neurosciences & psychiatry 02 module neu 2 fourth year mbbs
TRANSCRIPT
NEUROSCIENCES & PSYCHIATRY 02
MODULE
NEU 2
Fourth Year MBBS
Dow University of Health Sciences
5 YEAR CURRICULAR ORGANIZATION
Spiral year Modules
First Spiral
I
FND1- Foundation Cell, Genetics & Cell Death (Basics of Anatomy, Physiology, Biochemistry, Gen. Pathology, Gen. Pharmacology, Community Medicine & Behavioral Sciences, 9 Weeks
HEM1- Blood Module Immunity, Inflammation, Tissue repair, Antimicrobials & Neoplasia 9Week
LCM1- Locomotion Bones, Joints, Nerves & Muscles, 9weeks
RSP1- Respiratory System 6 weeks
CVS1- Cardiovascular System 4 weeks
II
NEU1- Nervous System 8 weeks
HNN1- Head & Neck & Special 6 weeks
END1- Endocrinology 5weeks
GIL 1-GIT and Liver 8 weeks
EXC1- Renal and Excretory System 5 weeks
REP1- Reproductive System 5 weeks
Second
Spiral
III
IDD 1- Infectious diseases 5 weeks
HEM2- Hematology 5 weeks
RSP2- Respiratory System 5 weeks
CVS2- Cardiovascular System 5 weeks
GIL 2-GIT and Liver (including Nutritional Disorders) 8weeks
EXC2- Renal & Excretory System 5 weeks
END2- Endocrinology 5 weeks
IV
ORT2- Orthopedics, Rheumatology, Trauma 7 weeks
REP2- Reproductive System 8 Weeks
PMR-Physical Medicine & Rehabilitation DPS-Dermatology Plastic Surgery / Burns GEN-Genetics 6 weeks
NEU2- Neurosciences and Psychiatry 8 weeks
OPH / ENT* 4 weeks
ENT/OPH *
4 weeks
Third Spiral V
Clinical Rotation 9:30 to 3:00 (with Ambulatory, Emergency, Intensive care) In Medicine, Pediatrics, Cardiology and Neurology units
Lecture on problem based approach, twice a week Ward tutorial twice a week Student research
presentation once a week
Clinical Rotation 9:30 to 3:00 (Inpatient, Ambulatory, Emergency, Intensive care and Operation Theatres) In Surgery, Gynecology & Obstetrics, Orthopedics and Neurosurgery. Lecture on problem based
approach, twice a week Ward tutorial twice a week Student research presentation once a week
RATIONALE
Nervous system is the most complex system of the body. A large number of diseases involve the
nervous system in their primary pathology or the nervous system may de secondarily involved in
systemic illnesses. Infections like meningitis and encephalitis, movement disorders, demyelinating
diseases, epilepsy and cerebrovascular accidents along with congenital and traumatic disorders are
some of the common diseases of the nervous system. Timely diagnosis and management prevents
high morbidity and mortality. The Neurosciences 1 module in the basic cycle has already provided
a sound basis of the anatomy, physiology, neuropharmacology and pathologic basis of CNS
diseases. In this second, clinical spiral, the student will learn the clinical presentation, diagnosis
and management of these diseases.
MOULE OBJECTIVES
By the end of the 5 year curriculum the student shall be able to:
-anatomy of brain and spinal cord
neuron, nerve and neuroglia
management
mpare primary and secondary headache
general, regional and local anesthesia
the approach for assessment and management of adult as well as pediatric stroke,
dementia and Parkinson’s disease
infection and discuss the management
MODULE CONTENTS
ANATOMY
NEU 2 Ana 1 (REVISIT) Neurons and Neuroglia
NEU 2 Ana 2 (REVISIT) Functional Neuro anatomy of Brain
NEU 2 Ana 3 (REVISIT) Anatomy of circulation of brain: Anterior and posterior cerebral
circulation
NEU 2 Ana 4 (REVISIT) Revisit Cerebellum
NEU 2 Ana 5 (REVISIT) Cranial nerves I- VI
NEU 2 Ana 6 (REVISIT) Cranial nerves VII-XII
NEU 2 Ana 7 (REVISIT) Functional Neuro anatomy of Spinal Cord
EMBRYOLOGY
NEU 2 Ane 1 (REVISIT) Development of brain
HISTOLOGY
NEU 2 Anh 1 (REVISIT) Neurons and Neuroglia
NEUROSURGERY
NEU 2 Neu Sur 1 Congenital Anomalies of CNS
NEU 2 Neu Sur 2 Synthesis and flow of CSF along with its composition, Hydrocephalus its
Management
NEU 2 Neu Sur 3 Raised intracranial and its effects: management of cerebral edema,
raised ICP, and brain herniations
NEU 2 Neu Sur 4 Traumatic Brain Injury
NEU 2 Neu Sur 5 Intracranial Hemorrhage
NEU 2 Neu Sur 6 Approach & Management of CNS tumors
PATHOLOGY
NEU 2 Pth 1 Reaction Of Neurons And Glial Cells to Injury, Cerebral Hypoxia & Cerebral
Edema
NEU 2 Pth 2 Degenerative Diseases Of Basal Ganglia (Parkinsonism) & Brainstem
NEU 2 Pth 3 Brain Tumors I
NEU 2 Pth 4 Brain Tumors II
MICROBIOLOGY
NEU 2 Pth 1 Common pathogens of nervous system with special reference to different age
groups
PHARMACOLOGY
NEU 2 Pha 1 General Anesthetics: classification, mechanism & adverse reaction Lecture-1
NEU 2 Pha 2 General Anesthetics: classification, mechanism & adverse reaction Lecture -2
NEU 2 Pha 3 Local anesthetics: classification, mechanism & type of application
NEU 2 Pha 4 Sedatives & Hypnotics: classification, mechanism of action (Barbiturates)
NEU 2 Pha 5 Sedatives & Hypnotics: classification, mechanism of action (Benzodiazepine)
NEU 2 Pha 6 Anti-depressant drugs, classification, mechanism of action & Pharmacology
NEU 2 Pha 7 Anti-psychotic drugs: classification, mechanism of action & Pharmacology
NEU 2 Pha 8 Drug Pharmacology of Migraine
NEU 2 Pha 9 Anti-Parkinson drugs: classification, mechanism of action & Pharmacology.
