Upload
others
View
1
Download
0
Embed Size (px)
Citation preview
1
MusculoskeletalModuleIIThirdProfessionalYearMBBS5Weeks
2Year-3Modules
S.NO Module Duration
1 Foundation-II 5Weeks
2 Inflammation&Infection-I 6Weeks
3 Blood&Immunology-II 3Weeks
4 Multi-System-I 4Weeks
5 Musculoskeletal-II 5Weeks
6 Cardiovascular-II
7 Respiratory-II
3TableofContentsYear-3Modules...............................................................................................................................................................2
IntroductiontoModule....................................................................................................................................................6
GeneralLearningOutcomes.........................................................................................................................................6
Knowledge................................................................................................................................................................6
Reinforcement..........................................................................................................................................................6
Pathology.................................................................................................................................................................6
Pharmacology...........................................................................................................................................................6
Communitymedicine...............................................................................................................................................6
Forensicmedicine....................................................................................................................................................7
Medicine...................................................................................................................................................................7
Orthopedic...............................................................................................................................................................7
Dermatology.............................................................................................................................................................7
Radiology..................................................................................................................................................................7
Paeds........................................................................................................................................................................7
Eye............................................................................................................................................................................7
ENT...........................................................................................................................................................................7
Prime:.......................................................................................................................................................................7
Skills:.........................................................................................................................................................................8
Attitude:...................................................................................................................................................................8
THEMESFORMUSCULOSKELETALMODULE....................................................................................................................8
Theme1AchingBones.................................................................................................................................................9
Anatomy...................................................................................................................................................................9
Physiology................................................................................................................................................................9
Pathology.................................................................................................................................................................9
Pharmacology.........................................................................................................................................................10
ForensicMedicine..................................................................................................................................................10
CommunityMedicine.............................................................................................................................................11
Medicine.................................................................................................................................................................11
Orthopedics............................................................................................................................................................12
Radiology................................................................................................................................................................12
Eye..........................................................................................................................................................................12
ENT.........................................................................................................................................................................12
Paeds......................................................................................................................................................................12
Research.................................................................................................................................................................12
BehavioralSciences................................................................................................................................................12
Theme2JointStiffness...............................................................................................................................................12
4Pathology.............................................................................................................................................................12
Pharmacology.........................................................................................................................................................13
ForensicMedicine..................................................................................................................................................14
Medicine.................................................................................................................................................................14
Orthopedics............................................................................................................................................................15
ENT.........................................................................................................................................................................15
Paeds......................................................................................................................................................................15
Research.................................................................................................................................................................15
CommunicationSkills.............................................................................................................................................15
Theme3MuscleweaknessandTrauma....................................................................................................................15
Pathology...............................................................................................................................................................15
Pharmacology.........................................................................................................................................................16
ForensicMedicine..................................................................................................................................................16
CommunityMedicine.............................................................................................................................................17
Medicine.................................................................................................................................................................17
Orthopedic.............................................................................................................................................................18
Paeds......................................................................................................................................................................18
Research....................................................................................................................Error!Bookmarknotdefined.
Theme4SkinRashandItching...................................................................................................................................18
Pathology...............................................................................................................................................................18
Pharmacology.........................................................................................................................................................20
Medicine.................................................................................................................................................................21
Paeds......................................................................................................................................................................21
Research.................................................................................................................................................................21
PathologyPracticals.......................................................................................................................................................22
PharmacologyPracticals................................................................................................................................................22
ForensicPracticals..........................................................................................................................................................22
LearningSites.................................................................................................................................................................23
Listofreferencebooks...................................................................................................................................................23
Pharmacology.............................................................................................................................................................23
Pathology...................................................................................................................................................................23
ForensicMedicine......................................................................................................................................................24
CommunityMedicine.................................................................................................................................................24
Ophthalmology...........................................................................................................................................................24
ResearchandBiostatistics..........................................................................................................................................24
Medicine&Allied.......................................................................................................................................................24
Surgery&Allied..........................................................................................................................................................24
5Otorhinolaryngology................................................................................................................................................24
PaediatricMedicine....................................................................................................................................................24
6IntroductiontoModuleWelcometothemusculoskeletalmoduleII
Conditionsrelatedtomusculoskeletalsystemhaveasignificantvalueinclinicalpractice.Backpain,traumaandviolencearepresentlyquitecommoninPakistan.Conditionslikejointdiseases,bonediseasesanddeformitiesareadditionallyessentialtohaveacommandon.Analogously70%ofthepeoplesuffersfromskindiseasesinsomepartoftheirlifeandmostoftheskininfectionsareendemicindevelopingcountrieslikePakistan.Thereforeit’sadditionallyimportanttogivestudentsessentialknowledgeaboutcommonskinlesionsandexplaintheirclinicalpresentationtounderstandtheimportanceofhealthissuesrelatedtoskinandtheburdenofdisease.
