Студопедия — Attendance of practical employments
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Attendance of practical employments






http://komi.gks.ru/

Территориальный орган Федеральной службы
государственной статистики по Республике Коми, тел. 28-57-80

Формат 60х84/16 Усл. печ. листов

Тираж экз. Заказ №

 

Ministry of health

Dnepropetrovsk state medical academy

Surgery department № 2

Discipline – Surgery

 

 

REFERENCE BOOK

Educational process after the module № 4

"Simptoms and syndromes in surgery. Vascular and endocrine surgery"

 

for student of 6-th year of education

__________________________________________________

Group № ________ Faculty _____________

Period of education 2013 – 2014 years.

.

 

 

Chairman

Kutovyy Olexandr, MD

 

Dnepropetrovsk

Lections topics of module 4.

Lection’s topics hours
1. Surgical treatment of wide-spreadatherosclerosis  
2. Clinic, diagnosis, approach to treatment of chronic vein pathology of lower extremities  
3. Postcholecystectomy syndrome. The syndrome of mechanical jaundice  
4. Sugar diabetes as a surgical problem  
5. The syndrome of portal hypertension.Surgical treatment  
6. The syndrome of acute abdomen  
7. Diseases of operated stomach  
8. Local and widespread purulent inflammation of the abdominal cavity and peritoneum. Peritonitis. Diagnostic program  
  Total  

 

Attendance of lectures

• Attendance of lectures is obligatory, and at missing lecture, obligatory writing of its abstract, with deduction heel (5) marks.

• Marks are deducted vid the lump sum of marks at the end of study of object.

Attendance of practical employments

• Attendance of practical employments is obligatory, and at admission of practical employments, their thematic working off is obligatory in the selected term at the end of semester out of term, with deduction heel (5) marks.

• Marks are deducted vid the lump sum of marks at the end of study of object.

3. Encouragement marks (processing of individual scientific jobs of students is over the term of employments of audiences):

• Encouraging marks are added to the sum of marks students, that on practical employments will get total marks at level A-B.


 

 

Content module 7. “ Vascular and endocrine surgery” 3,5 credits 105 hour.
Lection Practical lessons SSW Control
Educational elements - 9 hour hour hour hour.
      -
Educational element 1: „Abdominal ischemic syndrome. Clinical variants of a current. Diagnostics. Differential diagnostics. Methods of surgical treatment.” Acquaintance with base. Control of residual level of knowledge on ІV-V to courses. A technique of patient curation, formation of the preliminary diagnosis, algorithm of additional researches (the laboratory; the tool: ангиосканирования, radiological: ангиографии, and others), carrying out of the differential diagnosis, formation of the final diagnosis and medical tactics. Abdominal ischemic syndrome. Clinical variants of a current. Diagnostics. Differential diagnostics. Methods of surgical treatment.
Practical skills: 1. Rationale for the preliminary diagnosis. 2. Physical examination of the patient (inspection, palpation, percussion, auscultation
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Educational element 2: „The Syndrome of a chronic ischemia of lower extremities. An obliterating atherosclerosis and endarteritis obliterans. A Rejno syndrome. Classification of a chronic ischemia, levels of occlusion of aorta and arteries of lower extremities. Conservative and surgical treatment of occlusions of lower extremities.” Classification of a chronic arterial ischemia of lower extremities. Differential diagnostics of a syndrome of a chronic ischemia of lower extremities. Methods of conservative and surgical treatment of a chronic ischemia.
Practical skills: 1. Determination of arterial pulsations in various segments of the lower extremities. 2. Determination of the symptoms of chronic ischemia of lower extremities (knee phenomenon Panchenko, samples of Samyuels, Lavastin, Rashtov)
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Educational element 3: Diabetic foot syndrome. Features of multifocal atherosclerosis in patients with diabetes. Conservative and surgical treatment of occlusion of the distal segment of the vessels of the lower extremities. " Classification of diabetic foot syndrome; Conservative and surgical treatment of diabetic angiopathy; Conservative and surgical treatment of neuropathic-infected foot; Features of patients with multifocal atherosclerotic lesions of arteries; Conservative and surgical treatment of occlusion of the distal segment of the vessels of the lower extremities.
Practical skills: 1. Interpretation of the results of the Doppler angioscanning. 2. Analysis of the arteriogram in patients with lesions of the great arteries.
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Educational element 4: Arterial thrombosis and embolism. Acute disorders of blood circulation. The classification of acute limb ischemia. Diagnosis. Differential diagnosis. Traumatic lesions of the arteries. Methods of surgical treatment " Classification of acute arterial ischemia of the extremities; Formation of the diagnostic program and its analysis; Methods of conservative and surgical treatment of acute arterial ischemia of lower extremities.
Practical skills: 1. Determining the level of occlusion of the artery 2. Analysis of the arteriogram in patients with lesions of the distal vessels.
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Training element 5: Classification, clinical features, diagnostic and treatment of abdominal aortic aneurysm. The clinic, diagnostic and treatment of aortic arch syndrome. " Uncomplicated aneurysm of the abdominal aorta. Dissecting aneurysm of the abdominal aorta. Syndrome of the aortic arch. The clinic, diagnostic treatment of aortic lesions of different localization.
Practical skills: 1. Identify symptoms of an aneurysm of the abdominal aorta. 2. Analysis aortogramm.
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Intermediate control of knowledge on the topic: “Acute and chronic pathology of the arterial system”(individual work at home on the clinical case studies)
Possible diagnosis Diagnostic program Differential diagnosis Clinical diagnosis Treatment program Total
1-0 1-0 1-0 1-0 1-0 5-4-3-0
           
