKS

1.

OSPE

18 UNOBSERVED STATIONS RELATED TO PRACTICALS

(EACH OF 3.5 MARKS)

63

2.

OBSERVED PRACTICAL (MICROBIOLOGY)

2 STATIONS (3.5 MARKS EACH)

7

3.


60

30+30

(INTERNAL+EXTERNAL)

4. ANNUAL WORK BOOK

05


15

TOTAL

150

ASSESSMENT AND EXAMINATION SCHEME

FOR 3RD AND 4TH YAER MBBS 2017-2018

Third Year MBBS

Year

Semester

1

3 months

Assessment

Semester

2

3 months

Assessment

Semester

3

3 months

Assessment

Assessment

Assessment

Semester

S1

Monthly test=

2

Term test=1

S2

Monthly test=

2

Term test=1

S3

Assessment

for semester

3

Send-up

UHS second

Prof Exam

Fourth year MBBS

Semester

S1 Monthly test=

2

S2

Monthly test=

S3

Monthly test=

Send-up

UHS Third

353

Term test=1

2

Term test=1

2

Term test=1

Prof Exam




z. Theory marks= Total Marks 40

aa. Practical /viva Marks= Total Marks 40

bb. Attendance criteria= 75%= 10 marks

cc. General attitude of student= 5 marks

dd. Extracurricular activities = 5 marks


z. Theory marks= Total Marks 135= 45MCQs + 45SEQs

aa. Practical Marks= Total Marks 135 (further division according to UHS format)

bb. Attendance criteria= 75%= 20 marks

cc. General attitude of student= 5 marks

dd. Extracurricular activities = 5 marks






UNIVERSITY EXAMINATIONS

2NDAND 3RD PROFESSIONAL EXAMINATION

General Pathology and Microbiology (2nd Professional MBBS)

354

Special Pathology (3rd professional examination)

EVALUATION FORMS

Evaluation form for course assessment

Pathology Department of AmnaInayat Medical College

355

Course Title:

Date:






















Evaluation form for assessment of sessions of small group discussions

356

Pathology department of AmnaInayat Medical College

Name of class:

Date:











A.

B.

C.





RECOMMENDED BOOKS

Subject: General Pathology and Microbiology

357

1. Pathological Basis of Disease by Kumar, Cortan and Robbins, 7thEd., W.B. Saunders.

2. Medical Microbiology and Immunology by Levinson and Jawetz, 9th Ed., Mc Graw-Hill.

3. Medical Genetics by Jorde, 3rd Ed., Mosby.

4. Clinical Pathology Interpretations by A. H. Nagi

Subject : Special pathology

1. Pathological Basis of Disease by Kumar, Cotran, Robbins. 7th. Ed.

2. Ackerman’s Surgical Pathology

3. Clinical Pathology Interpretations by A.H. Nagi

4. Theory and Practice OfHistololgical Techniques by John D Bancroft

5. District Laboratory Practice in Tropical Countries by Monica Cheesburgh,

2nd Ed. Part I & II

6. Online Journals and Reading Materials through HEC Digital Library

Facility.


358

AIMC-MBBS,

COMMUNITY MEDICINE CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

Department of Community Medicine, Amna Inayat Medical College

Focal Person: Dr. Faiz ur Rehman

Author: Dr. Faiz ur Rehman

Approved By: Prof. Dr. Tariq Bhatti

Faculty: Dr. Faiz ur Rehman Assistant Professor Community Medicine

Dr. Munir Ahmad Senior Demonstrator Community Medicine

Dr. Umara Munir Demonstrator Community Medicine

359

CONTENTS

1.33. INTRODUCTION

1.34. Department of Community Medicine, Faculty and staff


Program

1.36. Allocated contact hours (Theory, Practical, Total) of Community

Medicine Subject in 4th year of MBBS Program


Community Medicine Subject, in 4th year of MBBS Program.



University Examinations of year MBBS Program.



2.0. CURRICULUM OF COMMUNITY MEDICINE SUBJECT

2.1 PMDC Curriculum

2.3. UHS Curriculum


3.9 Time Table of Lectures/Demonstrations/Practical of 4th Year.


Practical” of 4th year.






4.11 Student Feedback Form (Student will fill and submit his/her

feedback form) at end of each year regarding, quality of teaching,

quality of learning resources and any recommendations to improve

effectiveness of teaching and assessments/evaluations)

360

1.0. INTRODUCTION OF DEPARTMNET: Community Medicine is graduate program in basic sciences, integrated with the

curriculum of 4th year MBBS. It comprises theory & practical.

COMMUNITY MEDICINE

The course is designed to familiarize medical students with some basic

Health promotion concepts and practices. The general learning

Objectives of the course to be achieved at the end of 4th year medical

Training will be:

Define and explain health in a holistic manner

Develop an understanding of local health care delivery system

Identify important determinants of health, risk factors of disease and

Epidemiological characteristics of indigenous population.

Seek, facilitate and promote community participation in provision of

healthcare (i.e. encourage patients and public to take interest in

their health)

Create awareness and disseminate through available and

appropriate means information to individuals and community

regarding development/adaptation of healthy life style

behaviours/healthy social environment

Identify, develop and support local partnership with workforce from

allied sectors and with relevant stakeholders to broaden the local

response to health inequalities.

Create awareness and demand for services like immunization,

prenatal and postnatal care, family planning, good hygienic

practices and health education regarding communicable and non-communicable

361

diseases.

Create awareness and sensitivity to provide health care to

underserved populations.

Know the steps of basic Research Methodology and importance of

dissemination of evidence based knowledge

362

1.1. INTRODUCTION OF FACULTY

DEPARTMENT OF COMMUNITY MEDICINE

Subject Preventive, Social & Community Medicine

Department Community Medicine

HOD

NAME QUALIFICATION DESIGNATION ROLE

Dr. Faiz ur Rehman MBBS,DCP,DPH Assistant Professor Lectures

Course coordinator

Student supervision

Dr. Munir Ahmad MBBS,MPH Senior Demonstrator Demonstrations

Practicals

Dr. Umara Munir MBBS Demonstrator Demonstrations

Practicals

1.3. HOURS OF COMMUNITY MEDICINE IN MBBS COURSE

363


SUBJECT: Community medicine, 2017-2018

Total number of Contact hours for 4th Year MBBS


Lectures 103 103

Practicals 24 48

Small group

discussions

36 72

Assessments 10 21

CMEs 3 6






Duration of CME = 2 hours



364

1.4. SEMESTER PLANNER OF CONTACT HOURS OF COMMUNITY

MEDICINE IN 4TH YEAR MBBS


Subject: Community Medicine 4th year MBBS, 2017-2018

Semester Theory

(hrs)

Practical

(hrs)

Small

group

discussion

(hrs)

CME

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 35 16 24 2 5 82

Semester 2 31 16 24 2 5 78

Semester 3 37 16 24 2 5 84

Send up

exam

3 3 6

Grand Total

250

365

1.5. ASSESSMENTS/EVALUATIONS/EXAMINATIONS-PLANNER


For 4th Year MBBS, 2017-2018

Year

Semester

1

(3months)

Asse

ssme

nt 1

Semester

2

(3months)

Asse

ssme

nt 2

Semester

3

(3months)

Asse

ssme

nt 3

Asse

ssme

nt

Asse

ssme

nt

Semester

S1

Monthly

test= 2

Term

test=1

S2

Monthly

test= 2

Term

test=1

S3

Monthly

test= 2

Term

test=1

Send-up

UHS

Prof

Exam




ee. Theory marks= Total Marks 90= 45MCQs + 45SEQs

ff. Practical Marks= Total Marks 90 (further division according to UHS format)

gg. Attendance criteria= 75%= 10 marks

hh. General attitude of student= 5 marks

ii. Extracurricular activities = 5 marks


ee. Theory marks= Total Marks 90= 45MCQs + 45SEQs

ff. Practical Marks= Total Marks 90 (further division according to UHS format)

gg. Attendance criteria= 75%= 10 marks

hh. General attitude of student= 5 marks

ii. Extracurricular activities = 5 marks



366

1.6. SCHEME OF SEMESTERS AND SEND-UP

ASSESSMENTS/EVALUATIONS AND UNIVERSITY EXAMINATION OF

4TH YEAR MBBS


Subject: Community Medicine 4th year MBBS, 2017-2018

Semester Theory

(hrs)

Practical

(hrs)

Small

group

discussion

(hrs)

CME

(hrs)

Assessment

(hrs)

Total

hrs

Semester1 33 16 24 2 5 80

Semester 2 41 16 24 2 5 88

Semester 3 29 16 24 2 5 76

Send up

exam

3 3 6

Grand Total 250

367

1.8. INTRODUCTION TO TEACHING STRATEGIES

The aim of this department is to educate students in modern scientific approaches

to community medicine. The mission of this department is to provide an

encouraging environment to develop the intellectual capacity, critical thinking,

creativities, and problem solving ability of its students, so that they may become

honorable, contributing, and forward – thinking members of the science and

medical community; to foster a conducive environment for scholarly and creative

and activities so that new knowledge or solutions to problems are discovered or

created: and to provide education to all students in the Amna Inayat Medical

College so that they may be equipped to succeed in the modern world.

368

2.0. CURRICULUM OF COMMUNITY MEDICINE SUBJECT

COURSE ORGANIZATION

Subject information will be delivered to student through lectures interactive

section, continue medical education sessions, tutorials and practicals throughout

the year. These are the components of course organization

Class lecture

Practical

Tutorial

2.1. PMDC CURRICULUM

COURSE CONTENT

1. Concept of Health and Disease

Concept of health, Definition of health. Dimensions, physical, mental, social and

spiritual. Spectrum of health, Determinants of health. Responsibility for health.

Indicators of health. Health promotion. Concept of disease, concept of causation

(all theories including ecological triad, agent, host and environmental factors),

spectrum of disease. Natural history of disease. Levels of prevention. Disease

elimination and eradication. Disease surveillance and disease prevention.

2. Introduction to Public Health

Historical background. Evolution of Public health. Definition of Public health.

Branches of Public health. Preventive medicine, social medicine, population

medicine, community medicine. International Health. Health for all.

3. Health Systems in Pakistan

Development of Public Health in Pakistan. Economics and Health. Health Policy and

planning in Pakistan. “Health for all”, background, concepts and progress. “Primary

369

Health Care”: Concepts and progress. The National Disease Control programmes;

policies, strategies and operations. Health System in Pakistan: The role of Federal

and Provincial Governments in Health Care. The District Health System, in the

context of devolution. The Physician as a manager: Functions of

manager, management of material, human and financial resources. Leadership and

motivation. Partners in Health: The public and private sector. Non-governmental

Organizations and International Agencies. Resources for health.

Community Mobilization.

4. General Epidemiology and Research Methodology

Background and concepts, uses, basic measurements in epidemiology (morbidity,

mortality, disability and fatality). Epidemiological methods (descriptive, analytic and

experimental). Epidemiological transition. Association and causation. Investigation

of an outbreak or an epidemic. Screening for disease. Community diagnosis.

Research and survey methodology. Introduction to

qualitative research methodology.

5. Biostatistics

Concepts and uses

Data and its types

Rates, ratios and proportions

Crude, specific and standardized rates.

Collection and registration of vital events in Pakistan

Sources of health related statistics

Measures of central tendency, (Mean, Median, Mode),

Measures of dispersion (Range, Standard deviation, Standard error)

Normal curve.

Methods of data presentation (tables, graphs & diagrams)

Interpretation of data (t-test and Chi-square test)

Sampling and its various techniques.

370

Health Management Information System

6. Demography and Population dynamics

Concept, demographic principles and demographic processes

Census, definition, methodology, types

Determinants of fertility, mortality

Population Pyramid and its interpretation

Demographic Transition, Demographic Trap and its public health importance

Demographic and social implication of high population growth

Social Mobilization

Urbanization

7. Nutrition and Health (Integrated)

Concepts (Nutrition, Nutrient, Food, Diet). Food groups and their Functions. Role

of fiber in diet. Balanced Diet

Malnutrition at all stages of life, its types causes and prevention. Common

nutritional problems of public health importance and their Prevention and control

Dietary requirements of normal human being at different stages of life

Food hygiene, pasteurization, fortification, additives and adulteration and

preservation

Nutritional diseases and Programmes.

Assessment of nutritional status of a Community

8. Reproductive and Child Health (Integrated)

Safe motherhood and its components. (Ante-natal, Post-natal, Family Planning

and Emergency Obstetric Care)

Maternal mortality and its causes and prevention

371

Infant care: Growth and development. Breast feeding, common causes of

morbidity and mortality, their prevention and control

Child Care: Child health surveillance. Health promotion strategies. Common

ailments, home accidents, child mortality prevention. Strategic approaches of

Integrated Management of Childhood Illness (IMCI)

Adolescent health

Reproductive tract infections: guidelines for management of sexually transmitted

diseases

9. Health of school age children (Integration)

Role of teachers and role of doctor in maintenance of health

Procedures for determining health status of school age children

Common health problems of school children

10. Environmental Health Sciences

Air: Composition of air. Causes of Air pollution. Purification of Air. Diseases

caused by impurities in air and their prevention (Acute Respiratory Illnesses)

Water: Sources of Water. Daily water requirement. Water pollution its causes

and prevention. Purification of Water. Water quality standards. Diseases due to

polluted water

Waste disposal: Contents, hazards and safety measures for solid and liquid;

Domestic, Industrial and Hospital waste (Global and Marine problems)

Climate: Climate and weather. Global environmental concerns (Greenhouse

effect, depletion of Ozone layer, Acid rains). Effect of extremes of temperature,

humidity, atmospheric pressure on human health and their prevention

Radiation: Sources, types, causes, hazards and prevention

Healthful housing. Urban and rural slums. Refugee camps and hostels

Noise: Definition, causes, acceptance level, hazards and control

11. Occupational Health

372

Concepts, of occupational health, occupational medicine and occupational

hygiene. Ergonomics and its importance

Occupational hazards. Principles of control

General principles of occupational disease prevention

Organization of occupational health services

Health Insurance and Social Security Schemes, Labour Laws

12. Prevention and control of Infectious diseases: (Integration)

Definitions to differentiate between

Infection, contamination, pollution, infestation

Infectious disease, communicable disease, contagious disease

Host, Immune and susceptible persons

Sporadic, Endemic, Epidemic, Pandemic

Epizootic, Exotic, Zoonotic

Contact, fomites, Carriers, Insect Vectors, Reservoir of infection

Incubation period, Infective period, Generation time

Cross infection, Nosocomial infection, Opportunistic infections,

Iatrogenic (Physician induced) disorders

Surveillance control, Eradication, Elimination

Dynamics of infections, disease transmission:

Reservoir and source of infection, Escape of organism, Mode of transmission,

Entry into the body, susceptible host, Immunity (different types of immunity and

immunization).

Control of infection:

Controlling the reservoir-notification, early diagnosis treatment, isolation,

quarantine, disinfections.

373

Interruption of transmission.

The susceptible host (active and passive immunization, Combined.

Chemoprophylaxis, Non-specific measures).

Health advice to travelers.

National case management guidelines.

Epidemiology, control and prevention of infectious diseases of

Public Health importance.

Diseases transmitted through inhalation.

Diseases transmitted through faeco-oral route.

Diseases of animals conveyed to man.

Diseases due to direct contact.

13. Control and prevention of non-infectious diseases of Public

Health importance (Integration)

Hypertension.

Coronary heart disease.

Cancers.

Injuries.

Diabetes mellitus.

Obesity.

Acute Rheumatic fever and heart diseases.

14. Arthropods and their public health importance

Common arthropod borne diseases

Control of arthropods of medical importance

Insecticides and their public health importance

15. Prevention and control of parasitic diseases of public health

Importance

374

Common parasitic infections of Public Health importance.

16. Snake Bites: Identification, personal protection and management

17. Mental Health and Behavioural Sciences (integrated with other departments

like behavioural sciences/psychiatry)

Concept. Common mental health problems, their causes, prevention and control

Juvenile delinquency

Drug abuse, addiction, alcholism and smoking

Child abuse and child labour

Self medication

18. Information, Education and Communication (IEC)

Concept. Aims and objectives

Approaches used in public health

Contents, principles and stages of health education

Communication methods, barriers and skills in health education

Planning, organizing and evaluating a health education programme

Social Marketing

19. Disaster and accidents

Definition, Classification (Natural disasters like earthquake, floods. Epidemic of

communicable diseases, Man Made Disasters. Thermo nuclear warfare.

Magnitude and effects of disaster and Public Health consequences.

Disaster: preparedness and management.

Accidents: Definition, classification, prevention.

20. Health Planning and Management (to be included)

Health Planning. Planning cycle,

Management and administration.

375

Management methods and techniques.

Planning-programming-budgeting system

PRACTICAL AND COMMUNITY BASED TRAINING

I. Student should have practical experience in questionnaire

development, data collection, compilation, presentation, analysis

and report writing.

II. Field visits

Visit to Basic Health Unit (BHU) and Rural Health Center (RHC)

Visit to a Non-Government Organization (NGO)

Visit to a primary school to assess the nutritional status of school children (school

health, comparison in different socio economical strata)

Visit to Maternal and Child Health/Reproductive Health Centre to observe the

organization and function of the centre, and to demonstrate counseling skills in the

following

o Nutritional counseling for children, pregnant and lactating women

o Antenatal Care

o Family planning services

o Immunization, others

Visit to a hospital to see the hospital waste disposal

Visit to an industry

Visit to a physical/mental/social rehabilitation centers

Visit to Management/Administration/Medical Superintendent offices

Visit to meteorological centre/ weather centre.

III. Skills Development Laboratory

Water purification at domestic level

Contraceptives

Vaccination including the cold chain

376

Oral Rehydration Solution

Growth monitoring

Diet Chart

Communication Skills

Reference writing style (End note)

Insecticides and disinfection

Practicals on SPSS (Statistical Package for Social Scientists)

2.1. UHS CURRICULUM

Same as PMDC

LEARNING COURSE OBJECTIVES

Define and explain health in a holistic manner

Develop an understanding of local health care delivery system

Identify important determinants of health, risk factors of disease and

epidemiological characteristics of indigenous population.

Seek, facilitate and promote community participation in provision of healthcare

(i.e. encourage patients and public to take interest in their health)

377

Create awareness and disseminate through available and appropriate means

information to individuals and community regarding development/adaptation of

healthy life style behaviours/healthy social environment

Identify, develop and support local partnership with workforce from allied sectors

and with relevant stakeholders to broaden the local response to health inequalities

Create awareness and demand for services like immunization, prenatal and

postnatal care, family planning, good hygienic practices and health education

regarding communicable and non-communicable diseases

Create awareness and sensitivity to provide health care to underserved populations

Know the steps of basic Research Methodology and importance of dissemination of

evidence knowledge.

3.0. LESSON PLANNERS AND TIME TABLE

DA

YS

8:00

8:45AM

8: 45

09:30AM

09:30

10:15AM

10:15

11:00AM 11

:00

11

:20

AM

11

:20

AM

1:3

0P

M

1:30 2:15PM 2:15 3:00PM

378

3.1. Time table of lectures/Demonstrations/practical of 4th year.

MO

ND

AY

Community

Medicine

Lecture

Surgery

Batch A: Pathology

Practical

Batch B :Community

Medicine

Bre

ak

CLI

NIC

ALR

OT

AT

ION

Lecture

Pathology

Lecture

ENT

TU

ES

DA

Y

Lecture

Surgery

Lecture

Pathology

Batch A : C. Medicine

Practical

Batch B : Pathology

Practical

Lecture

Eye

Lecture

COM.MED

WE

DN

ES

DA

Y

Lecture

Medicine

Lecture

Pathology

Batch A: Tutorial

Path/C.Med

Batch B: Tutorial C. Med/

Path

Grand Tutorial/Test/Weekly

Program

TH

UR

SD

AY

Lecture

GYNAE / OBS

Lecture

PATHOLOGY

Lecture

EYE

Lecture

MEDICINE

Lecture

Paeds

Lecture

Com. Medline

FR

IDA

Y Lecture

Pathology

Lecture

E.N.T

Lecture

COM.

MEDICINE

Lecture

EYE

JUMMA

PRAYERS

Lecture

Medicine

379

3.2. Lesson planner with titles and learning objectives of

theory and practical of 4th year.

AMNA INNAYAT MEDICAL COLLEGE YEARLY PLANNER OF LECTURES:

2017-2018


SUBJECT: COMMUNITY MEDICINE

Sr. No DATE Title / Topic

Objectives which the students should

understand, define & Reproduce LECTURE BY

1. 22-12-17

Concept of Health

& Disease

Concept & Defin of Health & Its Dimension Dr. Faiz-ur-

Rehman AP

2. 23-12-17 Spectrum & Determinants of Health

3. 02-01-18 Indicators of Health & Health Promotion

4. 03-01-18 Concept of Disease & Causation

5. 04-01-18 Spectrum & natural history of disease

6. 05-01-18 Levels of Prevention & Disease Elimination

7. 06-01-18 Disease Surveillance & Prevention

8. 09-01-18

Introduction to

Public Health

Historical background & evolution of public health

9. 10-01-18

Definition & branches of public health Preventive &

social medicine

10. 11-01-18

Community Medicine, International Health, Health for

all

11. 12-01-18

Health Systems in

Pakistan

Development of public health in Pakistan. Economics &

Health.

12. 13-01-18

Health Policy & Planning in Pakistan, Health for all,

background concepts & progress.

13. 16-01-18 Primary health care concepts & progress

14. 17-01-18

National Disease control programs, policies, strategies

& operations.

15. 18-02-18

Health system in Pakistan, Role of federal &

provincial Governments in health care.

16. 19-01-18 District health system, in the context of devolution.

17. 20-01-18

The physician as a manager & its functions.

Management of material, Human & financial resources.

18. 23-01-18

Leadership & motivation, partners in health (Public &

Private, NGO’s & International Agencies)

19. 24-01-18 Resources for health. Community mobilization

20. 25-01-18 General

Epidemiology &

Research

Methodology

Back ground & concepts, uses basic requirements in

epidemiology

21. 26-01-18 Morbidity, Mortality, Disability, & Fatality

22. 27-01-18

Epidemiological Methods( Descriptive, Analytical,

Experimental, )

23. 30-01-18 Epidemiological Transition, Association & Causation

24. 31-01-18 Investigation of an outbreak or an epidemic.

25. 01-02-18 Screening for disease, community diagnosis,

26. 02-02-18

Research & survey mythology, Qualitative research

methodology

27. 03-02-18 Biostatistics Concepts & uses, data & its types Dr. Faiz-ur-

380

Rehman AP

28. 06-02-18

Rates, Ratios, & proportions, Crude, Specific &

standardize Rates,

29. 07-02-18

Collection & registration of vital events in Pakistan,

Sources of health related statistics

30. 08-02-18 Measures of central tendency (mean, Median, Mode)

31. 09-02-18

Measures of desperation (Range, standard deviation,

standard error), Normal curve

32. 10-02-18

Methods of data presentation( tables, Graphs &

Diagrams)

33. 13-02-18 Interpretation of data (t-test & chi-square test)

34. 14-02-18

Sampling & its various techniques, health management

in information system.

35. 15-02-18 Demography &

Population Dynamics

Concept, Demographic principles & Processes

36. 16-02-18

Census, Definition, Methodology types. Determinants

of fertility & Mortality

37.

17-02-18

Population Pyramid & its interpretation, Demographic

Transition, Demographic Trap & its public health

importance

38. 20-02-18

Demographic & social implication of high population

growth, social mobilization, Urbanization,

39. 21-2-18 Nutrition & Health

(Integrated)

Concepts ( nutrition, nutrient, food, diet, ) Food groups

& their functions

40. 22-02-18 Role of fiber in diet, balance diet

41. 23-02-18

Malnutrition at all stages of life, its types, causes &

prevention.

42. 24-02-18

Common nutritional problems of public health

importance & their prevention & control

43.

27-02-18

Dietary requirements of normal human being at

different stages of life. Food hygiene, pasteurization ,

fortification, additives & adulteration & Preservation.

44. 28-02-18 Nutritional diseases & programs.

45. 01-03-18 Assessment of nutritional status of a community

46. 02-03-18 Reproductive & Child

Health (

Integrated)

Safe Motherhood & its components( Ante-natal, Post-

natal, Family Planning & emergency obstetric care)

47. 03-03-18

Maternal Mortality & its causes & prevention. Infant

care, growth & development, Breast Feeding.

48. 06-03-18

Common causes of infant morbidity & mortality, their

prevention & control.

49.

07-03-18

Child Health Surveillance. Health promotion strategies.

Common ailments, Home accidents, Child mortality

prevention.

50. 08-03-18

Strategic approaches of integrated management of

childhood illness( IMCI), Adolescent health

51. 09-03-18

Reproductive track infections, Guidelines for

management of sexually transmitted diseases.

52.

10-03-18 Health of school age

children

(Integration)

Role of teachers & role of doctor in maintenance of

health, Procedures for determining health status of

school age children.

Dr. Faiz-ur-

Rehman AP

53. 13-03-18 Common health problems of school children.

54. 14-03-18 Environmental Composition of air, Causes of air pollution, purification

381

Health Sciences

of air.

55. 15-03-18

Diseases caused by impurities in air & their prevention

(acute respiratory illnesses)

56.

16-03-18 Sources of water, daily water requirement, water

pollution its causes & prevention.

57.

17-03-18 Purification of water, water Quality Standards, Diseases

due to polluted

58.

20-03-18 Waste disposal, contents, hazards & safety Measures

for solid & liquid waste.

59.

21-03-18 Domestic, Industrial & hospital waste (Global & Marine

Problems)

60.

22-03-18 Climate & weather, Global environmental concerns(

Green house effect, Depletion of ozone layer, acid

rains)

61.

24-03-18 Effect of extremes of temperature, humidity,

atmospheric pressure on human health & their

prevention

62.

27-03-18 Radiation: sources, types, causes, hazards &

prevention

63.

28-03-18 Healthful housing, urban & rural slumps, refugee camps

& hostels

64.

29-03-18 Noise: Definition, causes, acceptance level, hazards &

control.

65.

30-03-18 Occupational Health Concepts of occupation health, occupational medicine

& occupational hygiene.

66.

31-03-18 Ergonomics & its importance. Occupational hazards &

Control Principles.

67. 03-04-18 General principles of occupational disease prevention

68.

04-04-18 Organizational of occupational health services. Health

insurance & social security schemes, labour laws.

69.

05-04-18 Prevention & Control

of infectious

Diseases

(Integration)

Definition to differentiate between infection,

contamination, pollution, infestation.

70.

06-04-18 Infectious disease, communicable disease, contagious

disease. Host, immune & susceptible persons

71.

07-04-18 Sporadic, Endemic, Epidemic, Pandemic, Epizootic,

Exotic, Zoonotic. Contact, Fomites, Carriers, Insect

Vectors, Reservoir of infection, Incubation period,

infective period,

72.

10-04-18

generation time, Cross Infection, Nosocomial Infection,

Opportunistic Infections, Iatrogenic (Physician Induced )

Disorders. Surveillance control, eradication,

Elimination.

Dr. Faiz-ur-

Rehman AP

73.

11-04-18 Dynamics of

Infections, Disease

Transmission

Reservoir & source of infection, Escape of organism,

mode of transmission,

74.

12-04-18 Entry of organism into the body, Susceptible host,

immunity (different types of immunity & immunization)

75.

17-04-18

Control of Infection

Controlling the reservoir, Notification, early diagnosis,

Treatment, Isolation,, Quarantine, Disinfections

76.

18-04-18 Interruption of transmission, Susceptible host(active &

Passive Immunization, Combined, Chemoprophylaxis,

Non-Specific Measures

77.

19-04-18 Health advice to travels, national case management

guidelines,

382

78.

24-04-18 Epidemiology

Control &

Prevention of

Infectious Diseases

of public health

importance

Diseases Transmitted through inhalation.

79.

25-04-18 Diseases Transmitted through i faeco-oral route

80.

26-04-18 Diseases of animals conyed to man

81.

02-05-18 Diseases due to direct contact.

82. 03-05-18 Control &

Prevention of Non-

Infectious Diseases

of Public Health

Importance

(Integration)

Hypertension

83. 04-05-18 Coronary Heat Disease

84. 11-05-18 Cancers

85. 12-05-18 Injuries

86. 18-05-18 Diabetes mellitus

87. 19-05-18 Obesity

88. 25-05-18 Acute Rheumatic fever & heat Diseases

89. 26-05-18 Arthropods & their

public health

importance

Common arthropod borne diseases

90. 03-06-18 Control of arthropods of medical importance

91.

04-06-18 Insecticides & their public health importance

92.

05-06-18 Prevention &

control of Parasitic

Diseases of public

health importance

Common Parasitic infections of public health

importance

Dr. Faiz-ur-

Rehman AP

93. 08-06-18 -DO-

94. 09-06-18 -DO-

95. 10-06-18 -DO-

96. 11-06-18 -DO-

97.

12-06-18 Snake Bites: Identification Personal Protection &

management

98.

15-06-18 Mental Health &

Bahavioural Sciences

(integrated with

other departments

like Behavioural

Sciences /

Psychiatry)

Common Mental Health problems, their causes,

Prevention & control.

99.

16-06-18

Juvenile delinquency, Drug abuse addiction, Alcoholism

& smoking,

100.

17-06-18 Child abuse & child labour

101.

18-06-18 Self Medication

102.

19-06-18

Information,

Education &

Communication

Concept aims & objectives. Approaches used in public

health

103. 22-06-18 Contents, Principles & Stages of health education.

104.

23-06-18 Communication Methods, Barriers & skills in health

education

105.

26-06-18 Planning, Organizing & evaluating a health education

program.

106. 27-06-18 Social marketing

107.

28-06-18 Disaster & Accidents Definition, Classification (Natural Disaster like

Earthquake, floods)

108. 01-08-18 Epidemic of communicable diseases, man made

383

disasters, thermo nuclear warfare.

109.

02-08-18 Magnitude & effects of disaster & public health

consciousness, Disaster preparedness & management

110. 03-08-18 Accidents: Definition, Classification, Prevention.

111. 04-08-18 Health Planning &

Management

Health Planning Cycle, Management & administration

112. 07-08-18 Management methods & techniques

113. 08-08-18 Planning-Programming-budgeting system

114. 09-08-18 Revision

115. 11-08-18

116. 15-08-18

117. 16-08-18

118. 17-08-18

119. 18-08-18

120. 21-08-18

121.

22-08-18 Revision Dr. Faiz-ur-

Rehman AP

122. 23-08-18

123. 24-08-18

124. 25-08-18

125. 28-08-18

126. 29-08-18

127. 30-08-18

128. 31-08-18 Revision

129. 01-09-18

130. 04-09-18

131. 05-09-18

132. 06-09-18

133. 07-09-18

134. 08-09-18

135. 11-09-18 Revision

136 12-09-18

384

SOP FOR PRACTICAL AND COMMUNITY BASED TRAINING:

Student should have practical experience in questioner development, Data

collection, Compilation, Presentation, Analysis & Report Writing

AMNA INNAYAT MEDICAL COLLEGE YEARLY PLANNER OF TUTORIAL: 2017-2018


SUBJECT: COMMUNITY MEDICINE

Tutorial

NO. Date

TOPICS TO BE COVERED

(IN DETAIL)

Demonstrator

1 4-01-18 Water Purification at Domestic

level

Dr. Umara Munir

2 4-01-18 -DO- Grand Dr. Munir Ahmad

3 18-01-

18

Orientation of Community

Medicine Practical Copy

Dr. Faiz ur Rehman

4 1-02-18 Contraceptives Dr. Umara Munir

5 1-02-17 Contraceptives Grand Dr. Umara Munir

6 15-02-

18 Oral Rehydration Solution

Dr. Munir Ahmad

7 01-03-

18

Vaccination Including the cold

chain

Dr. Faiz ur Rehman

8 1-03-18 Vaccination Including the cold

chain Grand

Dr. Faiz ur Rehman

9 15-03-

18

Growth Monitoring

Dr. Munir Ahmad

10 29-03-

18 Diet chart

Dr. Umara Munir

11 5-03-18 Communication Skills Dr. Munir Ahmad

12 5-04-18 Communication Skills Grand Dr. Munir Ahmad

13 19-04-

18 Reference Writing Style

Dr. Munir Ahmad

14 3-04-18 Insecticides Dr. Umara Munir

15 3-05-18 Insecticides Grand Dr. Umara Munir

16 17-05-

18 Disinfection

Dr. Munir Ahmad

17 31-05-

18

Practical on Statistical Package

for Social Scientist

Dr. Munir Ahmad

18 07-06-

18 Field Visit

Dr. Faiz ur Rehman

19 14-06-

18 -DO- Grand

Dr. Faiz ur Rehman

20 21-06-

18 -DO-

Dr. Faiz ur Rehman

21 28-06-

18 -DO-

Dr. Faiz ur Rehman

22 05-07- -DO- Grand Dr. Faiz ur Rehman

385

18

23 02-08-

18 -DO-

Dr. Faiz ur Rehman

24 09-08-

18 -DO-

Dr. Faiz ur Rehman

25 16-08-

18 -DO-

Dr. Faiz ur Rehman

26 Revision Dr. Munir Ahmad

27 Revision

28 Revision

29 Revision

30 Revision

31 Revision

4. ASSESSMENTS/EVALUATIONS/EXAMIONATIONS 1. Internal Assessment

2. External Assessment

COURSE REQUIREMENTS

Each student will spend a total 36 weeks in the department of community

medicine.

Each student will be required to

1. Attend a minimum of 75 % Lectures and Practicals

2. Attend the practical demonstrations, Tutorials and complete the

assignments

4.1. Continuous assessment

4.2. Evaluation at end of semester

4.3. Evaluation at end of year (send up)

4.4. University examination professional 3.a. & 3. b

4.5. student feedback form (student will fill and submit his/her

feedback form) at end of each year regarding quality of teaching,

quality of learning recourses and any recommendation to improve


386

5. BOOKS RECOMMENDED: 1: Park’s text book of preventive and social medicine

2: A synopsis of epidemiology and basic statistics (Ali Muhammad Mir)

3: Statistics at square one (TDVS winscow)

4: Essentials of research design and methodology. (Geoferry Marczyk)

5. Text book by Illyas Ansari.

6. The essentials of clinical epidemiology (Robert H)

387


AIMC-MBBS,

ENT CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

DEPARTMENT OF ENT,


388

DEPARTMENT OF ENT

INTRODUCTION:

Department of ENT at AIMC’S is an established unit since the college started. It trains

MBBS undergraduates’ students and delivers health care services to patients reporting to

attached teaching hospitals.

The department has teaching faculty of a professor and assistant professors. The faculty is

involved in training of 3rd year and 4th year MBBS students in the subject of ENT according

to college timetable. The teaching schedule and timetable is in accordance with PMDC and

UHS regulations.

The ENT Unit consists of 20 bedded, 10 each fixed for male and female patients and is

equipped with outpatient facilities. A well equipped operation theater is available for

delivering surgical facilities. The ENT department delivers health care facilities to patients

round the clock.

The unit is recognized by PMDC and UHS in the subject of ENT.

389

CONTENTS

INTRODUCTION

AIMS AND OBJECTIVES

LESSON PLANNER AND BLOOM’S TAXONOMY

DETAILS OF SYLLABUS

TEACHING METHODOLOGY

EVALUATION METHODOLOGY

ASSESSMENT & EVALUATION

UNIVERSITY EXAMINATION

STUDENTS FEEDBACK

390

AIMS AND OBJECTIVES

Curriculum for teaching and training program is designed to make a student aware of

common ENT diseases. At the end of Calendar Year students should be able to pickup and

manage common ENT diseases and treat them.

He should identify complicated cases and refer them to concern departments.

The student is trained to develop medical ethics in spirit for team work and develop

doctor-patient relationship. The students are also trained in history taking and

communicating with the patient in larger interest of framing the treatment policy.