Hencetobetterunderstandthesestates,aswellas theneoplasticand infectiveconditionsof themusculoskeletalsystem including skin, appropriate pathological, microbiological aspects, pharmacological aspects as well aspreventionsandcontrolwillbecoveredinthisspecificmodule.Therelevanceofthevariousimagingmodalities,theimportanceofmedicolegalpracticeswillalsobeputintoprospectivethroughout.
Therewillbeanadditionalcontinualemphasisonapracticalapproachwithregardstothemostcommonconditionsaffectingthemusculoskeletalsystem.
Theimportantaspectsoftheclinicaldiagnosis,radiologicalinterpretation,treatmentandpreventionwillbelikewiseemphasized.
GeneralLearningOutcomes
KnowledgeBytheendofthismodule,studentsshouldbeableto:
Reinforcement• Explainimportantanatomicalandphysiologicalcharacteristicsofmusculoskeletalsystem
Pathology• Explainessentialpathologicalconceptsofdiseasesinvolving
Ø JointsØ BonesØ MusclesØ CartilagesØ SofttissuesØ Skin
Pharmacology• DescribetheclinicalapplicationsofNSAIDsinthetreatmentofmusculoskeletaldisorders• DescribethebasicandclinicalpharmacologyofdrugsaffectingboneandMineralHomeostasis• DescribethebasicandclinicalpharmacologyofdrugsusedtotreatGoutandRheumatoidArthritis• Describethebasicandclinicalpharmacologyofskeletalmusclesrelaxants• Describethedrugsusedfordermatologicaldisorders.
Communitymedicine• Classifyaccidentsandinjuries,burdenofRTAs,preventionandcontrolstrategiesofRTAs• Definepoliomyelitisanddiscusstheepidemiology,prevention,andcontrolofpoliomyelitis• DefineErgonomics,PrinciplesofErgonomics,EpidemiologyofMSKdisordersandtheirprevention• DiscussburdenandpreventionofOsteoporosis,OsteomalaciaandRickets
7Forensicmedicine
• Defineandclassifywounds• DescribetypesofhurtaccordingtoQisasandDiyatAct• Describefirearmandexplosivesinjuries• DescribeRTAs,RailwayandAircraftinjuries• DescribetheMedicolegalaspectsofwounds
Medicine• DescribeOsteoporosisandOsteomalaciaanddevelopitsmanagementplan• DiscussRheumatoidArthritisandAnkylosingSpondylitis• DiscussMyopathies
Orthopedic• Describetypesoffractureandexplaintheopenfractures• Explaintheemergencytreatmentofaninjuredlimb.• Identifyanddescribecommonbenignandmalignantbonetumours.• Describecommonligamentous,tendoninjuriesandcommonspinalfractures
Dermatology• Describethepathologicallesionsofskinandtheirclinicalpresentationwithdifferentialdiagnosis.
Radiology• InterpretnormalX-RaysandX-Raysshowingstructuraldeformities
Paeds• Explainbonepainsandachesinchildren• DiscussCongenital/HereditaryMyopathies
Eye• DescribethebasicAnatomyofEye
ENT• DiscussanatomyofEar,Nose,ParanasalSinusesandOralCavity
Prime:
CommunicationSkills• Dealingwithpatients
BehavioralSciences/Professionalism• AttributesofProfessionalism
Research• StudyDesigns• Researchquestion
8Skills:Bytheendofthismodule,itisacoreobjectivethatstudentsshouldhaveacquiredthefollowingskills:
SpecialPathology• IdentifymorphologicalfeaturesofBasalcellcarcinomaandSquamouscellcarcinoma• IdentifymorphologicalfeaturesofTuberculousosteomyelitis
Pharmacology• WritingaprescriptionforapatientwithRheumatoidarthritis• WritingaprescriptionforapatientwithGout
ForensicMedicine• Identifytypesofmechanicalwound• Identifythecausativeweapon• Identifythemannerofwoundcausation• Issueamedicolegalcertificateforthegivenwound
Orthopedic/Medicine• Acquire a thorough history in relevance to MSK and take focused general examination ofmusculoskeletalsystem.