NEU 2 Pha 10 Anti-epileptic drugs: classification, mechanism of action & Pharmacology.
NEU 2 Pha 11 Opioids: classification, receptors, mechanism, pharmacological action &
adverse drug reactions
NEU 2 Pha 12 CNS stimulants: Pharmacology
PSYCHIATRY
NEU 2 Beh 1 Depressive Disorders
NEU 2 Beh 2 Anxiety and OCD
NEU 2 Beh 3 Mania and psychiatric disorders
NEU 2 Beh 4 Suicide And Self Harm
NEU 2 Beh 5 Medically Unexplained Symptoms
NEU 2 Beh 6 Behavioral Disorders
COMMUNITY MEDICINE
NEU 2 Com 1 Review concepts of Biostatistics
Neu 2 Com 2 Intro to SPSS, Variable Creation and data entry
Neu 2 Com 3 Review Data analysis measure
Neu 2 Com 4 Global burden of neurological disorders
Neu 2 Com 5 Biostatistics T-Test application
Neu 2 Com 6 ANOVA test
Neu 2 Com 7 CHI Square Test
Neu 2 Com 8 Public Health Principles and Neurological Disorders
Neu 2 Com 9 Biostatistics (Regression analysis)
PHYSICAL MEDICINE AND REHABILITATION
NEU 2 PMR 1 Introduction to Neuro- Rehabilitation
NEU 2 PMR 2 Rehablitation of Stroke Patient
NEU 2 PMR 3 Parkinson rehabilitation
NEU 2 PMR 4 Spinal cord injury Rehabilitation
NEUROLOGY
NEU 2 Neu 1 Investigations for Neurological Disorders
NEU 2 Neu 2 Primary Headache Syndromes
NEU 2 Neu 3 Secondary Headache Syndromes & Trigeminal Associated Cranial and Facial
Neuralgias
NEU 2 Neu 4 Approach to Coma
NEU 2 Neu 5 Approach to Epilepsy.
NEU 2 Neu 6 Clinical feature and Diagnosis of Cerebrovescular Accidents
NEU 2 Neu 7 Approach to and Management of CVA
NEU 2 Neu 8 CNS infections: Acute.
NEU 2 Neu 9 CNS infections: Chronic.
NEU 2 Neu 10 Approach to Movement Disorders, Parkinsons Disease.
NEU 2 Neu 11 Approach to and Management of Dementia; Alzheimer’s Disease.
NEU 2 Neu 12 Demyelinating Disorders of CNS; Multiple Sclerosis.
NEU 2 Neu 13 Clinical Approach to Ataxias.
NEU 2 Neu 14 Non Compressive Myelopathies Clinical Features and Management.
NEU 2 Neu 15 Lesion of Cranial nerves.
NEU 2 Neu 16 Disorder of Anterior Horn Cells; Amytrophic Lateral Sclerosis;
NEU 2 Neu 17 Clinical Approach to Neuropathy; GBS
NEU 2 Neu 18 Neuromuscular junction Disorder; Mysthenia Gravis.
NEU 2 Neu 19 Classification & Clinical approach to myopathies: Ducchenne muscular
dystrophy
NEU 2 Neu 20 Parkinson’s diseases
NEU 2 Neu 21 Headache
RADIOLOGY
NEU 2 Rad 1 Brain MRI
NEU 2 Rad 2 Neuroradiology of stroke &cerebral angiography & interventional radiology
NEU 2 Rad 3 Brain tumors,head injury and hydrocephalus
NEU 2 Rad 4 Radiological featuresof normal and diseased spinal cord
PEDIATRICS
NEU 2 Ped 1 Childhood epileptic Syndrome
NEU 2 Ped 2 Approach to Paediatrics Stroke
NEU 2 Ped 3 Cerebral palsy / mental retardation
NEU 2 Ped 4 Approach to AFP in Children
ANAESTHESIA
NEU 2 Ane 1 General Anesthesia
NEU 2 Ane 2 Regional Anesthesia
LEARNING OBJECTIVE OF SKILL LAB CURRICULUM
Lumbar Puncture
INTRODUCTION/RATIONALE:
A procedure in which a hollow needle and stylet are introduced into the subarachnoid space of
the lumbar part of the spinal canal to obtain cerebrospinal fluid (CSF) for therapeutic and
diagnostic purposes. Strict aseptic technique is used.