The students are disciplined to maintain the dignity of the profession and the ability to

compete the others students at national & international level.

391

BLOOM’s TAXNOMY

(FOR LEARNING & ASSESSMENT)

A. COGNITIVE DOMAIN 1. Knowledge

2. Comprehenssion

3. Application

4. Analysis

5. Evaluation

B. EFFECTIVE DOMAIN 1. Receiving

2. Response

3. Valuing

4. Organization

5. Characterization

C. PSYCHOMOTOR DOMAIN 1. Skills

2. Attitudes

3. Perceptual Abilities

4. Fundamental Movements

5. Flex Movements

392

SEMESTER PLANNER

CLASS TITLE LECTURE HOURS TEACHER

3rd Year Otology 24 18 Assistant

Professor/Professor

3rd Year Otology Clinical

Training OPD

240 Assistant

Professor/Professor

4th Year Nose &

Paranasal

Sinuses

Pharynx

Laryngology

Oesophagology

64

Clinical

Training OPD

48

300

Professor/Assistant

Professor

Total Teaching

Hours

600

Grand Total 600 Professor/Assistant

Professor

393

ASSESSMENT & EVALUATION

FIRST TERM

A. Theory

B. Clinical

The assessment of under the end of each term.

SECOND TERM

A. Theory

B. Clinical

The assessment of under the end of each term.

THIRD TERM

A. Theory

B. Clinical

The assessment of under the end of each term

SEND UP

At the close of the session .

394

INTERNAL EVALUATION

TERM MARKS TOTAL SCORE PERCENTAGE

First Term 100 100 10%

Second Term 100 100 10%

Third Term 100 100 10%

Send UP 100 100 10%

Note: 10% of theoretical & Clinical assessment along with attendance is submitted as

internal assessment

395

TEACHING METHODOLOGY/LEARNING STRATEGIES

1. LECTURES

2. GROUP DISCUSSION/SEMINARS

3. OUT PATIENTS CLINICAL TRAINING

4. CLINIC PATHOLOGICAL MEETINGS

5. DISTANT LEARNING

6. JOURNALS AND LIBRARY MATERIALS

7. INFORMATION TECHNOLOGY

396

CURRICULUM

The college and the department follow the curriculum adopted and notified by UHS and

PMDC. The curriculum is subject to changes as made by PMDC and UHS from time to time

397

UNIVERSITY EXAMINATION

University examination will be held at the end of the session as scheduled in the UHS

calendar.

ELIGIBILITY

A student who fulfills the requirement laid by the university will be sent for examination to

UHS.

FORMAT Marks

Theory and written examinations

SEQ’s 45

MCQ’s 45

TOTAL 90

CLINICAL EXAMINATION

The clinical examination will be conducted in OSCE format

Marks

90

THE ORAL EXAMINATION WILL BE PART OF OSCE Marks

Grand Total 180

398

Internal Evaluation 20

Grand Total 200

NOTE: the students who attain 50% of the mark in each component will be declared

successful. Each component has to be passed separately by scoring 50% of the Marks

399

STUDENTS FEEDBACK

The students can submit their feedback on the prescribed form as provided by the

University of Health Sciences or by PMDC in order to improve further the continuous

process of medical education and evaluation

Professor AZHAR Hameed Dr. Jawad Ahmad Dr. Khuda Buksh

Malkera

DEPARTMENT OF ENT AIMC

400


AIMC-MBBS,

OPHTHALMOLOGY CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

DEPARTMENT OF OPHTHALMOLOGY,


401

PM&DC

OPHTHALMOLOGY

NEED ASSESSMENT

The prevalent ophthalmic disease patterns in our national and local contexts form

the basis of the curriculum, with cataract, glaucoma, diabetic retinopathy,

trachoma and vitamin A deficiency as leading causes of blindness. International

best practices in medical education should be followed with emphasis on active

learning, and constructivist, contextual and collaborative learning and teaching

strategies.

GOALS

To equip medical students with essential knowledge, skills and attitudes to

enable them to:

Identify ophthalmic diseases including ocular emergencies, provide

primary eye care and refer when needed.

Communicate effectively with the patients, their families and the

community regarding eye diseases and its related issues.

Understand medical ethics and its application pertaining to

ophthalmology and maintain patient confidentiality.

Understand the prevalence and prevention of common public health

problems related to ophthalmology.

402

Understand the relationship between eye and systemic diseases.…

LEARNING OUTCOMES

Directed Ophthalmic History (PI)

Defects in visual acuity, colour vision and field of vision

Pain in and around the eye

Discharge from the eye

Abnormal appearance of the eye and orbit

Diplopia

Ophthalmic examination for

Visual acuity for distance and near vision (PI)

Use pinhole during vision acuity checkup (PI)

Check colour vision (PI)

Confrontation test for field of vision (PI)

Inspection and palpation of adnexa and anterior segment (PI)

Evert the upper eye lid and assess the lacrimal system (PI)

Regurgitation test (PI)

Detect the deviated eye (PI)

Ocular movements and the cover / uncover test (PI)

Pupillary reflexes for afferant pupillary defects (PI)

Measure the intra-ocular pressure by palpation (PI)

Differentiate between Goldmann applanation, Schiotz and tonopen tonometer (O)

Red glow test by distant direct ophthalmoscopy, to detect the defects in the ocular media (PS)

Direct ophthalmoscopy to recognize disc and its abnormalities like normal disc, swollen disc, large cup disc ratio, pale disc and retinal lesion (PS)

403

Retinoscopy (plain mirror or streak) (PS) to familiarize with indirect ophthalmoscopy and use of lasers and ultra sound in ophthalmology (O)

Diagnosing common eye conditions e.g. blepharitis, chalazion, stye, dacryocystitis, conjunctivitis, trachoma, ocular allergies (PI)

Initiate first aid treatment for ocular trauma (corneal foreign body/ abrasion), corneal ulcer, red eye, painful eye, acute congestive glaucoma (PI)

Diagnose other eye conditions and refer them to secondary or tertiary eye care centres for further management for e.g., open or closed globe injuries, cataract, squint, amblyopia, refractive errors, tumours, leucocoria (white pupil), acute and chronic painful or painless loss of vision (PI)

Prevention and early diagnosis of glaucoma, diabetic retinopathy and

deficiency diseases (vitamin A) (PS)

404

Perform essential procedures

Irrigation of eye (PI)

Instillation of eye drops (PI)

Staining for corneal ulcer (PI)

Removal of superficial foreign bodies (PI)

Experience community-based eye camps for eye problems (PS)

Ocular Instrumentation

Ophthalmoscope (Direct and Indirect)

Retinoscope

Slit Lamp

Tonometer

o Applanation (contact and non contact) o Indentation (Schiotz)

Gonioscope

Refractometer

Lensometer

Keratometer

Perimeter

A B Scan

Laser (Yag and Argon)

Fundus and anterior segment camera (Angiography)

Level of Learning: Observer status (O), Assistant status (A), Perform under supervision

(PS), Perform Independently (PI)

CONTENTS

Basic anatomy, physiology, biochemistry, pharmacology and pathology of

eyeball, adnexa and orbit.

405

Orbit: Orbital cellulitis, proptosis, thyroid ophthalmopathy,

enophthalmos, tumours, trauma.

Lids: Blepharitis, stye, chalazion, trichiasis, entropion, ectropion,

ptosis, and common tumours.

Conjunctiva: Infective and allergic conjunctivitis, pterygium, pingecula.

Cornea: Corneal transparency, corneal edema, corneal vascularization,

Keratitis, corneal ulcers, corneal opacity, dry eye, corneal dystrophy

and keratoplasty.

Sclera: Episcleritis, scleritis, scleral discoloration.

Lacrimal Apparatus: Epiphora, lacrimation, dry eye, dacryocystitis (acute

& chronic), lacrimal gland tumours.

Uveal Tract: Uveitis, and its differential diagnosis from other causes of the

red eye.

Lens: Cataract classification, aetiology, management including visual

rehabilitation and biometry.

Glaucoma: Aetiology, classification, diagnosis and general principles of

medical and surgical management.

406

Vitreo-Retina: Primary retinal detachment, vitreous detachment and

haemorrhage, diabetic retinopathy, hypertensive retinopathy, retinal

artery and vein occlusion, retinitis pigmentonsa, retinoblastoma, age

related macular degeneration.

Neurophthalmology

Optic Nerve: Papilloedema, optic neuritis and optic atrophy.

Visual Pathway:Visual field defects in the lesions of optic nerve, optic

chiasma, visual pathway and visual cortex.

Cranial Nerve: Oculomotor, Trochlear, Abducent, Trigeminal and Facial

cranial nerve paresis and palsies.

Pupil: Pupillary pathways and reflexes with their common

abnormalities.

Injuries: Blunt and perforating, Intra and extra ocular foreign bodies,

chemical injuries and burns and sympathetic ophthalmitis.

Squint: Amblyopia, phoria and tropia, paralytic and non paralytic.

Systemic Diseases: Diabetes, thyroid ophthalmopathy, hypertension,

collagen vascular disorders, ocular manifestations of vitamin A deficiency.

Common causes, definition, standards of blindness and low vision aids.

Errors of refraction: Introduction to optical system of normal eye,

emmetropia, myopia, hypermetropia, anisometropia, astigmatism,

presbyopia, aphakia, pseudophakia, and refractive surgery.

Ophthalmic therapeutics: Antibiotics, anti viral, anti fungal, steroids, local

anesthetics, anti glaucoma, fluorescein dye, mydriatic-cycloplegic.

Ocular emergencies

Chemical burns, corneal ulcer, corneal foreign body, corneal exposure,

inadvertent use of medicines like Atropine and Steroids, acute congestive

glaucoma, perforated globe, leucocoria in children, retinal artery and vein

occlusion, acute vitreous haemorrhage, rhegmatogenous retinal

detachment and papillitis

Ocular pharmacology

407

Antibiotics

Aminoglycosides e.g. Tobramycin eye drops

Quinolones e.g. Ciprofloxacin eye drops

Glaucoma medications

Pilocarpine eye drops

Beta blockers eye drops

Prostaglandin analogue eye drops

Acetazolamide tablets

Mannitol 20% intravenous

Steroids: Dexamethasone eye drops

408

Antivirals: Acyclovir 3% eye ointment

Antifungal: Miconazole eye drops

Mydriatic-cycloplegics

Atropine 1% eye drops

Cyclopentolate 1% eye drops

Tropicamide 1% eye drops

Suggested Reading List:

1. Parson diseases of Eye. Butterworth-Heinemann; 2002.

2. Vaughan, Asbury. General Ophthalmology. McGraw-Hill Medical; 2007.

3. Akhtar M. Saleem. Clinical Ophthalmology. National Book Foundation 2007.

4. Shah, Syed Imtiaz Ali. Clinical Ophthalmology. Azam Sons, Karachi.

5. Jatoi, M. S. Clinical Ophthalmology. Farooq Kitab Ghar, Urdu Bazar,

Karachi.

409

UHS

OPHTHALMOLOGY

The course outline is as follows :

General Learning Objectives of the Ophthalmology Course:

To equip doctors with essential knowledge, skill and attitude in order to enable them

to:

1. Identify ophthalmic diseases including emergencies, provide primary eye care,

refer to the appropriate center and provide follow up to the patients.

2. Perform essential minor surgical procedures

3. Communicate effectively with the patient, the family and the community

regarding eye diseases and its related issues

4. Understand medical ethics and its application pertaining to ophthalmology and

maintaining confidentiality of the patient.

5. To understand the prevalence and prevention of the common public health

problems related to ophthalmology.

6. Understand the principles of Medical Research including fundamentals of

information technology.

410

INSTRUCTIONAL STRATEGY

ƒ METHODOLOGY

- Problem-based Learning

- Tutorials/ Practical sessions/Skills Lab practice

- Clinical rotations and ward visits

- Lectures/Seminars/CPC’s – using modern audio visual techniques,

ƒ Distant learning using electronic devices and current Information ƒ

Technology facilities.

411

COURSE CONTENTS

Basic Anatomy and the functions of the Eyeball and Orbit

Orbit: Orbital Cellulitis, Proptosis

Lids: Blepharitis, Stye, Chalazion, Trichiasis, Entropion, Ectropion, Ptosis, and Common

Tumors.

Conjunctiva: Infective and Allergic Conjunctivitis, Pterygium.

Cornea: Corneal Ulcers, risk factors, complications and its management.

Sclera: Episcleritis and Scleritis

Pupil: Pupillary reflexes and their common abnormalities

Lacrimal Apparatus: Composition and function of Tear film, Dry Eye

Excessive watering (Epiphora), Dacryocystitis (Acute & chronic).

Therapeutics: Drugs used in common ophthalmic conditions

Vitamin “A”: Ocular manifestation of vitamin A deficiency and its management.

Uveal Tract: Uveitis, and its differential diagnosis from other causes of the Red Eye.

Lens: Classification of cataract,

Congenital Cataract (lamellar, signs and symptoms and management), Rubella syndrome,

Acquired Cataract (senile, traumatic, drug induced), cataract due to systemic diseases (clinical

picture and management including visual rehabilitation).

Glaucoma: Physiology of Aqueous humor formation and its circulation.

Measurement of IOP

412

Definition & classification of glaucoma

Primary open angle and closed angle glaucoma

Secondary glaucoma due to hyper-mature cataract and uveitis. Principles of

medical and surgical management of glaucoma.

Vitro-Retina: Posterior vitreous detachment, primary retinal detachment

(common presentation and principle of management)

Diabetic Retinopathy, Hypertensive Retinopathy,

Retinitis Pigmentonsa, Retinoblastoma.

Optic Nerve: Papilloedema, Optic Neuritis (Papillitis and Retrobulbar Neuritis), Optic

Atrophy

413

Visual Pathway: Introduction to Visual Field defects in the lesions of Chiasma and

visual Pathway.

Injuries: Extraocular Foreign Bodies, Closed globe injuries,Open globe injuries with or

without retained Intra ocular foreign bodies

Burns and Chemical Injuries

Sympathetic Ophthalmitis.

Squint and Amblyopia: Definition, Classification and Principle of

Management.

Errors of Refraction: Introduction to Optical System of Normal Eye

Emetropia, Myopia, Hypermetropia, Astigmatism, Presbyopia, Aphakia,

Pseudophakia, Anisometropia and Amblyopia.

Details of Clinical and Practical Competence:

• Level of Learning:

• Level-1 Observer status

• Level-2 Assistant status

• Level-3 Perform under supervision

• Level-4 Perform Independently

• LEVEL 4

History Taking

• Defects in Vision

• Pain in and around the Eye

414

• Discharging Eye

• Abnormal appearance of the Eye and Orbit

Examination

• Visual Acuity, for distance and near

• Use of a pinhole

• Examination of Adnexa and anterior segment of the eye.

• Eversion of the upper Eye Lid and Lacrimal regurgitation Test

• Detection of the Deviated Eye

415

• Ocular Movement

• Pupillary Reflexes (Afferant Pupillary defects)

• Measurement of Intra ocular pressure.

• Palpation Assessment

• Schiotz Tonometer 1

• Distant Direct Ophthalmascopy for Identification of defects in Ocular Media

• Direct Ophthalmascopy with emphasis on disc and its abnormalities

• Swollen disc, cup disc and pale disc.

• Confrontation test for field of vision

• Familiarization with Retinoscopy

• Indirect Ophthalmascopy,

• Slit Lamp and its Uses

• Visual Fields and Use of Laser in Ophthalmology

Procedures

• Irrigation of eye

• Instillation of eye drops

• Staining for corneal ulcer

• Removal of superficial foreign bodies

• Rational use of topical anaesthesia

• Preparation for operation and post operative management

416

• Understand medical ethics and maintain the confidentiality of the patient

Assessment of Level of Competence:

• To Diagnose, treat and prevent certain common eye conditions e.g.

Blepheritis

Sty and Chalazion

Dacryocystitis

Conjunctivitis

Trachoma

Ocular Trauma (Corneal Foreign Body / Abrasion)

Ocular Allergies

417

To diagnose certain eye disease, initiate first aid treatment and refer them in

time e.g.

Corneal Ulcer

Uveitis

Acute Congestive Glaucoma

Open or closed globe injuries

Red Eye

To enable them to diagnose other eye conditions and refer them to

secondary or tertiary eye care centers for further management(Medical /

Surgical) e.g.

Cataract

Squint and Amblyopia

Refractive Errors

Tumours (Leucocoria-white Pupil)

Serious Ocular Trauma

Painful or painless loss of vision.

To understand the importance of prevention in Ocular Diseases

Deficiency Diseases resulting in ocular problems(Thyroid, Vit“A”)

Early Detection of Glaucoma

Diabetic Retinopathy

418

RECOMMENDED BOOKS

1. Parson’s Diseases of the Eye by Ramanjit Sihala and Radhika Tandor. 3rd

Ed

2. Ophthalmology by Renu Jogi

3. Clinical Textbook of Ophthalmology by Dr. Saleem Akhter

4. Kanski’s Ophthalmology

5. Ophthalmology Principles and Concepts Newill F. W.


Facility.

419


AIMC-MBBS,

MEDICINE & Allied Specialties

SYLLABUS (PMDC/UHS)

&

ACADEMIC PLANNER

2017-2018

DEPARTMENT OF MEDICINE & ALLIED – AIMC

Focal Person: Dr. Muhammad Aleem ud Din

Author: Dr. Muhammad Aleem ud Din & Dr. Shamshad Rasul Awan

Approved By: Prof. Dr. Shoaib Randhawa

Faculty: Prof. Dr. Muhammad Shoaib Randhawa HOD Medicine

Prof. Shamshad Rasul Awan Prof -Medicine

Dr. Muhammad Aleem ud Din Assistant Prof- Cardiology

Dr. Muhammad Afzal Bhatti Associate Prof- Medicine

420

CONTENTS

1.0. INTRODUCTION

1.1. Department of Medicine & Allied, Faculty and staff


Program

1.3. Allocated contact hours (Theory, Practical, Total) of Medicine &

Allied Subject in year 3rd& 4th of MBBS Program


Medicine & Allied

Subject, in year 3rd& 4th & Final Yearof MBBS Program.


1.6. Scheme of Semesters and Send up Assessments/Evaluations

and

University Examinations of3rd and 4th year MBBS Program.



2.0. CURRICULUM OF MEDICINE & ALLIED SUBJECT.

2.1 PMDC Curriculum

2.1. UHS Curriculum


3.1 Time Table of Lectures/Demonstrations/Practical of Year3rd and 4th

& Final Year


Practical” of 3rd and 4th & Final Year


Practical” of

3rd and 4th & final year.

4.0 ASSESSMENTS/EVALUATIONS/EXAMINATIONS4.1 Continuous

Assessments




4.5 Student Feedback Form (Student will fill and submit his/her

feedback form) at end of each year regarding, quality of teaching,

quality of learning resources and any recommendations to improve


421


MISSION STATEMENT

Department Of Medicine

Department Of Medicine is the backbone of any teaching hospital. Department has

more than 100 beds and consists of two independent units.

Our mission is to produce quality doctors by imparting quality medical education to

them so that they can serve the ailing humanity in the best way.

We also offer the best services to the patients who are admitted in the inpatients

department and also to those who visit our outpatient department. Students are

thought in OPD and on the bed sides on admitted pati8ents. The department of

medicine has different sections like cardiology, pulmonology and gestronology.

Cardiology section we offer echocardiography, ETT, cardiac monitoring, defibrillation

and other related services.

Pulmonology section offers critical care, pulmonary functions test, and

broncchocopy. Arterial blood gasses are none in the pathology department and

facilities of CT scan, MRI, X-Ray’s thorough the sister department of radiology.

In the gastroenterology section, gestoscopy and colonoscopy are performed along

with other associated procedures.

We really intend to serve the mankind in a much better way. Almost all patients are

offered free services in the coming days department of medicine is going to be the

center of excellence in Sheikhupura district. Development of department of medicine

and Kishwar Fazal teaching hospital is really a blessing for the patients in the

catchment area of this hospital because they are socially economy deprived people.

Resource Person

Prof. Dr. Shamshad Rasul Awan

422

DEPARTMENT OF MEDICINE FACULTY AND STAFF

1 Professor& HOD

Prof. Muhammad Shoaib

Randhawa MBBS, FCPS

2 Professor Prof. Shamshad Rasul Awan MBBS, MCPS, FCPS,

3 Associate Professor Dr. Muhammad Afzal Bhatti

MBBS, FCPS(Medicine),

FCPS, Gastroenterology

4 Associate Professor Dr. Ashfaq Ahmad MBBS, MD

5 Associate Professor Dr. Mushtaq Ahmad MBBS, FCPS,

6 Assistant Professor Dr. Muhammad Aleem ud Din MBBS,FCPS

7 Assistant Professor Dr. Ahmad Asghar MBBS, FCPS

8 Post Graduate Resident Dr. Hassan Shoaib MBBS

9 Post Graduate Resident Dr. Habiba MBBS

423



HOURS



STUDIES









MEDICINE AND Allied

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATOLOGY AND

GENERAL PRACTICE

25HRS 30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS


SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY




CLINICOPATHOLOGICAL

CONFERENCE

- - - 60HRS - 60HRS


424

PMDC CURRICULUM

MEDICINE

GENERAL MEDICINE

By the end of five years, medical students should be able to identify and discuss

the common causes of common clinical presentations. Causes in detail can be

discussed under various other headings.

Fever

Edema

Headache

Drowsiness and unconsciousness

Clubbing

Cough

Sputum and haemoptysis

Chest pain.

Dyspnea

Shock

Painful and difficult swallowing

Anorexia, nausea and vomiting

Abdominal pain

Diarrhea and constipation

Urination abnormalities

High colored urine

425

Cachexia

o Involuntary movements o Seizures

o Paresis and paralysis

o Numbness and paresthesias

Weakness and lassitude o

Dizziness and vertigo o

Joint pains

Nutrition (re-enforcement)

Geriatrics

End-of-Life Care

Preventive aspects

Ethical problems


GASTROENTEROLOGY

Oral Cavity Presentations:

o Aphthous Ulcers*6, Pigmentation (Addison‟s), Gingivitis, Glossitis* (Candida, Plummer-Winson Syndrome, Vitamin B2 and folate deficiency).

Nausea/Vomiting

o Hepatitis**, Gastro-enteritis**, Bacterial food poisoning, Acid peptic disease**

Indigestion/Flatulence

o Diet, Irritable Bowel Syndrome and Gastroparesis

Dysphagia**

o Of Solids: Carcinoma Esophagus (with cachexia)* and Achalasia*.

o Of Liquids: Psychogenic and Neuro-Muscular Disorders (Dementia, Bulbar Palsy and Scleroderma)

426

Heartburn and/or Epigastric pain

o Gastro Esophageal Reflux Disease**, Peptic ulcer and Gastritis**.

Diarrhea

o Acute Diarrhea due to Acute Gastro-enteritis: Viral**, Shigellosis**, Salmonellosis**, Traveler‟s diarrhea**

o Chronic Diarrhea: Amebiasis**, Giardiasis*, Malabsorption

syndromes like Celiac Disease* and Tropical Sprue

Some areas are more important for medical students to know as compared to others and have been identified by the number of asterisks (No asterisk= nice to know, * = Important, ** and *** = Essential).

427

o With Haematochezia Inflammatory bowel diseases: Ulcerative

colitis* and Crohn‟s Disease*

o Irritable bowel syndrome*.

Constipation*.

o Irritable Bowel Syndrome, Diet and sedentary life style,

Hypothyroidism, Carcinoma descending colon

Ascites**.

o Chronic Liver Disease**, Malignancy*, Abdominal tuberculosis**.

Jaundice**.

o Congenital hyperbilirubinemia (Gilbert Syndrome and Dubin

Johnson Syndrome)

o Wilson‟s Disease

o Haemolytic: Malaria, Auto-immune, Hypersplenism

o Differentiate from Obstructive (Re-enforcement) *: Gall Stones,

Carcinoma Pancreas, Cholangitis, Obstructive phase of Hepatitis

o Hepatitic**: Viral** (acute and chronic), Toxic and Drugs).

Haematemesis and / or Melena**.

o Esophageal varices*, Mallory Weiss Syndrome, Carcinoma

Stomach, Cirrhosis of Liver** and Bleeding peptic ulcer**.

Bleeding per rectum*.

o Bacillary dysentery, Inflammatory Bowel Disease, Hemorrhoids*, and

Amoebic dysentery**.

Abdominal Pain

o Acid peptic Disease**, Irritable Bowel Syndrome*, Carcinoma

stomach, Pancreatitis* and Porphyria

Abdominal Mass: Visceromegaly

o Liver: Hepatitis**, Liver abscess*, Hydatid Cyst, Congested Liver*,

and Carcinoma (Primary and Secondary)

o Spleen: Portal Hypertension, Chronic Malaria, Chronic Myeloid

Leukemia, and Myelofibrosis

o Splenomegaly with fever**: Malaria**, Typhoid**, Infective*

endocarditis and Miliary tuberculosis*, Visceral Leishmaniasis,

o Kidney (see below)

o Abdominal Aneurysm

Altered Mentation: Hepatic Encephalopathy** and other causes of

altered mentation.

o Drugs Contraindicated in Liver Diseases*.

428

KIDNEY AND GENITOURINARY SYSTEM

Lumbar pain**.

o Acute pyelonephritis**, Acute papillary necrosis, Renal Infarction, Perinephric abscess (Surgery) * and Urolithiasis (Surgery).

Oliguria/Anuria: Acute Kidney Injury**:

429

Nephritides**, Acute Tubular Necrosis**, Drug-induced* (analgesic),

Hypersensitivity nephropathy*, Contrast Induced* and (brief) Haemolytic-

uremic syndrome

Polyuria / nocturia

o Diabetes mellitus**, Diabetes insipidus, Hypercalcaemia**,

o Chronic Kidney Disease: Glomerulopathies**, Nephrotic Syndrome**,

Hyperuricemia, Drug-induced and Hemolytic uremic syndrome (brief)

o Psychogenic*.

Dysuria*: With and without frequency of Micturition (Urinary Tract

infection) **

Hematuria with Dysuria*.

o Cystic infection of the bladder**, Urethritis and Urolithiasis

o Painless Hematuria*: Renal Tuberculosis*, Renal Cell

Carcinoma* and Bladder carcinoma

Urinary incontinence

o Urge Incontinence (Urinary infection* and Bladder neck

problems) and Stress

Urinary retention

o Prostatic Enlargement* and Neurogenic bladder

Impotence

o Diabetes mellitus and Psychogenic

Renal glycosuria*.

Should know the commonly prescribed (analgesics and antibiotics) drugs contra-

indicated and drugs to be used with caution in renal insufficiency**.

RESPIRATORY SYSTEM

Shortness of Breath

o Episodic: Bronchial Asthma**

o Acute: Pneumothorax**, Pulmonary Thrombo-embolism** / Acute Cor

Pulmnale, Adult respiratory distress syndrome, Acute respiratory

failure* (Type I and II) and Mechanical ventilation

430

o Chronic: Chronic obstructive airway diseases**, Pleural Effusion**,

Environmental and Occupational lung diseases (in brief: Asbestosis,

Silicosis, Bagassosis, Byssinosis and Pneumoconiosis),

Hypersensitivity pneumonitis and Interstitial lung disease.

Fever with Cough

o Upper respiratory tract infection**

o Lower respiratory tract infection: Acute and chronic Bronchitis**

o Pneumonias**: Community acquired, Nosocomial, Lobar and Bronchopneumonia.

Cough with Sputum: Bronchiectasis* Hemoptysis:

Carcinoma lung* and Tuberculosis**

431

Respiratory Distress

o Type-I Respiratory Failure: Pneumonia**, Pulmonary Edema** and Pulmonary Embolism **

o Type-II Respiratory Failure: Chronic Obstructive Pulmonary Disease (COPD) **

Should be able to debate and select appropriate drugs and treatment for

Tuberculosis, Asthma, COPD, and Pneumonia, based on their indications, drug

interactions, contra-indications and complications.

Should know the drugs contra-indicated and those to be used with caution in

pulmonary disease.

CARDIOVASCULAR SYSTEM

Fever with Murmur*

Rheumatic fever** and Infective endocarditis**

Shortness o f br eat h wit h Mu rmur

Mitral, Aortic and Pulmonary valve diseases

Palpitations

Sinus tachycardia*, Paroxysmal Supraventricular Tachycardia**, Acute

atrial Fibrillation and atrial flutter**, and Premature atrial and

ventricular contractions**

Chest P a i n**

Angina**, Myocardial infarction**, Constrictive pericarditis, and

Pericardial effusion

Shortness of breath*

Orthopnea and/or Paroxysmal Nocturnal Dyspnea**, Left Ventricular

Failure**, Congestive Cardiac Failure**, Corpulmonale and

Cardiomyopathies (brief).

432

Congenital heart diseases (brief): atrial septal defect, patent ductus

arteriosus and ventricular septal defect

Hypertension**

Atherosclerosis/Arteriosclerosis** and Lipid Disorders**

Secondary Hypertension*: Renal Causes* (Polycystic Kidney, Renal Artery

Stenosis, Renal Parenchymal Diseases) and Endocrine Disorders**

(Gigantism, Acromegaly, Cushing‟s*, Hyperthyroidism and

Pheochromocytoma)

Postural Hypotension*.

Autonomic neuropathy (Diabetes mellitus) and Drug-induced (Anti-

hypertensives, Loop diuretics* and Nitrates)

Claudication: Peripheral vascular disease and Ischemia

Shock**: Arrhythmias (ventricular tachycardia, fibrillation) and asystole.

Syncope*: Arrhythmias, Vasovagal attack and Heat syncope

433

CENTRAL NERVOUS SYSTEM

Headache**.

o Acute Severe: Sinusitis** and Subarachnoid and Intra-cerebral Hemorrhage**.

o Periodic: Refractive errors, Migraine* and Tension Headaches*

o Progressive: Space-occupying lesion

o With Fever**: Meningitis** (Bacterial, Tuberculosis and Viral),

Encephalitis** and Brain abscess.

o Nuchal headaches/Neck pain: Muscle spasm (Tension, Postural) and

Cervical spondylosis*.

Facial Pain: Trigeminal neuralgia

Squint: Cranial nerves III, IV and VI (Cavernous sinus thrombosis)

Intellectual Impairment

Impaired Memory and Dementia*

Confusional states/Delirium/Encephalopathy**: Substance abuse,

Toxins and Poisons

Paralysis*.

Hemiplegia/hemiparesis/monoplegia/quadriplegia**: Thrombotic,

Hemorrhagic and Embolic

Paraplegia/paraparesis/quadriplegia*: Spinal cord compression,

Secondaries in the spine, Transverse Myelitis*, Tuberculous spine*,

Syringomyelia and Syringobulbia

Focal Neurological Deficit: Multiple sclerosis, Space occupying lesion and

Mononeuritis multiplex

Facial Weakness: Bell‟s Palsy**

o Ptosis: Myasthenia Gravis, Horner‟s Syndrome and III nerve palsy

o Transient Ischemic Attack**

Speech disturbances

Hypertonia: Myotonia Dystrophica and Parkinsonism *

Hypotonia and muscle wasting: Lower motor neuron disease,*

Muscle cramps: Metabolic, Overexertion and Idiopathic

Movement Disorders:

434

o Hyperkinesia: Tremors* (Hyperthyroidism**, Anxiety*, Drug-

induced, Parkinsonism, Cerebellar*)

o Fasciculations: Motor neuron disease and Myokymia,

o Others: Athetosis, Chorea, Hemiballismus, Ballismus, Myoclonus and

Carpopedal Spasm (tetany)*

o Hypokinesia: Parkinson‟s Disease and Drug induced

o Gait abnormalities: Ataxic: Cerebellar disorder*

Shuffling gait: Parkinsonism*

Scissor Gait: Cerebral palsy

Lurching gait: Post Cerebro-vascular accidents

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Waddling gait: Proximal myopathy (Thyroid disease,

Cushing‟s disease, Vitamin deficiency, steroids

Convulsions/Fits**: Tetanus, Epilepsy*, Space-occupying lesion, Head

injury and Cerebro-vascular accidents

Coma/ Stupor / drowsiness**: Metabolic**, Trauma, Infection**

(Meningitis and Encephalitis), Poisoning, Substance abuse (alcohol),

Toxins and Cerebrovascular accidents

Dizziness: Malignant Hypertension and Anxiety

Vertigo: Benign Positional Vertigo*, Meniere‟s disease, Labyrinthitis,

Upper Respiratory Tract Infections and Vertebro-basilar insufficiency

Congenital Deafness (ENT)

Blindness / Blurring of Vision:

Occipital Infarction /Hemorrhage, Head injury / Traumatic, Visual Field

Defects (pituitary lesions), Malignant hypertension, Transient mono-

ocular blindness (Amaurosis fugax), Multiple sclerosis (associated with

more deficits), Snake-bite (neurotoxins) and Drug-induced

Paraesthesias: Polyneuropathy / Peripheral neuropathies

o Hypoesthesia: Diabetes mellitus**, Vitamin deficiencies (B6 and B12) *, Mono neuritis multiplex*, and Drug induced (INH) *

o Hyperesthesia: Diabetic Burning feet syndrome and Restless leg

syndrome

Muscular Weakness:

o Acute: Periodic Paralysis and Guillain Barre Syndrome*

o Chronic: Toxic/ Drug Induced, Hypothyroidism and Hyperthyroidism, Vitamin D deficiency*, Motor-neuron disease

o Myasthenia Gravis.

MUSCULOSKELETAL SYSTEM

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Joint pain and/or Joint swelling:

o Monoarthritis* or Polyarthritis*

o Large Joint involvement: Osteoarthritis, Septic arthritis*,

Haemarthrosis and polyarthritis migricans* (Rheumatic fever)

o Small joint involvement (Inflammatory): Rheumatoid Arthritis*,

Systemic Lupus Erythematosus* and Gout*

Easy Fractures: Osteoporosis*

Bone Pain:

Osteomalacia*, Osteomyelitis, Hyperparathyroidism, Malignancy

(Multiple Myeloma, Osteosarcoma, Secondaries in the bone and

Leukemias)

Neck Pain: Cervical spondylosis* and Tension

Dorsal Pain: Tuberculosis*

Low back pain: Sciatica (Herniated disc) *, Inflammatory (Ankylosing

spondylitis and Sacro-iliitis), Secondaries, Lumbar spondylosis,

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Mechanical/postural, Vertebral Collapse (Tuberculosis and

Osteoporosis)

Claudication: Spinal stenosis**

Increased skin elasticity and hypermobility of joints: Ehler‟s Danlos syndrome

and Marfan's Syndrome

Muscle stiffness and pain: Depression, Anti-psychotic drugs and Fibromyalgia

BLOOD

Pallor: Anaemias.

Microcytic Hypochromic (Iron deficiency)**: Increased Loss and

Decreased uptake (Malabsorption, Tuberculous and Hookworms)

Macrocytic Megaloblastic** (B-12 deficiency and Folic acid

deficiency),

Normocytic normochromic*: Anemia of chronic inflammation,

Malignancies and Renal failure

Hemolytic anemia*: Hereditary (Thalassemia*, Sickle cell anemia,

Hereditary spherocytosis), Acquired (Blood Transfusion incompatibility,

Autoimmune and Valve replacement)

Intra-corpuscular: G6P Deficiency, Malaria, Sickle cell syndromes (brief)

and Thalassaemias

Extra-corpuscular Intravascular

o Aplastic anemia: Myelofibrosis and Drug-induced

Hepatosplenomegaly (Myeloproliferative diseases).

With pallor: Chronic myeloid leukemia and Kala Azar

Without pallor: Polycythemia rubra vera, Essential thrombocytosis

Pallor with Lymphadenopathy and/or lassitude

Leukemias**: Acute and Chronic and

Lymphomas**: Non-Hodgkin‟s and Hodgkin‟s.