• Identify,evaluateandinterprettheX-raytodiagnosefractures/musculoskeletalconditions• Discusstheradiologicalcharacteristicsoffracturesandradiologicalcharacteristicsofdislocations
Attitude:Whilenotnecessarilytaughtexplicitly,studentsareexpectedtodevelopfollowingattitudesthroughoutthecourse:
1. Demonstrateteamwork,leadership,punctualityandgoodmanners2. Demonstrate humbleness and use socially acceptable language during academic and social
interactionswithcolleaguesandteachers.3. Makeethicallycompetentdecisionswhenconfrontedwithanethical,socialormoralproblemrelated
toMSKinprofessionalorpersonallife4. Discussethicalissues,socialandpreventiveaspectofhealthcareinthecontextofMSKsystem.
THEMESFORMUSCULOSKELETALMODULE
S.NO Theme Duration4weeks
1 AchingBones 2week(1st&2ndWeek)
2 JointStiffness 1week(3rdWeek)
3 MuscleweaknessandTrauma 1week(4thWeek)
4 SkinRashandItching 1week(5thWeek)
9
Theme1AchingBonesSubject Topic S.No LearningOutcome Hrs
AnatomyImportantAnatomicalCharacteristicsofMSK
1. Discuss important anatomicalcharacteristics of musculoskeletalsystem
1
PhysiologyImportantPhysiologicalCharacteristicsofMSK
2. Discuss important Physiologicalcharacteristics of musculoskeletalsystem
1
PathologyMetabolicdiseasesofbone 3. Describethefollowingmetabolic
diseasesofbonefrompathologicalpointofview:• OsteopeniaandOsteoporosis• PagetDisease(OsteitisDeformans)• OsteomalaciaandRickets
1
FractureandOsteonecrosis
4. Classifyfracturesanddescribehealingprocessinfractures
1
5. Enlistaetiologiesofosteonecrosis(AvascularNecrosis)
6. Describeclinicalfeaturesandmorphologicalfindingsinosteonecrosis
Osteomyelitis 7. Classifyosteomyelitisanddelineateitsetiology,pathogenesis,commonclinicalfeatures,morphologicalfindings,andcomplicationsrelatedtoosteomyelitis
1
BoneTumors 8. Classifybonetumors 1
9. Describethefrequencyofdifferentbonetumorsingeneralpopulation
10. Enlistcommonclinicalfeaturesfoundincommontypesofbonetumors.
11. EnlistkeymorphologicalfeaturesofOsteosarcoma,OsteoidosteomaandOsteoblastoma
Cartilage-FormingTumors 12. Discussthefrequencyofdifferentcartilaginoustumorsingeneralpopulation
1
13. Enlistcommonclinicalfeaturesofcommoncartilaginoustumors
TumorsofUnknownOrigin14. Describeetiology,pathogenesis,and
keyclinico-morphologicalfeaturesofEwing’sSarcomaandGiantCellTumor
1
LesionsSimulatingPrimaryNeoplasms
15. Describekeyclinico-morphologicalfeaturesandessentialpointsinthepathogenesisofFibroma
1
10
PharmacologyNSAIDs 16. Describetheclinicalapplicationsof
NSAIDsinthetreatmentofmusculoskeletaldisorders
1
DrugaffectingBone&MineralHomeostasis
17. Classify drugs used in metabolic bonedisorders
2
18. Enlistcalciumpreparations
19. Describeclinicalusesofcalciumsalts
20. EnlistvitaminDpreparations
21. Describe actions of vitamin D onintestine,KidneyandBone
22. DescribeclinicalusesofvitaminD
23. Describe the mechanism of action,clinical uses and adverse effects ofBisphosphonates
24. Describe the mechanism of action,clinical uses and adverse effects ofcalcitonin
25. Classifydrugsusedtotreatosteoporosis
26. ExplainthemechanismofactionofSERM(Raloxifene)andRANKligand(Denosumab)
ForensicMedicine
Mechanismofproductionofwound
27. Defineandclassifywound 1
28. Describemechanismofactionofwoundproductionassociatedfactors,appearanceandcomplications.
Abrasion 29. Defineandclassifyabrasion
30. Explaintypesofabrasionandmechanismofwoundproductionassociatedfactors,appearance,andcomplication.
31. Differentiatebetweenantemortem&postmortemabrasion.
32. Describethemedicolegalaspectsofabrasion
Bruise 33. Defineandclassifybruise 1
34. Describetypesofbruiseandmechanismofwoundproductionassociatedfactors,appearance,andcomplication.
35. Differentiatebetweenantemortem&postmortemBruise.
36. DescribethemedicolegalaspectsofBruise
11Laceratedwound 37. DefineandClassifylaceratedwound 1
38. DescribetypesoflaceratedwoundandMechanismofwoundproductionassociatedfactors,appearanceandcomplication.
39. Differencebetweenantemortem&postmortemLaceration.
40. DescribethemedicolegalaspectsofLaceratedwound
IncisedWound
41. Defineandclassifyincisedwound 1
42. Describetypesofincisedwoundandmechanismofwoundproductionassociatedfactors,appearance,andcomplication.
43. Differencebetweenantemortem&postmortemIncisedWound
44. Differentiatebetweenincised&laceratedwound.
45. DescribethemedicolegalaspectsofIncisedwound
Stabwounds 46. DefineandclassifyStabwound47. DescribetypesofStabwoundand
mechanismofwoundproductionassociatedfactors,appearance,andcomplication.