SCENARIO BASED LEARNING
NEU 2 Cbl 1 HEADACHE
Define headache and its types
NEU 2 CBL2 PARKINSON’S DISEASE
Parkinsonism and Parkinson disease
NEU 2 Cbl 3 BRAIN TUMORS
pilloedema.
ASSESSMENT PLAN
NEUROSCIENCES AND PSYCHIATRY 2 MODULE
WEIGHTAGE
ANNUAL EXAM
80%
MODULE EXAM
INTERNAL EVALUATION
THEORY
10%
PRACTICAL
10%
Credit hours: 9
CONTACT HOURS (DISCIPLINE WISE)
Discipline Contact Hours
Anatomy
Pathology
Microbiology
Neurology
Radiology
Pharmacology
Community Medicine
Anaesthesia
SBL
Paediatrics
Psychiatry
Neurosurgery
Physical medicine and rehabilitation
7
4
1
21
4
12
9
2
3
4
6
6
4
BOOKS
ANATOMY
CLINICALLY ORIENTED ANATOMY
KEITH.L.MOORE, Arthur F. Dalley, Anne M.R. Agur
7th or Latest EDITION
GRAY'S ANATOMY FOR STUDENTS
Drake & Vogl & Mitchell
3rd or Latest EDITION
CLINICAL ANATOMY BY REGIONS (REFERENCE BOOK)
Richard S. SNELL
9th EDITION
LAST’S ANATOMY: REGIONAL & APPLIED (REFERENCE BOOK)
Chummy S. Sinnatamby
12th or Latest EDITION
ATLAS OF HUMAN ANATOMY
FRANK H.NETTER
6th EDITION
EMBRYOLOGY
LANGMAN’S MEDICAL EMBRYOLOGY
T.W.SADLER
13th EDITION
THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY
(REFERENCE BOOK)
MOORE & PERSAUD & TORCHIA
10th EDITION
HISTOLOGY
MEDICAL HISTOLOGY
LAIQ HUSSAIN SIDDIQUI
5TH or Latest EDITION
WHEATERS FUNCTIONAL HISTOLOGY
BARBARA YOUNG
5th EDITION
BASIC HISTOLOGY( TEXT AND ATLAS) (REFERENCE BOOK)
LUIZ JUNQUEIRA, JOSE CARNEIRO
11th or Latest EDITION
PATHOLOGY
ROBBINS BASIC PATHOLOGY
KUMAR & ABBAS
9TH EDITION
ROBBINS & COTRAN PATHOLOGIC BASIS OF DISEASE (REFERENCE
BOOK)
KUMAR & ABBAS & ASTER
9th EDITION
COMMUNITY MEDICINE
PUBLIC HEALTH AND COMMUNITY MEDICINE
SHAH, ILYAS, ANSARI
7th EDITION
PHARMACOLOGY
LIPPINCOTT’S ILLUSTRATED REVIEW PHARMACOLOGY
KAREN WHALEN
6th or Latest Edition
BASIC AND CLINICAL PHARMACOLOGY (REFERENCE BOOK)
BERTRAM G. KATZUNG
11th EDITION
MICROBIOLOGY
REVIEW OF MEDICAL MICROBIOLOGY AND IMMUNOLOGY
WARREN LEWINSON
14th EDITION
MEDICINE & MEDICAL SPECIALTIES
PRINCIPLES & PRACTICE OF MEDICINE DAVIDSON’S
22nd or Latest Edition
ESSENTIALS OF KUMAR AND CLARK'S CLINICAL MEDICINE
KUMAR & CLARK9th or Latest Edition
MACLEOD'S CLINICAL EXAMINATION DOUGLAS & NICOL &
ROBERTSON 13TH or Latest Edition
HUTCHISON'S CLINICAL METHODS WILLIAM M DRAKE & MICHAEL
GLYNN 23rd or Latest Edition
PEDIATRICS
NELSONS’S ESSENTIALS OF PEDIATRICS MARCDANTE &
KLIEGMAN 7th or Latest Edition
SURGERY & SURGICAL SPECIALTIES
SHORT PRACTICE OF SURGERY ROBERT JOHN MCNEILL LOVE,
HENRY HAMILTON BAILEY 26TH EDITION or Latest Edition
CURRENT DIAGNOSIS AND TREATMENT SURGERY GERARD M.
DOHERTY 14TH OR LATEST EDITION
BROWSE'S INTRODUCTION TO THE SYMPTOMS & SIGNS OF
SURGICAL DISEASE NORMAN L BROWSE 5TH OR LATEST EDITION
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Prepared by:
Chief Module Coordinator: Prof. Naheed Khan
Module Coordinator: Dr. Arisha Sohail