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Respiratory disease Teaching objectives: To have a general expression of respiratory disease by learning the anatomy and related factors、related history、sign、accessary examination of respiratory disease ,and confirm learning progress and methord,confirm clinical thingking of diagnosis in anitial. Teaching requirements: familiar with the anatomy and physiology. mastering clinical significancy of respiratory function. understanding the etiology、clinical manifestations and diagnosis、 developing of present and in future of the respiratory disease. Teaching contents:| epidemiology of respiratory disease stucture and function of respiratory system anatomy character of trachea、vascular defence mechanism of respiratory organs main affecting factors of respiratory disease the harm of air pollution and smoking increasing of allergen inhalation the pathogen character of respiratory infection the age of social population become elder diagnosis of respiratory disease history symptom sign laboratory and other examinations the definition and amplication of respiratory function、the lung capacity of obstructive and restrictive ventilation desfunction and characteristic changing of ventilation. the prospection of respiratory disease. Chronic bronchitis Teaching objectives: Mastering the diagnosis、classification and treatment of chronic bronchitis by learning the etiology and path physiology 、 clinical manifestation and accessory examination of chronic bronchitis. Teaching requirements: understanding the etiology and path physiology of chronic bronchitis. mastering the diagnosis、classification of chronic bronchitis. familiar with symptom、sign、X-ray、examination of respiratory function. familiar with diffential diagnosis of chronic bronchitis. mastering the treatment of chronic bronchitis Teaching contents: the etiology and mechanism of chronic bronchitis: air pollution 、 smoking、infection、allergens、others. Path physiology: clinical manifestation: symptom、sign classification accessory examination X-ray examination of respiratory function. laboratory examinations diagnosis and differential diagnosis the definition and complication of COPD diagnose:according to that the country made. differential diagnose:lung tuberculosis 、 bronchial asthma 、 bronchiectasis、lung cancer etc. treatment acute break up and chronic staining stage clinical relieve stage treatment prevention Obstructive emphysema Teaching objectives: Obstructive emphysema results from chronic bronchitis, mastering diagnosis and classification of emphysema by learning the definition、path physiology and clinical manifestation of emphysema. Teaching requirements: understanding the definition、mechanism and path physiology of emphysema. mastering the symptom 、 sign 、 accessory examination of emphysema. familiar with the complication of emphysema. mastering the diagnosis and difference of pathologic classification . understanding the purpose of treatment and mathord. Teaching contents: the definition 、 etiology 、 path physiology and mechanism of emphysema. symptom of emphysema: cough、sputumn、dyspnea sign:inspection、palpation、purcultion、auscultation accessory examination X-ray examination of respiratory function ECG,aterial blood gas analysis,blood test,sputum test complications:anetonous pneumothorax,acute lung infection,chronic colpulmonale diagnosis and difference of pathologic classification . puffer bronchitis mixed treatment:(1)purpose ( 2)methord (3)prevention Chronic colpulmonale Teaching objectives: mastering diagnosis and classification of colpulmonale by learning the clinical manifestation and accessory examination of colpulmonale, familiar with the treatment of colpulmonale. Teaching requirements: mastering diagnosis and classification of colpulmonale. understanding the mechanism of colpulmonale、mechanism of pulmonary hypertention and how the changing of the heart occurred. familiar with the key point to deal with complications of colpulmonale. Teaching contents: etiology:bronchus、lung disease、chest wall movement desfuntion disease、pulmonary vascular desease、SAS. mechanism and pathology: mechanism of pulmonary hypertention :functional factors、 anatomy factors、blood capacity increasing、heart disease and heart failure. the damage of other important organs clinical manifestation compensate stage: A basic lung thoracic disease B the evidence of PFT decreasing C sign of pulmonary hypertention and right heart hypertrophy incompensate stage complications of colpulmonale:pulmonary encepholy,heart arrhythmia,shock,aid disturbance,gastric bleeding. accessory