48. Differencebetweenantemortem&postmortemstabwound
49. Describethemedicolegalaspectsofstabwound
CommunityMedicine
Ergonomics 50. DescribeErgonomics 1
51. Describetheprinciples&importanceofErgonomicsatworkplace
52. Explaintheepidemiologyofmusculoskeletaldisorders
53. DiscusspreventionandcontrolstrategiesforMusculoskeletaldisorders
Osteoporosis,OsteomalaciaandRickets
54. DiscussepidemiologyandpreventionofOsteoporosis,OsteomalaciaandRickets
1
MedicineOsteoporosisandOsteomalacia
55. DescribeOsteoporosisandOsteomalacia
1
56. ListcommoncausesandriskfactorsofOsteoporosisandOsteomalacia
57. Discussclinicalfeatures,differentialdiagnosisofOsteoporosisandOsteomalacia
1258. EnlisttheInvestigationsforpatient
presentingwithOsteoporosisandOsteomalacia
Orthopedics
Fractures
59. Describeandillustratetypesoffracture,fracturepatterns,displacementandangulationoffracturesinchildrenandadults.
1
60. ExplainopenfracturesDiscussthebasicprinciplesofwounddebridement.
BoneTumours 61. Torecognize,investigateanddescribetheradiologicalfeaturesofcommonbenignandmalignantBoneTumours.
1
RadiologyX-RayInterpretation 62. Identifyandinterpretdifferenttypesof
fractures1
EyeAnatomyofEye 63. DescribeanatomyofOrbit 1
64. DescribeanatomyofEyeBall
ENT Ear 65. Explainanatomyofear 1
PaedsBonepainsandachesinchildren
66. CommoncausesofbonesachesandpainsincludingGrowingpainsinchildren
1
67. DiscussnutritionalRicketscausation,clinicalpresentation,LabandRadiologicalfindingsandprevention
Skeletaldysplasia’s 68. Discussclinicalfeatureanddifferentialdiagnosisofthefollowing• Achondroplasia• Osteopetrosis• OsteogenesisImperfecta
1
ResearchQualitativeandquantitativestudydesigns
69. Listandexplaindifferentstudydesignsthatcanbeusedinquantitativeandqualitativeresearchstudies
3
BehavioralSciences
Attributesofprof 70. Discriminateempathyandsympathy 1
Demonstrateempathyinpatient-healthprofessionalinteraction
Theme2JointStiffness
PathologyOsteoarthritis
71. Describeaetiologyandpathogenesisofosteoarthritis
1
72. Discussclinicalandmorphologicalfeaturesofosteoarthritis
73. Enumeratecomplicationsofosteoarthritis
RheumatoidArthritis74.
DescribeaetiologyandpathogenesisofRheumatoidArthritis
1
13
75. DiscussclinicalandmorphologicalfeaturesofRheumatoidArthritis
76. EnumeratecomplicationsofRheumatoidArthritis
SeronegativeSpondyloarthropathies 77.
ClassifyandexplainSpondyloarthropathies
1
78. DiscusspathogenesisandclinicalfeaturesofAnkylosingSpondylitis
79. DiscusspathogenesisandclinicalfeaturesofReactiveArthritis
80. DiscusspathogenesisandclinicalfeaturesofPsoriaticArthritis
InfectiousArthritis81.
DescribeetiologyandpathogenesisofSuppurativeArthritis
1
82. DiscussclinicalfeaturesandmorphologicalfeaturesofSuppurativearthritis.
83. EnumeratecomplicationsofSuppurativearthritis
84. DescribeetiologyandpathogenesisofMycobacterialArthritis
85. DiscussclinicalfeaturesandmorphologicalfeaturesofMycobacterialArthritis
86. EnumeratecomplicationsofMycobacterialArthritis
RheumaticFever87.
Describekeystructuralfeatures,virulencefactors,modesofpathogenesisanddiagnosisofStreptococcuspyogenes
1
88. Explainetiology,pathogenesis,clinicalfeatures,diagnosis,andcomplicationsofRheumaticFever.
Crystal-InducedArthritis89.