Training item 6: "Varicose veins of lower extremities. Classification. Complications. Diagnosis. Special methods. Approach to treatment. " Syndrome of chronic venous insufficiency. Diagnosis and differential diagnosis of complications of varicose veins of the lower extremities.
Practical skills: 1. Samples Troyanov, Trendelenburg, Pratt-2, Gakkenbruh. 2. Samples of the Pratt-1, Delbe Perthes.
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Training Element 7: "Thrombosis of the main veins. Classification. Clinic, diagnosis, differential diagnosis. PATE. Clinic diagnosis. Modern possibilities of conservative treatment. Methods of prevention. " Clinic, diagnosis, differential diagnosis of thrombosis and thrombophlebitis of the main veins. Classification, clinical manifestations, diagnosis of pulmonary embolism. Modern possibilities of conservative and surgical treatment of pulmonary embolism.
Practical skills: 1. Symptoms Homans, Moses. 2. Analysis venogram
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Training item 8: "Syndrome of the superior vena cava. Syndrome of inferior vena cava. Postthromboflebitic syndrome. Lymphedema of the limbs. Classification, diagnosis, differential diagnosis. Conservative and surgical treatments. " Clinic, diagnosis, differential diagnosis consequence of thrombosis of the upper and lower hollow vein. Classification, clinical manifestations, diagnosis PTFS of lower extremities. Classification, clinical manifestations, diagnosis of lymphedema of the lower extremities. Modern possibilities of conservative and surgical treatment PTFS lower extremities.
Practical skills: 1. Analysis of blood coagulation thrombosis and thrombophlebitis. 2. Puncture and catheterization of the arteries and veins.
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Training item 9: "Euthyroid and toxic goiter. Classification. Special methods. Diagnosis, differential diagnosis and treatment tactics. Preoperative preparation. Modern methods of diagnosis and treatment of diseases of the cardiovascular and respiratory systems. " Clinic, diagnosis, differential diagnosis of thyroid diseases. Modern possibilities of conservative and surgical treatment of thyroid diseases.
Practical skills: 1. Physical examination of the thyroid gland. 2. Analysis of indicators of blood hormones in diseases of the thyroid gland.
Control of knowledges about educational element (on practical lesson)
Test Questioning Practical skills, curation Total
5 – 4 – 3 – 0 5 – 4 – 3 – 0 10 – 8 – 6 – 0 20 – 16 – 12 – 0
       
Intermediate control of knowledge on the topic: "Pathology of veins, the thyroid gland (individual work at home on the clinical case studies)
Possible diagnosis Diagnostic program Differential diagnosis Clinical diagnosis Treatment program Total
1-0 1-0 1-0 1-0 1-0 5-4-3-0
           
                                         







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