Download ministry of education and science of the russian federation

MINISTRY OF EDUCATION AND SCIENCE OF THE RUSSIAN FEDERATION
FSAEI IN "Crimean Federal University named V.I. VERNADSKY"
Medical Academy S.I. Georgievski
Beam diagnostics and radiotherapy
chair
METHODICAL DEVELOPMENT
FOR CLASSROOM TRAINING
APPROVED:
Head. the
Kradinov AI
Department of
Professor
(Name, title)
(signature)
" " ___________ '2016
" " ___________ '201
" " ___________ '201
The main educational program:
Course:
III
View classroom:
Subject
№8:
Medicine
practical
Radiological diagnosis of diseases of the stomach, duodenum, small intestine and
colon.
Topics Curator:
Assistant Professor Savin AA
(Name, position, signature, date)
Discussed at the meeting of the department "29" _ January 2016, protocol№_4
Discussed at the meeting of the department " " __________ 201 , protocol № ____
Discussed at the meeting of the department " " _________ _201 , protocol № ____
Simferopol
1. Relevance of the topic
Digestive system - a collection of bodies connected to the alimentary canal. They provide
and promote digestion. The length of the digestive tract - from 8 to 12m.
Among ray methods of investigation of the alimentary canal organs preference is given to
X-ray. Study to begin receiving barium suspension to determine the presence and distribution of
gas in the gut, eliminate calcification, the presence of foreign bodies, free gas in the abdominal
cavity. The second stage is an artificial cavity opacification of the digestive canal. The third
principle - the desire to thoroughly examine the morphology of the digestive tube, ie, his "fine
relief." The fourth methodological rule - an assessment of the motor-evacuation function of
organs. Knowledge of normal radiological anatomy, semiotics of diseases of the alimentary
canal, the ability to choose the right one or the other method of research is a must in modern
medicine. Knowledge of radiographic signs of diseases of the stomach, 12 duodenum, small
intestine and colon is a must for every doctor.
2. Purpose of training
2.1. Overall objective:
1. To study the modern methods of radial investigation of the digestive system.
2. To study the normal radial anatomy of the abdominal cavity.
3. Select a method of radiation studies at various pathologies of the abdominal cavity.
4. Examine the overall roentgenogram various pathological conditions of the abdominal cavity.
5. Create algorithm research (including radial) at different gastric pathology, 12 duodenum, small
intestine and colon.
6. To evaluate the results of different methods of radiation research of the digestive system and
abdomen.
7. examine x-ray signs of gastric disease 12 duodenal ulcer, small intestine and colon.
2.2. Private employment objectives:
2.2.1. The student should know:
1.
2.
3.
4.
Methods of radial investigation of the digestive system.
Normal radial anatomy of the digestive system.
A private roentgen and other ray signs of diseases of the digestive system.
The possibilities of different methods of radiation diagnosis in detecting pathology of the
stomach organs, 12 duodenum, small intestine and colon.
2.2.2. The student should be able to:
1.
2.
3.
4.
5.
6.
Given the history and clinical data to determine indications and contraindications to
radiation survey of patients.
Check the direction of the patient in the office (office) beam diagnostics for analysis of
various organs of the digestive system.
Determine the method of radiation research on medical imaging (radiography,
fistulography, CT, MRI, ultrasound, etc.).
Find on submitted medical images characteristic radiation symptoms and given them to
do an x-ray report.
To be able to use the algorithm of radial investigation of patients with suspected disorders
of the digestive system.
Make a description and protocol of radiation research and draw conclusions on the results
of the information received.
2.2.3. The student must possess:
1.
2.
3.
4.
5.
Identify the various organs of the digestive system.
Determine the shape, size, location and the departments of the digestive system.
To determine the functional state of the digestive system.
Distinguish pathological changes in the digestive system organs.
Define functional disorders: atony, hypotension, hypertension, reflux and flawed
development.
6.
Determine the method of radiation research on the documents submitted.
7.
Describe the radiograph with the pathology of the digestive system and make a
conclusion.
8.
Select algorithm ray examinations of patients with suspected acute stomach
inflammation, peptic ulcer disease and its complications.
9.
Describe the radiograph with inflammatory diseases of the digestive system
(esophagitis, gastritis, enteritis, colitis).
10.