Enlistdifferenttypesofcrystal-Inducedarthritis
1
90. Describekeypointsofaetiology,pathogenesis,clinicalfeatures,morphologicalfeatures,andcomplicationsof:• Gout• CalciumPyrophosphateCrystal
depositionDisease(Pseudo-Gout)
PharmacologyPharmacotherapyofGout 91. Classifydrugsusedtotreatgout 2
92. Describe the role of NSAIDs in thetreatmentofgout
93. Describe the role of Glucocorticoids inthetreatmentofgout
1494. Describe the mechanism of action of
various drugs (Colchicine, Probenecid,Allopurinol, Febuxostat) used in thetreatmentofGout
95. Discusstheadverseeffectsofanti-goutdrugs
96. Describe the drug interactions ofAllopurinolandProbenecid
97. Enlistthedrugscausinghyperuricemia
98. Discuss themechanismbywhichdrugscauseshyperuricemia
PharmacotherapyofRheumatoidArthritis
99. Classify drugs used in Rheumatoidarthritis
3
100. Discuss the role of NSAIDs inRheumatoidArthritis
101. Discuss the role of Glucocorticoids inRheumatoidArthritis
102. DefineandclassifyDMARDs
103. Enlist biological and non-biologicalagents used to treat rheumatoidarthritis
104. Describe pharmacokinetics mechanismof action, clinical uses and adverseeffectsofmethotrexate.
105. Enlist adverse effects and therapeuticusesofDMARDs
ForensicMedicineAgeofWound&Complication
106. Describeeventsassociatedwithwoundhealing
1
107. Differentiatebetweenoldandfreshwound
108. Describeinjuryzoneonthebasisofhisto-chemicalchangesandBiochemicaleventstakingplace.
Qisas&Diyat 109. Definehurt,Wound&injury 1
110. ClassifyhurtaccordingtoInternationallaw
111. TypesofhurtaccordingtoQisas&DiyatAct
112. ExplainPunishments(tazir),compensationandFine(Diyat)
MedicineRheumatoidArthritis 113. DescribeRheumatoidArthritiswithits
clinicalpresentationanddifferentialdiagnosis.
1
AnkylosingSpondylitis 114. DescribeAnkylosingSpondylitiswithitsclinicalpresentationanddifferentialdiagnosis.
15
OrthopedicsBoneandJointInfections 115. Descirbetheaetiology,pathology,
clinicalpresentationandinvestigationsofBoneandJointinfections
1
ENTNose,ParaNasalSinuses&OralCavity
116. DiscussanatomyofNose,Paranasalsinuses&oralcavity
1
PaedsJuvenileIdiopathicarthritis(JIA)
117. DiscusscriteriaforclassificationofJIA
1
Discussitsclinicalfeaturesanddifferentialdiagnosis.
ResearchQualitativeandquantitativestudydesigns
118. Discussandselecttheappropriatestudydesign/approachfortheresearchquestion
1
CommunicationSkills
DealingwithPatients119. Explainimportanceofanswering
questionsandgivingexplanationand/orinstructions
1
Theme3MuscleweaknessandTrauma
PathologyTumorsofadiposetissue 120. Classifysofttissuetumorsandprovidea
briefdescriptionoftheirsalientclinicalfeatures
1
121. Enlistkeymorphologicalfeaturesoflipomaandliposarcoma
FibrousTumors 122. Describeimportantclinico-pathologicalandmorphologicalfeaturesof:• NodularFasciitis• Fibromatoses