Blood groups and blood transfusion**.

Fever with lymphadenopathy: Infectious mononucleosis

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Bleeding and / purpura

Clotting Disorders: Decreased production and increased destruction o

Von Willebrand‟s disease,

o Disseminated intravascular coagulation (DIC) **, o Hemophilia

o Vitamin K deficiency

o Anticoagulant Therapy*: Injectable and oral including anti-platelet

agents

Bleeding Disorders: Epistaxis (Hypertension), Thrombocytopenia

(Immune/ Idiopathic* and Acquired Thrombocytopenic purpura), Vessel

wall disorders, Thrombocytic Dysfunction and Drug-induced bleeding

(Polypharmacy).

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METABOLIC AND ENDOCRINAL DISORDERS

Generalized Pigmentation

Endocrinal:Addison‟sDisease,withDiabetesMellitus

(Haemochromatosis in brief)

Drug-induced: Chloroquine, Heavy Metals and Chemotherapy

Polyuria and Polydipsia: Diabetes mellitus*** and hyperglycemic states**.

Growth Abnormalities:

Tall stature: Gigantism and Acromegaly

Short Stature: Hypothyroidism**, Obesity: Cushing‟s syndrome and

Hypothyroidism**

Infertility: Hypogonadism, Primary Ovarian failure and Sheehan‟s

Syndrome

INFECTIOUS DISEASES

Common infections in the organ-systems listed above,

With emphasis on those common in Pakistan: Tuberculosis, Malaria,

Typhoid, Dengue, Pneumonias, Meningitides and encephalitides,

Infectious mononucleosis and

Those of global importance

By the end of 5 years, medical graduates should be able to perform and/or

provide:

1. Basic Life Support (MANDATORY).

2. Inject I/V, I/M, S/C, intradermal injections

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3. Insert and maintain I/V lines.

4. Administer Blood transfusion (Know the indications, contra-indications

and complications of blood transfusions).

5. Treatment for Acute Pulmonary Edema and anti-platelet therapy

6. Oxygen therapy

o Should know the indications, complications, different modes of

Oxygen delivery

7. Peak expiratory flowmetry.

8. Nebulisation

9. Educate the patient regarding correct inhaler technique

10. Should be able to take an Electrocardiogram

o Should be able differentiate normal electrocardiograms from common

abnormalities of ischemia, left ventricular hypertrophy and

arrhythmias (acute myocardial infarction/ischemia, complete heart

block, atrial premature contractions, ventricular premature

contractions, supraventricular tachycardia, ventricular tachycardia,

left bundle branch block and hyperkalemia)

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11. Prepare a slide for examination of Malarial Parasite and its examination.

12. Urinary catheterization and collect urine samples

13. Urinalysis by dipstick or other method.

14. Large bowel enema.

Interpret and/or identify:

The common radiological findings of bone and joint diseases (Rheumatoid

arthritis, Osteoarthritis, Vertebral collapse, Caries spine, Cervical rib, etc.)

Should know the indications, contra-indications to order tests

appropriately and should be able to interpret reports of

Order and interpret results: urinalysis, culture and sensitivity, serum

creatinine, blood urea, protein estimation, creatinine clearance,

ultrasound etc.

Echocardiography, Stress testing, Angiography, and the conclusions of

Thallium Scan

Pulmonary function tests.

Arterial blood gas estimations

Thyroid function tests

Understand the conclusion of HR CT of the lungs.

Should know the indications, contra-indications and complications for

Holter monitoring, Nitrate Infusion, and Digitalization.

PROCEDURES TO BE OBSERVED/ASSISTED: Preferably on patients but Videos

can be an alternative (including the indications, contra indications, steps of the

procedure and complications)

Passing the N/G Tube, and feeding, suction and stomach wash.

442

Preparing a patient for endoscopy, upper and lower GIT and to observe

the procedures.

Placing airway and its maintenance.

Endotracheal tube placement

Endotracheal suction/maintenance of airway/nursing on side etc.

Bronchoscopy.

Should observe, learn and even may assist electroversion therapy, (AED)

with indications, complications etc.

Aspiration of fluids (Pleural, Peritoneal, Pericardial and Knee)

Under water seal aspiration

Lumbar puncture

Fine needle aspiration

Bone marrow aspiration/Trephine.

Peritoneal and Hemodialysis

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UHS CURRICULUM

MEDICINE

Distribution of subjects

Paper-I All except Paper-II

Paper-II will include:

1.Infectious Diseases 7.Endocrinology 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


• Rheumatic fever and infective endocarditis.

• Valvular heart diseases.

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• 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

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• Pericardial diseases

• Pericardial effusion

• Atherosclerosis/arteriosclerosis.

• Hypertension.

• Peripheral vascular disease.

• Symptoms and signs

• Arteriosclerosis

• Acute & chronic ischaemia of the leg

• Aneurysms

• Buerger's disease

• Raynaud's disease

• variocose veins

• Venous thrombosis

• Investigations.

• Electrocardiography, Xray chest, Echocardiography, Thallium Scan, Stress

Testing, Holter And Angiography Etc.

CLINICAL TRAINING:

Important Topics To Be Discussed:

Case discussion for diagnosis and management of common cardiovascular diseases.

• Systemic hypertension

• Ischaemic heart diseases

• Congestive cardiac failure

• Valvular diseases and infective endocarditis

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Understand the Symptomatology to reach the Differential Diagnosis:

Palpitation, breathlessness, chest pain, raised JVP, jaundice etc.

Skills To Be Learnt:

• History taking in CVS.

• GPE in CVS – clubbing, koilonychia, osler’s nodes, splinter

haemorrhages, cyanosis.

• Pulse, JVP, blood pressure.

• Inspection, palpation of precordium.

• Percussion, auscultation of precordium – mitral, tricuspid, aortic,

pulmonary areas.

• Interpretation of related radiological and laboratory

investigations

• General medication and prescription writing in CVS diseases.

Procedures (Observe/ Assist):

• ECG taking and basic reading i.e. Normal, Acute MI, Ischemia,

complete heart block, APC, VPC, SVT, VT etc.

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• X-ray chest interpretation – (Cardiology).

• Should observe, learn and even may assist electroversion therapy (DC

shock) with indications, complications etc.

• Observe Echo and should recognize chambers and valves on echo print.

• Observe pericardial effusion aspiration.

• Should learn thrombolytic therapy,

heparinisation/anticoagulation therapy and control, anti-platelet therapy,

nitrates infusion, digitalization, treatment of acute pulmonary edema, o2

therapy.

• Cardiac monitoring.

• Basics of ETT.

2. PULMONOLOGY

COURSE OUTLINES:

• Asthma.

• Environmental lung diseases/occupational.

• Asbestosis

• Silicosis

• Bagassosis

• Pneumoconiosis

• Byssinosis

• Farmer’s lung

• Pneumonia

• Community acquired

• Nosocomial

• Lobar and bronchopneumonia

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• 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

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• Dry pleurisy, pleural effusion, empyema, pneumothorax.

• Basics of pulmonary function tests.

• Imaging in pulmonary diseases/investigations

CLINICAL TRAINING:


Case discussion for diagnosis and management of common pulmonary diseases.

• Bronchial asthma

• Pleural effusion

• Pneumonia

• Hemoptysis

• Pulmonary tuberculosis

• Chronic obstructive airway disease

• Type-I and type-II respiratory failure

• Bronchogenic carcinoma


• Breathlessness

• Wheezing

• Haemoptysis

• Orthopnoea

• Paroxysmal nocturnal dyspnoea (PND)

• Pain in calf on walking

• Undue coldness, redness or blueness of extremities

• Chest pain

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• Cough/expectoration/sputum


• History taking in respiratory system – dyspnoea, cough,

expectoration, haemoptysis.

• Chest pain, wheezing.

• Inspection, palpation, percussion, auscultation front of chest.

• Inspection, palpation, percussion, auscultation back of chest.


investigations.

• Interpretation of pulmonary function tests.

• General medication and prescription writing in pulmonology

• Any deficient program.


• How to start O2 therapy, indications, complications.

• Learn pleural aspiration and assist

• Endotracheal suction, assist

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• Pleural biopsy, observe

• FNA biopsy, observe

• Under water seas aspiration, observe/assist

• Management of respiratory failure

• Observe bronchoscopy

3. DERMATOLOGY

COURSE OUTLINES:

• Anatomy, physiology of skin related 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.

CLINICAL TRAINING:

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Case discussion for diagnosis and management of common dermatological diseases.

Should recognize lesions of:

• Leprosy

• Syphilitic lesions (chancre, secondary syphilis, gumma)

• Tinea (corporis, capitis, inguinale, unguam)

• Candida (oral, skin)

• Scabies

• Lice

• Mosquito bite

• Acute & chronic eczema

• Lesions of small pox, chicken pox, herpes simplex, herpes zoster

• SLE.

• Psoriasis

• Lichen planus

• Impetigo contagiosum

• Moluscum contagiosum

• Acne vulgaris

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• Seborhoea

• Exfoliative dermatitis

• Skin neoplasm like squamous cell cacinoma, basal cell carcinoma

and melanoma

• Leukoderma

• Pityriasis versicolor

• Alopecia and hirsutism

• Sexually transmitted diseases

• Furnculosis, cellulitis

• Drug eruption


• Alopecia

• Eruption and rashes

• Itching

• Pigmentation and depigmentation


• History taking in Dermatology

• Clinical examination of various skin lesions

• Interpretation of related radiological and laboratory investigations

• General medication and prescription writing in Dermatology


• Scraping for fungus

• Use of magnifying glass

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• Observe skin biopsy

• Use of Wood’s lamp

4. Neurology and Central Nervous System

COURSE OUTLINES:

o Infections and inflammatory lesions

Meningitis

• Bacterial.

• Tuberculous.

• Viral etc.

Brain abscess

Encephalitis

Hydrocephalus

o Epilepsy and other convulsive disorders

o Cerebrovascular diseases (stroke).

• Ischemic

• Embolism

• Infarction

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• 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

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CLINICAL TRAINING:


Case discussion for diagnosis and management of common CNS disorders:

• Cerebrovascular accident

• Paraplegia

• Polyneuropathy

• Muscular dystrophies and Motor neuron disease

• Parkinsonism

• Meningitis

• Tetanus

• Hemiplegia

• Facial Palsy


• Behaviour

• I.Q

• Speech disturbances

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• Memory

• Confusional states

• Dementia

• Tremor

• Fasciculations

• Athetosis

• Chorea

• Gait abnormalities

• Convulsions/fits

• Coma

• Syncope/dizziness

• Vertigo

• Deafness

• Blindness

• Numbness, tingling, sensory loss

• Rigidity / paralysis.

• Movement disorders


• History taking in CNS.

• Higher mental functions – level of consciousness, behaviour, speech,

memory.

• Examination of cranial nerves.

• Examination of motor system.

• Examination of sensory system – crude touch, pain, temperature.

• Fine touch, pressure, vibration, joint position.

458

• Cortical sensations

• Two point localization, two point discrimination.

• Reflexes

• Examination of cerebellar system

• Examination of nystagmus

• Examination of rigidity

• Assessment of movement disorders


• General medication and prescription writing in Neurology


ƒ Observe and learn lumbar puncture

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5. ALIMENTARY SYSTEM

COURSE OUTLINES:

o Oral cavity

Infections and inflammatory disorders

Benign and malignant diseases

o Esophagus.

Dysphagia with special reference to

Ca oesophagus

GERD

Achalasia

Candiasis of oral cavity and oesophagus o

Stomach

Gastritis.

Peptic ulcer

o Intestines

o Malabsorption syndromes.

o Tropical sprue

o Coeliac disease

o Inflammatory bowel diseases.

• Ulcerative colitis

Crohn’s disease

o Irritable bowel syndrome (IBS). o Liver

o Ascites.

o Jaundice.

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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

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CLINICAL TRAINING:


Case discussion for diagnosis and management of common gastrointestinal and

hepatobiliary diseases.

• Acid peptic disease

• Tender hepatomegaly

• Hepatosplenomegaly

• Jaundice

• Chronic liver disease

• Acute and chronic diarrhoea

• Variceal bleeding and peptic ulcer bleeding.

• Abdominal Koch’s infection


• Oral ulceration

• Dysphagia

• Heart burn

• Nausea/vomiting

• Indigestion/flatulence

• Diarrhoea and constipation

• Melena, hematemesis, bleeding per rectum

• Jaundice

• Hepatomegaly

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• Abdominal distension/ascites


• History taking in GIT – vomiting, diarrhoea, pain abdomen, constipation,

haematemesis, melena, dyspepsia, distension.

• Examination of GIT –

• Inspection, palpation.

• Percussion, auscultation.


investigations

• General medication and prescription writing in GIT diseases.

• Any deficient programme.


• Learn N/G tube passing and feeding

• Learn and observe aspiration of peritoneal fluids

• Learn and observe endoscopies, upper and lower GIT

• Preparing a patient for GI endoscopies

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6. KIDNEYS AND URINARY SYSTEM

COURSE OUTLINES:

• Acute renal failure.


• Nephrotic syndrome.

• Nephritic syndrome.

• Urinary tract infections

Infections of the kidneys

Infections of the lower urinary tract

• Inflammatory lesions of the kidneys

• Introduction to dialysis & renal transplant

• Drugs causing renal disease (brief).

Analgesic nephropathy.

Lead, uric acid, hypercalcemia, radiation & hypersensitivity

Nephropathy.

Drugs contra indicated in renal insufficiency

Drugs to be used with caution in renal disease.

• Polycystic kidneys.

• Renal vascular disorders

Renal artery stenosis

Renal vein thrombosis

Tumours

• Hemolytic uremic syndrome.

464

• Prostatic diseases

CLINICAL TRAINING:


Case discussion for diagnosis and management of common Renal & Urinary system diseases

• Nephrotic syndrome

• Nephritic syndrome

• Acute renal failure



• Lumbar /pelvic pain

• Anuria, oliguria

• Hematuria

• Dysuria, pyuria

• Urgency / frequency of micturation

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• Urinary retention

• Urinary incontinence

• Nocturia


• History taking – lumbar pain, anuria, oliguria, hematuria, dysuria,

urgency/frequency of micturition, pyuria, urinary retention, nocturia, urinary

incontinence, pelvic pain.

• Examination of abdominopelvic and lumbar area

• Inspection, palpation, percussion, auscultation.


investigations

• General medication and prescription writing in upper & lower urinary tract

diseases.


• Observe and assist insertion of Foley’s catheter/Red rubber catheter

• Learn and observe peritoneal and hemodialysis

• Indications and outcomes of renal transplant

• Observe I/V urograms

7. ENDOCRINOLOGY

COURSE OUTLINES:

o Anterior pituitary.

Growth hormone disorders o

Acromegaly

o Gigantism.

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o Short stature

Infertility

o Diseases of hypothalamus and posterior pituitary.

Empty sella syndrome

Diabetes insipidus

Syndrome of inappropriate ADH secretion (SIADH). o Thyroid

gland.

Hyperthyroidism (thyrotoxicosis)

Hypothyroidism (myxedema, cretinism)

Inflammatory lesions

Benign and malignant tumors

o Adrenal Gland.

Cushing Syndrome

Aldosteronism Primary/Secondary.

Hirsutism.

Addison’s disease

Acute Addisonian crisis

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ƒ Inflammatory lesions

Adrenocortical tumors including Pheochromocytoma o

Endocrine Pancreas

Diabetes mellitus and hypoglycaemic states

Other associated endocrine disorders

o Testes

Sexual precocity

Heterosexual precocity

Gynaecomastia

Inflammations

Tumours

o Multiple endocrine neoplasia

Type I

Type II

CLINICAL TRAINING:


Case discussion for diagnosis and management of common endocrine disorders

• Diabetes mellitus

• Thyroid diseases

• Cushing’s disease

• Infertility and common reproductive disorders


468

• History taking and correlate with a specific diagnosis.

• Examination of thyroid gland, male and female genital organs etc.


• General medication and prescription writing in endocrinology

8. RHEUMATOLOGY

COURSE OUTLINES:

o Osteoarthritis

o Osteoporosis

o Rheumatoid arthiritis and related arthropathies

o Paget’s disease of the bone.

o Osteopetrosis (marble bone disease). o

Multiple myeloma

o Multi-System Immunological Diseases o Systemic

lupus erythematosis (SLE)

o Serum sickness

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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 obliterans (Burger’s disease) o

Sarcoidosis (brief).

CLINICAL TRAINING:


Case discussion for diagnosis and management of common rheumatological diseases.

• Rheumatoid arthritis

• Osteoarthritis

• Multiple Myeloma

• SLE etc.


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• Joint pain and joint swelling

• Joint deformities

• Muscle cramps

• Muscle weakness

• Muscular wasting

• Other related systemic signs and symptoms



• Examination and assessment of the pattern of involvement of bones,

joints, skin and other organs


• General medication and prescription writing in rheumatology.


• Observe aspiration of fluids from joints (knee)

• Observe bone marrow aspiration/terphine

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9. METABOLIC DISORDERS

COURSE OUTLINES:

Hyperlipidemia

Hemochromatosis

Porphyrias

Wilson’s disease

Gout and hypercalcemia

Storage diseases.

Lipid.

• Leukodystrophies

• Niemann pick disease.

• Gaucher’s disease.

Glycogen.

• Fabry’s disease.

Hereditary connective tissue disorders

Osteogenesis imperfecta.

Ehler’s danlos syndrome.

Chondrodysplasias.

Marfan syndrome.

Alport syndrome.

Disorders of amino acid metabolism and storage

Homocystinuria.

Alkaptonuria.

Hartnup disease.

Renal glycosuria

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10. INFECTIOUS DISEASES

COURSE OUTLINES:

o Clinical syndromes.

Sepsis and septic shock, meningococcaemia

Acute infectious diarrhoeal diseases and bacterial food poisoning.

Hospital acquired infections.

o Common disease syndromes caused by the following bacteria and their drug

therapy.

Pneumococci

Staphylococci.

Streptococci.

Hemophilis influenzae.

Shigella.

Gonococci.

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ƒ Pseudomonas.

o Following diseases in detail.

Tetanus.

Enteric fever/salmonellosis.

Cholera.

Tuberculosis.

Leprosy.

Amoebiasis/giardiasis/trichomoniasis.

Malaria.

AIDS.

Rabies.

Infectious mononucleosis.

o Helminthic infestations

Ascariasis

Hookworm

Whipworm (trichuriasis)

Threadworm (entrobiasis)

Taenia (tapeworm)

Hydatid diseases

CLINICAL TRAINING:


Case discussion for diagnosis and management of common infectious diseases in

Pakistan

• Malaria

474

• Typhoid fever

• Acute diarrhoeal diseases

• Acute / chronic respiratory tract infections

• Generalized septicemia etc.


o Fever

o Headache, pain

o Anorexia/ weight loss

o Haemoptysis/ chest pain/ epigastric o

Cough/expectoration/sputum

o Dysuria, pyuria

o Diarrhoea / vomiting o

Melena, hematemesis

o Jaundice/hepatomegaly o

Eruption and rashes

o Itching

o Joint pain and joint swelling etc.

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Skills to Be Learnt:


• Examination and assessment of the pattern of fever, involvement of organ

systems and any positive findings.


• Symptomatic treatment and prescription writing in infectious diseases.

Procedures:

Perform:

• Injection I/V, I/M, S/C, intradermal

• Oxygen therapy

• Urinary catheterisation – collection of samples

• Collection of blood samples/ blood film preparation

Observe:

• Observe I/V lines/Fluids/Blood/Blood products, direct, branula,

cutdown, CVP

• N/G tube passing and feeding

• Foley’s catheter/Red rubber catheter

• IOP record maintenance

• Aspiration of fluids (Pleural, Pericardial, Peritoneal, Knee)

• Lumbar Puncture

• O2 therapy

• Nebulisation etc.

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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

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• 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 intravascular coagulation (DIC).

Anticoagulants Therapy

• Heparin

478

• Oral (warfarin etc.)

• Vit. K infusion

• Antiplatelet drugs

CLINICAL TRAINING:


Case discussion for diagnosis and management of common haematological disorders

• Anaemias

• Bleeding disorders

• Myeloproliferative or lymphoproliferative diseases


• Lassitude

• Dyspnoea

• Infections

• Edema

• Gum hypertrophy

479

• Bleeding tendency

• Bruising purpura

• Lymph node enlargement

• Weight loss

• Facial swelling

• Bone pain

• Jaundice

• Hepatosplenomegaly

• Hypersensitivity/ allergic reactions etc.


• History taking in general

• General physical examination, pallor, cyanosis, jaundice, clubbing, koilonychia,

lymph nodes, edema, pulse, cyanosis, fever, headache, anorexia, weight loss,

pain, facial swelling etc.

• Examination and assessment of the extent of the disease


investigations

• General medication and prescription writing in Haematology.



• Collection of samples of blood/blood film preparation

• Perform I/V lines/fluids/blood/blood products, direct branula,

cutdown, CVP etc.

• Observe bone marrow aspiration/ trephine

480

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

481

• Schizophrenia.

• Alcoholism.

• Addiction.

• Psychosexual disorders in men and women.

CLINICAL TRAINING:


Case discussion for diagnosis and management of common Psychiatric disorders like-

• Anxiety

• Depression

• Schizophrenia

• Manic depressive psychosis

• Phobias

• Eating disorders



• History taking in psychiatry

• Clinical examination of patients

• Counseling and psychoanalysis especially in patients with suicidal and

homicidal attitude.


• General medication and prescription writing in psychiatry

Procedures:

482

• Psychotherapy

• Electroconvulsive Therapy (ECT)

• Electroencephalogram (EEG)

13. MISCELLANEOUS AND EMERGENCIES

• Heat stroke

• Snake bite

• Electric shock

• Poisoning etc.

Procedures To Be Performed/Observed/Assisted:

Perform:


• Oxygen therapy

• Urinary catheterisation – collection and samples of blood

483

Observe:

• Observe I/V lines/fluids/blood/blood products, direct, branula,

cutdown, CVP

• N/G tube passing and feeding

• Foley’s catheter/Red rubber catheter, IOP record

maintenance

• Endotracheal tube placement

• Endotracheal suction/maintenance of airway/nursing on side etc.

• Aspiration of fluids (Pleural, Pericardial, Peritoneal, Knee)

• Lumbar puncture

• O2 therapy

• Nebulisation

• ECG taking/reading

• X-ray chest reading

• Barium series

• I/V urograms

• Bone and joint X-ray reading for medical problems (Rheumatoid

arthritis, osteoarthritis, collapse vertebra, caries spine, multiple

myeloma, cervical rib etc.)

• Preparing a patient for endoscopies, upper and lower GIT

THE LOG BOOK/CLINICAL CARD RECORD

The student is expected to make a record of his/her achievements in the log book. The log

book is a collection of evidence that learning has taken place, it is a reflective record of

achievements. The log book shall also contain a record of the procedures which student

would have performed in 3rd, 4th & 5th year.

484

RECOMMENDED BOOKS:

1. Practice of Medicine by Davidson.

2. Clinical Medicine by Parveen J Kumar & Michaell, Clark

3. Hutchison's Clinical Methods by Michael Swash. 21st edition

4. Basic psychiatry by Myre Sim, e. B. Gordon

5. Oxford Text Book of Psychiatry

6. ABC of Dermatology. Latest Edition.

7. Smith's General Urology by Emil A. Tanagho and Jack W. McAninch 15th edition. 2007

8. Online Journals and Reading Materials through HEC Digital Library Facility

DEPARTMENT OF MEDICINE & ALLIED

485

PLANNER 3rd YEAR MBBS TEACHING

PLANNER 3RD YEAR TEACHING AMNA INAYAT MEDICAL COLLEGE

CVS

LECT.

No

TOPIC TO BE TAUGHT OBJECTIVES TEACHER NAME

1 Palpitation, Breathlessness Students must be

able to understand

what is Palpitation

& Breathlessness,

and the causes of

Palpitation,

Breathlessness,

Dr. Naeem Aslam

2 Chest Pain, Raised JVP Students must be

able to understand

differential

Diagnosis &

Different

Characters of Chest

Pain and

particularly

Ischaemic Chest

pain & causes of

raised JVP, how to

appreciate raised

JVP.

Dr. Naeem Aslam

RESPIRATORY SYSTEM

486

3 Orthopnoea/Paroxysmal nocturnal

dyspnoea(PND)

Students must be

able to understand

different causes of

Orthopnoea/

Paroxysmal

nocturnal

dyspnoea(PND)

Dr. Naeem Aslam

4 Cough, expectoration, Sputum,

Brethlessness.

Students must be

able to understand

the diagnosis on

the basis of Cough,

expectoration,

Sputum,

Brethlessness.

Dr. Naeem Aslam

5 Wheezing, Haemoptysis, Chest Pain Students must be

able to understand

the casus of

Wheezing,

Haemoptysis, Chest

Pain

Dr. Naeem Aslam

NEUROLOGY AND CNS

6 Behaviour, IQ Students must be

able to understand

different types of

behaviors and how

to assess IQ.

Dr. Naeem Aslam

7 Speech disturbances, Memory. Students must be

able to understand

different types of

Speech

disturbances &

Memory.

Dr. Naeem Aslam

8 Confusional states, Dementia, Tremors.

Students must be

able to understand

causes of

Confusional states,

Dementia,

Tremors.

Dr. Naeem Aslam

487

9 Fasiculations, Athetosis, Chorea. Students must be

able to understand

what is

Fasiculations,

Athetosis, Chorea.

And their causes.

Dr. Naeem Aslam

10 Gait abnormalities, Convulsions, Fits. Students must be

able to understand

what are Gait

abnormalities,

Convulsions, Fits

and their causes.

Dr. Naeem Aslam

11 Coma, Syncope/Dizziness, Vertigo

Deafness, Blindness.

Students must be

able to understand

what is Coma,

Syncope/Dizziness,

Vertigo Deafness,

Blindness and their

causes.

Dr. Naeem Aslam

12 Numbness, tingling, sensory loss. Students must be

able to understand

what is Numbness,

tingling, sensory

loss and their

causes.

Dr. Naeem Aslam

13 Rigidity/Paralysis. Students must be

able to understand

what is

Rigidity/Paralysis

and their causes.

Dr. Naeem Aslam

14 Movement disorders. Students must be

able to understand

different types of

Movement

disorders and their

causes.

Dr. Naeem Aslam

ALIMENTRY SYSTEM

488

15 Oral ulceration, Dysphagia, Heart burn. Students must be

able to understand

what is Oral

ulceration,

Dysphagia, Heart

burn and their

causes.

Dr. Naeem Aslam

16 Nausea, Vomiting, Indigestion, Flatulence. Students must be

able to understand

what is Nausea,

Vomiting,

Indigestion,

Flatulence and

their causes.

Dr. Naeem Aslam

17 Diarrhoea and constipation. Students must be

able to understand

what is Diarrhoea

and constipation

and their causes.

Dr. Naeem Aslam

18 Melena, hematemesis, Bleeding per

rectum.

Students must be

able to understand

what is Melena,

hematemesis,

Bleeding per

rectum and their

causes.

Dr. Naeem Aslam

19 Jaundice, Hepatomegaly. Students must be

able to understand

different types of

Jaundice, their

causes and causes

of Hepatomegaly

Dr. Naeem Aslam

20 Abdominal distension, Ascites. Students must be

able to understand

what is Abdominal

distension, Ascites

and their causes.

Dr. Naeem Aslam

KIDNEY AND URINARY SYSTEM

489

21 History taking: Lumber pain, Anuria. Students must be

able to understand

how to take the

History in a patient

with Lumber pain

and Anuria

Dr. Naeem Aslam

22 Oliguria, hematuria, dysuria. Students must be

able to understand

what is Oliguria,

hematuria, dysuria

and their causes.

Dr. Naeem Aslam

23 Urgency, Frequency of micturition. Students must be

able to understand

what is Urgency,

Frequency of

micturition and

their causs.

Dr. Naeem Aslam

24 Pyuria, Urinary retention Students must be

able to understand

what is Pyuria,

Urinary retention

and their causs.

Dr. Naeem Aslam

25 Nocturia, urinary incontinence, pelvic pain. Students must be

able to understand

what is Nocturia,

urinary

incontinence,

pelvic pain and

their causes.

Dr. Naeem Aslam

INFECTION DISEASES

490

26 Malaria Students must be

able to understand

signs and

symptoms of

Malaria, its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

27 Dengue fever Students must be

able to understand

signs and

symptoms of

Dengue fever, its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

28 Hepatitis Students must be

able to understand

signs and

symptoms of

Hepatitis, its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

29 Sepsis and septic shock Students must be

able to understand

signs and

symptoms of Sepsis

and septic shock,

its differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

30 Acute infectious diarrhea/food poisoning Students must be

able to understand

signs and

symptoms of Acute

infectious

diarrhea/food

Dr. Naeem Aslam

491

poisoning, its

differential

diagnosis and

treatment and

prevention.

31 Hospital acquired infections Students must be

able to understand

signs and

symptoms of

Hospital acquired

infections, its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

32 Diseases caused by pneumococci,

staphylococci, H influenz

Students must be

able to understand

signs and

symptoms of

Diseases caused by

pneumococci,

staphylococci, H

influenz, , its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

33 Diseases caused by Shigella/Salmonela/

Cholera.

Students must be

able to understand

signs and

symptoms of

Diseases caused by

Shigella/Salmonela/

Cholera, its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

34 Sexually transmitted diseases/ AIDS,

Gonoria.

Students must be

able to understand

signs and

symptoms of

Dr. Naeem Aslam

492

Sexually

transmitted

diseases/ AIDS,

Gonoria, its

differential

diagnosis and

treatment and

prevention.

35 Tetanus. Rabies Students must be

able to understand

signs and

symptoms of

Tetanus. Rabies, ,

its differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

36 Amoebiasis/ Giadisis / Trichomonisis. Students must be

able to understand

signs and

symptoms of

Amoebiasis/

Giadisis /

Trichomonisis, its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

37 Infectious Mononucleosis. Students must be

able to understand

signs and

symptoms of

Infectious

Mononucleosis, , its

differential

diagnosis and

treatment and

prevention.

Dr. Naeem Aslam

38 Worm infestation/ Hook worm / Ascariasis Students must be

able to understand

signs and

symptoms of Worm

Dr. Naeem Aslam

493

infestation/ Hook

worm / Ascariasis, ,

its differential

diagnosis and

treatment and

prevention.

39 Thread worm / Tinea. Students must be

able to understand

signs and

symptoms of

Thread worm /

Tinea, its

differential

diagnosis and

treatment and

prevention

Dr. Naeem Aslam

494

PLANNER 4TH YEAR TEACHING AMNA INAYAT MEDICAL COLLEGE

GASTRO INTESTINAL AND HEPATO BILIARY SYSTEM

LECT.

No


1 Symtomtology in GI. Disorders Students must be able

to understand different

Symptoms in GI.

Disorders and their

application in different

diseases.

Asst. Prof. Dr. Aleem

ud Din

2 Investigations in GI. Disorders Students must be able

to understand different

Investigations in GI.

Disorders and their

application in different

diseases.


ud Din

3 Esophageal disorders Students must be able

to understand signs

and symptoms of

Esophageal disorders,

its differential

diagnosis and

treatment and

prevention


ud Din

4 Peptic ulcer and gastritis / GERD Students must be able

to understand signs

and symptoms of

Esophageal disorders,

its differential

diagnosis and

treatment and

prevention


ud Din

5 Malabsorption syndrome Students must be able

to understand signs

and symptoms of

Malabsorption

syndrome, its


ud Din

495

differential diagnosis

and treatment and

prevention

6 Ch. IBD/Ulcerative colitis, crohns

disease.

Students must be able

to understand signs

and symptoms of Ch.

IBD/Ulcerative colitis,

crohns disease., its


and treatment and

prevention


ud Din

7 IBS. Students must be able

to understand signs

and symptoms IBS, its


and treatment and

prevention


ud Din

8 Ascites Students must be able

to understand signs

and symptoms Ascites

its differential

diagnosis and

treatment and

prevention


ud Din

9 Jaundice, types and classification. Students must be able

to understand causes

of Jaundice, types and

classification.


ud Din

10 Chronic hepatitis Students must be able

to understand signs

and symptoms Chronic

hepatitis, its


and treatment and

prevention


ud Din

11 Cirrhosis of Liver Students must be able

to understand signs

and symptoms

Cirrhosis of Liver, its


and treatment and

prevention


ud Din

496

12 Hepatic encephalopathly Students must be able

to understand signs

and symptoms Hepatic

encephalopathly, its


and treatment and

prevention


ud Din

13 Liver Abscess. Students must be able

to understand signs

and symptoms Liver

Abscess., its differential

diagnosis and

treatment and

prevention


ud Din

14 Ca liver and liver transplantation. Students must be able

to understand signs

and symptoms Liver

Abscess., its differential

diagnosis and

treatment.


ud Din

15 Acute/chronic pancreatitis. Students must be able

to understand signs

and symptoms

Acute/chronic

pancreatitis. its


and treatment and

prevention


ud Din

16 Upper and lower GI bleeds..Managing GI

bleed


to understand signs

and symptoms Upper

and lower GI

bleeds.Managing GI

bleed. its differential

diagnosis and

treatment and

prevention


ud Din

497

NEPHROLOGY

LECT.

No


17 Signs and symptoms in renal disease Students must be able to

know different symptoms and

signs in Renal Diseases.

Asst. Prof. Dr.

Aleem ud Din

18 Investigations in renal disease. Students must be able to

know different investigation

in Renal Diseases and their

significance to diagnose

different renal diseases.

Asst. Prof. Dr.

Aleem ud Din

19 Urinary tract

infections/Glomerulonephritis : acute

/ chronic

Students must be able to

understand signs and

symptoms Urinary tract

infections/Glomerulonephritis

: acute / chronic. its

differential diagnosis and

treatment and prevention

Asst. Prof. Dr.

Aleem ud Din

20 Acute and chronic / pyelonephritis.

Cystitis.



symptoms Acute and chronic

/ pyelonephritis. Cystitis.. its

differential diagnosis and


Asst. Prof. Dr.

Aleem ud Din

21 Nephrotic syndrome: Renal artery

stenosis: renal vein thrombosis



symptoms Nephrotic

syndrome: Renal artery

stenosis: renal vein

thrombosis its differential

diagnosis and treatment and

prevention

Asst. Prof. Dr.

Aleem ud Din

22 Polycystic Kidneys Students must be able to


symptoms Polycystic Kidneys

its differential diagnosis and

treatment.

Asst. Prof. Dr.

Aleem ud Din

23 Acute / chronic renal failure Students must be able to


symptoms Acute / chronic

Asst. Prof. Dr.

Aleem ud Din

498

renal failure its differential


prevention

24 Hemolytic uremic syndrome Students must be able to


symptoms Hemolytic uremic

syndrome its differential


prevention

Asst. Prof. Dr.

Aleem ud Din

25 Renal tubular acidosis. Students must be able to


symptoms Renal tubular

acidosis. its differential


prevention

Asst. Prof. Dr.

Aleem ud Din

26 Drugs and Kidney (brief): drugs contra

indicated in renal disease


understand effects of Drugs

on Kidney (brief): and drugs

contra indicated in renal

disease.

Asst. Prof. Dr.

Aleem ud Din

27 Renal malignancy Students must be able to


symptoms Renal malignancy.

its differential diagnosis and


Asst. Prof. Dr.

Aleem ud Din

28 Introduction to dialysis/Renal

transplant.


understand what is dialysis its

types and indications of renal

transplant.

Asst. Prof. Dr.

Aleem ud Din

499

CENTRAL AND PERIPHERAL NERVOUS SYSTEM----CNS AND PNS

LECT.