Select algorithm ray examinations of patients with suspected disease described above.
eleven. Select algorithm ray examinations of patients with suspected malignant tumor different
localization of the digestive system.
12.
Rate radiological signs of malignant and benign bone tumors (primary and secondary).
2.2.4. The student must have an idea:
1.
2.
3.
4.
5.
6.
7.
8.
The anatomical structure of the digestive system.
The functional state of the digestive system.
Pathological changes in various diseases of the digestive system.
Symptoms of functional disorders: atony, hypotension, hypertension, reflux and defects
development.
Syndromes digestive tract diseases:
1. "Acute abdomen"
2. inflammation,
3. peptic ulcer disease and its complications.
Rentgenokartinu inflammatory diseases of the digestive system (esophagitis, gastritis,
enteritis, colitis).
Methods of radial investigation of the digestive system.
Rentgenokartinu malignant and benign diseases of the digestive system, as well as their
clinical manifestations.
3. The student must have a set of competences:
3.1. general cultural competence
1.
2.
OK-1 (From The ability and willingness to analyze and Rowan socially important
problems, to use for a right to humane methods of tick and tare, Biomedical and Clinical
Sciences at the different types of profiles sional and social activities of the sti).
OK 8 (ability to carry out their professional activities, taking into account the rules of
medicalethics).
3.2. Professional competence
1.
PC - 1 (From The ability and willingness to implement a set of measures aimed at
preserving and strengthening the health of children and includes the formation of a
healthy lifestyle, the prevention of occurrence
2.
3.
4.
5.
and (or) the spread of diseases, their early diagnosis, to identify the reasons
and the conditions of their emergence and development, as well as to address the harmful
effects on children's health factors of their environment).
PC - 2 (From The ability and willingness to conduct preventive medical examinations,
clinical examination and implementation of follow-up of healthy children and children
with chronicdiseases).
PC - 5 (D otovnostyu to the collection and analysis of patient complaints, data of its
history, examination results, laboratory GOVERNMENTAL, instrumental,
pathological anatomy
and other studies in order to recognize the condition or fact of establishing the presence or
absence of disease).
PC - 6 (C The ability to determining the patients basic pathological conditions, symptoms,
syndromes, diseases, clinical entities
in accordance with the International Art and the Statistical Classification of Diseases
and issues related to health - X revision, adopted her 43- World Health Assembly,
Geneva,1989)..
PC - 20 (D otovnostyu analysis and public presentation of medical information based on
evidence-based medicine).
4. Issues to be addressed in class
1.
2.
3.
4.
5.
6.
Radiographic signs polyps stomach.
Radiographic signs of gastric ulcer.
Radiographic signs of ulcer complications.
Radiographic signs of a malignant stomach tumor.
Radiographic signs of drunk ro stenosis.
Radiographic signs of malignant colon tumors.
5. The organizational structure of classes
number
p/p
1.
2.
learning Stages
Time
min.
Preparatory stage:
thirty
1.Organizatsionnye event.
3
2.Postanovka educational goals and
5
motivation.
12
3.Kontrol initial level of knowledge, skills
and abilities.
10
4.Proverka sketches and problem solving.
- Methods of radial investigation of the
digestive system.
- Total roentgen diseases of the digestive
system.
- Private X-ray diagnosis of pathological
changes in the digestive system.
The main stage:
1. To capture the method of studying the
15
X-ray, CT, MRI, fistulogramm abdominal
cavity and specify the advantages of each
method.
2. To capture the total rentgenosemiotikoy
20
diseases of the digestive system and
Procedure
Test control of I-II level. The
decision of test problems.
The decision of test tasks Level
III II-.
Individual control of the set of
documents with the analysis of
the descriptions.
Individual control descriptions
and analysis of radiation
practical skills - analysis of X-ray, CTgrams with different roentgen pathological
changes of the digestive system.
3. Master the skill of practical analysis of
the main features of the radial digestive tract
pathology (free gas in the abdominal
distention plots intestine shadow foreign
bodies and stones, narrowing, expansion,
uneven contours, mucosal changes).
4. To master practical skills to identify
foreign objects on the X-ray of the stomach
and intestines - their complications.
Algorithms studies hollow organ perforation
of the abdominal cavity, esophageal tumors,
stomach and intestines.
medical imaging instruments.
