musculoskeletal module ii third professional year mbbs 5 …
TRANSCRIPT
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MusculoskeletalModuleIIThirdProfessionalYearMBBS5Weeks
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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
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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
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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
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5Otorhinolaryngology................................................................................................................................................24
PaediatricMedicine....................................................................................................................................................24
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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
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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
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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)
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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
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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
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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
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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
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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
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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.
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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
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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.
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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)
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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
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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
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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
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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
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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
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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
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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
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