No


29 Symptomtology and investigations in

CNS and PNS


to know different

symptoms and

investigations in CNS &

PNS.


ud Din

30 Epilepsy Students must be able

to know causes of

Epilepsy, its types

diagnosis and

treatment.


ud Din

31 CVA/Ischemic/hemorrhagic/embolic

strokes. Hemiplegia


to know causes of

CVA/Ischemic

/hemorrhagic/embolic

strokes. Hemiplegia

diagnosis and

treatment


ud Din

32 Sub arachnoid hge Cavernus sinus

thrombosis.


to know causes of Sub

arachnoid hge

Cavernus sinus

thrombosis. diagnosis

and treatment


ud Din

33 Menigitis….Pyogenic, tubercular, others Students must be able

to know causes

Menigitis….Pyogenic,

tubercular, others

diagnosis and

treatment


ud Din

34 Encephalitis, Brain abscess. Students must be able

to know causes of

Encephalitis, Brain

abscess. diagnosis and


ud Din

500

treatment

35 Parkinson’s disease and movement

disorders.


to know causes of

Parkinson’s disease and

movement disorders.

diagnosis and

treatment


ud Din

36 Cerebeller disease. Students must be able

to know causes of

Cerebeller disease.

diagnosis and

treatment


ud Din

37 Cranial Nerves disorders, Bell’s palsy Students must be able

to know causes of

Cranial Nerves

disorders, Bell’s palsy

disease. diagnosis and

treatment


ud Din

38 Multiple Sclerosis Students must be able

to know causes of

Multiple Sclerosis

diagnosis and

treatment


ud Din

39 Dementia and Alsheimer’s disease Students must be able

to know causes of

Dementia and

Alsheimer’s disease,

diagnosis and

treatment


ud Din

40 Motor neuron disease. Students must be able

to know causes of

Motor neuron disease.

diagnosis and

treatment


ud Din

41 Diseases of spinal cord, cord

compression.


to know causes of

Diseases of spinal cord,

cord compression.

diagnosis and

treatment


ud Din

42 Paraplegia, Quadruplegia Students must be able

to know causes of


ud Din

501

Paraplegia,

Quadruplegia,

diagnosis and

treatment

43 Myelitis, spondylitis. Students must be able

to know causes of

Myelitis, spondylitis.

diagnosis and

treatment


ud Din

44 Syringomyelia and syringobulbia. Students must be able

to know causes of

Syringomyelia and

syringobulbia.

diagnosis and

treatment


ud Din

45 Peripheral & disorders, Peripheral

neuropathy.


to know causes of

Peripheral & disorders,

Peripheral neuropathy.

diagnosis and

treatment


ud Din

46 GB syndrome. Students must be able

to know causes of GB

syndrome. diagnosis

and treatmen


ud Din

47 Mononeuritis multiplex. Students must be able

to know causes of

Mononeuritis

multiplex. diagnosis

and treatment


ud Din

48 Space occupying lesions of the Brain. Students must be able

to know causes of

Space occupying

lesions of the Brain.

diagnosis and

treatment


ud Din

49 Space occupying lesions of the spinal

cord.


to know causes of

Space occupying

lesions of the spinal

cord. diagnosis and

treatment


ud Din

502

50 Myopathies, and muscular dystrophies, Students must be able

to know causes of

Myopathies, and

muscular dystrophies, .

diagnosis and

treatment


ud Din

51 Myasthenia gravis. Students must be able

to know causes of

Myasthenia gravis.

diagnosis and

treatment


ud Din

503

DEPARTMENT OF MEDICINE & ALLIED

PLANNER FINAL YEAR MBBS TEACHING

CARDIOVASCULAR SYSTEM

LECT.

No


1 Symptoms in CVS diseases Students must be

able to understand

symptoms of CVS &

their interpretation

to make the correct

diagnose

Prof. Shoaib Randhawa

2 Investigations in CVS diseases Students must be

able to understand

investigations of

CVS & their

interpretation to

make the correct

diagnose


3 Valvular heat diseases Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


4 Rheumatic fever/infective endocarditic Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


5 heart diseases. Cyanotic and acynotic. Students must be

able to understand


504

ASD, VSD, etiology,

pathogenesis,

diagnosis and

treatment of the

disease

6 PDA, Fallot'Stetrologyetc Students must be

able to understand

etiology


7 Ischemic heart diseases, angina infarction. Students must be

able to understand

etiology


8 LVF, CCF • Corpulmonale Students must be

able to understand

etiology


9 Cardiomyopathies Students must be

able to understand

etiology


10 Pericardial disease. Acute pericarditis/

effusion

Students must be

able to understand

etiology


11 Constrictive pericarditis, cardiac

temponade

Students must be

able to understand

etiology


12 Hypertensive heart disease Students must be

able to understand

etiology


13 Atherosclerosis! Arteriosclerosis Students must be

able to understand

etiology


14 Hypertension Students must be

able to understand

etiology


15 Peripheral vascular disease(PVD) Students must be

able to understand

etiology


16 ECG, Echocardiography Students must be

able to understand

interpret ECG’s &

Echocardiography

Findings


505

17 ETT.Thalliumscan. Holter, Angio Students must be

able to understand

and investigations

ETT.Thalliumscan.

Holter, Angio


ENDOCRINOLOGY

LECT.

No


18 Endocrinology.signs and symptoms Students must be

able to understand

symptoms and

Signs of Endocrine

Disorders.


19 Diseases of hypothalamus and pituitary Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


20 Panhypopituitarim/Sheehan's syndrome Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


21 Growth hormone disorders.Acromegaly,

Gigantism

Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


22 Empty sella syndrome, Diabetes incipidus Students must be

able to understand

etiology,


506

pathogenesis,

diagnosis and

treatment of the

disease

23 SIADH, Hyperthyroidism, Graves's disease Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


24 Hypothyroidism, Thyroid function tests Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


25 Parathyroid diseases Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


26 Cushing syndrome. Adrenal hyperplasia Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


27 Addison's disease. Con's disease Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease


28 Pheochromocytome Students must be

able to understand

etiology,


507

pathogenesis,

diagnosis and

treatment of the

disease

29 Diabteses mellitus / types Students must be able to understand

etiology, pathogenesis, diagnosis and

treatment of the disease

Prof. Shoaib

Randhawa

30 Treatment and management of DM Students must be able to understand



Prof. Shoaib

Randhawa

31 Management of diabetic

ketoacodosis

Students must be able to understand



Prof. Shoaib

Randhawa

32 Hypoglycemic and hyperosmolar

non ketotic coma




Prof. Shoaib

Randhawa

33 Hemochromatosis Students must be able to understand



Prof. Shoaib

Randhawa

34 Wilson’s diseases Students must be able to understand



Prof. Shoaib

Randhawa

35 Metabolic disorders: Gout,

hypercalcemia.




Prof. Shoaib

Randhawa

36 Hyperlipedemias Students must be able to understand



Prof. Shoaib

Randhawa

37 Storage diseases, Lipid sorage

diseases




Prof. Shoaib

Randhawa

38 Glycogen

storage

Students must

be able to

understand

etiology,

Prof. Shoaib

Randhawa

508

diseases pathogenesis,

diagnosis and

treatment of

the disease

39 Disorders of amino acid

metabolism.




Prof. Shoaib

Randhawa

40 Homocystinuria, Alcaptonuria Students must be able to understand



Prof. Shoaib

Randhawa

41 Diseases of bone and joints; OA,

Pagets disease Of bone,

osteoporosis




Prof. Shoaib

Randhawa

42 Anemias; classification, Iron

deficiency




Prof. Shoaib

Randhawa

43 Megaloblastic, Bl, Folic acid

deficiency




Prof. Shoaib

Randhawa

44 Anemia of chronic disease,

Hemolytic –hereditary and acquired

Hemoglobinopathies




Prof. Shoaib

Randhawa

45 Thallassaemia, sickle cell anemia Students must be able to understand



Prof. Shoaib

Randhawa

46 Aplastic anemia Students must be able to understand



Prof. Shoaib

Randhawa

47 Leukemias, Acute and Chronic

myeloid




Prof. Shoaib

Randhawa

509

leukemia

48 Lymphocytic leukemias Students must be able to understand



Prof. Shoaib

50Randhawa

49 Polycythemia,

polycythemiarubra/vera




Prof. Shoaib

Randhawa

50 Thrmbocytopenia and

thrombocytosis




Prof. Shoaib

Randhawa

51 Myelofibrosis Students must be able to understand



Prof. Shoaib

Randhawa

52 Lymphoma- Hodgkin and non

Hodgkin.




Prof. Shoaib

Randhawa

RESPERATORY SYSTEM

Lecture

no

TOPIC TO BE TAUGHT OBJECTIVES TEACHER

NAME

53 Symptoms of Respiratory system, Students must be able to

understand symptoms of

Respiratory & their

interpretation to make the

correct diagnose

Prof. Dr.

Shamshad

Rasool Awan

54 Pulmonary function tests &investigations in

resp, system


understand investigations of

Respiratory & their

interpretation to make the

correct diagnose

Prof. Dr.

Shamshad

Rasool Awan

510

55 Bronchial asthma Students must be able to

understand etiology,

pathogenesis, diagnosis and


Prof. Dr.

Shamshad

Rasool Awan

56 Pneumo

nias





Prof. Dr.

Shamshad

Rasool Awan

57 Bronchiectasis Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

58 COPD Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

59 Cystic Fibrosis Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

60 Pneumothorax. empyema Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

61 Interstitial lung disease/ lung diseases Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

62 Pulmonary thrombo embolism/acute

corpulmonale





Prof. Dr.

Shamshad

Rasool Awan

63 Pulmonary tuberculosis and pleural effusion

ARDS/Acute respiratory





Prof. Dr.

Shamshad

Rasool Awan

64 Failure/Mechanical ventilation. Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

511

65 CA. Lung. Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

66 Multisystem, immunological diseases. SLE Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

67 RA Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

68 Systemic sclerosis, scleroderma Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

69 Mixed connective tissue disease, Sjogren

syndrome





Prof. Dr.

Shamshad

Rasool Awan

70 Ankylosing spondylitis Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

71 Bahcet syndrome, Vasculitic syndrome Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

72 Anaphylactoidpurpura, polyartritisnodosa Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

73 Hypersensitivity vasculitis, Wegener

granulomatosis Temporal arteritis. Takayasu

arteritis





Prof. Dr.

Shamshad

Rasool Awan

74 Sarcoidosis Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

512

75 Abnormalities of Acid- base balance Students must be able to




Prof. Dr.

Shamshad

Rasool Awan





Prof. Dr.

Shamshad

Rasool Awan





Prof. Dr.

Shamshad

Rasool Awan

78 Introduction to dermatology Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

79 Basic structure of skin Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

80 Basic and secondary skin lesions. Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

81 Papulo-squamous disorders(psoriasis,

ecema,lichen -planus





Prof. Dr.

Shamshad

Rasool Awan

82 Skin infections( viral, Fungal, Bacterial,

mycobacterial, Leprosy





Prof. Dr.

Shamshad

Rasool Awan

83 Skin infestations Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

84 Sexually transmitted diseases Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

85 Acne Vulgaris. Students must be able to


Prof. Dr.

Shamshad

513



Rasool Awan

86 Disorders of pigmentation Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

87 Disorders of hair Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

88 Disorders of

nails.





Prof. Dr.

Shamshad

Rasool Awan

89 Disorders of abnormal keratinization Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

90 Bullous skin Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

91 Vasculitic Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

92 Skin cancer and Neavi Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

93 Drug Reactions Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

94 Introduction to psychiatry Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

95 Major Depressive episodes Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

514

96 Unipolar, Bipolar, Dysthymic, Atypical Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

97 Bipolar Affective Disorders. Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

98 Panic Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

99 Generalized Anxiety Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

100 Post traumatic stress Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

101 Obsessive Compulsive Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

102 Phobic Disorders Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

103 Schizophrenia. Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

104 Substance abuse Addiction Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

105 Alcoholism Students must be able to




Prof. Dr.

Shamshad

Rasool Awan

106 Psychosexual Disorders in men and women Students must be able to


Prof. Dr.

Shamshad

515



Rasool Awan

KIDNEY

Lecture

No


NAME

107 Acute pyelonephritis, urinary Tract Infections Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease

Prof. Dr.

Shamshad

Rasool Awan

108 Acute Kidney Injury, Acute Tubular Necrosis Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease

Prof. Dr.

Shamshad

Rasool Awan

109 Chronic Kidney Disease Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease

Prof. Dr.

Shamshad

Rasool Awan

110 Nephrotic Syndrome Students must be

able to understand

etiology,

pathogenesis,

diagnosis and

treatment of the

disease

Prof. Dr.

Shamshad

Rasool Awan

111 Impotence Students must be

able to understand

etiology,

Prof. Dr.

Shamshad

Rasool Awan

516

pathogenesis,

diagnosis and

treatment of the

disease

DERMATOLOGY

Lecture

no


NAME

112 Introduction to

Dermatology

Students must

be able to

understand

different skin

lesions

113 Basic structure of Skin Students must

be able to

understand

basic structure

of the skin

114 Basic & secondary skin

lesions

Students must

be able to

understand

Basic &

secondary skin

lesions

115 Papulo-squamous

disorders(psoriasis, eczema,

lichen planus)

Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

116 Skin Infections, (Viral,

fungal, Bacterial, Micro

Bacterial)

Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

517

treatment of

the disease

117 Leprosy Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

118 Skin Infestations Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

119 Sexually Transmitted

diseases

Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

120 Acne Vulgaris Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

121 Disorders of pigmentation Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

518

122 Disorders of Hair Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

123 Disorders of Nails Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

124 Disorders of Abnormal

keratinization

Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

125 Bullous Skin Disorders Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

126 Vasculitic Disorders Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

127 Skin Cancer and Naevi Students must

be able to

519

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

128 Drug Reactions Students must

be able to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

PSYCHIATRY

Lecture

no


129 Introduction to psychiatry Students

must be able

to

understand

Basics of

psychiatry

Prof. Dr. Ghazala

Musa

130 Major Depressive

Disorders

Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

131 Unipolar, Bipolar,

Dysthymic, Atypical

Students

must be able

to

understand

Prof. Dr. Ghazala

Musa

520

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

132 Bipolar Affective Disorders Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

133 Panic Disorders Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

134 generalized anxiety

Disorders

Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

135 Post traumatic Stress

Disorders

Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

521

136 Obsessive Compulsive

Disorders

Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

137 phobic Disorders Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

138 Schizophrenia Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

139 Substance abuse

Addiction

Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

140 Alcoholism Students

must be able

to

understand

etiology,

pathogenesis,

Prof. Dr. Ghazala

Musa

522

diagnosis and

treatment of

the disease

141 Psychosexual Disorders in

men & women

Students

must be able

to

understand

etiology,

pathogenesis,

diagnosis and

treatment of

the disease

Prof. Dr. Ghazala

Musa

523


AIMC-MBBS

SURGERY & ALLIED SPECIALITIES CURRICULUM

(PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

Amna Inayat Medical College

524

FACULTY IN GENERAL SURGERY

HOD. Professor Dr. Sikandar Hayat Gondal

Professor Dr. Hasan Askri

Professor Dr. Syed Qarib Abbas

Associate Professor Faisal Hanif

Assistant Professor: Dr.M. Tariq Saeed

COMPOSITION OF SURGERY & ALLIED

(PMDC, Credit hours. 800 Hours)

GENERAL SURGERY.

PRINCIPES OF SURGERY (PAPER I)

SYSTEMIC SURGERY. (PAPER II)

525

ALLIED DEPATMENTS

ORTHOPAEDIC SURGERY

UROLOGY

NEUROSURGERY

ANAESTHESIA

RADIOLOGY.

526

PMDC

Table of spacing and Hours of Subjects in MBBS Course

Subject 1st year 2nd year 3rd year 4th year 5th year Total

Behavioural Science 5Hrs 5Hrs 5Hrs 5Hrs 5Hrs 25Hrs

Islamic and Pakistan 15Hrs 15Hrs 10Hrs 10Hrs - 50Hrs

Anatomy 250Hrs 250Hrs - - - 500Hrs

Physiology 250Hrs 250Hrs - - - 500Hrs

Biochemistry 100Hrs 100Hrs - - - 200Hrs

Pharmacology - - 300Hrs - - 300Hrs

Pathology 15Hrs 25Hrs 260Hrs 200Hrs - 500Hrs

Forensic Medicine - - 100Hrs - - 100Hrs

Community Medicine 25Hrs 25Hrs 50Hrs 150Hrs - 250Hrs

Medicine and Allied

Nuclear Medicine Emergency

Medicine Medicine Elective

Dermatology

General Practice

25Hrs 30Hrs 120Hrs

-

360Hrs

-

360Hrs

-

800Hrs

20Hrs

Paradiatric Medicine 5Hrs 10Hrs 15Hrs 50Hrs 70Hrs 450Hrs

Surgery and Allied

Orthopedics

Paeds Surgery

Neuro Surgery

Elective Surgery

Emergency Surgery

Anaesthesia

25Hrs 30Hrs 120Hrs 265Hrs 360Hrs

15Hrs

800Hrs

40Hrs

Obestetrics and 10Hrs 10Hrs 50Hrs 100Hrs 130Hrs 300Hrs

Ophthamology 5Hrs 10Hrs 15Hrs 70Hrs - 100Hrs

Ent 5Hrs 10Hrs 15Hrs 70Hrs - 100Hrs

Histopathology - - - 60Hrs - 60Hrs

Total 740Hrs 790Hrs 1060Hrs 1265Hrs 940Hrs 4795Hrs

527

UHS

SYLLABS IN

SURGERY & ALLIED

528

(A) SURGERY

Distribution of Subjects:

Paper I: General Surgery, Surgical Anatomy, Principles of Anaesthesia,

Principles of Radiology, Principles of Radiotherapy and Chemotherapy.

Paper II: Systematic and Operative Surgery: Musculoskeletal system, GIT,

Renal System, Male and female 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. Development 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 complication

2. Lung abscess and empyement thoracis.

3. Tumors and cysts in the lungs.

Gastro Intestinal Tract

529

1. Diseases causing oesophageal obstruction.

2. Peptic ulcer disease & its complications.

3. Tumors of stomach.

4. Conditions causing chronic abdomen including malignant lesions of small

and large bowel.

5. Ano-rectal and peri-anal conditions requiring surgery.

Abdominal, Pelvic and Genital Trauma and Herina.

1. Principle in management of abdominal pelvic and urogenital trauma.

2. Inguinal/ Inguinoscrotal and femsoral hernia.

3. Epigastric hernia/umbilical/para-umbilical hernia.

4. Incisional hernia.

Liver

1. Trauma.

2. Obstructive jaundance.

3. Liver absecs.

4. Hydatid cyst.

5. Maligancy (Hepatoma & secondaries).

Gall bladder

1. Acute and chronic cholecystics.

2. Cholelithiasis and its complications.

3. Tumors.

Pancreas

1. Acute, relapsing and chronic pancreatitis.

2. Pancreatic masses including cysts

530

3. Benign and maligant neoplasia.

Spleen

1. Trauma

2. Surgical aspects of spleen

Urinary Tract

1. Common congential anomalies.

2. Infection & its sequelae.

3. Calculus disease and its sequelae.

4. Bladder lesions.

5. Enlarged prostate.

6. Urogential trauma.

7. Neoplasmas 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 maligant skin lessions.

2. Wounds/ulcers/abscesses/sinuses/fistulae.

3. Soft tissue lumps.

Orthopaedics and Trauma

531

1. Common congential malformations of locomotive system

2. Bone fractures and their complications.

3. Sports injuries and afflictions of tendons and bursae.

4. Bone and joint infections.

5. Arthritis.

6. Bone and cartilage tumors.

7. Spinal trauma.

8. Spinal tumors.

9. Common spinal deformities and other surgically correctable lesions.

Vascular and nerve Disorders

1. Vascular afflictions and limb ischamea.

2. Varicosities

3. Deep venous thrombosis.

4. Peripheral nerve injuries

Essential Skills to be acquired

1. Provide First Aid: resuscitation (ABC) of polytrauma, CPR.

2. Collect samples of blood, urine, stool, sputum, pus swab etc.

3. Insert Naso-gastric tube, have obeserved chest intubation and paracentesis.

4. Do IV cannulation, have observed CV-line insertion and cut-down of veins.

5. Cathetrize male and female patients.

6. Prepare the patient for and know the procedure of doing X-rays chest, abdomen,

KUB, bones, IVU, barium studies, ultrasound and other imaging investigations.

7. Principles of pre-operative preparations, sterilizaton/disinfectin tchniques.

8. Have observed common surgical procedures, treatment of fracture/dislocation

and methods of ggeneral / local anaesthesia.

9. Apply bandage and splint/pop cast to the patient’s limbs.

532

10. Have observed instillation of chemotherapy and principles of radiotherapy.

1) 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 appliances to support and correct deformities.

Prosthesis – artificial substitute for missing body parts.

b. Systems and Diseases

1. Congential & Development Diseases; Congential talipes equino varus (CTEV)

and talipes valgus; congential dislocation of hip (CDH); flat foot; Prth’s

disease; 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 bone)

Dwarf-Achondroplasia

3. Bone and joint infections

Acute osteomyelitis and septic arthritis.

Chronic osteomyelitis.

533

Tuberculous arthritis/Caries spine.

Osteolysis/bone cyst, sequestrum, periosteal reaction


Clinical examination for above mentioned diseases.

Interpratation of related X-ray and laboratory reports.

Observe or assist in joint aspiration, currettage and sequestrectomy, drainge of

abscess etc.

4. Metabolic bone diseases

Rickets; osteomalacia; osteoporosis; hyperparathroidism; diabetes.


Interpretation of related X-rays.

Interpretation of laboratory reports of serum Ca, PO4, Alk. Phosphatase,

parathormone.

Management of diabetes with relation to injury /Surgical procedure and

infections.

5. Neuromuscular disorders

Muscular dystrophies e.g. duchenne type and Backer’s type; spina bifida;

cerebral palsy.

Post – polio paralysis (PPP); neurofibromatosis


Clinical examination of sensations, deep tendon jerks, muscle power and tone

clonus.

Management suggesting and explaining of orhtosis, walking aids (walking stick,

crutches, walkers), wheel chairs.

6. Bone Tumours

a. Benign

Exostosis / multiple hereditary exostosis / enchodroma, fibroma, lipoma, neuroma,

osteoid osteoma, giant cell tumour.

b. Malignant

534

Osteogenic sarcoma , Ewings sarcoma, chondrosarcoma, multiple myeloma,

metastatic bone tumors from thyroid, lungs, kidney , breast and prostate.

c. Principles, indications, techniques and orthotics related to amputation.

Specific Required Skills

Observe biopsy _needle and open.

Observe amputation/ limb salvage surgery _

7. Neck pain, Low Back Pain and Sciatica

Deformities of scoliosis , Kyphosis.

Spinal injury , soft tissue injuries (sprains, strains etc)

Fractures (stable ,unstable), neurological damage


Examination and basic mangmant.

Application of cervical collar , cervical traction, lumbosacral corest.

Observe internal fixation of spinal fracture

Log rolling, prevention of bad sores, bladder care/ catheter care and

rehabilitation.

8. Arthritis and Musculoskeletal Painful Disorders

Rheumatoid arthritis, ankylosing spondylitis osteoarthritis.

Gout: frozen shoulder; tennis elbow , planter fasciitis, trigger finger , de

Quervains disease.


Clinical examination of patients with arthritis (differentiate on x-ray)

Interpretation of related investigations ; 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.

535

10. Fractures

Basic and advanced trauma life support

Triage of injured patients in emergency room,

Principals of fracture treatment in children.

Principals of fracture fixation

Management of common orthopaedic emergencies.

Mal-united fractures; non- unions.


Examination; clinical examination of injuried patient; record BP, pulse rate respiratory

rate peripheral pulses and capillary filling; recognition of associated

injuries/complications e.g Vascular compartment syndrome etc.

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.

Serving patients with bed pan and urine bottle.

Prepare patients for surgeries and post operatively care.

Dressing of surgical wounds post operatively.Pass nasogastric tube.

Injections I/V and I/M .

Interpret and explain the urine stooland 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 dislocation.

(immobilization of body part, resuscitation of injured patient.

Apply dressings, splints, plasters and other immobilization techniques in fracture

patients in emergency; maintain clear air way of patient; reductions and fixations;

internal and external fixation of fractures (plates, nails others); manipulation and

536

application of plasters of paris cast/back slab; use of external fixations in treatment of

open fractures; application of traction skin/skeletal.

RECOMMENDED BOOKS Short practice of surgery By Bailey And Love’s

Text book of surgery By Ijaz Ahsan

General Surgery (Lecture notes Series) by Harold Ellis, Roy Calne, Chris Watson

An Introduction to the Symptoms and Signs of Surgical Disease by Norman

Browse

Current Surgical Practice: by Norman L. Browse, Alan G. Johnson, and Tom Vol.6

Schwartz’s principles of Surgery: by F. Charles Brunicardi, Dana K. Anderson,

Timothy R. Billiar, and David L. Dunn 8th addition. 2004

Online Journals and Reading Materials through HEC Digital Library Facility.

II. ANAESTHESIOLOGY The course outline is as follows:

Pre-operative assessment of patients and pre-medication

Local anaesthesia

o Local anaesthesia agents (pharmacology)

o Regional anaesthesia (spinal and epidural)

Intravenous anaesthesia agents

Muscle relaxants

Inhalational anaesthesia agents

Anaesthesia and associated diseases

Complications of anaesthesia

Perioperative management

Cardiopulmonary Resuscitation. CPR.

Recovery from anaesthesia. Pain management and postoperative care.

LOG BOOKS

537

The sublimation of a complete logbook duly signed by Head of

Department Should be compulsory to appear in final

professional examination.

PROCEDURES

1. Pre-operative assessment of the patient.

2. I/V cannulation and Intra-operative fluid management.

3. Demonstration of induction of general anaesthesia and tracheal intubation.

4. Demonstration of spinal block.

5. Demonstration of epidural block.

6. Demonstration of local blocks in Eye, ENT and General Surgery.

7. Demonstration of CPR.

8. Post-operative care/pain management.

9. Introduction to ICU.

10. Demonstration of anaesthesia machine and other instruments

11. Demonstration of sterilization procedures in O.T and ICU.

12. Demonstration of vital sign monitors and their application.

RECCOMENDED BOOKS: 1. Textbook of Anaesthesia by G. smith and A.R Aitkenhead

2. Short practice of Anaesthesia by M. Morgan, G. Hall. Latest edition

3. A Synopsis of Anaesthesia by J. Alfred Lee

4. Online Journals and Reading Materials through HEC Digital Library Facility.

III. RADIOLOGY The student will be able to:

Select/advice the required radiological examinations correctly

Identify gross abnormalities in the films

List indications and advantages of modern techniques

538

Recognize major abdominal viscera and their imaging characters

Required Radiological Examinations and Abnormalities

Plain Radiography

Chest

Normal anatomy and projections

Pneumothorax

Pneumonia

Effusion

Cardiomagely

Pulmonary oedema

Fractures

Surgical emphysema

Neoplastic Diseases

Chronic inflammatory disease

Skull


Fracture

Lytic and sclerotic lesion

Calcifications

Pituitary fossa

Paranasal sinsuses

Abdomen


Renal & urinary tract stones, gall stones and other calcifications

Free gas under diaphragm, (perforation)

Enlarged liver and spleen

539

Spine


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

Intussusceptions

Colonic defects

Malabsorption pattern

Stricture

Any filling defect

Ulcerative colitis

Intravenous Urogram

Hydronephrosis and renal masses

Micturating Cystourethrogram

Reflux

Choleecystogram

Gall bladder diseases and stones

Echocardiogram

Be able to interpret the report

CT Scanning

Be able to interpret the report

MRI

Basic principle

540

RECOMMENDED BOOKS:

1. Aids to Radiological Differential Diagnosis by Chapman S. and

Nakiently R.4th ed. Elsevier Science Limited; 2003.


Facillity.

541

THEORY PAPER - SURGIAL UNIT-1

1. WOUNDS

Definition

Classification

Clinical Features

2. WOUNDS HEALING.

Pathophysiology

Types of wound healing

Factors promoting wound healing

Factors delaying wound healing

Complications of wound healing

3. PRINCIPLEES OF MANAGEMENT OF WOUNDS ACCORDING

TO

THE TYPE.

4. HAEMORRHAGE

Definition

Classification

Clinical Features.

Management

5. PRINCIPLES OF MANAGEMENT OF POLYTRAUMA

Principles of first aid.

Concept of ATLS.

ABC of resuscitation

6. NUTRITION

Definition

Significance

Clinical assessment of nutritional status.

Clinical Features of malnutrition

542

Management of malnutrition.

Methods of administration.

Indications for nutritional support.

Nutritional products available.

Oral feeding.

Tube feeding, method,monitoring and Complications.

Parenteral nutrition and its Complications.

Total parenteral nutrition (TPN) method ,monitoring

and

Complications.

Refeeding syndrome

7. BLOOD TRANSFUSION AND BLOOD PRODUCTSTT

8. BURNS

Assessment of the burn area.

Assessment of the burn depth.

Pathophysiology of burn shock.

Classifications of burn.

Effects of burn injury.

Management of burn patient. (Primary, Secondary &

Tertiary

Care.)

9. SURGICAL INFECTIONS

Defination.(infection, bacteremia, toxaemia, septicaemia& septic shock)

Pus

Abscess

Erysipelas.

Cellulities

Carbuncle

Surgical infections (Specific)

Clostridial infection

543

Mycobacterial infectin.

Actinomycosis.

Syphilis.

10. NEOPLASIA

Definition

Classification

Mode of spread

Differences between benign & malignant neoplasm.

Staging & Grading of neoplasm.

11. CYST

Definition

Classification

Clinical Features

12. ULCERS

Definition

Classification

Pathology

Features of special ulcers

13. SINUSES

Definition.

Classifications.

Clinical Features.

14. FISTULAE

Definition

Classifications

Clinical features.

15. VENOUS DISORDERS.

Varicose veins.

Definitions

Pathophysiology.

Clinical Features.

Special investigations.

Management.

Deep Venous thrombosis.(DVT)

544

Definitions

Pathophysiology.

Clinical Features.

Special Features.

Special investigation.

Management.

16. LYMPHATIC SYSTEM

Lymphoedema

Definition.

Classifition.

Clinical Features.

Investigations.

Management.

Lymphangiomas

Pathology

Classification

Clinical features.

Management.

545

SURGICAL COURSRE IN LECTURES FOR 3rd YEAR MBBS

SURGICAL UNIT I& II

I. Wound infections

Physiology &manifestation

Types of infection

Treatment

Prophylaxis

Classifications of wounds

Principals of antimicrobial treatment

II. Critical care;Fluid, Electrolytes & acid base balance, Blood transfusion

Fluids

Electrolytebalance

Acid base balance

Heamorrhage

Blood transfusion & blood products

Shock

Parenteral fluid therapy

Therapeutic intervention aimed at preventingorgan failure

III. Nutritoinal support & rehabilitation

Surgical nutrition

Rehablitation

IV. Sterilization & disinfection

Definition of sterilization

Definition of disinfection

Methods of sterilization with principals, merits & demerits

Precautions & methods for theater staff

Hospital waste management

V. Pain &anaelgesia

VI. Skin lesions

Skin infection

Cysts

Benign growths

Vascular anomalies

Benign pigmented lesions

Malignant lesions

546

Other malignancies

VII. Arterial stenosis occlusion , acute arterial occlusion (acute limb ischemia)

Gangrene

Amputations

Arterial dilatation (aneurysms)

Abdominal aortic aneurysms

Aeteritis

Vasospastic condition

VIII. Accident & emergency ( civil & warfare injuries)

Epidemiology

Mechanism of injury

The advance trauma life support approach (ATLS)

Pre hospital retrieval & management

Management in hospital, Emerging concepts & techniques

Multipla & mass causalities

Wound ballistics & mechanism of injuries

Management of missile injuries

Blast injuries

Audit &quality insurance

IX.Acquire immune deficiency syndrome (AIDS)

Anal disease

The acute abdomen in AIDS

Cholangitis

Lymphoma

Spleenectomy

Risk of transmissionof HIV disease from patient of surgeon

Infection of the patient by the surgeon

Prophylaxis & management of established cases

X.Viral infection

Hepatitis B & C

Prophylaxis & management of established cases

XI.Immunology & organ transplantation

XII.Peri operative managment

548

CLINICAL COURSE FOR 3RD YEAR MBBS

HISTORY TAKING AND COMMUNICATIONS SKILL

Process of surgical diagnosis.

Meaning of clinical features of the disease.

Difference between symptoms and signs of disease.

Method of history taking.

Parts of clinical history of the patient.

1. Presentinh complaint.

2. History of present illness.

3. History of past illness.

4. History of familial disease.

5. Personal History(Sleeping, eating ,bowel, habits, postural

Habits that can effect patient’s health, addicition)

6. Socioeconomic history.

7. History of drugs medicines(name of the drug, dose and

Duration for which patient is using that medicines.)

8. History of allergies.

9. Menstural history.

10. History based diagnosis.

1. PHYSICAL EXAMINATION.

1. General physical examination.

2. Systemic examination.

3. Local examination.

4. Clinical diagnosis.

5. Investigations.

6. Final diagnosis

2. Examination of swelling.

Inspection.

Palpation.

Purcution.

Auscultation.

3. Examination of wound.

4. Examination of ulcer.

549

5. Examination of sinus.

6. Examination of fistulae.

7. Examination of cysts.

8. Examination of burns.

9. Examination of abdomen.

Inspection.

Palpation.

Purcution.

Auscultation.

10. Basic surgical instruments.

Identification.

Uses.

Method of sterilization.

11. Imaging.

Introduction to all types of imaging used in surgical deagnosis.

(X-rays, CT –scan, MRI, Scintgraphy and Ultrasonography)

12. SKILLS

1. Introduction to principles of first aid.(ABC of resuscitation).

2. Introduction and method of cardiopulmonary resuscitation.

3. Collection of samples of laboratory investigations.

Blood.

Urine.

Stool.

Sputum.

Pus.

Use of Nasogasteic tube.

4. Intravenous (I/V) canulation.

550

THEORY COURSE FOR 4TH YEAR MBBS. 1. THE CRANIUM.

Trauma

Pathophysiology of headinjury.

Classification o f head injury.

Clinical features of head injury.

Principles of management of head injury and

Its complications

i. Infections.

ii. Tumours.

2. The Face

i. Congenital anomalies of face, palate and lips.

ii. Trauma.

Maxillofacial injuries.

Classification.

Principles of management of fascial injury.

Oral cavity.

Inflammatory lesion.

Burns, ulcers and cysts.

Tumors of the cheek and the floor of the mouth.

The Tongue.

Developmental anaomalies.

Inflammatory lesion.

Being and malignant lesion.

3. The pharynx

4. The Larynx.

Foregion body.

Acute edema of the glottis.

Laryngeal paralysis, clinical features and

Management.

Tumors.

5. The Neek.

The branchial apparatus and its abnormalities.

Cervical rib and the scalene syndroment.

551

Inflammatory conditions.

Cervical lymphadenitis.

Being and malignant tumors.

6. THE THYROID

Surgical anatomy.

Diseases of the thyroid.(hypo and hyperthyroidism)

Neoplasm.

7. THE PARATHYROID

Diseases of parathyroid(hypo and hyperparathyroidism)

8. THE ADRENALS.

Disorders of adrenocortical functions.

Tumors of adrenal medulla.

9. THR BREAST

Diseases of breast.

Being and malignant lumps.

10. THE ESOPHAGUS.

Surgical anatomy.

Gastroesophageal reflux.(GERD)

Dysphagia and its causes.

Hiatal hernia.

Bening and malignant tumors.

11. THE STOMACH & DUODENUM.

Peptic ulcers

Being and malignant tumors.

12. THE GALLBLADDER & BILIARY TRACT.

Srgical anatomy.

Acute and chonic cholycystitis.

Cholilithiasis.

Cholidhocolithiasis.

Tumors.