20
20
5. Mastering practical skill - X-ray
analysis with tumor and precancerous
diseases of the stomach, 12 duodenum,
small intestine and colon.
20
3.
Total:
Final part:
1. Total control of professional knowledge
and skills.
2. Control of theoretical knowledge.
3. Summing up the lessons.
4. Homework to the next topic.
180
minutes or
4
20
15
15
10
Individual control descriptions
of radiation diagnosis and
analysis of documents.
Individual control of the X-ray
descriptions and analysis of
tomograms.
Individual control descriptions
of radiation diagnosis and
analysis of documents.
Description,
analysis
and
opinion on the proposed two
radiographs.
Solution test problem 2 level.
Scoring.
academic hours
6. Training and material support
Place of employment: GBUZ Kazakhstan "Republican Clinical Hospital. ON. Semashko ",
Department of radiation diagnosis and radiotherapy, training rooms, Xrays with Kie rooms, KMMTS St. Luke.
6.1. Equipment classes
6.2.1. Spreadsheets / visual aids
1.
2.
3.
4.
Gastric ulcer.
Stomach cancer.
Schematic representation of the exo and endophytic and decaying crabs.
The picture of acute intestinal obstruction
6.2.2. Slides
1.
2.
3.
4.
The ulcer on the lesser curvature of the gastric body
Ulcer duodenal bulb (series sighting shots)
Ulcer duodenal bulb - a symptom of "relief niche"
Exophytic stomach cancer
5.
6.
7.
8.
9.
10.
11.
12.
13.
Endophytic stomach cancer
Multiple gastric polyps
Regional defect filling at low gastric cancer on the lesser curvature of the gastric body
Radiographs of the patient with acute intestinal obstruction ( "bowl" Kloubera)
Small bowel obstruction
Bowel obstruction
Colon Diverticulosis
Villous adenoma in the transverse colon
Colon Cancer
6.2. N Abor radiographs
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Ulcers of various parts of the stomach and duodenum (acute and chronic).
Penetrating ulcer.
Chronic ulcer, scar deformity of the stomach in the form of "hourglass".
Scar deformation of duodenal bulb ulcer etiology.
Compensated and decompensated stenosis of the output of the stomach.
Panoramic X-ray of the abdominal cavity with ulcer perforation (the presence of free gas
in the abdominal cavity)
Stomach cancer (endo-, exophytic and disintegrating form)
Polyps of the stomach.
Survey abdominal radiograph in acute intestinal obstruction (thin-and colonic
Colon with a tight filling
Normal colon mucosal relief.
Double contrast colon.
Polyposis of the sigmoid colon.
Endo-, exophytic and disintegrating form of colon cancer
7. Sources of the information
7.1. Main literature
1. Kradinov A.I., Opryshko V.V. Lecture. Radio diagnostics and radiation therapy 2013.
2. F Global TextBook of Radiology. Edited by Holger Pettersson MD Professor of Radiology
University Hospital Lund, Sweden Educational and Scientific Director The NICER Institute. I –
Techniques CNS Musculoskeletal system Pediatrics Breast. The NICER Centennial Book 1995.
3. Diagnostic Radiology. Edited by N.Pilipenko. Kharkiv, Ukraiine, 2008.
4. Squire’s Fundamentals of Radiology. Fifth Edition. Robert A.Novelline, M.D. Professor of
Radiology, Harvard Medical School. Director, Emergency Radiology, and Director,
Undergraduate Radiology Education, Massachusetts General Hospital, Boston, Massachusetts.
Harvard University Press. Cambridge, Massachusetts, and London, England, 2009.
5. The NICER Centennial Book 1995. F Global TextBook of Radiology. Edited by Holger
Pettersson MD Professor of Radiology University Hospital Lund, Sweden Educational and
Scientific Director The NICER Institute. II – Chest Abdomen Urogenital system Tropical
disease.
7.3 The list of resource information and telecommunication network "Internet", necessary
for the development of the theme sessions:
site Content
Methods of beam diagnostics
Radiation human anatomy
(Book)
medical consultant
student Consultant
Central Scientific Library of
Medicine
Federal electronic medical
library
Its Internet address.
http://www.slideshare.net/medumed/ss-8802053
http://www.twirpx.com/file/300584/
www.rosmedlib.ru rnet
www.studmedlib.ru
http://www.scsml.rssi.ru/
http://193.232.7.109/feml