examination:X-ray,ECG,aterial blood gas analysis,blood test, diagnosis and differential diagnosis diagnosis:according to the “diagnostic stander of colpulmonale “made in 1977. differential diagnosis:coronary heart disease,primary heart mulcle disease. treatment: acute exacerbation stage: A control infection B open the airway C control heart failure Relieve stage: Respiratory failure Teaching objectives: Confirming failure,mastering the definition and classification of respiratory the treatment and influence caused by respiratory failure to the other organs. Teaching requirements: mastering the definition and classification of respiratory failure. understanding the etiology 、mechanism and path phisyology of respiratory failure. mastering the clinical manifestation and principle of treament of respiratory failure. familiar with the artery blood gas analysis、the aid disturbance and electro disturbance. Teaching contents: the definition and classification of respiratory failure. the etiology of respiratory failure:obstructive disease of air way,lung tissue disease,pulmonary vascular disease,chest wall and pleural disease,breathing center and breathing mulses disease. mechanism and pathophisyology of chronic respiratory failure. mechanism of hypoxia and carbondixoid trapping:inefficiency of ventilation 、 V/Q disturbance 、 pulmonary artery-venous diffusion 、 increasing of oxgen using. the affectiveness of hypoxia and carbondixoid trapping to the body: the affectiveness to nervous center、cardiac、respiratory、liver、renal、 blood system、the acid disturbance and electro disturbance. clinical manifestation : dyspnea 、 cynosis 、 neurosympyom、 blood system、gastric system and renal system. diagnosis:according to the etiology、 clinical manifestation and artery blood gas analysis get to diagnose. the type of respiratory failure and the acid disturbance and electro disturbance. treatment: clean away the airway oxygen therapy:the difference and method of oxygen therapy to typeⅠrespiratory failure and typeⅡrespiratory failure. increasing ventilation,decreasing carbondixoid trapping,using the breathing provocation and mechanical ventilation apropratly. correct the acid disturbance and electro disturbance. anti infection profection and treatment of complications. nutritions. Acute respiratory distress syndrom Teaching objectives: Familiar with the the etiology、mechanism、clinical manifestation、 diagnosis、treatment by learning acute respiratory distress syndrome( ARDS) Teaching requirements: Mastering the definition of ARDS, understanding the etiology and mechanism of ARDS, familiar with clinical manifestation, mastering the diagnostic standers, familiar with the treating principles. Teaching contents: definition of ARDS etiology and mechanism of ARDS clinical manifestation of ARDS diagnosis of ARDS treating principles of ARDS、common ventilation type used to ARDS Bronchial asthma Teaching objectives: Confirming that the asthma is chronic inflammation of air way,in clinics abruptly wheezing with extend reversible air way obstruction,to avoid the reversible air way obstruction become to irreversible the general gall suggestion for asthma prevention becom the standers to prevent asthma in noeadays. Teaching requirements: mastering the clinical manifestation、diagnosis、estimating the condition of asthma in stable stage and diagnostic standers of acute occurring、pulmonary function test. familiar with diffentiated diagnosis、complications. mastering the kinds of drug used to asthma and the stage treatment. Teaching contents: definition、etiology and mechanism of asthma:allergic reaction,air way inflammation,air way hyperrosonance,neuro mechanisim pathology clinical manifestation symptom sign accsesory examination:blood test,sputum test,respiratory function test,artery blood gas analysis,X-ray,allergen tst. diagnosis diagnostic standers: according to the symptom、sign diagnose typical case,combined with PFT diagnose atypical asthma. estimating the condition of asthma in stable stage diagnostic standers of acute occurring diffentiated diagnosis:cardiac asthma,wheezing chronic bronchitis,bronchial lung cancer,allergic lung infiltrated disease. complications:pneumothrax,mediastunal emphysema,infection,colpulmonale. Prevention: Take away allergen Drug treament bronchodialator antibiotics other drugs treatments in the acute occurring stage:treatments of sevear asthma. treatments in the stable stage education and management of asthma. Pneumonia Teaching objectives: Understanding the clinical feature and treatment of different lung infection by learning pneumococcal