552

13. ARTERIAL DISORDERS.

Acute and chronic limb ischemia.

Gangrene.

Aneurysm.

14. VENOUS DISORDERS.

15. Diseases of the lymphatic & lymph nodes

553

CLINICAL COURSE FOR 4th YEAR MBBS

1. Examination head injured patient.

2. Examination of cranial nerves.

3. Examination of neck.

4. Examination of thyroid and parathyroid.

5. Examination of thorax.

6. Examination of breast.

7. Examination of liver and gall bladder.

8. Examination of spleen.

9. Examination of kidneys.

10. Digital rectal examination.

11. Examination of genitourinary system.

12. Examination of upper limb.(bone, joints, nerves and vessals).

13. Examination of lower limb.( bone, joints, nerves and vessals).

14. SURGICAL INSTRUMENT SETS.

Laparotomy set.

Cholecystectomy set.

Herniorrapahy set.

Thyroidectomy set.

Treaccheostomy set.

15. TUBES.

Oropharyngeal air way.

Endotrachea tube.

Nasogastric tube.

16. Skills

History Taking


Consent & Counseling

Technique of Securing IB Lines

Technique of Poly-catheterization

Technique of Nasogastric Intubation

Technique of Securing oro-pharyngeal airway

Technique of Tracheostomy

554

Course Distribution

Final year MBBS

Surgical Unit – I

1. Abdominal pain arising from the alimentary tract.

2. Surgica Anatomy

3. Congenital malformation & Functional anomalies.

4. Mega-colon and non mega-colon constipation.

5. Hirschsprung disease (primary mega-colon)

6. Acquired or secondary mega-colon and mega return.

7. Vascular malformation(Angiodysplasia)

8. Traumatic rupture of intestine.

9. Blid loop syndrome.

10. Diverticulae of small intestine a-jejunal diverticulae b- Meckles diverticulae

11. Diverticulae of colon

a. Diverticulosis

b. Diverticulitis

12. Ulcerative colitis

13. Crohn’s disease.

14. Intestinal amaebiasis

15. Surgical complication of Typhoid and paratyphoid fever.

16. Tuberculosis of intestine.

17. Actinomycosis of RIF

18. Pnaematosis cytoides intestinalis.

19. Intestinal stomas

1- lleostomy 2-Colostomy

20. Tumors of small intestine

21. Tumors of large intesting 1- ployps 2- FAP 3- malignant tumors

22. Entero-cutaneous fistulae

555

Intestinal Obstruction

Dynamic, Non Dynamic

1. Acute intestinal obstruction

2. Chronic intestinal obstruction

3. Acute intestinal obstruction of new born congenital atresia and Stenosis

-Arrested rotation

-Vulvulous

4. Acute intussusceptions

5. Vulvulous

6. Obstruction by adhesion and bands.

7. Obstruction by due to internal hernia.

8. Obstruction from stricture of small intestine.

9. Obstruction by obturation of small bowel.

10. Embolism thrombosis of mesenteric vessels.

11. Pseudo obstruction.

12. Paralytic ileus.

Vermiform Appendix

1. Surgical anatomy

2. Acute appendicitis

3. Differential diagnosis

4. Appendicular mass

5. Appendicular abscess

6. Perforation / Gangrene of appendix, Peritonitis

7. Neoplasms of appendix

Techniques of Anastomoses

A- Gastro-intestinal anastomoses

-Open end to end –Close end to end

-End to side anastomoses –side to side anastomoses

-Stapling technique

B- Urological anastomoses

C- Vascular anastomoses

D- Sutures material

E- Complication of anatomoses

The Rectum

1. Surgical anatomy

556

2. Symptoms of rectal disease

3. Injuries

4. Foreign bodies in rectum

5. Prolapse of rectupl.

6. Proctitis

7. Solitary rectal ulcer

8. Benign tumors of rectum

a. Polyps

b. FAP

9. Carcinoma of rectum

Anus & Anal Canal

1- Surgical anatomy

2- Surgical Physiology of anal muscles of pelivic floor.

3- Examination of anus

4- Congenital anomalies

a. Imperforate anus

b. Sarcocollygeal

5- Pilonidal sinus

6- Anal incontinence

7- Anal Fissure.

8- Haemorrhoids

9- Pruritis ani

10- Anorectal abscess

11- Fistula in ano

12- Non malignant strictures

13- Malignant tumor of anus & anal canal

14- Post and dermoid

557

Surgical Unit-11

1. Cardiothoracic Surgery

Thoracic Trauma

Airay obstruction

Pulmonary Neoplasms

The mediastinum

Pleural conditions

The chest wall

Other thoracic disorders

Appendix1: Anatomy and development o the lungs

Appendix2: Investigation of the respiratory system

Heart Surgery

Valvular heart disease

Congenital heart disease

Ischaemic heart disease

The thoracic aorta

The pericardium

Heart Transplantation

Myocardial management during aortic occlusion

Investigation in cardiac surgery

Postoperative complications in cadiac surgery

Cardiopulmonary resuscitation

2. Breast

Comparative and surgical anatomy

Investigation of the breast

The nipple

Bening breast disease

Congential Bnormalities

Carcinoma of the breast

Treatment cancer of he breast

Screening for breast cancer

Familial replacement therapy

Hormone replacement therapy

Treatment of advanced breast cancer

The male breast

Other tumos of the breast

558

3. Liver & Pancrease

Anatomy of the liver

Signs and tests of acute and chronic liver disease

Imaging the liver

Liver trauma

Portal hypertension

Chronic liver conditions

Liver infections

Liver tumors

Anatomy and physiology

Investigations

Congenital abnormalities

Injuries to the pancreas

Pancreatitis

Cracinoma of the pancreas

Endocrine tumor of the pancreas

4. Gall bladder & Bile Duct

Surgical anatomy and physiology

Investigation of the biliary tract

Congenital abnormalities of the gall bladder and bile

duct

Gallstones(choleithiasis)

Cholecystitis

Cholecystectomy

Management of bile duct

Obstruction

Stone in the bile duct

Stricuture of bile duct

Tumors of the bile duct

5. Laparoscopic Surgery

Definition

Extent of minimal access Surgery

Surgical trauma in open and laparoscopic surgery

Limitations of minimal access surgery

559

Preoperative evaluation

General intraoperative principles

Postoperative care

Principles common laparoscopic procedures

The future

6. Testis & Scrotum

Imperfect descent of the testis

Torsion of the testis

Varicocele

Hydrocele

Cysts connected with epididymis

Epididymo-orchitis

Tumors of the testis

The scrotum

Male infertility

560

Clinical course distribution

Final year MBBS Examination Session 2018 -2019

History Taking

Physical Examination (General, Systemic, Local )

Examination of a swelling

Examination of an ulcer

Examination of sinus and fistula

Examination of Cysts

Examination of Gangrene (Dry , Wet)

Burns

Examination of thyroid

Examination of lymph nodes in the neck

Examination of the parotid gland

Examination of submendibular gland

Examination of oral cavity

Examination of tongue

Examination of tempromendibular joint

Examination of cranial & peripheral nerves

Examination of abdomen

Examination of Ischemic limb

Examination of varicose veins

Examination of knee joint

Examination of hip joint

Examination of shoulder joint

Examination of hand

Examination of breast

Examination genitor urinary system

Examination of respiratory system

Examination of gastro-intestinal system

Examination of cardiovascular system

Endoscope examination

Study of relevant syllabus

561

X-rays, Instruments, Specimen

Operative surgery & Sterilization

Surface Anatomy

Clinic-Pathological Conferences

562


DEPARTMENT OF SURGERY

Curriculum for 4th year M.B.B.S.

Session 2018-2019

S/No. Topics No. of lectures

required

1. Sterilization & disinfection*

2. The Skin*

3. Burns*

4. Trauma*

5. Tumors*

6. Cysts*

7. Ulcers*

8. Sinuses & fistulae*

9. Surgical Infections*

10. Viral infections*

11. Immunology & organ transplantation*

12. Peri-operative management*

13. The Cranium

I. Trauma

II. Infections

III. Tumors

14. The face

I. Congenital anomalies

II. Trauma

15. The Oral Cavity

I. The tongue

16. The Pharynx

17. The Larynx

18. The Neck

19. The Salivary Glands

20. The Thyroid

21. The parathyroid

2

3

2

4

3

1

1

1

6

2

4

3

1

1

1

1

1

1

1

1

2

2

3

2

563

22. The Adrenals

23. Breast

24. Esophagus

25. Stomach & duodenum

26. Gallbladder & Biliary tract

27. Arterial disorders

28. Venous disorders

29. Lymphatics disorders

TOTAL LECTURES

2

2

3

3

3

2

2

2

68

Prof. Sikandar Hayat Gondal

Head department of surgery

Amna Inayat Medical College Sheikhupura

564



Clinical course for 3rd year M.B.B.S.

Session 2018-2019

S/No. Topics No. of demonstrations

Required

1. History Taking 2

2. Physical Examination (General, Systemic, Local) 3

3. Swelling 1

4. Ulcer 1

5. Wounds 1

6. Silnus and fistulae 1

7. Cysts 1

8. Gangrene 1

9. Burns 1

10. The Neck 1

11. The Oral Cavity 1

12. Salivary glands 1

13. Thorax 1

14. Abdomen 1

15. Surgical instruments, drains & tubes 4

16. Imaging 4

17. Skills 6

I. Technique of securing iv line

II. Technique of Folley’s catheterization

III. Technique of Naso gastric intubation

IV. Technique of Endotracheal intubation

V. Technique of securing oropharyngeal airway

VI. Tracheostomy

TOTAL DEMONSTRATIONS 31


565



566



Curriculum for 3rd year M.B.B.S.

Session 2018-2019

S/No. TOPICS NO OF LECTURES

REQUIRED

1. Wounds & wound management 3

2. Wound healing & its complications 2

3. Fluids, electrolytes & acid base balance 4

4. Haemorrhage 1

5. Shock & its management 2

6. Blood transfusion 2

7. Surgical nutrition 2

8. Sterilization & disinfection 2

9. Burns 2

10. Trauma 4

11. Tumors 3

12. Cysts 1

13. Ulcers 1

14. Sinus & Fistulae 1

15. Surgical infections 6

16. Viral infections of surgical importance 2

17. Immunology & organ transplantation 4

18. Peri-operative management 3

TOTAL LECTURES 45

Prof. Sikandar Hayat Gondalo



567



Clinical course for 4th year M.B.B.S

Session 2018-2019

S/No. Topics No. of demonstrations

Required

1. Wounds 1

2. Head injury 1

3. Cranial & peripheral nerves 2

4. The Neck 3

5. The Thorax 2

6. The Breast 2

7. The Abdomen 2

8. Genitor-urinary system 1

9. The Ischemic limb 1

10. Varicose veins 1

11. The shoulder joint 1

12. The hand 1

13. Hip Joint 1

14. Knee Joint 1

15. Surgical instruments, drains & tubes 4

16. Imaging 4

17. Skills 6

I. Technique of securing iv line

II. Technique of Folley’s catheterization

III. Technique of Naso gastric intubation

IV. Technique of Endotracheal intubation

V. Technique of securing oropharyngeal airway

VI. Tracheostomy

TOTAL DEMONSTRATIONS 34

568




569

Course Distribution

3rd year MBBS

Surgical Unit-1

Tumors, Cysts, Ulcers, Sinuses

1. Tumors

2. Benign Tumors

3. Malignant tumors

4. Benign to malignant transformation

5. Cysts

Wound infection

1. Physiology and manifestations

2. Types of infections

3. Treatment

4. Prophylaxis

5. Classification

6. Principles of antimicrobial treatment

Special infections

1. Clostridia

2. Mycobacteria

3. Treponemas

4. Other infections (nonviral)

5. Viruses

Acquired Immunodeficiency Syndrome (AIDS)

1. Anal diseases

2. The acute abdomen in AIDS

3. Chalangitis

570

4. Lymphoma

5. Splenectomy

6. Risk of transmission of HIV disease from patient to surgeon

7. Infection of the patient by the surgeon

Surgical Unit-2

Introduction to surgery Basic Surgical Principles

1. Surgical Process

2. Surgical history

3. Clinical examination

4. Imaging

5. Diagnostic Process

Wounds Tissue Repairs & Scars

1. Wounds

2. Wound healing

3. Classification of wounds

4. Wound excision

5. Wound closure

6. Types of wound

7. Injury to internal organs

8. Chronic Wounds

9. Scars

10. Adverse scars

Critical Care; Fluid Electrolyte and acid base balance; blood transfusion

1. Fluids

571

2. Electrolyte balance

3. Acid base balance

4. Haemorrhage

5. Transfusion of blood blood products

6. Blood transfusion

7. Shock

8. Parental fluid therapy

9. Therapeuitc interventions aied at preventing organ failure

Nutritional Suport and Rehabilitation

1. Nutrition

2. Rehabilitation

Sterile Precautions

1. The theatre sterilization

2. Disinfection

3. Theatre staff

4. The operation

Skin lesions

1. Skin nfections

2. Cysts

3. Benign growths

4. Vascular anomalies

5. Benign pigmented lesion

6. Premalignant lesions

7. Malignant lesions

8. Other malignancies

Burns

1. Assessment of the burn area

2. Assessment of the burn depth

3. Mechanisms o injury

4. Effect of burn injury

5. Clinical features of burn injuries

6. Management of the burned patient

Arterial Disorders

1. Arterial stenosis or occlusion acute arterial occlusion

2. Gangrene

3. Amputation

4. Arterial dilatation (aneurysm)

5. Abdominal aortic aneurysm

572

6. Arteritis

7. Vassospastic conditions

Venous Disorders

1. Anatomy of the venous system in the limbs

2. Venous pathophysiology

3. Venous incompetence

4. Varicose veins

5. Venous incompetence

6. Deep vein incompetence

7. Investigation of venous disease

8. Management o patients with varicose veins

9. Leg ulcers

10. Venous thrombosis

Lymphatic System

1. Anatomy and ohysiology of the lymphatic system

2. Acute inflammation of the lymphatics

3. Lymphoedema

4. Primary Lymphoedema

5. Secondary Lymphoedema

6. Management of Lymphoedema

7. Lymphangiomas

Accident & Emergency Surgery

1. Epidermiology

2. Mechanisms of njury

3. Modern management of the injured

4. The advanced trauma life support approach

5. Prehospital retrieval and management

6. Management in hospital emerging concept and technique

7. Multiple and mass casualties

8. Audit and quality assurance

Warfare Injuries

1. Epidemiology

2. Wound Baldrics and mechanisms of injury

3. Management of missile injuries

4. Blas injuries

573

Course Distribution 4th year MBBS

Surgical Unit-I

The Tongue

1. Developmental anomalies

2. Traumatic condition of tongue.

3. Inflammatory conditions of tongue.

4. Other bening conditions of tongue (Leukoplakia, Hyperplakia, Hairy

Tongue, Submucous fibrosis).

5. Ulcers of tongue.

6. Neurological lesion of tongue.

7. Benign and malignant tumor of tongue.

The Salivary Glands

1. Surgical anatomy of parotid and submandibular glands.

2. Inflammations (Acute, Chronic)

3. Neoplasms of Parotid glands

4. Neoplasm of Submandibular glands.

Disease of Lymph Nodes

1. Surgical anatomy.

2. Acute inflammations.

3. Chronic inflammations.

4. Neoplasm (primary or secondary).

Perforation

Mallory Weiss Syndrome

Corrosive injury

Drug induced injury

Gastro-Oesophageal reflux desease

Paraoesophageal (rolling) hiatus hernia

Neoplasms of the oesophagus

Motility disorders and diverticlaula

Other non-neoplastic conditions

5. Stomach & Duodenum

Surgical anatomy

Histologicl anatomy of the stomach and duodenum

574

Physiology of the stomach and duodenum

Investigation of the stomach and duodenum

Paediatric disorders

Helicobacter pylori

Gastritis

Peptic ulcer

Haematemesis and malign

Gastric outlet obstruction

Gastric polyps

Gastric cancer

Gastric stromal tumor

Gastric lymphoma

Gastric tumors

Duodenal obstruction

Other gastric conditions

575

Course Distribution

Final year MBBS

Surgical Unit-I

1. Abdominal pain arising from the alimentary tract.

2. Surgical anatomy

3. Congenital malformation & functional anomalies.

4. Mega-colon and non-colon constipation.

5. Hi schsprung disease (primary mega-colon)

6. Acquired or secondaey mega-colon and mega rectum.

7. Vascular malformation (Angiodysplasia).

8. Traumatic rupture of intestine

9. Blind loop syndrome.

10. Diverticulae of small intentine. A- Jejunal diverticulae b- Meckles diverticulae.

11. Diverticulae of colon

a. Diverticulosis

b. Diverticulitis

12. Ulcerative colitis.

13. Crohn’s disease.

14. Intestinal amaebiasis.

15. Surgical complication of Typhoid and paratyphoid fever.

16. Tuberculosis of intestine.

17. Actinomycosis of RIF.

18. Pnaematosis cytoides intestinalis.

19. Intestinal stomas

1- Ileostomy 2- Colostomy

20. Tumors of small intestine.

21. Tumors of large intestine 1- polyps 2- FAP 3- malignant tumors.

22. Fntero-cutaneous fistulae

Intestinal Obstruction

Dynamic, Non Dynamic

1. Acute intestinal obstruction.

2. Chronic intestinal obstruction

3. Acute intestinal obstruction of new born congenital atresia and Stenosis

-Arrested rotation

-Vulvulous of midgut.

576

4. Acute intussusceptions.

5. Vulvulous.

6. Obstruction by adhesion and bands.

7. Obstruction due to internal hernia.

8. Obstruction from stricture of small intestine.

9. Obstruction by obturation of small bowel.

10. Embolism thrombosis of mesenteric vessels.

11. Pseudo obstruction.

12. Paralytic ileus.

Vermiform Appendix

1. Surgical anatomy .

2. Acute appendicitis .

3. Differential diagnosis.

4. Appendicular mass.

5. Appendicular abscess.

6. Pertforation /Gangrene of appendix, peritonitis.

7. Neoplasms of appendix.

Techniques of Anastomosis

A. Gastro-intestinal anastomoses

-Open end to end – Close end to end

-End to side anastomoses –Side to side anastomoses

-Stapling technique

B. Urological anastomoses

C. Vascular anastomoses

D. Sutures material

E. Complication of anastomoses

The Rectum


2. Symptoms of rectal disease.

3. Injuries.

4. Foreign bodies in rectum.

5. Prolapse of rectupl.

6. Proctitis.

577

7. Solitary rectal ulcer.

8. Benign tumors of rectum.

a. Polyps

b. FAP

9. Carcinoma of rectum.

Anus & Anal Canal


2. Surgical physiology of anal muscles of pelvic floor.

3. Examination of anus.

4. Congenital anomalies.

a. Imperforate anus

b. Sarcocollygeal turatoma

5. Pilonidal sinus.

6. Anal incontinence

7. Anal fissure.

8. Haemorrhoids.

9. Pruritis ani.

10. Anorectal abscess.

11. Fistula in ano.

12. Non-malignant strictures.

13. Malignant tumor of anus & anal canal.

14. Post anal dermoids

Surgical Unit-II

1. Cardiothoracic Surery

Thoracic trauma

Airway obstruction

Pulmonary neoplasms

The mediastinum

Pleural conditions

The chest wall

Other thoracic disorders

Appendix 1: Anatomy and development of the lungs

Appendix 2: Investigation of the respiratory system

Heart surgery

Vavular heart disease

Congenital heart disease

578

Ischaemic heart disease

The thoracic aorta

The pericardium

Heart transplantation

Myocardial management during aortic occlusion

Investigations in cardiac surgery

Postoperative complications in cardiac surgery

Cargiopulmonary resuscitation

2. Breast

Comparative and surgical anatomy

Investigation of the breast

The nipple

Benign breast disease


Carcinoma of the breast

Treatment cancer of the breast

Screening for breast cancer

Familial breast cancer

Hormone replacement therapy

Treatment of advanced breast cancer

The male breast

Other tumors of the breast

3. Liver & Pancreas

Anatomy of the liver

Signs and tests of acute and chronic liver disease

Imaging the liver

Liver trauma

Portal hypertension

Chronic liver conditions

Liver infections

\Liver tumors

Anatomy and physiology

579

Investigation


Injuries to the pancreas

Pancreatitis

Carcinoma of the pancreas

Endocrine tumor of the pancreas

4. Gall bladder & Bile duct

Surgical anatomy and physiology

Investigation of the biliary tract

Congenital abnormalities of the gall bladder and bile ducts

Gallstones (cholelithiasis)

Cholecystitis

Cholecystectomy

Management of bile duct

Obstruction

Stones in the bile duct

Stricture of the bile duct

Tumors of the bile duct

5. Laparoscopic surgery

Definition

Extent of minimal access surgery

Surgical trauma in open and laparoscopic surgery

Limitations of minimal access surgery

Preoperative evaluation

General intraoperative principles

Postoperative care

Principles of common laparoscopic procedures

6 Testis & Scrotum

Imperfect descent of the testis

Torsion of the testis

Varicocele

Cysts connected with epididymis

Epididymo-orchitis

Tumours of the testes

The scrotum

Male infertility

580

Clinical Course Distribution

3rd , 4th & Final Year MBBS Examination

History Taking

Physical Examination (General, Systemic, local)





Examination of Gangrene (Dry , Wet )

Burns









Examination of facial nerves







Examination of hand






Endoscopic examination

581



Operative Surgery & Sterillization

Surface Anatomy

Clinico-Pathological Conferences

582

Clinical course distribution

3rd & 4th Final year MBBS Examination

History Taking

Physical Examination (General, Systemic, Local )





Examination of Gangrene (Dry , Wet)

Burns















Examination of hand






Endoscope examination


583


Operative surgery & Sterilization

Surface Anatomy

Clinic-Pathological Conferences

Course Distribution

3rd year BDS

Surgical Unit-I

Ulcer, Sinus, Fistula, Cysts, Tumours and Diseases of lymph nodes

1. Wound pathophysiology of wounds, classification complication and wound repair

including management. 2. Acute resuscitation and support including cardiac arrest. 3. Fluid and electrolyte and acid base. 4. Shock

584

5. Infection, cellulitis boil, abscess, lymphangitis, erysipelas, bacteraemia,

septicemia and toxemia. 6. Tetanus, Anthrax, Tuberculosis, syphilis 7. Fungal (Actinomycosis etc) and viral infections (aids hepatitis, etc) 8. Principles of sterilization, disinfection and antisepsis. 9. Ggangrene, classification dry gangrene and wet gangrene. Special types of

gangrene, gasgangrene, synerene and cancurum oris. 10. Face and oral cavity. 11. Developmental anomalies of the face and oral cavity. 12. Diseases of maxilla and facio-maxillary injuries. 13. Diseases of mandible and tempro-mendibular joint. 14. Diseases o the salivary glands. 15. Midline and lateral swellings of the neck. 16. Diseases of thyroid(mi.IItinodular goiter) 17. Diseases of thyroid(Graves diseases and solitary thyroid) 18. Cranial nerves 19. Grafts. 20. Skin lesions and bums. 21. Hemorrhage and disorders of coagulation of surgical importance. Blood

transfusion. 22. Surgical nutrition. 23. Diseases of the tongue (inflammation and ulcers) 24. Diseases of tongue (Benign and malignant tumors) 25. Pharynx and Larynx. 26. Tracheostomy indications, technique and complications 27. Foreign bodies of nose, orophryns esophagus trahea.and bronchial tree. 28. ORL examination. 29. Peritonsillar abscesses, pharyngeal abscess, Ludwig’snangina alveolar and dental

abscesses. 30. Diseases of Para nasal sinuses. 31. Anaesthesia and pain relief.

585

Clinical Course Distribution

3rd year BDS

Surgical; Unit-I & II

History Taking

Physical Examination (General, Systemic, Local)





Examination of Gangrene (Dry, Wet)

Burns









Examination of facial nerves




Operative Surgery & Sterilization

Surface Anatomy

586

Anaesthesia Study Hours in 5th year MBBS

Sr.No. Subject

Title

1st

year

2nd

year

3rd

year

4rth

year

5th

year

Total

1 Anaesthesia - - - - 10Hrs 10Hrs

ANAESTHESIA TEAM

1. Prof. Dr. Mobeen

2. Asst. Prof. Dr. Usman Zeeshan

3. Senior Registrar Dr. Tariq

587

Study Hours For 5th MBBS Theory/Practical

Sr. No. Class Theory Practical

1 1st year - -

2 2nd year - -

3 3rd year - -

4 4th year - -

5 5th year 10Hrs 30Hrs

Study Hours For Theory 5th year MBBS Semester

Class Semester 1 Semester 2 Semester 3 Total

1st year - - - -

2nd year - - - -

3rd year - - - -

4th year - - - -

5th year 3Hrs 3Hrs 4Hrs 10Hrs

588

Theory Topics For 5th year MBBS 2018 - 2019

11 Lectures will be conducted 1st in morning Tuesday or Wednesday

Sr.

No.

Topics Theory Parts Teacher

1 Preoperative assessment 1. History

2. General

3. Examination of vertebral

column

4. Airway assessment

5. Mallampati classification

6. ASA classification

1, Prof. Dr

Mobeen

2 Preoperative preparation 1. Preoperative

Optimization of patient

2. Preoperative

optimization of comorbid

conditions

3. Pre-op orders

Premedications

1 Prof. Dr

Mobeen

3 Preoperative Management 1. Choice of anaesthesia

2. Monitoring

3. General Anaesthesia

1 Prof. Dr

Mobeen

4 Drugs used in general

Anaesthesia

1. Induction agents

2. Muscle relaxants

3. Analgesics

4. Reversal agents

1 Prof. Dr

Mobeen

5 1. Local anaesthesia Local anaesthetic drugs

Classification

Mechanism of action

Factors affecting local

anaesthesia

Toxicity and management

1 Prof. Dr

Mobeen

6 Intravenous regional anaesthesia

biers block

1. Methods

2. Drug used

1 Prof. Dr

Mobeen

7 Neuroaxia block 1. Advantages over

general anaesthesia

2. Spinal block

Preparation,

positioning relvant

1 Prof. Dr

Mobeen

589

anatomy of

spinal cord.

3. Edidural block

Advantages, uses

4. Caudal block

5. Complications of

Neuroaxial block

8 Cardiopulmonary Resuscitation

1. Definition

2. Assessment/managem

ent of

Circulation

Airway

Breathing

Defibrillation

Difference in

Children/neona

tes

1 Prof. Dr

Mobeen

9 Airway management 1. Airway assessment

2. Airway management

Without equipment

with

Equipment

3. Emergency airway

Dervices

4. Definitive airway

1 Prof. Dr

Mobeen

10 Pain amnagement 1. Pain pathway types

and classification

2. System response to

pain

3. Method of pain control

Drug and

adjuvants

Neurolysis

Stimulation

induced

Analagesia

psychotherapy

1 Prof. Dr Mobeen

11 Central sterilization supply

department

1. Layout of CSSD and

Equipmen

2. Methods of

sterilization

3. Step to reduce

Infection in surgery

4. OT preparation

1 Prof. Dr Mobeen

590

Revision Classes For MBBS

4 Lectures of Revision Classes will be conducted early morning on Tuesday or Wednesday

Sr. No. Subject

Topics

1st

year

2nd

year

3rd

year

4th

year

5th

year

Total

1 Anaesthesia - - 160

minutes

2.6Hrs

Workshops for 5th year MBBS 2018 – 2019

Sr.

No

Topic Paractical Parts Teacher

1 Basic Life Support 40 minutes 1 Prof. Dr

Mobeen

2 Airway Management 40 minutes 1 Prof. Dr

Mobeen

591

Pactical Procedures Demontrations

1. Pre-Operative assessment of the patient

2. Intravenous cannulation and Intraoperative fluid management

3. Vital signs Monitors and their application

4. Demonstration of ageneral Anaesthesia

5. Demonstration of neuroaxial Blocks

6. Demonstration of Regional Blocks

7. Demonstration of Cardiopulmonary Resuscitation

8. Demonstration of Anaesthesia Machine and Other Instruments

9. Introduction to Intensive Care Unit

Operation Theatre Rotation for Practicals

Operation theatre rotation for practicals will be conducted on daily basis for 5th year

MBBS 2018-2019

592

RADIOLOGY LECTURES (FINAL YEAR MBBS)

Objectives

The students will be able to

Select/advice the required radiology examination

correctly

Indentify gross abnormalities in the films

List indication and advantages of modern techniques

Recognize major abdominal viscera and their imaging

Characters

593

RADIOLOGY LECTURES (FINAL YEAR MBBS)

Lecture No1:- Imaging Mogalities Used in the Radiology Department their brief

description, how image is formed. Clinical Indication and advantages.

Lecture No 2:-

Chest:- Normal Anatomy and projections.

Lecture No 3:-

Chest Diseases:- (Radiological Features)

Pneumonia

Effusion

Cardiomegaly

Pulmonary Oedema

Fractures

Lecture No 4:-

Skull:- Normal Anatomy and Projections.

Lecture No 5:-

Skull Diseases:- (Radiological Features)

Calcifications

Pituitary Fossa

Lytic and Sclerotic Lession.

Lecture No 6:-

Abdomen:- Normal Anatomy and Projection.

Renal and urinary tract Stones, gall Stones.

Free gass Under Diaphragm.

Enlarged liver & spleen.

Lectures No 7:-

Skeletal Trauma, Peripheral and axial, various types (Radiogical

Features)

Lecture No 8:-

Spine:-

Normal Anatomy and Projections.

Disc Space Reduction

Vertebral Collapse.

Lecture No 9:-

594

Barium Meal With Double Contrast:-, (Where applicable)

Normal Anatomy and the Various Procedures.

Lecture No 10:-

Varuious G I T PROBLEMS- (Radiological Features)

Gastric Outlet Obstruction.

Stomach Mass/Filling Defect.

Oesophageal Outline/Varices/Strictures.

Intusssusception

Ulcerative Colitis

Lecture No 11:-

Intravenous Urogram:- Preparation, indication, contra indication and how

to perform the procedure.

Hydronephrosis

Renal Mases.

Lecture No 12:-

Micturating Cystourethrogram:-Prepration, indication and how to

perform the procedure.

To assess the anatomy of urethra and its abnormalities

To assess the vesico ureteric refux

Lecture No 13:-

Liver and gall Bladder Diseases. Imaging Modalities Used For their Diagnosis.

Lecture No14:-

C.T Scanning:-

Be Able TO interpt the Report.

Lecture No 15:-

MRI

Basic Principles.

595

PLANNER OF TEACHING

IN SURGERY & ALLIED

FOR

MBBS (2018-2019)

596


TIME TABLE – 3RD YEAR MBBS 2018 - 2019

Day 08:00 A.M. to

08:45 A.M.

08:45 A.M. to

09:30 A.M.

09:30 A.M.

to

10:15 A.M.

10:15 A.M.

to

10:35 A.M.

10:35 A.M. to

11:20 A.M.

11:20 A.M.

to

01:20 P.M.

Monday Behavioral

Sciences

Pathology Pharmacology

BR

EA

K

Eye Clinical Ward Practical

Batch

Batch

Batch

Batch

Tuesday Forensic

Medicine

Pharmacology Pathology Gynecology/

Paeds

Clinical Ward Practical

Batch

Batch

Batch

Batch

Wednesday Behavioral

Sciences

Pharmacology Pathology Medicine Clinical Ward Practical

Batch

Batch

Batch

BatchThursday Pathology Pharmacology Forensic

Medicine

Surgery Clinical Ward Practical

Batch

Batch

Batch

BatchFriday Forensic

Medicine

Pathology E.N.T. 11:20 to 01:00

Grand Tutorial

Weekly rotation of class in Patho/Pharma/Foren

597

PLANNER

Teaching Schedule of Surgery & Allied For

3rd year Professional MBBS-2018 - 2019

AIMCS All above classes will be conducted in Lecture Theatre # 3.

PRINCIPAL

DATE TOPIC TEACHER

Thursday 15-11-2018

Time 10:35 am

Wounds, Definitions, Types Prof.Sardar Sohail Ali Khan

Thursday 23-11-2018

Time 10:35 am

Stages of wound healing . Prof Sardar Sohail Ali Khan

Thursday 29-11-2018

Time 10:35 am

Management of wounds

according to types of wounds

Prof. Sardar Sohail Ali Khan

Thursday 6-12-2018

Time 10:35 am

Factors affecting wound healing

& complications of wounds


Thursday 13-12-2018

Time 10:35 am

Surgical Site Infection, Definition,

Pathophysiology


Thursday 20-12-2018

Time10:35 am

SSIs, SIRS, Multiorgan dysfunction

Multi organ Failure, Sepsis


25 – 12 – 2018 To

01 – 01 - 2019

Winter Vacation

Thursday 3- 01-2019

Time 10:35 am

Specific Infections, Clostridial

Infections, Gas Gangrene, Tetanus

C/F & Management


Thursday 10-01-2019

10:35 am

Surgical Prophylaxis


Thursday 17-01-2019

Time10:35

Surgical Nutrition, Definition,

Malnutrition

Prof. Hassan ASkari

Thursday 24-01-2019

Time 10:35

Surgical Nutrition - Assessment Prof. Hassan Askri

Thursday 31-01-2019

Time 10:35am

Parenteral Nutrition, Indications &

Complications

Prof. Hassan Askri

Thursday 07-02-2019

Time10:35

Enteral Nutrition, Indications &

Complications

Prof. Hassan Askri

Thu 14-02 -2019 First Term Examination

598

Thursday 21-02-2019

Time10:35

Introduction to trauma

Dr. M. Tariq Saeed

Thursday 28-02-2019

10:35 am

Principles of ATLS Protocol Dr. M. Tariq Saeed

Thursday 07-03-2019

10:35am

Trauma Management, Primary

survey and secondary survey

Dr. M. Tariq Saeedss

Thursday 14-3-2019

10:35AM To 11:20

Surgical Site Infection,

Pathophysiology, Fators affecting

SSIs

Thursday 21-3-2019

10:35am To 11:20

SIRs, Multiorgan failure & Sepsis Prof. Sardar Sohail Ali Khan

Thursday 28-3-2019

10:35AM To 11:20

Specific Infections, Clostridial

infections. Gas gangrene, Tetanus


Thursday 04-4-2019

10:35 am

Tuberculosis & its management


Thursday 11-04-2019

Time 10:35 am

Viral infection

Hepatitis B, C and HIV(AID)


Thursday 18-4-2019

Time 10:35 am

Principles & Prophylaxis & role of

antibiotics in SSIs


Thursday 25-4-2019

Time 10:35 am

Cyst, Definition, Classification, C/F

Treatment

Dr. M. Tariq Saeed

Thursday 02-05-2019

10:35 am To 11:20 am

Ulcer, Definitionm Types, C/F.