1
Muscletumors 123. Classifymuscletumors 1
124. Describeetiology,clinico-morphologicalfeatures,andcomplicationsofRhabdomyosarcoma
125. Describeetiology,clinico-morphologicalfeatures,andcomplicationsofLeiomyoma
126. Describeetiology,clinico-morphologicalfeatures,andcomplicationsofLeiomyosarcoma
127. Describeetiology,clinico-morphologicalfeatures,andcomplicationsofFibrosarcoma
Skeletalmuscleatrophyandmyopathies
128. DescribepathologicalfeaturesofSkeletalMuscleAtrophy
1
129. DescribepathologicalfeaturesofNeurogenicandMyopathicchangesinSkeletalMuscle
130. DescribepathologicalfeaturesofInflammatoryMyopathies
16131. Describepathologicalfeaturesof
Dermatomyositis
132. DescribepathologicalfeaturesofPolymyositis
133. DescribepathologicalfeaturesofInclusionBodyMyositis
134. DescribepathologicalfeaturesofToxicMyopathies
InheritedDiseasesofSkeletalMuscle
135. Describegeneticabnormality,morphologyandclinicalfeaturesofMuscularDystrophies
1
PharmacologySkeletalmusclerelaxants 136. Classifyskeletalmusclerelaxants. 3
137. DescribethemechanismofactionofNon-depolarizinganddepolarizingneuromuscularblockers.
138. Discussthedifferencesbetweendepolarizingandnon-depolarizingskeletalmusclerelaxants
139. Describethetherapeuticusesandadverseeffectsofskeletalmusclerelaxants
140. Describecentrallyactingskeletalmusclerelaxants(Spasmolytics)
141. Namedrugscausingmalignanthyperthermia
142. DiscusstherationaleforuseofDantroleneinthetreatmentofmalignanthyperthermia
143. Discusssuccinylcholineapneaanditsmanagement
ForensicMedicineTransportationAccidents 144. Discussinjuriestothedriver&front
seatoccupantandrareseatoccupant.2
145. DiscussspinalinjuriesincludingWhiplashinjuryandrailwayspine
146. ExplainRailwayinjurieswithmedicolegalsignificance
147. DiscussAircrashaccidents.
FirearmInjuries 148. Describewoundballisticsanditstypes. 3
149. Describeterms/Definitionusedinfirearminjuries,typesofbullets.
150. Explainbasicmechanismoffirearm.
151. Explainrangesoffireinfirearminjuries,bevelingphenomenon,woundproductionmechanism.
17152. Identifytypesofgunpowdersand
ammunitionused.153. Interpretfindingsofinjuriesproduced
bydifferentweapons.154. Explainpatternofidentificationofentry
andexitwound.155. Explaininformationinferredfrom
examinationoffirearmentrywound.InjuriesByExplosives 156. Describemechanismofproductionof
injuriesbybombblast.1
157. Explaindifferentcausesofdeathinblastinjuries.
158. InterpretAutopsyfindingsinexplosionfatalities.
ThermalInjuries 159. DescribeThermalInjuries 1
160. Describetheirclassifications
161. DescribeBurnsandScaldsElectricalInjuries 162. Explainelectrocution 1
163. Typesofelectricalinjuries
164. DescribePMfindings
165. ExplainLightning
CommunityMedicine
Poliomyelitis 166. DefinePoliomyelitis
1
167. DescribetheEpidemiology,determinants&distributionofpoliomyelitis
168. DescribethepreventionandcontrolmeasuresofPoliomyelitis
RoadTrafficAccidents 169. DescribeRoadTrafficAccidents? 1
170. Classifydifferenttypesofroadtrafficaccidentsandinjuries?
171. DescribeandcomparetheburdenofroadtrafficaccidentsinadevelopedcountrywithadevelopingcountrylikePakistan
172. ListandExplaintheriskfactorsofroadtrafficaccidents
173. Explaineffectivepublichealthstrategiesusedatindividualandnationalleveltopreventforroadtrafficaccidents
MedicineMyopathies 174. DefineMyopathy 1
175. EnlistMyopathies(Hereditary&AcquiredMyopathies)
18176. Describetheetiologyandclinical
featuresofMyopathies177. PlaninvestigationsforMyopathies
OrthopedicApplicationofCast 178. Explaintheemergencytreatmentofan
injuredlimb.1
179. ExplainemergencyimmobilizationtechniquesoftheNeck,Spinalcolumnandlimbs.
180. Describeanddiscussthebasicprinciplespertainingtoapplicationofacast,thecomplicationsofcastapplication.
181. Discusstheprinciplesofathree-pointpressuresysteminacast.
SoftTissueInjuries,SpinalInjuries
182. Describethecommonligamentousandtendoninjuriesandadviseappropriatemanagement
1
RecognizecommonSpinalfractures,andprovideappropriateinitialmanagement
PaedsCongenital/HereditaryMyopathies
183. Discusscommoncongenitalandhereditarymyopathies,theirgenetics,causation,clinicalpresentation,diagnosis.
1
DucheneMusculardystrophy(DMD)