pneumonia. Teaching requirements: familiar with the definition and classification of pneumonia. understanding the etiology and mechanism of pneumococcal pneumonia. mastering the clinical manifestation and treatments of pneumococcal pneumonia. familiar with the laboratory test,X-ray,complications and diffentiated diagnosis of pneumococcal pneumonia. familiar with the clinical feature and treatment of staphylococcal pneumonia,klebial pneumoni,loigus pneumonia,mycoplasma pneumonia. Teaching contents: definition and classification of pneumonia,pay attention to the pathogen of CAP and HAP. pneumococcal pneumonia. etiology and mechanism:explain the charateristic、types、 ability of pneumococcus,body immunofunction and provocate factors. pathology and clinical manifestation:congestion stage 、 consolidation stage、resolution stage. laboratory test and X-ray complications: infective shock,pleuritis,lung abcess,etc. diagnosis and diffentiated diagnosis: according to the typical symptom 、 sign 、 X-ray diagnose. Diffentiated from atypical pneumonia、acute lung abcess、lung cancer. treatments: antibiotics nutrition managed with complications treatments of severe pneumonia and infective shock ( 三 ) the clinical feature and treatment of staphylococcal pneumonia,klebial pneumoni,loigus pneumonia,mycoplasma pneumonia. the clinical feature of X-ray,first line antibiotic used in each pneumonia. Pulmonary tuberculosis Teaching objectives: Understanding the development of pulmonary tuberculosis,familiar with the clinical feature and X-ray of pulmonary tuberculosis, mastering the treating principles of pulmonary tuberculosis. Teaching requirements: mastering the contaminated path of pulmonary tuberculosis familiar with the examination of pulmonary tuberculosis: mastering the OT and PPD. familiar with the feature and X-ray of different types of pulmonary tuberculosis drug trement principles of pulmonary tuberculosis, understanding the common side effetviness of anti tuberculosis drugs Teaching contents: 1. Epidomilogy of pulmonary tuberculosis 2. TB bacterial 3. pathology and mechanisim of pulmonary tuberculosis 4. clinical manifestation and examination of different types of pulmonary tuberculosis(sputum test、OT or PPD、 X-ray) 5. diagnosis and diffentiated diagnosis of pulmonary tuberculosis 6. drug trement understanding principles the common tuberculosis drugs 7. Complications and prevention of pulmonary side tuberculosis, effetviness of anti Primary bronchial lung cancer Teaching objectives: understanding the definition and epidomilogy of primary bronchial lung cancer. familiar with the pathologic types and the clinical feature of each type of lung cancer. familiar with the clinical manifestation and diagnostic methord of lung cancer. understanding the main treatments. Teaching requirements: understanding the definition、etiology、mechanisim of primary bronchial lung cancer. familiar with the pathologic types and the clinical feature of each type of lung cancer. familiar with the clinical manifestation of lung cancer. familiar with the imaginary feature of lung cancer. understanding the treatments of lung cancer. Teaching contents: 1.definition、etiology、mechanisim of lung cancer 2.pathologic types and the clinical feature of each type of lung cancer 3. clinical manifestation of lung cancer 4. diagnosis and diffentiated diagnosis、clasification of lung cancer 5.treatments of lung cancer:chemical therapy、radio therapy、 operation、invasive treatment Bronchiectasis Teaching objectives: understanding the etiology 、 clinical manifestation 、 treating principles of bronchiectasis. Teaching requirements: understanding the etiology of bronchiectasis familiar with the clinical manifestation familiar with the feature of X-ray mastering the treating principles Teaching contents: 1.etiology and mechanisim of bronchiectasis 2.pathology 3.clinical of bronchiectasis manifestation of bronchiectasis of bronchiectasis 4.accessory examination 5.diagnosis and diffentiated diagnosis 6.treating principles Pleural effusion Teaching objectives: familiar with the etiology of pleural effusion 、 the differential diagnosis of exudation and transudation. Teaching requirements: familiar with the etiology、symptom、sign、X-ray of pleural effusion, the differential diagnosis of exudation and transudation、the treatment of tuberculostic pleural effusion. Teaching contents: etiology and mechanisim of pleural effusion symptom、sign、X-ray of pleural effusion the differential diagnosis of exudation and transudation treatment of tuberculostic treatment of tuberculostic pleural effusion and tumoristic pleural effusion