Treatment

Dr. M. Tariq Saeed

Thursday 09-05-2019

10:35 am To 11:20 am

Sinus, Fistula, C/Fs, Treatment Dr. M. Tariq Saeed

15-05-2019 SUMMER VACATION Up to 13-6-2019

Thursday 23-05-2019

Time 10:35 am

Shock, Definition, Classifications Prof. Sardar Sohail Ali Khan

Thursday 30-05-2019

Time 10:35 am

Management Of Shock Prof Sardar Sohail Ali Khan

Thursday 06-06-2019

Time 10:35 am

Haemorrhage, Types

Complications, Management


Thursday 13-06-2019

Time 10:35 am

Blood Transfusion, Indications,

Complications


Thursday 20-06-2019

Time 10:35 am

Fluids & Electrolytes balance Prof. Qarib Abbas

Thursday 27-06-2019

Time 10:35 am

Fluid & Electrolytes Abnormalities

& MAnagement

Prof. Qarib Abbas

Thursday 04-07-2019

Time 10:35 am

Burn, Pathophysiology,

Classification

Dr. M. Tariq Saeed

Thursday 11-07-2019

Time 10:35 am

Burns CFs, Assessment &

Management

Dr. M. Tariq Saeed

599

Thursday 18-07-2019

Time 10:35 am

SECOND TERM EXAMINATION MCQs = 50

SAQs = 10

Thursday 25-07-2019 Surgical Oncology

Def.,Classification, CFs,

Prof. Qarib Abbas

Thursday 01-08-2019

Time 10:35 am

Grading & Staging of Malignant

Neoplasms

Prof. Qarib Abbas

Thursday 08-8-2019

Time: 10:35 am

Surgical Oncology, Definitions &

Classification

Prof. Hassan Askri

Thursday 15-8-2019

Time: 10:35 am

Characteristics of Benign &

Malignant tumors & their spread

Prof. Hassan Askri

Thursday 22-8-2019

Time: 10:35 am

Grading & Staging of Malignant

tumors

Prof. Hassan Askri

Thursday 29-8-2019

Time: 10:35 am

Principles of Sterilization Prof. Qarib Abbas

Thursday 5-9-2019

Time: 10:35 am

Principles of Radiotherapy Prof. Qarib Abbas

Thursday 12-9-2019

Time: 10:35 am

Principles of Chemotherapy Prof. Qarib Abbas

Thursday 19-9-2019

Time: 10:35 am

SEND UP EXAMINATION MCQs = 50

SAQs = 10


H.O.D.Surgery

AIMC

601


TIME TABLE – 4TH YEAR MBBS Class 2018-2019

DAYS 8:00

8:45AM

8:45

09:30AM

09:30

10:15AM

10:15

11:00AM

11:00

11:20AM

11:20AM

1:30PM

MONDAY Community

Medicine

Lecture

Surgery

Batch-A: Pathology Practical

Batch-B: Community

Medicine

Bre

ak

CLI

NIC

ALR

OT

AIO

N Tuesday Lecture

Surgery

Lecture

Pathology

Batch-A: C. medicine Practical

Batch-B: Pathology Practical

Wednesday Lecture

Medicine

Lecture

Pathology Batch-A: Tutorial Path/C.Med

Batch-B: Tutorial C.Med/Path

THURSDAY Lecture

GYNAE/OBS

Lecture

PATHOLOGY Lecture

EYE

Lecture

MEDICINE

Friday Lecture

Pathology

Lecture

medicine

Lecture

COM.

MEDICINE

Lecture

EYE

Principal


602

PLANNER


4th year Professional MBBS-2018 - 2019

AIMCS

DATE TOPIC TEACHER

Monday 17-12-2018

Time 08:45 am

Acute Appendecitis, Surgical

Anatomy, Pathophysiology

Dr. M. Tariq Saeed

Tuesday 18-12-2018

Time 08:00 am

Acute Appendecitis. CFs &

Management

Dr. M. Tariq Saeed

Monday 24-12-2018

Time 08:45 am

Appendicular Mass, Appendicular

Abscess & Management

Dr. Tariq Saeed

25-12-2018 to

01-01-2019

Winter Vacation

Tuesday 01-01-2019

Time 08:00 am

Appendicectomy – Steps of

operation & Complications

Dr. M. Tariq Saeed

Monday 07-01-2019

Time 08:45 am

The Neck, Surgical Anatomy,

Congenital Anamolies in Neck


Tuesday 08-01-2019

Time08:00 am

Cystic Hygroma, Cervical Rib &

other Neck Swellings


Monday 14- 01-2019

Time 10:35 am

Cervical Lymphadenopathies,

Tuberculous Cevical

Lymphadenopathy


Tuesday 15-01-2019

10:35 am

Neck Dissection for Malignant

Lymph nodes


Monday 21-01-2019

Time08:45 am

Head Injury, Mechanism of injury,

CFs, Glasgow coma Score

Prof. Hassan ASkari

Tuesday 22-01-2019

Time 10:35

Management of Head Injury Prof. Hassan Askri

Monday 28-01-2019

Time 08:45am

The Breast, Surgical Anatomy,

Breast Abscess & Management

Prof. Hassan Askri

Tuesday 29-01-2019

Time08:00 am

Benign Breast Diseases- ANDI, CFs,

Management

Prof. Hassan Askri

603

Monday 04-02-2019

Time08:45 am

Carcinoma Breast, Management

Prof Hassan Askri

Tuesday 05-02-2019

Time 08:00 am

The Thyroid: Surgical Anatomy,

Physiology & Investigations


Monday 11-02-2019

Time 08:45 am

Hypothyroidism & its

Management


Tuesday 12-02-2019

08:00 am

Thyrotoxicosis- CFs, Investigations Prof. Sardar Sohail Ali Khan

Monday 18-2-2019

Time: 8:45am

Thyroglossal cyst and its

management, Ectopic thyroid


Tuesday 19-2-2019

Time: 8:00 am

Neoplasm of thyroid & their

management


Monday 25-2-2019

Time: 8:45 am

Neoplasm of thyroid and its

management


Tuesday 26-2-2019

Time: 8:00 am

The Parathyroid gland – Surgical

Anatomy & Physiology


Monday 4-3-2019

Time 8:45 am

Hypoparathyroidism – etiology –

C/Fs & Management


Tuesday 5-3-2019

Time: 8:00 am

Hyperparathyroidism – etiology –

C/Fs, investigations & managemen


Monday 11-03-2019

Time: 8:45 am

Cleft Lip and palate Development Dr. M. Tariq Saeed

Tuesday 12-3-2019

Time: 8:00 am

Cleft Lip & Palate Development Dr. M. Tariq Saeed

Mon. 18-3-2019 First Term Test

Tuesday 19-3-2019

Time: 8:00 am

Oropharyngeal Cancer &

Management

Dr. Tariq Saeed

Moday 25-3-2019

Time: 8:45 am

Oropharyngeal Cancer &

Mnagement

Dr. Tariq Saeed

Tuesday 26-3-2019

Time: 8:00 am

Oropharyngeal Cancer – Ca.

Tongue & management

Dr. Tariq Saeed

SPRING Vacations

Monday 8-4-2019

Time: 8:45 am

Esophagus – Surgical Anatomy &

Physiology

Prof. Hassan Askri

Tuesday 9-4-2019

Time: 8:45 am

The Esophagus – Congenital

anamolies 7 management

Prof. Hassan Askri

Monday 15-4-2019

Time: 8:45 am

Esophagus – Trauma,

management & Esophagitis

Prof. Hassan Askri

Tuesday 16-4-2019

Time: 8:00 am

The Esophagus – GORD &

Management

Prof. Hassan Askri

604

Monday 22-4-2019

Time: 8:45 am

Esophagus – Hiatus hernia, C/Fs,

Management

Dr. M. Tariq Saeed

Thursday 23-4-2019

Time: 8:00 am

Esophagus motility disorder C/Fs

& management

Prof. Hassan Askri

Monday 29-4-2019

Time: 8:45 am

Carcinoma Esophagus, etiology,

C/Fs, Investigations

Prof. Hassan Askri

Tuesday 30-4-2019

Time: 8:45 am

Carcinoma Esophagus, Staging &

management

Prof. Hassan Askri

Monday 6-5-2019

Time: 8:45 am

Burns Classification,

Pathophysiology & Assessment

Dr. Tariq Saeed

Tuesday 7-5-2019

Time: 8:00 am

Burns, assessment & Manadement Dr. Tariq Saeed

Monday 13-5-2019

Time: 8:45 am

Principles of Radiotherapy Dr. Tariq Saeed

15-5-2019 SUMMER VACATION Upto 13-6-2019

Monday 17-6-2019

Time: 8:45 am

DVT, investigations and management.

Pulmonary embolism, CF, management

Prof. Hassan Askri

Tuesday 18-6-2019

Time: 8:00 am

The Abdominal wall – surgical Anatomy Prof. Sikandar Gondal

Monday 24-6-2019

Time:8:45 am

Inguinal Hernia, CF, Management Prof. Sikandar Gondal

Tuesday25-6-2019

Time: 8:00 am

Umblical and Para umbilical hernia, CFs, &

Management

Prof. Sikandar Gondal

Monday 1 -7-2019

Time:8: 00 am

Incisional Hernia, CFs, complications and

Management

Prof Sikandar Gondal

T uesday 2-7-2019

Time:8:00 am

The Stomach- Surgical anatomy Prof. Qarib Abbas

Monday 8-7-2019

Time:8:00 am

The Peptic Ulcer, CFs, investigations Prof. Qarib Abbas

Tuesday 9-7-2019

Time: 8;00 am

Complications of Peptic ulcer, CFs &

management

Prof. Qarib Abbas

Monday 15-7-2019

Time: 8:45 am

Carcinoma Stomach – etiology, CFs, Staging Prof. Qarib Abbas

Tuesday 16-7-2019

Time: 8;00 am

Carcinoma Stomach - investigations Prof. Qarib Abbas

Monday 22 -7-2019

Time: 8:45 am

The Neck –Surgical anatomy & Congenital

anamolies

Prof. Qarib Abbas

Tuesday 23-7-2019

Time :8:00 am

The Neck – Cystic Hygroma, CFs, &

Management

Prof. Qarib Abbas

Monday 29-7-2019

Time:8;45 am

Lateral Neck swelling & Cervical

Lymphadenitis

Prof . Qarib Abbas

Tuesday 30-7-2019

Time:8;00 am

Cervical Lymphadenitis – investigations &

Management

Prof. Qarib Abbas

Monday 5-8-2019 Metastetic lesion in the neck - investigations Prof. Qarib Abbas

605

Time:8:45 am And management

Tuesday 6-8-2019

Time ;8;00 am

Parotid swellings CFs, investigations &

management

Prof. Qarib Abbas

Monday 12-8-2019

Time:8:45 am

Neck Dissection Prof. Qarib Abbas

Tuesday 13-8-2019

Time:8:00 am

Advance Trauma life Support Dr. Tariq Saeed

Monday 19-8-2019

Time;8:00 am

Head Injury- Pathophysiology GCS, CFs. Dr. Tariq Saeed

Tuesday 20-8-2019

Time:8:00 am

Management of Head Injury Dr. Tariq Saeed


HOD. Department of Surgery

AIMCE

606


TIME TABLE – FINAL YEAR MBBS CLASS – 2018-2019

Day 08:00 A.M. to

08:45 A.M.

08:45 A.M. to

09:30 A.M.

09:30 A.M. to

10:15 A.M.

10:15 A.M. to

11:00 A.M.

11:00 A.M.

to

11:20 A.M.

11:20 A.M. to

01:30 P.M.

01:30 P.M. to

03:00 P.M.

Monday Surgery/Allied Peadiatrics Obs & Gynae Medicine

Clinical Class

Batches

SGD/PBL/DSL

BATCHES

Tuesday Medicine

(Psychiatry) Medicine Surgery/Allied Obs & Gynae

Clinical Class

Batches

SGD/PBL/DSL CLASS

BATCHES

Wednesday Medicine/Allied Surgery /Allied Obs & Gynae Medicine

Clinical Class

Batches

SGD/PBL/DSL CLASS

BATCHES

Thursday Surgery/Allied Medicine Paeditrics Obs & Gynae

Clinical Class

Batches

SGD/PBL/DSL CLASS

BATCHES

Friday Medicine

(Dermatology) Peadiatrics

Obste &

Gynae SurgeryAllied

Clinical Class

Batches

01:30-2:00PM

JUMA PRAYER/ DSL

CLASS BATCHES

PRINCIPAL


607

PLANNER


Final Professional MBBS-2018 - 2019

AIMCS

DATE TOPIC TEACHER

Friday 14-12-2018

Time 10:15 am

The Liver – Surgical Anatomy &

Physiology

Prof.Sardar Sohail Ali Khan

Monday 17-12-2018

Time 08:00 am

Introduction to the Principles of

Anaesthesia & Analgesia

Brig. Mobeen

Thuesday 18-12-2018

Time 09:30 am

Liver infections, Pyogenic Liver

abscess


Wednesday19-12-2018

Time 08:45 am

Liver infections, Amoebic liver

abscess, Pathology


Thursday 20-12-2018

Time 08:00 am

Amoebic liver abscess, CFs &

Management


Friday 21-12-2018

Time10:15 am

Hydatid Cyst, Pathology, CFs

&Management


Monday 24-12-2018

Time: 08:00 am

Introduction to the Principles of l

Anaesthesia & Analgesia

Brig. Mobeen

25 – 12 – 2018 To

01 – 01 - 2019

Winter Vacation

Wednesday 2- 01-2019

Time 08:45 am

Liver Trauma, Classification, CFs &

Management


Thursday 3-01-2019

Time 08:00 am

Portal Hypertension, Pathology


Friday 0 4-01-2019

Time10:15 am

Liver Tumour, Hepatocellular

Carcinoma

Prof. Sardarb Sohail Ali Khan

Monday 07-01-2019

Time 08:00 am

Management of Metastatic liver

tumours


Tuesday 08-01-2019

Time 09:30am

The Colon, Surgical Anatomy -

Investigations

Prof. Hassan Askri

608

Wednesday 09-01-2019

Time08:45 am

Aquired Mega Colon Prof. Hassan Askri

Thursday 10-01-2019

Time08:00 am

Ulcerative Colitis, Pathology, CFs,

Investigations & Management

Prof. Hassan Askri

Friday 11 -01-2019

Time: 10:15 am

Ulcerative Colitis, Investigations,

Complications & Management

Prof. Hassan Askri

Monday 14-01-2019

Time: 08:00am

Crohn’s Disease, Pathology, CFs, &

Investigations

Prof. Hassan Askri

Tuesday 15-01-2019

Time09:30 am

Crohn’s Disease & Management Prof. Hassan Askri

Wednesday 16-01-2019

08:45 am

Carcinoma Of Colon, Pathology CFs

& Investigations.

Prof. Hassan Askri

Thursday 17-01-2019

08:00 am

Liver Trauma Prof. Sardar Sohail Ali Khan

Friday 18-01-2019

10:15 am

Portal Hypertension. Prof. Sardar Sohail Ali Khan

Monday. 21-01-2019

Time 8:00 am

Principles of management of liver

trauma


Tuesday. 22-1-2019

Time:9:30 am

Principle of liver trauma

management


Wednesday 23-1-2019

Time 8:45 am

Portal hypertension &

Management


Thursday 24-1- 2019

Time 8:00 am

Liver tumour, Metastatic liver

tumour


Friday. 25-1-2019

Time:10:15 am

Liver tumour, Metastatic liver

tumour & management


Monday. 28-1-2019

Time: 8:00 am

Carcinoma of colon, Pathology Prof. Hassan Askri

Tuesday 29-1-2019

Time:9:30 am

Carcinoma colon, C/Fs,

Investigations

Prof. Hassan Askri

Wednesday 30-1-2019

Time 8:45 am

Carcinoma Colon and its

management - curative

Prof. Hassan Askri

Thursday 31-1-2019

Time 8:00 am

Pre-operative preparation Dr. Mobeen

Friday 1-2-2019

Time 10:15 am

Management of carcinoma colon-

paliative

Prof. Hassan Askri

Monday 4-2-2019

Time 8:00am

Principles of Radiology Prof. Mehfooz

Tuesday 5-2-2019

Time 9:30 am

X- Rays Physical principles involved. Prof. Mehfooz

Wednesday 6-2-2019 Regional X- rays. Views and Prof. Mehfooz

609

Time:8:45am Radiological signs

Thursday 7-2-2019

Time 8:00 am

Interpretation of Plain X - rays Prof. Mehfooz

Friday 8-2-2019

Time 10:15 am

Plain X – rays Significance Prof. Mehfooz

Monday 11-2-2019

Time: 8:00 am

The Gall bladder, Surgical Anatomy,

Gall stone disease


Tuesday 12-2-2019

Time 9:30 am

Acute Cholecystitis &

Managememnt


Wednesday 13-2-2019

Time:8:45 am

Chronic Cholecystitis &

management


Thursday 14-2-2019

Time:8:00

General Anaesthesia Steps &

Monitoring

Dr. Mobeen

Friday 15-2-2019

Time: 10:15 am

Obstructive Jaundice, Pathology,

C/Fs, Investigations


Monday. 18-2-2019

Time: 8:00 am

Mangement of Obstructive jaundice Prof. Sardar Sohail Ali Khan

Tuesday 19-2-2019

Time: 9:30 am

Minimal Access Surgery

(Laparoscopic Surgery)


Wednesday 20-2-2019

Time: 8:45 am

Steps of Cholecystectomy (Open) Prof. Sardar Sohail Ali Khan

Thursday 21-2-2019

Time: 8:00 am

Common bile duck stone & Acute

Cholangitis & management

Prof Sardar Sohail Ali Khan

Friday 22-2-2019

Time: 10:15 am

Chlangiocarcinoma & Management Prof. Sardar Sohail Ali Khan

Monday 25-2-2019

Time: 8:00 am

Arterial Diseases, Acute Limb

Ischemia, Gangrene

Prof. Hassan Askri

Tuesday 26-2-2019

Time: 9:30 am

Gangrene Management &

Amputations

Prof. Hassan Askri

Wednesday 27-2-2019

Time: 8:45 am

Chronic Limb Ischemia, CFs ,

Management

Prof. Hassan Askri

Thursday 28-2-2019

Time: 8:00 am

General Anaesthesia, Pharmocology Dr. Mobeen

Friday 29-2-2019

Time: 10:15 am

Venous Disorders, DVT, CFs, Prof. Hassan Askri

Monday 4-3-2019

Time: 8:00 am

Venous Disorders, investigations &

Management

Prof. Hassan Askri

Tuesday 5-3-2019

Time: 9:30 am

Varicose veins, CFs, Investigations &

Management

Prof. Hassan Askri

Wednesday 6-3-2019

Time: 8:45 am

Lymphatic Disorders, Investigations,

& management

Prof. Hassan Askri

Thursday 7-3-2019

Time: 8:00 am

Lymphoedema & Management Prof. Hassan Askri

610

Friday 8-3-2019

Time: 10:15 am

Introduction to Trauma, ATLS -

Protocol

Dr Tariq Saeedi

Monday 11-3-2019

Time: 8:00 am

ATLS – Protocol, Primary Survey &

Secondary Survey

Dr. Tariq Saeed

Tuesday 12-3-2019

Time:9:30 am

ATLS – Thoracic S Trauma Dr. Tariq Saeed

Wednesday 13-3-2019

Time: 8:45 am

Thorcic Trauma Dr. Tariq Saeed

Thursday 14-3-2019

Time: 8:00 am

Local Anaesthesia, Pharmacology &

Technique

Dr. Mobeen

Friday 15-3-2019

Time: 10:15 am

Discussion on SAQs Dr. Tariq Saeed

Monday 18-3-2019

Time: 8:00 am

Surgical Anatomy of the Rectum,

CFs. of rectal diseases&

investigations


Tuesday 19-3-2019

Time: 9:30 am

Rectal injuries & F.Bodies Prof. Sikandar Gondal

Wednesday 20-3-2019

Time: 8:45am

Rectal Prolaps & Management Prof. Sikandar Gondal

Thursday 21-3-2019

Time: 8:00 am

Solitary rectal ulcer, Benign &

Malignant tumours


Friday 22-3-2019

Time: 10:15 am

Management of Rectal Cancer Prof. Sikandar Gondal

Monday 25-3-2019

Time: 8:00 am

Intestinal Obstruction,

Classification, C/Fs


Tuesday 26-3-2019

Time: 9:30 am

Intestinal Obstruction in Children

CFs and Management


Wednesday 27-3-2019

Time: 8:45 am

Acute Intestinal Obstruction ,

Investigations and Management

Prof Sardar Sohail Ali Khan

Thursday 28-3-2019

Time: 8:00 am

Intravenous Regional Anaesthesia Dr. Mobeen

Friday 29-3-2019

Time:10:15 am

Intestinal Ischemia, Infarction,CFs



Spring vacations 1-4-2019 to 8-4-2019 Tuesday9-4-2019

Time: 8:00 am

Large bowel Obstruction, CFs,

Investigations and Management


Wednesday 10-4-2019

Time: 8:45 am

Ultrasound- Physical Principles &

Scope of ultrasound

Prof. Mehfooz – U – Rehman

Thursday 11-4-2019

Time: 8:00 am

Neuro – Axial Anaesthesia Dr. Mobeen

Friday 12-4-2019

Time: 10:15 am

Different Techniques of using

ultrasound & Doppler

Prof. Mehfooz –U – Rehman

Monday 15-4-2019 Focus Assessment by sonogram in Prof. Mehfooz – U – Rehman

611

Time: 8:00 am Trauma (FAST)

Tuesday 16-4- 19

Time: 9:30 am

First Term Examination

Paper I

MCQs = 50

SAQs = 10 Wednesday 17-4-2-19

Time: 8:45am

Infections of Kidney, CFs,

Investigations

Dr. Tariq Saeed

Thursday 18-4-19

Time: 8:00 am

First Term Examination MCQs = 60

SAQs = 13 Friday 19-4-2019

Time: 10:15 am

Renal Calculus disease Dr. Tariq Saeed

Monday 22-4-2019

Time: 8:00 am

Renal Calculus disease,


Dr. Tariq Saeed

Tuesday 23-4-2019

Time: 9:30 am

Renal Calculus disease,

investigations and management

Dr. Tariq Saeed

Wednesday 24-4-2019

Time: 8:45 am

Renal Neoplasms ,investigations Dr. Tariq Saeed

Thursday 25-4-2019

Time: 8:00 am

Pain management services Dr. Mobeen

Friday 26-4-2019

Time: 10:15 am

Renal Neoplasm & Mangement Dr. Tariq Saeed

Mon day 29-4-2019

Time: 8:00 am

Principles Of Orthopedics Dr. Khalid

Tuesday 30-4-2019

Time: 9:30 am

Congenital diseases of bones &

joints

Dr. Khalid

Wednesday 1-5-2019

Time: 8:45 am

Telepes Equino Varus – Congenital

dislocation of hip

Dr. Khalid

Thursday 2-5-2019

Time: 8:00 am

Metabolic bone disease Dr. Khalid

Friday 3-5-2019

Time: 10:15 am

Metabolic bone diseases – Rickets &

Osteomalasia

Dr. Khalid

Monday 6-5-2019

Time: 8:00 am

The Urinary bladder Surgical

Anatomy, Ectopia Vesice

Dr. Tariq Saeed

Tuesday 7-5-2019

Time: 9:30 am

The Urinary bladder infections Dr. Tariq Saeed

Wednesday 8-5-2019

Time: 8:45 am

The Urinary bladder stones &

management

Dr. Tariq Saeed

Thursday 9-5-2019

Time: 8:00 am

Cardiopulmonary resuscitation,

Indication & Technique

Dr. Mobeen

Friday 10-5-2019

Time: 10:15am

The Urinary bladder neoplasm &

management

Dr. Tariq Saeed

Monday 13-5-2019

Time: 8:00 am

Principles of CT Scan & indications Prof. Mehfooz –U- Rehman

Tuesday 14-5-2019 Three dimentional and multiplanner Prof. Mehfooz –U - Rehman

612

Time: 9:30 am CT scan

15-5-2019 – 13-6-2019 SUMMER VACATION EXTRA - CLASSES

Wednesday 15-5-2019

Time: 8:45 am

CT Scan , indications, Uses and

disadvantages

Prof. Mehfooz – U – Rehman

Thursday 16-5-2019

Time:8:00 am

Cardiopulmonary Resuscitation,

indications & Technique

Dr. Mobeen

Friday 17-5-2019

Time: 10:15 am

Principles Of MRI & Indications Prof. Mehfooz –U – Rehman

Monday 20-5-2019

Time: 8: 00 am

MRI Scanning Uses and

Disadvantages

Prof. Mafooz – U - Rehman

Tuesday 21-5-2019

Time: 9:30 am

Nuclear – Isotope scanning,

Principles, Indications, uses &

Disadvantages

Prof. Mahfooz – U – Rehman

Wednesday 22-5 -2019

Time: 8:45am

Rheumatic disorders, Pathology, CFs

investigations & treatment

Dr.Noman

Thurday 23 -5-2019

Time: 8:00 am

Airway management Dr. Mobeen

Friday 24-5-2019

Time:10:15am

Tuberculosis of bone and spine Dr. Noman

Monday27-5-2019

Time:8:00 ams

Surgical anatomy of anus and anal

canal &Congenital anamolies


Tuesday 28-5-2019

Time:9:30am

Pilonidal sinus, Anal Fissure, CFs,

treatment

Prof. SIkandar Gondal

Wednesday 29-5-2019

Time:8:45am

Haemorrhoids & its management Prof. SIkandar Gondal

Thursday 30-5-2019

Time:8:00am

Airway management Dr. Mobeen

Friday 31-5-2019

Time:10:15am

Fistula in Ano and its management Prof. SIkandar Gondal

Monday 3-6-2019

Time: 8:00am

Anorectal Abscess & its

management

Prof. SIkandar Gondal

Tuesday 4-6-2019

Time: 9:30am

Ischiorectal Abscess & its

management


Wednesday 5-6-2019

Time:8:45am

Neop;asm of anal canal Prof. Sikandar Gondal

Thursday 6-6-2019

Time: 8:00 am

Setting up of an ICU Dr. Mobeen

Friday 7-6-2019 Time:

10:15 am

Carcinoma anal canal & its

management


Monday 10-6-2019

Time: 8:00am

Prostate – Surgical anatomy Dr. Tariq Saeed

Tuesday 11-6-2019

Time: 9:30 am

Prostatitis Dr. Tariq Saeed

613

Wednesday 12-6-2019

Time: 8:45am

Benign Enlargement of Prostate Dr. Tariq Saeed

Thursday13-6-2019

Time: 8:00 am

BLS – Work Shop – Venue Skill Lab. Dr. Mobeen

Friday 14-6-2019

Time:10:15am

Carcinoma Prostate & its

management

Dr. Tariq Saeed

Monday 17-6-2019

Time:8:00 am

Infections of bones and joints, CFs,

investigations & management

Dr. Noman

Tuesday 18-6-2019

Time: 9:30 am

Chronic Osteomyelitis Dr. Noman

Wednesday 19-6-2019

Time: 8:45 am

Tuberculosis of bones & joints – CFs

– investigations & management

Dr. Noman

Thursday 20-6 - 2019

Time:8:00am

Principles of Sterilization & Setting

up of CSSD

Dr. Mobeen

Friday 21-6-2019

Time: 10:15 am

Introduction to trauma in

orthopedic

Dr. Noman

Monday 24 -6 – 2019

Time: 8:00 am

Trauma in Orthopedics Definitions,

Classifications, C/F of Fractures

Dr. Noman

Tuesday 25 – 6 – 2019

Time: 9:30 am

Investigations for Fractures

Radiologic interpretation&

Management

Dr. Noman

Wednesday 26-6-2019

Time: 8:45 am

Fractures of Long bones, C/F,

Investigations

Dr. Noman

Thursday 27-6-2019

Time: 8:00 am

Airway work shop – Venue Skill Lab. Dr. Mobeen

Friday: 28-6-2019

Time: 10:15 am

Fracture of Pelvis, C/F,


Dr. Noman

Monday 1-7-2019

Time: 8:00 am

Second Term Examination

Paper – I

MCQs = 50

SAQs = 10 Tuesday 2-7-2019

Time: 9:30 am

Urethral Injury, Stricture Urethra &

Management

Dr. Tariq Saeed

Wed. 3-7- 2019

Time: 8:45 am

Second Term Examination

Paper – II

MCQs = 60

SAQs = 13 Thursday 4-7-2019

Time: 8:00 am

The Testis: Surgical Anatomy, Un

descendent Testis

Dr. Tariq Saeed

Friday 5-7-2019

Time: 10:15 am

Un Descendent Testis & its

Management

Dr. Tariq Saeed

Monday 8-7-2019

Time: 8:00 am

Principles Of Orthopedics Dr. Usman

Tuesday 9-7-2019

Time: 9:30 am


joints

Dr. Usman

Wednesday 10-7-2019 Telepes Equino Varus – Congenital Dr. Usman

614

Time: 8;45 am dislocation of hip

Thursday 11-7-2019

Time: 8:00 am

Metabolic bone disease – Rickets &

Osteomalasia

Dr. Usman

Friday 12-7-2019

Time: 10:15 am

Metabolic bone diseases – Rickets &

Osteomalasia & Management

Dr.Usman

Monday 15-7-2019

Time: 8: 00 am

Varicocele, Hydrocele C/F, &

Management

Dr. Tariq Saeed

Tuesday 16-7-2019

Time: 9:30 am

Malignant Tumour Of Testis Dr. Tariq Saeed

Wednesday 17-7-2019

Time: 8:45 am

Malignant Tumour Of Testis &

Management

Dr. Tariq Saeed

Thursday 18-7-2019

Time: 8:00 am

Trauma to Spine - Surgical Anatomy

of spine Mechanism of injury

Dr. Noman

Fri day 19- 7 -2019

Time: 10:15 am

Spine Injury – Investigations &

Management

Dr. Noman

Monday 22-7-2019

Time: 8:00 am

Neurovascular Trauma -

Mechanism , Investigations

Dr. Noman

Tuesday 23-7-2019

Time: 9:30 am

Neurovascular Trauma -

Management

Dr. Noman

Wednesday 24-7-2019

Time: 8:45 am

Joint Trauma – Mechanism,

Investigations

Dr. Noman

Thursday 25-7-2019

Time: 8:00 am

Joint Trauma – Management Dr. Noman

Friday 26-7-2019

Time: 10:15 am

Neoplasm of Bones & Joints ,

Classifications

Dr. Noman

Monday 29-7-2019

Time: 8:00 am

Arterial Diseases, Acute Limb

Ischemia, Gangrene

Prof. Syed Qarib Abbas

Tuesday 30-7-2019

Time: 9:30 am

Gangrene Management &

Amputations


Wednesday 31-7-2019

Time: 8:45 am

Chronic Limb Ischemia, CFs ,

Management


Thursday 1-8-2019

Time: 8:00 am

General Anaesthesia, Pharmocology Dr. Mobeen

Friday 2-8-2019

Time: 10:15 am

Venous Disorders, DVT, CFs, Prof Syed Qarib Abbas

Monday 5-8-2019

Time: 8:00 am

Venous Disorders, investigations &

Management


Tuesday 6-8-2019

Time: 9:30 am

Varicose veins, CFs, Investigations &

Management


Wednesday 7-8-2019

Time: 8;45 am

Lymphatic Disorders, Investigations,

& management


Thursday 8-8-2019

Time: 8: 00 am

Lymphoedema & Management Prof. Syed Qarib Abbas

615

Friday 9-8-2019

Time:

Chest Trauma – Tension

Pnumothorax

Dr. Tariq Saeed

Monday 12-8-2019

Time: 8:00 am

Neoplasm of Bones & Joints,


Dr. Usman

Tuesday 13-8-2019

Time: 9:30 am

Neoplasm of Muscles,

Classifications, C/F

Dr. Usman

Wednesday 14-8-2019

Time 8:45 am

Neoplasm of Muscles Investigations Dr. Uman

Thursday 15-8-2019

Time: 8:00 am

Neoplasm of Muscles -

Management

Dr. Usman

Friday 16-8-2019

Time: 10:15 am

Abdominal Trauma Mechanism of

Injury, Assessment & Resuscitation


Monday 19-8-2019

Time: 8: 00 am

Liver Trauma – Mechanism of

injury, Investigations &

Management


Tuesday 20-8-2019

Time: 9:30 am

Splenic Trauma – Mechanism of

Injury, Investigations&

Management


Wednesday 21-8-2019

Time: 8:45 am

Principles of Radiology Prof . Mehfooz – U –

Rehman

Thursday 22-8-2019

Time: 8:00 am

X Rays – Physical Principle involved

& Methods of X ray reporting

Prof. Mehfooz

Friday 23-8-2019

Time: 10:15 am

Plain & Contrast X- Rays Indications Prof. Mehfooz

Monday 26-8-2019

Time: 8: 00 am

Acute Appendicitis C/F,


Dr. Tariq Saeed

Tuesday 27-8-2019

Time: 9:30 am

Appendicular Mass & its

Management

Dr. Tariq Saeed

Wednesday 28-8-2019

Time: 8:45 am

Esophagus: Surgical Anatomy

Achalazia Cardia & Management

Prof Hassan Askri

Thursday 29-8-2019

Time: 8:00 am

Carcinoma Esophagus, Etiology, C/F,


Prof. Hassan Askri

Friday 30-8-2019 Time Neuro – axial Anaesthesia Dr. Usman

Monday 2-9-2019

Time: 8:00 am

Neck Swellings Prof. Sikandar Hayat Gondal

Tuesday 3-9-2019

Time: 9:30 am

Congenital Neck Swellings and

Cystic hygroma


Wednesday 4-9-2019

Time: 8:45 am

Cervical Lymphadenitis C/F,


Prof Sikandar Hayat Gondal

Thursday 5-9-2019

Time; 8: 00 am

Tuberculous Cervical

Lymphadenopathy


Friday 6-9-2019

Time: 10:15 am

Parotid Adenoma C/F,


Prof Sikandar Hayat Gondal

616

Monday 9-9-2019

Time: 8:00 am

Ultrasound – physical principles Prof. Mehfooz

Tuesday 10-9-2019

Time; 9:30 am

Techniques of ultrasound –

Indications of ultrasound & Doppler

ultrasound

Prof. Mehfooz

Wednesday 11-9-2019

Time: 8:45 am

Focused Assessment by sonograph

in Trauma ( FAST )

Prof. Mehfooz

Thursaday 12-9-2019

Time: 8:00 am

Principles Of CT – Scan and

Indications

Prof. Mehfooz

Friday 13-9-2019

Time: 10:15 am

3 – Dimentional and multiplanner

CT –Scan - uses & disadvantages

Prof. Mehfooz

Monday 16-9-2019

Time: 8:00 am

Acute & Chronic Cholecystitis,

Etiology, Management

Prof. Hassan Askri

Tuesday 17-9-2019

Time: 9:30 am

Acute Pancreatitis, Etiology, C/F,

Complications

Prof Hassan Askri

Wednesday 18-9-2019

Time: 8:45 am

Acute Pancreatitis & Management Prof Hassan Askri

Thursday 19-9-2019

Time: 8:00 am

I/V Regional Anaesthesia Dr. Usman

Friday 20-9-2019

Time: 10:15 am

Burns – Classification, Clinical

assessment

Dr. Tariq Saeed

Monday 23-9-2019

Time: 8:00 am

Burns – Management of Burn Injury Dr. Tariq Saeed

Tuesday 24-9-2019

Time: 9:30 am

Head Injury – Pathophysiology of

ICP, GCS

Dr. Tariq Saeed

Wednesday 25-9-2019

Time: 8:45 am

Management Of Head Injury Dr. Tariq Saeed

Thursday 26-9-2019

Time: 8: 00 am

Pre – Operative Preparation of

Surgical Patient

Dr. Usman

Friday 27-9-2019

Time: 10:15 am

ATLS – Protocol Dr. Tariq Saeed

Monday 30-9-2019

Time: 8:00 am

Principles of MRI and Indications Prof. Mehfooz

Tuesday 1-10-2019

Time: 9:00 am

MRI Scanning, uses, indication and

advantages

Prof. Mehfooz

Wednesday 2-10-2019

Time: 8:30 am

Nuclear – Isotopes Scanning,

Principles, Uses & Disadvantages

Prof. Mehfooz

Thursday 3-10-2019

Time: 8:00 am

Principles of Orthopedics –


joints

Dr. Noman

Friday 4-10-2019

Time: 10:15 am

Telepes Equino Varus & Valgus,

Congenital dislocation of Hip.