184. DescribeDMD,itsclinicalpresentationanddifferentialdiagnosis.
1
Theme4SkinRashandItching
PathologyImportantpathologicalterms
185. Definethefollowingskinlesionsanddescribethesewithrespecttotheiretiologiesandgrossmorphologicalfeatures.• Macule• Papule• Nodule• Plaque• Vesicle• Bulla• Blister• Pustule• Scale• Lichenification• Excoriation• Hyperkeratosis• Parakeratosis• Acanthosis• Dyskeratosis• Acantholysis
1
19• Papillomatosis• Lentiginousspongiosis• Urticaria• Pemphigus• Bullouspemphigoid• Warts
Eczematousdermatitis 186. Classifyeczematousdermatitis 1
187. Describethemorphologicalandclinicalfeaturesofacuteeczematousdermatitis
188. Describetheetiologyandpathogenesisof• Contactdermatitis• Atopicdermatitis• Drugrelatedeczematousdermatitis• Photoeczematuseruption• Primaryirritantdermatitis
Erythemamultiforme 189. Listtheconditionswhichareassociatedwitherythemamultiformeanddescribeitsclinicalfeatures
1
Psoriasis 190. Describetheetiopathogenesis,morphologicalandclinicalfeaturesofpsoriasis
1
Pre-malignantepitheliallesions
191. Listthepre-malignantepitheliallesions(Epidermal)• Listthepredisposingfactorsforsquamouscellcarcinomaofskin
• Differentiatesquamouscellcarcinomafrombasalcellcarcinomaonthebasisofmorphologyandclinicalfeatures
1
NevocellularNeviandMalignantMelanoma
192. ListtypesofNevocellularNevi(CongenitalNevus,bluenevus,Spitz’sNevus,halonevusdysplasticnevus)alongwiththeirclinicalsignificance.(Dermal)• Describetheclinicalandmorphologicalfeaturesofdysplasticnevi
• Describemalignantmelanomawithrespecttofrequentsiteoforigin,clinicalandmorphologicalfeatures.
1
Viralskininfections 193. Describethefollowingviralskininfectionsincontextofetiopathogenesis:• Herpessimplexvirus• Herpeszostervirus
1
20Fungalskininfections
194. Classifyanddescribethefollowingfungalskininfectionsincontextofetiopathogenesis:• Tinea• Candida
1
Skinandsofttissueinfections
195. Describethefollowingskinlesionsincontextofethiopathogenesisanddiagnosis• Impetigo• Cellulitis/Erysipelas• Folliculitis• SkinAbscess(Furuncle&Carbuncle)• NecrotizingSoftTissueInfections
1
PharmacologyDrugsusedfordermatologicaldisorders
196. Classifydermatologicalpreparations 2
197. Enlisttopicalantibacterial,antifungal&antiviralpreparations.
198. Describeclinicalusesandadverseeffectsoftopicalantibacterial,antifungalandantiviraldrugs.
199. Discussoraltreatmentofcandidiasisdermatophytosisandonychomychosis.
200. Describevariousacnepreparationsandantibioticsusedtotreatacne.
201. Enlistclinicalusesofimmunomodulators(Imiquimod,Tacrolimus)relatedtoskindiseases.
202. Enlistectoparasiticides
203. EnlistclinicalusesandadverseeffectsofPermethen.
204. DiscussdrugtreatmentofScabies&Pediculosis.
205. Describethemechanismofactionandadverseeffectsofvariousagentsusedforpigmentationdisorders
206. Describetheclinicalusesandadverseeffectsofdrugsusedforthetreatmentofpsoriasis.
207. Describeclinicalusesandadverseeffectsoftopicalcorticosteroids
208. Enlistdermatologicaldisordersresponsivetotopicalcorticosteroidsrankedinorderofsensitivity.
209. Discusskeratoyticagents,antipruriticagents,trichogenicandantitrichogenicagentsanduseofantineoplasticagentsintopicalconditions
21
MedicineImportantpathologicaltermswithClinicalpresentations
210. EnlistandexplaintheclinicalpresentationofthefollowingskinLesions:
• Macule• Papule• Nodule• Plaque• Vesicle• Bulla• Blister• Pustule• Scale• Lichenification• Excoriation• Hyperkeratosis• Parakeratosis• Acanthosis• Dyskeratosis• Acantholysis• Papillomatosis• Lentiginousspongiosis• Urticaria• Pemphigus• Bullouspemphigoid• Warts
1
Pre-malignantskinconditions
211. Enlistthepre-malignantskinconditionsExplaintheirdifferentialdiagnosisonthebasisofclinicalpresentationsEnlisttherelevantinvestigations
1
Malignantconditionsofskin
212. Enlistthemalignantconditionsofskin(squamousandbasalcellcarcinoma)ExplaintheirdifferentialdiagnosisonthebasisofclinicalpresentationsEnlisttherelevantinvestigations
