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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