Dr. Noman

Monday 7-10-2019 Intestinal Obstruction, Etiology, Prof. Syed Qarib Abbas

617


HOD. Surgery

AIMCE

Time: 8:00 am Management

Tuesday 8-10-2019

Time: 9:30 am

Surgical Anatomy of Thyroid Prof. Syed Qarib Abbas

Wednesday 9-10-2019

Time: 8:45 am

Hyperthyroidism , C/Fs,

Investigations


Thursday 10-10-2019

Time: 8:00 am

Pain Management Dr. Usman

Friday 11-10-2019

Time: 10:15 am

Management of Hyperthyroidism Prof. Syed Qarib Abbas

Monday 14-10-2019

Time: 8:00 am

SEND UP EXAMINATION PAPER I MCQs = 50

SAQs = 10

Tuesday 15-10-2019

Wednesday 16-10-2019 SEND UP EXAMINATION PAPER II MCQs = 60

SAQs = 13

620


AIMC-MBBS,

PEDIATRICS SYLLABUS (PMDC & UHS)

&

ACADEMIC PLANNER

2017-2018

Department of Pediatrics, Amna Inayat Medical College

Focal Person: Dr. Khalid Mehmood

Author: Dr. Khalid Mehmood

Approved By: Prof. Dr. Tariq Bhatti

Faculty: Dr Tariq Bhatti HOD & Professor of Pediatrics

Dr. Iqbal Azhar Professor of Pediatrics

Dr. Khalid Mehmood Assistant Professor Pediatrics

621

CONTENTS 1. Introduction

2. Mission statement

3. Faculty and staff

4. PMDC Curriculum for pediatrics

5. UHS Curriculum for pediatrics

6. Curriculum in accordance with PMDC & UHS

7. Allocated credit hours of pediatrics

8. Number of lectures according to credit hours

9. Division of lectures into basic pediatrics and clinical pediatrics

10. Division of lectures according to organ system

11. Topics to be taught

12. Table showing term wise distribution of allocated hours

13. Table showing term wise final year schedule

14. Table showing term wise fourth year schedule

15. First term time table final year

16. Second term time table final year

17. Third term time table final year

18. First term fourth year time table

19. Second term fourth year time table

20. Third term fourth year time table

21. Assessments and evaluation

22. Recommended books

622

Introduction

The Department of pediatrics is concerned with the health of infants,

children and adolescents; their growth and development; and their

opportunity to achieve full potential as adults. Pediatrics must be

concerned not only with particular organ systems and biological

processes, but also with environmental and social influences, which

have a major impact on the physical, emotional and mental health and

social wellbeing of children and their families.

Pediatricians should also serve as advocates for all children, irrespective

of culture, religion, gender, race and ethnicity or of local, state, or

national boundaries. Children cannot advocate for themselves. More

than 4 decades ago, pediatrics emerged as a medical specialty in our

part of world in response to increasing awareness that the health

problems of children differ from those of adults and thata child

response to illness and stress varies with age.

The department is focused to uplift the overall wellbeing of children of

the community and to educate medical students in such a way that

they are well equipped to handle health problems of patients.

Prof. Dr Tariq Bhatti

Head of Department

623

Mission Statement

The department is committed for development of human

capacity through training of students, dissemination of

knowledge, expertise and developing professionalism. Itaims to

inculcate attitude of leadership, community services and ethics

among faculty members and students. Our mission has deep

roots in the faith to serve as a role model for our community to

deliver medical care judiciously, appropriately and timely

according to the available local resources. The training includes

epidemiology and knowledge of community problems.

624

Faculty and Staff

Sr.

No.

Name Qualification Role

1. Dr. tariqbhatti MBBS,MCPS,FCPS Professor / Head of

Department

2. Dr. Iqbal MBBS,FCPS Professor

3. Dr Khalid MBBS,MCPS,FCPS Assitant Professor

625

PMDC CURRICULAM OF PAEDIATRICS

PERFORMANCE OBJECTIVES:

COURSE CONTENT

List of suggested topics for teaching the undergraduates is given below, however

the individual faculties can alter/add topics as per their discretion in respective

institution:

- Common Problems of children in Pakistan and statistics of Pakistani Children.

- Clinical Methods in Paediatrics.

- Nutrition (Breast feeding, infant feeding, Weaning) and Nutritional Disorders: (PCM,

Rickets, Vitamin A Deficiency, iodine deficiency, Iron Deficiency).

- Growth and Development. 112

- Common Paediatric infections: Measles, tetanus, polio, diphtheria, whooping cough,

AIDS, Malaria, Enteric Fever, Tuberculosis, Chicken pox, Common Skin infections.

- Expanded Programme of Immunization (EPI). Newer vaccines.

- Diarrhoeal diseases.

- Acute Respiratory Infections (ARI).

- IMCI (Integrated Management of Childhood Illness).

- Neonatology: Resuscitation of new born, care of normal new-born, birth asphyxia,

premature and low birth weight babies, Neonatal Jaundice, Neonatal sepsis,

Neonatal fits, Respiratory distress of new born, Common skin conditions of

neonates;Pyloric stenosis, Myelo-meningocele, Hydrocephalus, common

congenital abnormalities and Birth trauma.

- Neurology: Meningitis, febrile, convulsions, epilepsy, Cerebral Palsy, mental handicap,

Cerebral Malaria, Encephalitis.

- Cardiology: Congenital heart diseases [VSD, PDA, TOF, ASD], Rheumatic fever.

Congestive cardiac failure, Clinical assessment of a cyanotic neonate/infant.

- Haematology: Anaemias, Thalassemia, Leukemias, Bleeding disorders.

- Nephrology: Nephrotic syndrome, Urinary tract infections, Acute Glomeulonephritis.

- Endocrinology: Hypothyroidism, short stature, Diabetes.

- Pulmonology: Croup, Asthma, Tuberculosis, Pneumonias, Pleural effusions.

- Gastroenterology: Abdominal pain, Malabsorption, Hepatitis, cirrhosis, Acute liver

failure, Diarrhoea [acut/echronic] Dysentery, Worm infestations, Giardia,

amoebiasis Rectal Polyp.

- Genetics: Patterns of inheritance, Down’s syndrome.

626

- Social Paediatrics: Right of child, child abuse, Enuresis, encoparesis, Hyperactivity,

Dyslexia, Attention Deficit disorder.

- Miscellaneous: Poisoning, prevention of home accidents, behavioural disorders.

- Paediatric Surgery: Hernia, Intussusseption, Intestinal obstruction, Tallipes, congenital

Dislocation of Hip, Vesico ureteral reflux.

A. KNOWLEDGE AND UNDERSTANDING

1. Student will be able to give description of common paediatric problems and

diseases, in children at different ages.

2. Student will show an understanding of national programmes working for

health promotion and disease prevention in children e.g. EPI, ARI etc.

3. Student will show an understanding of processes of growth and development

in childhood and will be able to describe growth parameters and

developmental milestones at different ages. 113

4. Student will demonstrate understanding of the importance of nutrition in

children and be able to describe diets suitable for different ages and in

different diseases.

5. Student will show an understanding of the interaction between heredity and

environment in the genesis of disease in children.

6. Student will be able to describe care of new-born baby, in health and when

suffering from common problems, along with importance of perinatal

factors impacting on the well being of the new-born.

7. The Student will show understanding and knowledge about common accidents

and poisoning in children and their management.

B. SKILLS:

1. Students will demonstrate his ability to obtain a relevant clinical history from a

parent or an older child.

2. Student will demonstrate his ability to perform adequate clinical examination

of a child of any age (including new-born).

3. Student will be able to interpret clinical and laboratory data arriving at a

diagnosis.

4. Student will be able to advise appropriate nutritional measures for healthy and

sick children (Breast feeding, avoidance of bottle, proper weaning).

5. Student will be able to counsel the parents on health promotive and disease

preventive strategies for the child e.g. immunisation procedures; hand

washing)

627

6. Student will be able to recognize and manage common health problems of

children.

7. Student will recognize the danger signs of disease in children and be able to

appropriately refer children with severe disease to appropriate

specialists/hospitals.

8. Student will demonstrate his ability to perform essential clinical procedures

relevant to children, e.g.

Resuscitation of new-born.

Basic cardio-pulmonary resuscitation.

Anthropometric measurements.

Measuring blood pressure.

Starting Intravenous lines/draw blood sample.

Administration of Oxygen therapy

Giving Nebulizer therapy [Bronchodilator]

Use of Growth chart.

OBSERVE THE FOLLOWING SKILLS:

Lumbar Puncture

Bone marrow aspiration 114

628

Supra pubic puncture

Subdural tap

Thoracocentesis

Pericardiocentesis

Liver Biopsy

Renal biopsy

Observe passing of catheter

Observe pericardial tap

9. The Student will show ability to provide general care of sick Paediatric patients

and be able to carry out simple diagnostic tests in the side lab.

A curriculum of Paediatrics should be designed based on common problem of

Pakistani children which a medical student should at least know.

OBJECTIVES

1. Students acquire the knowledge of health promotion, disease prevention and

management of common diseases in children (including new-borns).

2. Students become proficient in basic clinical skills of history taking, physical

examination, data interpretation and basic technical procedures as applied to

children of different ages.

3. Students develop an attitude of sympathetic care for the child patient and his

parents.

4. Students develop a desire for self-learning.

5. Students are able to visualize the impact of the disease on the community as a whole

and be able to study the genesis of epidemics and be able to plan prevention of

those.

6. The students are equipped with the knowledge and confidence to play the role of a

teacher, supervisor and organizer in a primary health care setup.

629

UHS CURRICULAM OF PAEDIATRICS


List of suggested topics for teaching the undergraduates is given below,

however the individual faculties can alter/add topics as per their

discretion in respective institution:

• Common problems of children in Pakistan and statistics of Pakistani

children

• Clinical methods in paediatrics

• Nutrition (breast feeding, infant feeding , weaning) and nutritional

disorders:(PEM, rickets, vitamin A deficiency, iodine deficiency, iron

deficiency )

• Growth and development.

• Common pediatric infections: measles, tetanus, polio, diphtheria,

whooping cough, aids

• Malaria, enteric fever, tuberculosis, chicken pox, common skin

infections

• Expanded program of immunization (EPI) .newer vaccines

• Diarrheal diseases.

• Acute respiratory infections (ARI).

• IMCI (integrated management of childhood illness).

• Neonatology: resuscitation of new born, care of normal new born,

birth asphyxia, premature and low birth weight babies, neonatal

jaundice, neonatal sepsis, neonatal fits, respiratory distress of new

born, common skin conditions of neonates; pyloric stenosis,

myelomeningocele, hydrocephalus, common congenital abnormalities

and birth trauma.

• Neurology: meningitis, febrile, convulsions, epilepsy, cerebral palsy,

mental handicap, cerebral malaria, encephalitis

• Cardiology: congenital heart diseases [VSD, PDA, TOF, ASD],

rheumatic fever. Congestive cardiac failure, clinical assessment of a

cyanotic neonate/infant.

• Haematology: anaemias, thalassemia, leukemias, bleeding disorders.

• Nephrology: nephrotic syndrome, urinary tract infections, acute

glomeulonephritis

• Endocrinology: hypothyroidism, short stature, diabetes

• Pulmonology: croup, asthma, tuberculosis, pneumonias , pleural

effusions.

• Gastroenterology: abdominal pain, malabsorption, hepatitis, cirrhosis,

acute liver failure

• Diarrhea[acut/echronic] dysentery, worm infestations, giardia,

amoebiasis, rectal polyp.

• Genetics: patterns of inheritance, Down’s syndrome,

630

• Social pediatrics: right of child, child abuse, enuresis, encoparesis,

hyperactivity

• Dyslexia, attention deficit disorder

• Miscellaneous: poisoning, prevention of home accidents, behavioral

disorders.

• Pediatric surgery: hernia, intussusceptions, intestinal obstruction,

tallipes, congenital dislocation of hip, vesico ureteral reflux.

SKILLS: 1. Students will demonstrate his ability to obtain a relevant clinical

history from a parent or an older child.

2. Student will demonstrate his ability to perform adequate clinical

examination of a child of any age (including newborn).

3. Student will be able to interpret clinical and laboratory data to arrive

at a diagnosis.

4. Student will be able to advise appropriate nutritional measures for

healthy and sick children (Breast feeding, avoidance of bottle, proper

weaning)

5. Student will be able to counsel the parents on health promotive and

disease preventive strategies for the child e.g. immunization procedures;

hand washing)

6. Student will be able to recognize and manage common health

problems of children.

7. Student will recognize the danger signs of disease in children and be

able to appropriately refer children with severe disease to appropriate

specialists/hospitals.

8. Student will demonstrate his ability to perform essential clinical

procedures relevant to children e.g.

_ Resuscitation of newborn.

_ Basic cardio-pulmonary resuscitation.

_ Anthropometric measurements.

_ Measuring blood pressure

_ Starting intravenous lines/ draw blood sample

_ Administration of oxygen therapy

_ Giving nebulizer therapy [bronchodilator]

_ Use of growth chart

OBSERVE THE FOLLOWING SKILLS:

1. Lumbar puncture

2. Bone marrow aspiration

3. Supra pubic puncture

4. Subdural tap

5. Thoracentesis

6. Pericardiocentesis

7. Liver biopsy

631

8. Renal biopsy

9. Observe passing of catheter

10. Observe pericardial tap

RECOMMENDED BOOKS: 1. Text book of paediatricsby Pervaiz Akbar

2. Essentials of Paediatricsby Nelson. Latest Edition.


Facility

632

CURRICULUM

In accordance with UHS and PMDC

633

Academic curriculum of pediatric department

for year 2017-2022

Existing structure:

Total credit hours 236 hours

Theory 108 hours (considering 36 working weeks)

4 lectures /week (3+1)

Clinical 128 hours

Final year 80 hours

Fourth year 32 hours

Third year 16 hours

Proposed structure:

Total credit hours 209 hours

Theory 81 hours

3 lectures /week (2+1)

Clinical 128 hours

Final year 80 hours

Fourth year 32 hours

Third year 16 hours

634

Number of lectures according to credit hours

Existing structure:

Total hours 108

Total lectures 144

Final year 108

Fourth year 36

Proposed structure:

Total hours 81

Total lectures 108

Final year 72

Fourth year 36

635

Division of lectures into two categories

Basic pediatrics/ theoretical lectures 30% (32 lectures)

This will include introduction to pediatrics, preventive pediatrics, growth and

development, nutrition, fluid and electrolyte balance and neonatology.

Clinical topics 70% (76 lectures)

636

Division of lectures according to system

BASIC PEDIATRICS

1. Introduction to pediatrics 1 lecture

2. Growth and development 6 lectures

3. Preventive pediatrics 2 lectures

4. Nutrition 7 lectures

5. Fluid and electrolytes 1 lecture

6. Poisonings 5 lectures

7. Pediatric pharmacology 1 lecture

8. Neonatology 9 lectures

CLINICAL TOPICS

1. Gastro enterology 7 lectures

2. Cardiovascular 7 lectures

3. Respiratory 7 lectures

4. CNS 9 lectures

5. Infectious diseases 11 lectures

6. Hematology /oncology 6 lectures

7. Nephrology 6 lectures

8. Endocrine 6 lectures

9. Neuromuscular diseases 2 lectures

10. IMCI 1 lectures

11. Genetics 2 lectures

12. Social pediatrics 6 lectures

13. Pediatric surgery 6 lectures

637

Name of lectures

BASIC PEDIATRICS

1. Introduction to pediatrics ( 1 lecture)

2. Growth and development (6 lectures)

. Newborn

. Gross motor development

. Fine motor development

. Vision and hearing

. Preschool and middle childhood

. Adolescence

3. Preventive pediatrics (2 lectures)

. Immunization(EPI and NIDprogramme)

. Polio malaria and T.B eradication programmes

4. Nutrition (7 lectures)

. Breast feeding

.Weaning food

.Vitamin A deficiency and execess

.Iodine deficiency

. Rickets and hypervitaminosis D

. Iron deficiency

. Micronutrients and mineral deficiency

5. Fluid and electrolytes (1 lecture)

. Electrolytes and acid base disorder

. Maintenance and replacement therapy

. Fluid and electrolyte treatment of specific disorders

6. Poisonings (5 lectures)

.lead poisoning

. Mercury and heavy metal poisonings

.kerosine oil ingestions

. Organophosphate poisonings

. Salicylate poisoning

7. Pediatric pharmacology (1lecture)

. Principals of drug therapy

638

. pharmacogenesis

8. Neonatology (9 lectures)

. Resuscitation of newborn

. Care of normal newborn

. Birth asphyxia

. Premature and low birth weight babies

. Neonatal jaundice

. Neonatal sepsis

. Neonatal fits

. RDS

. Congenital anomalies (hydrocephalus, myelomeningocele,TEV etc.)

CLINICAL PEDIATRICS LECTURES

1. GIT( 7 lectures)

. Abdominal pain

. Acute diarrhea

. Chronic diarrhea

. Hepatitis

. Cirrhosis

. Acute liver failure

. Giardiasis and amoebiasis

2. CVS (7 lectures)

.Congestive cardiac failure

. Acyanotic congenital heart disease

. Cyanotic congenital heart disease

. Viral myocarditis

. Rheumatic fever

. Rheumatic heart disease

. Infective endocarditis

3. Respiratory system ( 7 lectures)

. Common upper airway infections (croup, epiglottitis,etv.)

. Bronchiolitis

. ARI programme

. Bronchial asthma

. Pneumothorax

. Pleural effusion

639

. Bronchiectasis

4. CNS ( 9 lectures)

. Acute bacterial meningitis

. TBM

. Febrile fits

. Epilepsy

. Viral encephalitis

. Cerebralmalaeia

. Cerebral palsy

. Stroke

. Acute flaccid paralysis

5. Infectious diseases (11 lectures)

. Enteric fever

. T.B

. Malaria

. Measles

. Chicken pox

. Mumps

. Diphtheria

. Whooping cough

. Polio

. Tetanus

. Dengue fever

6. Hematology /oncology (6 lectures)

. Iron deficiency anemias

. Hemolyticanemias / thalassemia

. Aplastic anemia

. Leukemia

. Lymphomas

. Bleeding disorders ( ITP, von billebrand disease)

7. Nephrology ( 6 lectures)

. Acute glomerulonephritis

. Nephrotic syndrome

. Acute renal failure

. Chronic renal failure

. Urinary tract infections

. Renal masses

8. Endocrine (6 lectures)

. Diabetes mellitus

. Addison disease

640

. Cushing syndrome

. Thyroid disorders (hypothyroidism and hyperthyroidism)

. Parathyroid(hypo and hyperparathyroidism)

. Pituatory problems

9. Neuromuscular disorders (2 lectures)

. Muscular dystrophies

. Myasthenia gravis

10. IMNCI (1lecture)

11. Genetics ( 2lectures)

. Patterns of inheritance

. Down syndrome

12. Social pediatrics ( 6 lectures)

. Rights of child

. Child abuse

. Enuresis and encoperesis

. Hyperactive child

. Attention deficit disorder

. Dyslexia

13. Pediatric surgery ( 6 lectures)

. Hernia

. Intussception

. Intestinal obstruction

. Talipes disorder of foot

. Congenital dislocation of hip joint

. Vesico ureteral reflux

641

SCHEME OF SUBJECTS

Allocated Hours divided into Theory & Practical

First term Theory Practical Second term Theory Practical Third term Theory Practical Grand

Total

T 1 T P T2 T P T3 T P

T1 T2 T3

642

ACADEMIC PLANNER

Allocation of Hours:

Lectures: 108 Final year: 76

Fourth year 32

Final year schedule

Title Description Lectures Clinical hours in

ward

FIRST TERM 15thDec to

15th March 24 26

SECOND

TERM

16th Mar to

15th June 24 26

THIRD TERM 16th June to

15th Sep 24 26

Total - 72 80

WINTER BREAK: 25/12/2017 to 01/1/2018

SPRING BREAK: 01/4/18 to 8/4/2018

SUMMER BREAK: 15.6.2018 to 14.7.2018

643

FOURTH YEAR SCHEDULE

Title Description Lectures Clinical hours in

ward

FIRST TERM 15thDec to

15th March 12 11

SECOND

TERM

16th Mar to

15th June 12 11

THIRD TERM 16th June to

15th Sep 12 10

Total - 36 32

644

Curriculum

Department of pediatric Medicine

1st TERMFINAL YEAR|

1st Term - 15thDec to 15th March

- Number of lectures = 24

- Clinical work = 26 hours

Winter Break - Last week of Dec

Sr.

No.

Topic Learning Objectives Total No.

of Lectures

Lecturer

1

Abdominal pain

Students should be able to

understand etiology and

management issues

01

Dr. Khalid

2

Acute diarrhea


understand the definition,

assess dehydration and

management

01

Dr. Khalid

3 Chronic diarrhea Students should be able to

understand the definition,

assess dehydration and

management

01

Dr. Khalid

4 hepatitis Students should be able to

understand definition ,

etiology ,how to investigate

and manage the case

01

Dr. Khalid

645

5 Chronic liver

disease




and manage the case

01

Dr. Khalid

s6 Acute liver failure Students should be able to



and manage the case

01

Dr. Khalid

7 Giardiasis and

amoebiasis




and manage the case

01

Dr. Khalid

8 Congestive

cardiac failure




and manage the case

01 Dr Tariq

bhatti

9 AcyanoticCHD Students should be able to



and manage the case

01 Dr Tariq

bhatti

10 Cyanotic CHD Students should be able to



and manage the case

01 Dr Tariq

bhatti

11 Viral myocarditis Students should be able to



and manage the case

01 Dr Tariq

bhatti

12 Rheumatic heart

disease




and manage the case

01 Dr Tariq

bhatti

13 infective

endocarditis




and manage the case

01 Dr Tariq

bhatti

646

14 Common upper

airway infections




and manage the case

01 DrIqbal

15 bronchiolitis Students should be able to



and manage the case

01 DrIqbal

17 Bronchial asthma Students should be able to



and manage the case

01 DrIqbal

18 pneumothorax Students should be able to



and manage the case

01 DrIqbal

19 Pleural effusion Students should be able to



and manage the case

01 DrIqbal

20 bronchiectasis Students should be able to



and manage the case

01 DrIqbal

21 Acute bacterial

meningitis




and manage the case

01

Dr Tariq

bhatti

22 TBM Students should be able to



and manage the case

01 Dr Tariq

bhatti

23 Febrile fits Students should be able to



and manage the case

01 Dr Tariq

bhatti

647

24 epilepsy Students should be able to



and manage the case

01 Dr Tariq

bhatti

648

2ndTERMFINAL YEAR|

2nd Term - 16th Mar to 15th June

- No. of lectures = 24


Spring Break - 1st week of April

Sr.

No.

Topic Brief Description Total

No. of

Lectures

Lecturer

1.

Viral encephalitis Students should understand

Clinical features, Diagnosis and

Management.

01

Dr. Tariq

bhatti

2 Cerebral malaria Students should understand


Management.

Dr. Tariq

bhatti

3

Cerebral palsy

Students should understand


Management.

01

Dr. Tariq

bhatti

4

stroke



Management.

01

Dr. Tariq

bhatti

5

Acute flaccid

paralysis



Management.

01

Dr. Tariq

bhatti

6 Enteric fever Students should

understandepidemiology,Clinical

features, Diagnosis and

Management.

01

DrIqbal

7

T.B


epidemiology,Clinical features,

Diagnosis and Management.

01

DrIqbal

649

8 Malaria Students should understand



01

DrIqbal

9

measles




01

DrIqbal

10 Chicken pox Students should understand



01 DrIqbal

11 Mumps Students should understand



01

DrIqbal

12 diptheria Students should understand



01

DrIqbal

13 Whooping cough Students should understand



01 DrIqbal

14

Polio Students should understand



01

DrIqbal

15 Tetanus Students should understand



01 DrIqbal

16 Dengue fever Students should understand



01 DrIqbal

17 Iron deficiency

anemia



Management.

01 Dr Tariq

bhatti

18 Hemolytic

anemias/thalassemia



Management.

01 Dr Tariq

bhatti

650

19 Aplastic anemia Students should understand


Management.

01 Dr Tariq

bhatti

20 leukemia Students should understand


Management.

01 Dr Tariq

bhatti

21 lymphomas Students should understand


Management.

01 Dr Tariq

bhatti

22 Bleeding disorders Students should understand


Management.

01 Dr Tariq

bhatti

23 Acute

glomerulonephritis



Management.

01 Dr Tariq

bhatti

24 Nephrotic syndrome Students should understand


Management.

01 Dr Tariq

bhatti

651

3rdTERMFINAL YEAR|

3rd Term - 16th June to 15th Sep

- No. of lectures = 24


Sr.

No.

Topic

Brief Description

Total No. of

Lectures

Lecturer

1.

Acute renal failure

Students should


clinical features, diagnosis

and management

01

Dr. tariqbhatti

2.

Chronic renal failure

Students should



and management

01

Dr. tariqbhatti

3.

Urinary tract infections

Students should



and management

01 Dr. tariqbhatti

4

Renal masses

Students should



and management

01

Dr. tariqbhatti

5. Diabetes mellitus Students should



and management

01

Dr. tariqbhatti

6.

Addison disease Students should



and management

01

Dr. tariqbhatti

7.

Cushing syndrome

Students should



and management

01

Dr. tariqbhatti

652

8. Thyroid disorders

Students should



and management

01

Dr. tariqbhatti

9.

Parathyroid disoders

Students should



and management

01

Dr. tariqbhatti

10 Pituatory problems Students should



and management

01 Dr. tariqbhatti

11 Muscular dystrophies Students should

understand inheritance,


and management

01 Driqbal

12 Myasthenia gravis Students should



and management

01 Driqbal

13 IMNCI Students should



and management

01 Driqbal

14 Genetics/ patterns of

inheritance

Students should

understand patterns of

inheritance

01 Driqbal

15 Down syndrome Students should

understand patterns of

inheritance, clinical

features

01 DrIqbal

16 Rights of child Students should

understand social

pediatrics and rights of

child

01 DrIqbal

17 Child abuse Students should

understand forms of child

abuse and how to deal

with such problems

01 DrIqbal

18 Enuresis and

encoperesis

Students should



and management

01 DrIqbal

653

19 Hyperactive child Students should



and management

01 DrIqbal

20 Attention deficit

disorder

Students should



and management

01 DrIqbal

21 hernia Student should

understand types of

hernia and surgical

management

01 DrIqbal

22 Intussception Students should be able

to diagnose intussception

and know treatment

01 DrIqbal

23 Intestinal obstruction Students should be able

to diagnose intestinal

obstruction and know

treatment

01 DrIqbal

24 DDH Students should be able

to diagnose intestinal

obstruction and know

treatment

01 DrIqbal

25 Talipes disorder of foot Students should be able

to identify talipes and

manage accordingly

01 DrIqbal

26 Vesicoureteral reflux Students should be able

to identify problem and

treat appropriately

01 DrIqbal

27 Cleft lip and cleft palate Students should be able

to identify cleft lip and

palate and manage

accordingly

01 DrIqbal

28 Dyslexia Students should be able

to identify dyslexia and

manage accordingly

01 DrIqbal

654

FOURTH YEAR FIRST TERM

Sr.

No.

Topic

LEARNING OBJECTIVE

LECTURES

LECTURER

1. Introduction to

pediatrics

Students should learn about

the importance of pediatrics

in community

01 Dr. Tariq bhatti

2. Growth and

development

New born


growth and development

pattern of children

01 Dr. Iqbal

3. Fine motor

development

Students should know about

fine motor development of

child

01 Dr. Iqbal

4. Vision and hearing Students should know about

vision and hearing of children

01 Dr. Iqbal

5.

Preschool and middle

childhood


preschool and middle

childhood growth and related

problems

01 Dr. Iqbal

6. adolescence Students should learn about

adolescent growth and

related problems

01 Dr. Iqbal

7. Preventive pediatrics Students should know about

the EPI and NIDprograms

01 Dr. Iqbal

8. Preventive pediatrics Students should know about

the malaria, polio and T.B

eradication programs

01 Dr. Iqbal

9. Nutrition

Breast feeding

Students should know about

basics of nutrition especially

breast feeding

01 Dr. Iqbal

10 Weaning food Students should learn about

weaning foods and effect of

weaning on growth

01 Dr. Iqbal

11 Vitamin A deficiency

and excess


vitamin A related problems

01 Dr. Iqbal

12 Iodine deficiency Students should learn about

iodine related problems

01 Dr. Iqbal

655

FOURTH YEAR SECOND TERM

Sr. Topic Learning objectives lectures lecturer

1. Rickets and

hypervitaminosis D


vitamin D related problems

01 Dr. Iqbal

2. Iron deficiency Students should learn about iron

related problems

01 Dr. Iqbal

3. Micronutrients and

minerals deficiency


micronutrients related problems

01 Dr. Iqbal

4. Fluid and electrolytes students should learn about fluid

and electrolytes imbalance

01 Dr. Iqbal

5. Lead poisoning Students should learn about lead

poisoning and its management

01 Drkhalid

6. Mercury and heavy

metal poisonings


mercury poisoning and its

management

01 Drkhalid

656

7. Kerosene oil ingestion Students should learn about

kerosene oil ingestion and its

management

01 Drkhalid

8. Organophosphate

poisoning


organophosphate poisoning and

its management

01 Drkhalid

9. Salicylate poisoning Students should learn about

salicylate poisoning and its

management

01 Drkhalid

10. Pediatric pharmacology Students should know about

dosages of different drugs used in

pediatrics

01 Dr. Tariq

bhatti

657

FOURTH YEAR THIRD TERM

Sr.

No.

TOPIC

LEARNING OBJECTIVE

LECTURES

LECTURER

1. Resuscitation of

newborn

Students should learn how to

resuscitate a newborn

01 Dr Tariq bhatti

2. Care of normal

newborn

Students should learn care of

a normal newborn

01 Dr Tariq bhatti

3. Birth asphyxia Students should learn

etiology, clinical features,

diagnosis and management

01 Dr Tariq bhatti

4. Premature and low

birth weight babies

Students should learn



01 Dr Tariq bhatti

5.

neonatal jaundice Students should learn



01 Dr Tariq bhatti

6. Neonatal sepsis Students should learn



01 Dr Tariq bhatti

7. Neonatal fits Students should learn



01 Dr Tariq bhatti

8. RDS Students should learn



01 Dr Tariq Bhatti

9. Congenital anomalies Students should learn about

different congenital

anomalies

01 Dr Tariq Bhatti

10. Hemorrhagic disease

of newborn

Students should learn



01 Dr Tariq Bhatti

659

Assessment and evaluation

Students would be evaluated through examination at the end of each term and ward tests at

the end of batch.

Send up examination will be taken in October.

Recommended books

1. Text book of pediatrics by Pervaiz akbar

2. Essentials of pediatrics by nelson

660


AIMC-MBBS,

Gynecology + Obstetrics (PMDC/UHS)

&

ACADEMIC PLANNER

2017-2022

Department of Gynecology + Obstetrics, AIMC

Focal Person: Dr. Sajeela Hameed

Author: Prof. Dr. FarkhandaShoiab / DrSajida Yasmeen

Approved by: Dr. FarkhandaShoaib Randhawa

Faculty: Prof. Dr. FarkhandaShoaib Randhawa (HOD Obs + Gyne)

Dr. Sajeela Hameed (Prof Obs + Gyne (Acting)

Dr. Sajida Yasmeen (Associate Prof Obs + Gyne)

Dr. NaziaSajjad (Assistant Prof)

Dr. Sobia Zafar (Assistant Prof)

Dr. Lubna Imran (Assistant Prof)

661

CONTENTS

1.0. INTRODUCTION

1.1. Department of Gynecology + Obstetrics, faculty and staff

1.2. PMDC Table of Subjects, spacing and allocated hours of MBBS Program

1.3. Allocated contact hours (Theory, Clinical, Total) of Gynecology + Obstetrics,

subject, in year 3rd, 4th, final year MBBS Program.

1.4. Semester planner of contact hours (Theory, Clinical, Total) of Gynecology +

Obstetrics, subject, in year 3rd, 4th, final year MBBS Program.

1.5. Assessment/Evaluations/Examinations-Planner

1.6. Scheme of Semesters and Send up Assessments/Evaluations and University

Examinations of year MBBS Program.



2.0. CURRICULUM OF Gynecology + Obstetrics, SUBJECT.

2.1. PMDC Curriculum

2.2. UHS Curriculum

3.0. LESSON PLANNERS AND TIME TABLE

3.1. Time Table of Lectures/Clinical classes 3rd, 4th, final year MBBS.

3.2. Lesson planner with titles and learning objectives of “Theory & Clinical” of year-3

3.3. Lesson planner with titles and learning objectives of “Theory & Clinical” of year-

4.