NevocellularNevi 213. ListthetypesofNevocellularNevianddiscusstheirdifferentialdiagnosisonthebasisoftheirclinicalpresentations.Enlisttherelevantinvestigations
PaedsJuvenileDermatomyocytis(JDM)
214. DiscussdiagnosticcriteriaofJDM
1
Discussitsclinicalfeaturesdifferentialdiagnosis
ResearchQualitativeandquantitativestudy3
215. WriteaproposalforresearchprojectusingKMUorCPSPguidelinesoranyotherstandardguidelines
7
22
PathologyPracticals
Week Topic Practical
Week1 Tuberculousosteomyelitis Identifygrossandmicroscopicmorphologicalfeaturesoftuberculousosteomyelitis
Week2 Osteogenicsarcoma,Osteoclastomaandchondrosarcoma
Identifygrossandmicroscopicmorphologicfeaturesofosteogenicsarcoma,osteoclastomaandchondrosarcoma
Week3 ASO(AntiStreptolysinO)test PerformASO(AntiStreptolysinO)testbylatexagglutinationtechnique
Week4 TumorsofSkin Identifygrossandmicroscopicfeaturesof• Squamouscellcarcinoma• Basalcellcarcinoma
PharmacologyPracticalsWeek Topic Practical
Week1 Gout WriteprescriptionforGout
Week2 RheumatoidArthritis WriteprescriptionforRheumatoidArthritis
Week4 DrugsusedtotreatDermatologicalDisorders
Writedownprescriptionforscabies.WritedownprescriptionforPsoriasis
ForensicPracticalsWeek Topic Practical
Week1 Examinationofwoundandweapon
• Abrasion• Bruise• Laceration• Incisedwound• QisasandDiyatmodels/• Duraprintsofinjuries
Week2 Examinationofwoundandweapon
• Stabwound• Fracture• Displacement• QisasandDiyatmodelsofinjuries/multimediaslidesremaining
Week3 Examinationofwoundandweapon
Firearminjuries/WeaponsIdentificationofbullets
Week4 Writingamedicolegalcertificate
MedicolegalreportwritingincaseoffirearmInjuries
23LearningSites
• Digitallibrary• VirtualLearningEnvironment(VLE)• Ambulatorycaresettingswhichmaybeoutsidethehospital• AccidentandEmergency/Casualtydepartments• ClinicalSkillsLaboratory• CommunitySettings• ElectivesinownandotherInstitutions• ExperimentalLaboratories• HospitalWards• OutPatientDepartments• MedicalCollegesetting
ListofreferencebooksRECOMMENDEDBOOKS
PharmacologyTextBooks
1. BasicandClinicalPharmacologybyKatzungBG,MastersSB,TrevorAJ,14thEdition. 2. Lippincott’sIllustratedReviews:Pharmacology,ClarkMA,FinkelR,ReyJA,WhalenK,7thEdition.
ReferenceBooks:
1. Goodman&Gilman’sThePharmacologicalBasisofTherapeutics,BruntonLL12thEdition.
PathologyTextBooks
1. RobbinsPathologicBasisofDisease
ReferenceBooks:
1. Walter&Israel’sGeneralPathology"2. HarshMohan's"TextbookofPathology".3. PathologyIllustrated4. StefanSilbernagl’s"ColorAtlasofPathophysiology"5. Muir'sTextbookofPathology
TextbookforMicrobiology
1. Jawetz,Melnick&Adelberg's"MedicalMicrobiology"
ReferenceBooks:
1. Levinson's"MedicalMicrobiology&Immunology"2. SherrisMedicalMicrobiology3. Lippincott'sIllustratedReviews:Microbiology
24ForensicMedicineTextbooks:1.CKParikhneweditionReferenceBooks:
1. NasibRAwan2. KrishanVij3. Smartseries(SSS)ForensicMCQswithexplanation4. GazettePakistanPenalCode(PPC)5. VVPillayandRajeshBardale
CommunityMedicineTextbooks:
1. PublicHealth&CommunityMedicinebyShahIlyasAnsari;8thEdition2. ParksTextbookofPrevention&SocialMedicinebyK.Park;24thEdition
OphthalmologyTextbooks:
1. Parsons’DiseaseoftheEYE
ReferenceBooks:
2. ShortKanski3. ClinicalOphthalmologyShafiMJatoi
ResearchandBiostatistics1. Asynopsisofepidemiologyandbasicstatistics(AliMuhammadMir)2. Statissticsatsquareone(TDVSwinscow)3. Essentialsofresearchdesignandmethodology.(GeoferryMarczyk)4. Theessentialsofclinicalepidemiology(RobertH)
Medicine&Allied1. KumarandClarkforMedicine8thedition20122. Davidson
Surgery&Allied1. BaileyandLove.ShortPracticeofSurgery25thedition20082. CurrentSurgicalDiagnosisandTreatment13thedition2009
Otorhinolaryngology1. PLDhingra7thedition2. Cumingstandards,ENT
PaediatricMedicine1. Textbookofpaediatrics,Pakistanpaediatricsassociation2. Essentialsofpaediatrics,Nelson,Eightedition3. Basisofpaediatrics,Pervezakbarkhan,Ninthedition
25