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Transcript
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