3.4. Lesson planner with titles and learning objectives of “Theory & Clinical” of year-5

4.0. ASSESSMENTS/EVALUATIONS/EXAMINATIONS

4.1. Continuous Assessments

4.2. Evaluations at End of Semester

4.3. Evaluations at end of year (Send up)

4.4. University Examinations (Professional 3rd, 4th& final year)

4.5. Student Feedback form (Student will fill and submit his/her Feedback form) at

end of each year regarding, quality of teaching, quality of learning resources and any

recommendations to improve effectiveness of teaching and

assessments/evaluations)

662


SUBJECT 1st Year 2nd Year 3rd Year 4th Year 5th Year Total

Hours

BEHAVIOURAL SCIENCE 5HRS 5HRS 5HRS 5HRS 5HRS 25HRS


STUDIES








COMMUNITY MEDICINE 25HRS 25HRS 50HRS 150HRs - 250HRS

MEDICINE AND ALLIED

NUCLEAR MEDICINE

EMERGENCY MEDICINE

MEDICINE ELECTIVE

PSYCHIATRY

DERMATLOGY AND GENERAL

PRACTICE

25HRS

-

30HRS

10HRS

120HRS

-

265HRS

10HRS

360HRS

-

800HRS

20HRS


SURGERY AND ALLIED

RADILOGY

ORTHOPEDICS

PAEDS SURGERY

NEUROSURGERY

SURGERY ELECTIVE

EMERGENCY SURGERY

& ANAESTHESIA

25HRS

5HRS

30HRS

10HRS

120HRS

-

265HRS

10HRs

360HRS

15HRS

800HRS

40HRS

OBSTETRICS AND

GYNAECOLOGY


OPTHALMOLOGY 5HRS 10HRS 15HRS 70HRS - 100HRS


CLINICOPATHOLOGICAL

CONFERENCE

- - - 60HRS - 60HRS

Total 740HRS 790HRS 1060HRS 1265HRS 940HRS 4795HRS

663

TOTAL NUNBER OF COUNTACT HOURS

Subject: GYNECOLOGY + Obstetrics

Total number of Contact Hours For 3rd years MBBS

Mits Total Number Total Contact Hours

Lectures 27 15

Clinical Class 20 33

Assessment 01 02

Total Contant House 50

Total Contact Hour: 50

Duration of Lecture 45 Min

Duration of Clinical Class 100 Min

Duration of Assessment 100 Min

664

Allocate Hours Divided Into Theory & Clinical

Subject: Gynecology + Obstetrics 3rd Year MBBS

Semester Theory Clinical Assessment Total

Semester 1 5 11 0 15

Semester 2 5 11 02 17

Semester 3 5 11 0 18

Grand Total 50

665

Semester Planner for 3rd Year MBBS

Subject: Gynecology + Obstetrics


To

pic

s

Development and

Abnormalities of

Genital Tract

Management of

Labour

Contraception

Conception and

Placental

abnormalities

Ectopic Pregnancy Pregnancy Induced

Hypertension

Menstruation ,

Ovulation and clinical

importance

Preterm Labour Menopause and 1+RT

Foetal skull and bony

pelvis

Infertility Anemia in Pregnancy

Menstrual

abnormalities

Post maturity Genital Prolapse

Physiological changes

in pregnancy

Pelvic Inflammatory

Disease

Diabetes in Pregnancy

Primary and secondary

amenorrhea

Polyhydramnois and

Oligohydramnois

Psychological and

Ethical Aspect in gyne

Mechanism of Labour Endometriosis and

Adenomyosis

Intrauterine Growth

Restriction

Abortion Multiple Pregnancy ERCP and D+C

Total Duration of Session 9 months

Total Semesters: 3

Each Semester Duration: 3 Months

666

Total Number of Contact Hours


Total Number Of Contact Hours For 4th Year MBBS

MITS TOTAL NUMBER TOTAL CONTACT HOURS

Lecture 28 21

Clinical Class 27 53

Assessment 03 09

CME 02 06

Group Discussions 02 06

Tutorial 02 02

Grand Tutorial 01 03

Total 100 Hours

Total Contact Hours 100

Lecture Duration 45 Min

Clinical Class 120 Min

Tutorial 100 Min

Assessment 180 Min

CME 180 Min

Group Discussion 180 Min

Grand Tutorial 180 Min

667

Allocated Hours Divided Into Theory & Clinical

Subject: Gynecology + Obstetrics 4th Year MBBS

Semester Lecture Clinical Assessment CME Group

Discussion

Tutorial Grand

Tutorial

Total

Semester

1

07 18 03 03 31

Semester

2

07 18 03 03 03 34

Semester

3

07 17 03 03 02 03 25

Grand

Total

100

Lecture Duration 45 Min

Clinical Class 120 Min

Tutorial 100 Min

Assessment 180 Min

CME 180 Min

Group Discussion 180 Min

Grand Tutorial 180 Min

668

Semester Planner for 4th Year MBBS



To

pic

s

Puberty and

Adolescence

URO gynecology Benign Tumors of

Ovary

Eclampsia Antepartum

Hemorrhage

Breast Feeding

Dysfunctional Uterine

Bleeding

Benign and Malignant Malignant Tumors of

Ovary

Gestational

Trophoblastic Disease

Cervical Lesions Minor Problems of

Newborn

Jaundice, Hepatitis and

Pyrexia in Pregnancy

Conduction of Assisted

Delivery

Benign and Malignant

Vulval Lesions

Hirsutism and

Virilization

Benign Tumors of

Uterus

Obstetrical Operations

and Complications

RH incompatibility Complication of 3rd

Stage of Labour

Gynecological

Operation and

Operation

Genital Prolapse Malignant Tumors

Uterus

Vital Statistics

Perinatal and Maternal

Mortality

Intrauterine Growth

Restriction

Episiotomy and

Perineal Tear

Role of Ultrasound in

Gyne

Prenatal Assessment

and Foetal Well Being

669

CONTACT HOURS 5th YEAR MBBS

MITS TOTAL NUMER CONTACT HOURS

Lecture 60 45

Clinical 38 76

Assessment 03 09

CME 02 06

Send up Examination

(GYNE)

01 03

Send up Examination

(Obsttric)

01 03

Tutorial 02 04

Grand Tutorial 01 03

Total 150

Lecture Duration 45Min

Clinical Class 120Min

Assessment 180Min

CME 180Min

Send up Examination 180Min

Grand Discussion 180Min

Tutorial 100Min

Grand Tutorial 180Min

670

ALLOCATED HOURS DIVIDED INTO THEORY AND CLINICAL

Semester Theory Clinical Assessment CME Tutorial Grand

Tutorial

Total

Semester 1 15 26 03 1 45

Semester 2 15 25 03 03 02 48

Semester 3 15 26 03 03 01 03 51

Send up

Examination

03 03 6

Grand Total 150

671

SEMESTER PLANNER OF FINAL YEAR MBBS


Semester Semester 1

To

pic

Development And Abnormalities OF Genital Tract

Conception placental development and abnormality

Puberty and Adolescence Foetal skull and bony pelvis

Men Saturation ovulation and its clinical importance

Physiological changes in pregnancy

Dysfunctional Uterine bleeding

Mechanism of labour

Dysfunctional uterine bleeding

Management of labour

Primary Amenorrhea

Conduction of normal delivery

Secondary amenorrhea

Conduction of assisted delivery

Inter sexuality

Complications of 3rd stage of labour

Hirsutism + virilization prematurity

Assisted reproductive techniques post maturity

Abortion

Induction of laboure

Abortion

Congenital Abnormalities of fetus

Ectopic pregnancy

Management of Ectopic pregnancy

672



Semester Semester 2

To

pic

Benign Gestational Trophoblastic Disease

Diabetes in pregnancy

Malignant gestational trophoblastic Disease

Hyperemesis Gravidarum

Vaginal Discharge

Hypertension in pregnancy

Pelvic inflammatory disease

Pregnancy induced hypertension

Genital Prolapse

Eclampsia

Pelvic Floor injuries

Anaemia in pregnancy

Benign tumors of ovarx

Benign tumors of vagina

Cardiac disease in pregnancy

Jaundice=, HepatitiesDyrexia in pregnancy

Maliknantvulval lesions

Other medical disorders in pregnancy

Benign disease of cervix

Antepartum Haemorrrhage

Obstetrical shock

Malignant tumors of ovary

Breech presentation

MAL presentation other than breech

673



Semester Semester 3

To

pic

Benign Tumors of Ovary

Multiple Pregnancy

Malignant Tumors of Ovary

Episiotomy and Perineal Tear

Menopause and HRT

RH incompatibility

Contraception

Other Hematological Diseases in Pregnancy

Sterilization

Oligohydramnois

URO gynecology I

Polyhydramnois

URO gynecology II

Breast Feeding

Problems of Marriage

Minor Problems of Newborn

Psychological and Ethical Aspech of GYNE

Intrauterine Growth Restriction

Abdominal Hystrectomy

Vital Statistics Perinatal and Maternal Mortality

Vaginal Hystrectomy

Postoperative Obstetric Complication

Role of Ultrasound in GYNE

Role of Ultrasound in Obstetric and Perinatal assessment and Foetal

well

Pap smear / colposcopy and Hysteroscopy Being ERPC and DTC

Perinatal Assessment and Foetal well Being

674

ASSESSMENT AND EXAMINATION PLANNER FOR FINAL YEAR MBBS (GYNE)

Semester

1

(3

Months)

Asse

ssme

nt 1

Semester

2

(3

Months)

Asse

ssme

nt 2

Semester

3

(3

Months)

Asse

ssme

nt 3

Asse

ssme

nt

Asse

ssme

nt

SI

Te

rm T

est I

S2

Te

rm T

est I

S3

Te

rm T

est I

Send Up UHS Prof

Exam

TERM TEST TOTAL MARK: 270

a. Obstetric Theory Marks STQ 35 MCQ’s 35 = 70

b. Gyne Theory Marks SEQ 30 + MCQ’s 35 = 65

c. Long Case Obstetrics 30 Marks

d. Long Case Gyne 30 Marks

e. OPSE 75 Marks

SEND UP MARKS: 270

a. Obstetrics Theory Marks SEQ 35 + MCQ’s 35 = 70

b. Gyne Theory Marks SEQ 30 + MCQ’s 35 = 65

c. Long Case Obstetrics 30 Marks

d. Long Case Gyne 30 Marks

e. OSPE 75 Marks

INTERNAL EVALUATION: 30 Marks

a. Assessment 1 + Assessment 2 + Assessment 3 = 50% Score

b. Send up 50% Score

676

Introduction to Teaching Strategies:

Genecology Department of AMNA INAYAT MEDICAL HOSPITAL teaches 3rd, 4th

and final year MBBS under supervision of Dr. FarkhandaShoaib Randhawa. Our

basic aim is to improve basic knowledge of students by teaching them

gynecological + Obstetrical skills and improving their professional attitude.

Scope and Vision:

We contribute obstetricians and gynecologist dedicated to the broad integrated

medical and surgical care of woman’s health throughout their life span. In

academically conductive environment, we promote extensive study and

understanding of reproductive physiology. Including social / cultural /

environmental and genetic factors that influence disease in woman our vision is

to produce obstetrician and gynecologist with unique perspective in addressing

gender specific health care issues.

Course Objective:

To provide best of knowledge and skills that they able to understand and

demonstrate adequate knowledge/skill and attitude to diagnose and manage

GYNE and obstetric patients appropriately.

677

PMDC Curriculum MBBS final Professional Obstetrics + Gynecology

Scheme of Studies

MBBS final Professional Examination Obstetrics + Gynecology

Obstetrics

Theory 70 Marks

SEQ 35 Marks

MCQ’s 35 Marks

Gynecology

Theory 65 Marks

SEQ 30 Marks

MCQ’s 35 Marks

OSPE 75 Marks

Long Case GYNE 30 Marks

Long Case OBS 30 Marks

Internal Assessment 30 Marks

Total Marks: 300 Marks

678

6.18 GYNECOLOGY AND OBSTETRICS

BASIC SCIENCES AND CLINICAL SKILLS

Learning outcomes

Understand and demonstrate adequate knowledge (including basic sciences

concepts), skills and attitudes in relation to history taking, physical examination,

and requesting and interpreting relevant investigations.

History Taking:

o Takes detailed history to reach a provisional diagnosis

General Physical Examination (GPE) of a Gynecological Patient:

o Demonstrates proficient GPE

Abdominal Examination of a Gynecological Patient:

o Demonstrates adequate P/A with informed consent

Pelvic Examination On Mannequins:

o Demonstrates adequate P/V skills on a model or mannequin

with diagnosis of clinical signs

Communication Skills and Counseling of a Gynecology Patient:

o Demonstrates good communication and counseling skills with

Role players

Ethics and Medico-legal Issues:

o Provides adequate knowledge of ethical and medico-legal

issues in relation to gynecology

Lab Tests in Gynecology:

o Orders, interprets reports and justifies various lab test for

Gynecology patients

Imaging in Gynecology:

o Provides adequate knowledge and interpretation, of

Ultrasound, x-Ray and HSG reposts

Surgical Anatomy of Female Reproductive Tract:

o Describes relevant surgical anatomy for a gynecology patient

679

Embryology of Female Reproductive Tract and Congenital

Abnormalities:

o Describes embryological development of female reproductive

tract

o Discusses various congenital anomalies of genital tract

Normal Menstrual Cycle:

o Describes normal menstrual cycle and its physiological basis

GENERAL GYNAECOLOGY

Learning Outcomes

Understand and demonstrate adequate knowledge, skills and attitudes in relation

to benign conditions and general presenting complaints to clinics.

Miscarriage and Abortion:

o Discusses causes and types of miscarriage

o Diagnoses miscarriage and describe management principles of

miscarriage.

o Describes indications of termination of pregnancy (TOP)

o Enumerates methods of safe (TOP)

Ectopic Pregnancy:

o Enumerates causes

o Describes principles of management

Dysmenorrhea:

o Can discuss causes and management of primary and secondary

dysmenorrhea

Chronic Pelvic Pain:

o Enumerates causes


Menorrhagia/Heavy Menstrual Bleeding (HMB), and DUB:

o Enumerates causes

o Describes tools of diagnosis

o Discusses medical management

o Discusses Mirena and other surgical options

Uterine Fibroids:

680

o Describes types and presentations of fibroids

o Discusses options of management

o Enumerates indications for surgery

Pruritus Vulvae:

o Enumerates causes, including types of NNED (non-neoplastic

epithelial disorders)

Benign Ovarian Cysts:

o Describe various types

o Can diagnose benign cysts

o Discusses principles of surgery, and when surgery required

Cervical Ectopy and Polypi:

o Can diagnose benign cysts

o Describe types

REPRODUCTIVE ENDOCRINOLOGY

Learning Outcomes


of Reproductive Endocrinology

Puberty:

o Describes basic physiology

o Describe management of disorders of puberty, other than

menstrual disorders

Amenorrhea:

o Enumerates causes of amenorrhea

o Can diagnose cause by relevant investigation

o Describe management plan of individual cause

Endometriosis and Adenomyosis:

o Describe presentation of such a case

o Describes medical management options if pain is main

complaint

681

o Describes various surgical options if Infertility is main

presentation

Hirsutism and Virilism:

o Enumerates causes


Infertility:

o Describes common causes

o Understands concepts of “unexplained infertility”

o Discusses relevant lab tests. Semen analysis

o Discusses management principles

Polycystic Ovaries (PCO):

o Defines PCO and PCOD

o Discusses investigations and plan of management

Recurrent Pregnancy Loss:

o Enumerates cause

o Discusses investigations and plan of management

o Counsels such a patient

Pre Menstrual Syndrome (PMS):

o Can diagnose PMS

o Describes management principles

o Counsels such a patient

Menopause and HRT:

o Describes symptomatology of menopause

o Can diagnose cause by relevant investigation

o Describe management plan of individual case

UROGYAECOLOGY AND PELVIC FLOOR

Learning Outcomes

Understand and demonstrate adequate knowledge, skills m and attitudes in

relation to Urogynaecology and pelvic floor disorders

Genital Fistula:

682

o Describes causes and types

o Diagnoses and describes outline of management

Urinary Stress Incontinence:

o Enumerates types

o Can describe outline of management of urethral sphincter

incontinence, and Detrusor instability

Uterovaginal Prolapse:

o Enumerates types of Prolapse

o Describes management

GYNAECOLOGY ONCOLOGY

Learning Outcomes


to Gynecologic cancers and precancerous conditions

Preinvasive Disease CIN, VIN, VAIN:

o Describe types of pre invasive disease

o Describe principles of management

Screening for Gynecological Cancer:

o Enumerate principles of screening and tumour markers

Ovarian Cancer:

o Diagnose cancer of Ovary


Endometrial Cancer:

o Diagnose cancer of endometrium


Cervical Cancer:

o Discuss prevention by cervical cancer vaccination

o Diagnose cancer of Cervix


Vulval Cancer:

o Diagnose cancer of Vulva

683

o Describe principle of management

Gestational Trophoblastic Neoplasia (GTN):

o Diagnose Hydatidiform Mole and Choriocarcinoma


Basic Principles of Chemotherapy and Radiotherapy”

o Select chemotherapeutic drugs and common side effects

o Describe principles of radiotherapy and its complications

Care of Terminal Gynecological Cancer Patient:

o Describe outline of care of a terminal cancer patient

OPERATIVE GYNAECOLOGY

Learning Outcome

Understand and demonstrate adequate knowledge, skills, and attitude in relation

to concepts in Reproductive Health

Vaginal discharge:

o Enumerates causes and types of vaginal discharge

o Discusses management options

HIV/AIDS:

o Describes management plan

o Discusses precautions of staff members

o Discusses prevention

Sexually Transmitted Infections (STI):

o Enumerates causes and types of STI

o Discusses management options

Contraception and Sterilization:

o Discusses CPR (contraceptive prevalence rate) and its causes in

Pakistan

o Discusses types and side effects of various contraceptive

o Discusses efficacy and compliance of various methods

Psychosexual Disorders:

o Describe types of such disorders

684

o Describe management plans

Women’s Rights to Reproductive Health:

o Describe types of Women’s rights, and role of doctors in their

protection, promotion, and advancement

ANTENATAL CARE, NORMAL AND HIGH RISK PREGNANCY

Course Objective:

The student should be able to demonstrate adequate knowledge, skills and

attitudes in relation to antenatal care in low risk pregnancy and to recognize high

risk pregnancy and manage/refer appropriately.

Course Outline:

Book patient for confinement

Provide antenatal care specific to the expectant mother and plan

frequency of visits.

Screen appropriately for:

o Anaemia, Diabetes mellitus, preeclampsia

o Foetal growth and placement etc. by ultrasound and its

significance.

Anomaly scan at 16, 18 weeks.

Second Ultrasound at 28 weeks (optional)

Ultrasound at 32, 34 weeks (fetal growth etc)

Manage minor disorders of pregnancy, including vaginal discharge

during pregnancy.

o Provide essential drugs with proper dosage

o Prescribe safely in pregnancy for common ailments

Must be familiar with immunizations protocol during antenatal care

Screen patients for common conditions, prevalent in the population

e.g. Hepatitis B, C, HIV, Rubella and syphilis, TORCH profile (Where

indicated)

Identify high risk pregnancy and is significance

o Mange/Refer appropriately and follow up as required

Understand multi-disciplinary approach for high risk pregnancy

685

Should be able to provide effective communication and Counseling

skills

o Educate the mother of care during pregnancy

o Counsel regarding labour, newborn and lactation

ABNORMAL PREGNANCY

Course Objective:

Demonstrate and understand of the etiology, risk factors for complication and

management of the major antenatal complications of pregnancy.

Course Outline:

Bleeding in early pregnancy

o Abortion

o Ectopic pregnancy

o Gestational trophoblastic disease

Bleeding in 2nd Half of Pregnancy (Ante partum haemorrhage)

o Placenta previa

o Abruption placentae

o Vasa previa and incidental causes

Polyhydramnios/Oligohydramnios

Intra Uterine Fetal Death

Mal-Presentation and Position

o Breech presentation

o Transverse lie and shoulder presentation

o Face presentation

o Brow presentation

Cord Prolapse

Preterm Labour / PROM

Intra Uterine Growth Restriction

Multiple Pregnancy

Congenital Anomalies

686

MEDICAL DISORDER(S) IN PREGNANCY

Course Objectives:

Should be able to identify the medical disorder diagnose and manage

o Anemia in pregnancy

o Pyrexia in pregnancy

o Misc. conditions e.g. UTI, Respiratory infections, allergic

conditions

Identify and diagnose the condition, evaluate infections, allergic

conditions disorders, provide initial treatment and refer to proper

health care facility

o Pregnancy with hypertensive disorders

o Pregnancy with cardiac disease

o Pregnancy with diabetes mellitus

o Pregnancy with jaundice / hepatitis

o Pregnancy with renal problems

o Deep vein thrombosis

o Endocrine disorder / autoimmune disorders

Course Outline:

Anaemia in Pregnancy:

o History taking and clinical examination to identify cause and

severity

o Order appropriate investigation to reach the diagnose

o Treat anemia according to type, severity and gestational age

o Must know the modes of treatment available, dosages, routes

and side effects

o Know the principles of blood transfusions & risks

Pyrexia in Pregnancy:

o Differential diagnose of the causes of pyrexia in pregnancy

o Appropriate investigation to reach a diagnosis

o Provide treatment general and specific according to cause

687

o Take opinion of specialist when required

o Safety antibiotics / drugs with regard to fetus should be known

Pregnancy with Hypertensive Disorders:

o Should be able to carry out differential diagnosis, assessment

of severity and complications maternal & fetal

o Order relevant investigation

o Carry out initial management according to severity. Current

drugs and doses should be known

o Referral for specialized care as required

Pregnancy with Cardiac Disease:

o Recognition of complications of this condition in pregnancy

o Management with help of specialized case

Pregnancy with Diabetes:

o Should know screening / diagnose tests for diabetes

o Should be aware of maternal / fetal complication

o Basic management should be known

o Principles of delivery time / mode and neonatal care

Pregnancy with Jaundice / Hepatitis:

o Should be aware of screening tests for hepatitis and basic

management

Renal Problems in Pregnancy:

o Awareness of changes in urinary tract physiology and its effect

on renal function tests

o Refer for specialized care

Deep Vein Thrombosis:

o Should be able to diagnose, order relevant investigation and

refer for specialized care

Endocrine / Autoimmune Disorders:

o Recognition of these, diagnose and referral for specialized care

688

BASIC CLINICAL SKILLS IN OBSTETRICS

Course Objectives:


to history taking. Clinical examination, investigation and communication in

obstetrics

Course Outline:

Eliciting history from obstetric patient

Performing through clinical general examination

Performing abdominal examination of pregnant lady

Order appropriate investigations and knows interpretations

Learning effective verbal and non-verbal communication skills

Provide treatment / counseling as appropriate to the condition

ANATOMY OF FOETAL SKULL AND MATERNAL BONY PELVIS

Course Objective / Specific Learning Objective

Should know and is able to demonstrate:

The anatomy of fetal skull and maternal bony pelvis

Identify abnormalities of maternal pelvis and the significances in

relation of labour complication

Learning on the dummy and bony pelvis

PHYSIOLOGY OF PREGNANCY:

Course Objectives:

Understand and demonstrate adequate knowledge, skill and attitudes in relation

to physiology of pregnancy:

Course Outline:

Diagnosis of pregnancy

Conception, implantation, development of placenta, fetal circulation

and abnormalities of placenta

689

Physiological changes associated with pregnancy

NORMAL LABOUR

Course Objectives:

To understand and demonstrate appropriate knowledge, skill and attitude in

relation to labour

Normal Labour

o Physiology

o Mechanism

o Disgnosis

o Management of labour

Understanding and use of partogram

Intra partum fetal monitoring

o Fetal heart rate monitoring and CTG interpretation

Methods of induction and augmentation of labour

o Indications

o Contraindications

o Complications

Analgesia and anesthesia in labour

Management of 3rd stage of labour prevention of PPH

ABNORMAL LABOR

Couse Objectives:

To understand and demonstrate appropriate knowledge skills and attitude in

relation to abnormal labour

Course Outline:

Prolonged labour / obstructed labour / ruptured uterus

o Diagnosis, causes and management

Complication of III stage of labour. Diagnosis, caused and

management

o Primary PPH and inversion of uterus

690

o Obstetrical shock

Operative Delivery Prerequisites, indications and complications

o Episiotomy

o Instrumental vaginal delivery (forceps and ventouse)

o Cesarean section

PUERPERIUM AND LACTATION

Course Objectives:

Should be able to understand normal and abnormal puerperium and lactation

management

Course Outline:

Physiological changes in normal puerperium

Puerperal psychosis

Breasts disorder and lactation management

Contraception different methods, appropriate in the postpartum

period

691

BORN CARE (INTEGRATED WITH PAEDIATRICS)

Couse Objectives:

Demonstrate and understanding of essential newborn care and is able to

diagnose and manage common neonatal problems

Course Outline:

Newborn examination & Essential newborn care

Basic resuscitation &Aggar score

Breast feeding and its importance

SAFE MOTHERHOOD

Course Objectives:

Should be able to understand the concept of safe motherhood and implement it

at the community level

Act as a leader at primary health care facility utilizing local resources

and personnel

Be able to provide emergency obstetric services

Organize health care teams, incorporating LHV, LHW and midwives of

the area.

Act as a liaison officer in referral of patients to secondary and tertiary

health care facility

Should understand the definition and causes of MMR & PNMR

Should organize seminars and workshops for health care workers as

preventive strategies to reduce MMR and PNMR in the local

population.

692

Gynecology + Obstetrics Clinical Skills MBBS Final Professional

Log Book of 20 Assisted Deliveries

Learning Objective:

To understand and demonstrate appropriate knowledge skill and attitude

in relation to Labours

Reference Books

a. Obstetrics by ten teachers

b. Fundamental of obstetrics and gynecology by LLEW and Derek (latest

edition)

c. Essential of obstetrics by hacker and MOORE

693

Gynecology Academic Planner 3rd Year MBBS 2017-18

Lecture

No Topic Unit

1 Development and Abnormalities of Genital Tract Dr. Sobia Zafar

2 Conception and Placental abnormality Dr. Lubna Imran

3 Menstruation, Ovulation and Clinical Importance Dr. Sobia Zafar

4 Fortal skull and bony pelvis Dr. Lubna Imran

5 Menstural abnormalities Dr. Sobia Zafar

6 Physiological changes in pregnancy Dr. Lubna Imran

7 Primary and Secondary amenorrhea Dr. Sobia Zafar

8 Mechanism of Labour Dr. Lubna Imran

9 Abortion Dr. Sobia Zafar

10 Management of Labour Dr. Lubna Imran

11 Ectopic Pregnancy Dr. Sobia Zafar

12 Preterm Labour Dr. Lubna Imran

13 Infertility Dr. Sobia Zafar

14 Post maturity Dr. Lubna Imran

15 Pelvic inflammatory Disease Dr. Sobia Zafar

16 Polyhydramnois and Oligohydramnois Dr. Lubna Imran

17 Endometriosis and Adenomyosis Dr. Sobia Zafar

18 Multiple Pregnancy Dr. Lubna Imran

19 Contraception Dr. Sobia Zafar

20 Pregnancy Induced Hypertension Dr. Lubna Imran

21 Menopause and HRT Dr. Sobia Zafar

22 Anaemia in Pregnancy Dr. Lubna Imran

23 23Genital Prolapse Dr. Sobia Zafar

24 Diabetes in Pregnancy Dr. Lubna Imran

25 Psychological and Ethical Aspect in Gyne Dr. Sobia Zafar

26 Intrauterine Growth Restriction Dr. Lubna Imran

27 ERCP and D+C Dr. Sobia Zafar

694

Gynecology Academic Planner 4th Year MBBS 2016-17

Lecture

No Topic Teachers

1 Puberty and Adolescence Dr. Sajida Yasmeen

2 Eclampsia Dr. NaziaSajjad

3 Dysfunctional Uterine Bleeding Dr. Sajida Yasmeen

4 Cardiac Disease in Pregnancy Dr. NaziaSajjad

5 Gestational Trophoblastic Disease Dr. Sajida Yasmeen

6 Jaundice/Hepatitis and Pyrexia in Pregnancy Dr. NaziaSajjad

7 Hirsutirm and Virilization Dr. Sajida Yasmeen

8 RH Incompatibility Dr. NaziaSajjad

9 Genital Prolapse Dr. Sajida Yasmeen

10 Intrauterine Growth Restriction Dr. NaziaSajjad

11 URO Gynecology Dr. Sajida Yasmeen

12 Antepartum Hemorrhage Dr. NaziaSajjad

13 Benign and Malignant Cervical Lesions Dr. Sajida Yasmeen

14 Conduction of Assisted Delivery Dr. NaziaSajjad

15 Benign Tumors and Uterus Dr. Sajida Yasmeen

16 Complication of 3rd Stage of Labour Dr. NaziaSajjad

17 Malignant Tumors of Uterus Dr. Sajida Yasmeen

18 Episiotomy and Perineal Tear Dr. NaziaSajjad

19 Benign Tumors of Ovary Dr. Sajida Yasmeen

20 Breast Feeding Dr. NaziaSajjad

21 Malignant Tumors of Ovary Dr. Sajida Yasmeen

22 Minor Problems of Newborn Dr. NaziaSajjad

23 Benign and Malignant Vulval Lesions Dr. Sajida Yasmeen

24 Obstetrical Operation and Complications Dr. NaziaSajjad

25 Gynecological Operation and Complication Dr. Sajida Yasmeen

26 Vital Statistics Perinatal and Maternal Mortality Dr. NaziaSajjad

27 Role of Ultrasound in Gyne Dr. Sajida Yasmeen

28 Prenatal Assessment and Foetal well being Dr. NaziaSajjad

695

Gynecology Academic Planner Final Year MBBS 2106-17

Lecture

No Topic Teachers

1 Development and abnormalities of Genital Tract Prof. Dr. Farkhanda

2 Conception Placental Development and Abnormalities Dr. Sajeela

3 Puberty and Adolescence Prof. Dr. Farkhanda

4 Foetal skull and bony pelvis Dr. Sajeela

5 Menstruation, Ovulation and its clinical importance Prof. Dr. Farkhanda

6 Physiological changes in pregnancy Dr. Sajeela

7 Dysfunctional Uterine Bleeding Prof. Dr. Farkhanda

8 Mechanism of labour Dr. Sajeela

9 Primary Amenorrhea Prof. Dr. Farkhanda

10 Conduction of normal delivery Dr. Sajeela

11 Secondary Amenorrhea Prof. Dr. Farkhanda

12 Inter Sexuality Dr. Sajeela

13 Complication of 3rd stage of labour Prof. Dr. Farkhanda

14 Hirsutism and virilization Dr. Sajeela

15 Prematurity Prof. Dr. Farkhanda

16 Infertility Dr. Sajeela

17 Post maturity Prof. Dr. Farkhanda

18 Abortion Dr. Sajeela

19 Induction of labour Prof. Dr. Farkhanda

20 Abnortion Dr. Sajeela

696

21 Congenital Abnormality Of Foetur Prof. Dr. Farkhanda

22 Ectopic Pregnancy Dr. Sajeela

23 Oligohydramnois Prof. Dr. Farkhanda

24 Management of Ectopic pregnancy Dr. Sajeela

25 Polyhydramnois Prof. Dr. Farkhanda

26 Benign gestational Trophoblastic Disease Dr. Sajeela

27 Hyperemesis Gravidarum Prof. Dr. Farkhanda

28 Vaginal Discharge Dr. Sajeela

29 Hypertension in pregnancy Prof. Dr. Farkhanda

30 Pelvic inflammatory disease Dr. Sajeela

31 Pregnancy Induced Hypertension Prof. Dr. Farkhanda

32 Genital Prolapse Dr. Sajeela

33 Eclampsia Prof. Dr. Farkhanda

34 Pelvic floor injuries Dr. Sajeela

35 Anaemia in pregnancy Prof. Dr. Farkhanda

36 Benign Tumors of vagina Dr. Sajeela

37 Cardiac Disease in pregnancy Prof. Dr. Farkhanda

38 Malignant tumors of vagina Dr. Sajeela

39 Revision

40 Jaundice, hepatitis, pyrexia in pregnancy Prof. Dr. Farkhanda

41 Benign + Malignant vulval lesions Dr. Sajeela

42 Other medical disorders in pregnancy Prof. Dr. Farkhanda

43 Benign disease of cervix Dr. Sajeela

44 Antepartum Haemorrhage Prof. Dr. Farkhanda

697

45 Revision

46 Malignant Disease of Cervix Dr. Sajeela

47 AnterpartumHaemorrhage Prof. Dr. Farkhanda

48 Benign Tumors of Uterus Dr. Sajeela

49 Revision

50 Malignant tumors of uterus Prof. Dr. Farkhanda

51 Obstetrical Emergencies Dr. Sajeela

52 Benign tumors of ovary Prof. Dr. Farkhanda

53 Obstetrical shock Dr. Sajeela

54 Revision

55 Malignant Tumors of Ovary Prof. Dr. Farkhanda

56 Breech Presentation Dr. Sajeela

57 Menopause and HRT Prof. Dr. Farkhanda

58 Breech Presentation and Other Dr. Sajeela

59 Revision

60 Adenomyosis and Endometriosis Prof. Dr. Farkhanda

61 Multiple Pregnancy Dr. Sajeela

62 Urogynecology I Prof. Dr. Farkhanda

63 Episiotomy and Perineal Tear Dr. Sajeela

64 Revision

65 Urogynecology II Prof. Dr. Farkhanda

66 RH incompatibility Dr. Sajeela

67 Contraception Prof. Dr. Farkhanda

68 Other Haematological Disease During Pregnancy Dr. Sajeela

698

69 Revision

70 Sterilization Prof. Dr. Farkhanda

71 Breast Feeding Dr. Sajeela

72 Problems of Marriage Prof. Dr. Farkhanda

73 Minor Problems of Newborn Dr. Sajeela

74 Revision

75 Psychological and Ethical aspect of GYNE Prof. Dr. Farkhanda

76 Intrauterine Growth Restriction Dr. Sajeela

78 Abdominal Hystrectomy Prof. Dr. Farkhanda

79 Vital Statistic Perinatal and Material Mortality Dr. Sajeela

80 Revision

81 Vaginal Hystrectomy and Role of Ultrasound in GYNE Prof. Dr. Farkhanda

82 Postoperative Obstetric Complication Dr. Sajeela

83 PAP Smear, colposcopy and Hyteroscopy Prof. Dr. Farkhanda

84 Role of Ultrasound in Obstetric Foetal Well Being Dr. Sajeela

85 ERPC and D+C Prof. Dr. Farkhanda

86 Prenatal Assessment and Foetal Well Being Dr. Sajeela

699

MBBS Final Professional Obstetrics

(Multiple Choice Questions)

Table of Specifications

35 MCQ’s of One Mark Each Time Allowed: 45 Minutes

Sr # Contents No of Questions

1 Physiological Changes in Pregnancy 02

2 Normal Fetal Development 02

3 Abnormal Fetal Development 02

4 Assessment of Foetal Well Being 03

5 Role of Investigations 01

6 Antenatal Care 04

7 Pain Relief in Labour 01

8 Normal Labour 04

9 Abnormal Labour 04

10 Puerperal Disorders 03

11 Medical Disorders 04

12 Role of Imaging and Radiology 02

13 Statistic 02

14 Neonatolog 01

Total

Questions

35

700

MBBS Final Professional Obstetrics

(ShortEssay Questions)



1 Physiological of Pregnancy 01

2 Antenatal Care Including Investigation 01

3 Assessment of Foetal Well being 01

4 Intrapartum Care Normal Labour 01

5 Abnormal Labour 01

6 Postpartum Disorders 01

7 Medical Disorders in Pregnancy 01

Total

Questions

07

701

MBBS Final Professional Gynecology

(Multiple Choice Questions)


35 MCQ’s of One Mark Each Time Allowed: 45 Minutes


1 Anatomy and Embryology of Genital Tracy 02

2 Disorders of Puberty and Ovulation 02

3 Disorders of Menstruation 04

4 Abortion 02

5 Ectopic Gestation 01

6 Infertility 02

7 Endometriosis and Adenomyosis 01

8 Infection of Genital Tract 03

9 Uterovaginal Prolapse 01

10 Urogynecology and Fistula 01

11 Benign Disease of Genital Tract 04

12 Malignant Disease of Genital Tract 04

13 Contraception 02

14 Menopause and HRT 02

15 Common Gynecological 02

16 Pre-Intra and Postoperative care 01

Total

Questions

35

702

MBBS Final Professional Gynecology

(Short Essay Questions)



1 Anatomy and Development of Genital Tract 01

2 Disorders of Menstruation 01

3 Abortion including Ectopic Gestation 01

4 Infertility and Ednometriosis 01

5 Infections of Genital Tract 01

6 Benign Tumors of Genital Tract 01

7 Malignancies of Genital Tract 01

8 Displacement of Uterus and Urinary Problems 01

9 Contraception 01

Total

Questions

10

703

MBBS Final Professional Gynecology + Obstetrics

Objectively Structured Performance Evaluation

OSPE TOTAL: 75 MARKS

Total Station: 20 (05 Rest Station)

05 Minutes at Each Station

05 Mark at Each Station

Obstetrics 08 Station

Non-Interactive 5 Station

Interactive 3 Station

Gynecology 7 Station

Non-Interactive 05 Station

Interactive 02 Station

704

University Examination

Obstetrics + Gynecology

Total Marks:

Written Paper

Obstetrics Paper:

MCQ: 35 Marks

Short Essay Questions: 35 Marks

Total: 70 Marks

Gynecology Paper:

MCQ: 35 Marks

Short Essay Questions: 30 Marks

Total: 65 Marks

Clinical Exam:

Long Case Obstetrics: 30 Marks

Long Case Gynecology: 30 Marks

OSPE:

75 Marks

Internal Assessment: 30 Marks

Total: 300 Marks

705

Evaluation form for Assessment of Sessions of Small Group Discussions

Gynecology + Obstetrics department of AMNA INAYAT MEDICAL COLLEGE

Name of Class:

Date:

For Overall rating of each of following items, circle the appropriate number.

No. 1 Least Effective and No. 5 = Outstanding









A. Here is what I learned today:

B. A new idea for me was:

C. I am confused about:

D. Here’s what I do not understand:

706

Evaluation form for Course Assessment

Gynecology + Obstetrics Department of AMNA INAYA T MEDICAL COLLEGE

Course Tital:

Date:

(Circle the Appropriate Number)

1 = Standards not met, 5 = Standards fully met






6. Used student’s experience well 1 2 3 4 5












18. Topic was stimulating and though provoking 1 2 3 4 5


707

Recommended Book’s

Gynecology + Obstetrics

A. Obstetrics By Ten Teachers (Latest Edition)

B. Gynecology By Ten Teachers (Latest Edition)

C. Fundamental Of Obstetrics + Gynecology By LLEWYN and BEREK (Latest

Edition)

D. Essential of Obstetrics By hacker and Moore

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