Download "APPROVED " Vice Rector for Academic Affairs prof . Y.Y. Guminsky

"APPROVED "
Vice Rector for Academic Affairs
prof . Y.Y. Guminsky
"__"_____________ 2015
CURRICULUM
of practical lessons on discipline
MODUL 1
THEMATIC MODUL 1
Surgery as a branch of clinical medicine. Asepsis. Antisepsis.
Desmurgy. Bleeding. Transfusion. Traumatic injuries
№
1
2
3
Antisepsis. Types of antisepsis. Characteristics of the main groups of antiseptics. The main methods of applying of
antiseptics.
Asepsis. The main pathways of infection. Airborne droplets, contact, implantation, endogenous, nosocomial and HIVinfection. Prophylaxis: organization measures, Sterilization of surgical instruments bandage end suture materials, surgical
covering. Desinfection of medical personnel hands and the skin of a surgical site.
Surgical operation. The main types of surgery. Stages of surgical operation. Preoperative and postoperative periods.
Peculiarities surgical operation when patient has incurable disease, indications. Basics of palliative surgery.
Hrs
2
2
2
Thematic modul №2
Bleeding, blood loss. Basics of blood transfusion
4
5
6
Bleeding and blood loss. Methods of temporary and final stop bleeding.
Blood transfusion. Determination of blood group and Rh-factor. Tests for compatibility.
Transfusion of blood, blood components and blood substitutes. Complications of blood transfusion.
Prevention of complications and transmission of infectious diseases (infectious hepatitis, malaria, syphilis,
HIV).
2
2
2
Thematic modul №3
Anesthesia and resuscitation
7
8
9
Local anesthesia. Types. Indications, contraindications, complications.
General anesthesia. Inhalation and non-inhalation narcosis. Indications and contraindications. Complications
and their prevention.
Resuscitation: basic concepts. Terminal conditions. Clinic and diagnosis of clinical death.Basic cardiopulmonary resuscitation (CPR).
2
2
2
Thematic modul №4
Traumatic injuries
13
Fractures and dislocations. Classification. Clinical symptoms, diagnostics. First aid. Principles of treatment. Crush
syndrome. Hypovolemic shock, ethiology pathogenesis. Clinical symptoms, diagnostics. First aid, treatment.
Wounds, definition, classification. Peculiarities of gunshot wounds. Structure of the wound and wound healing process.
Clean wounds. Conditions for the infection developing, prevention. Clean wounds treatment.
Infected wounds. Phases of wound healing process. Surgical treatment of purulent wounds (debridement). Secondary
surgical suture. Clinical analysis of a patient with an infected wound.
Burns. Classification of burn on depth, area, severity. Clinical implications of the thermal burns. Symptoms of chemical
burns. Radiation burns. Periods of burn disease. First aid for various types of burns. Treatment of burns in hospital.
Treatment of burn disease, depending on the stage. Types of surgery of burns. Damage of radiation during nuclear
14
explosion and fiery mixes.
Frostbites. Classification. The mechanism of injury. Clinical features. First aid and treatment. Electrical current injury.
The mechanism of electric shock. Clinical signs, diagnosis. First aid.
10
11
12
2
2
2
2
2
MODUL 2
Practical lessons
Thematic modul №1
Surgical infection. Necrosis
№
15
Hrs
General issues of surgical infection. Classification. Pathogens of surgical infections and their
characteristics. Translocation. Pathogenesis of development of local and general reactions of
organizm. Diagnosis. Principles of treatment.
2
16
17
18
Acute purulent diseases of the skin and subcutaneous tissues: furuncle, carbuncle, phlegmon,
abscess, anorectal abscess, mastitis, hydradenitis, erysipelas, lymphangitis, lymphadenitis.
Acute purulent diseases of bones and joints (bursitis, arthritis, osteomyelitis), of the hand and
fingers. Etiology. Pathogenesis. Clinical manifestations. Diagnosis. Treatment.
Anaerobic clostridial and non-clostridial infection. Tetanus. Anthrax. Etiology, pathogenesis,
clinical manifestations, diagnosis, treatment and prevention. Anaerobic gas gangrene. Etiology.
Pathogenesis. Clinical manifestations. Non-specific and specific prophylactic, treatment.
Diagnosis, prevention and treatment of tetanus during military operations and emergency
situations.
2
2
2
Modul control
19
20
21
Sepsis. Definitions. Classification. Etiology, pathogenesis, clinical manifestations, diagnosis,
treatment principles. Toxic shock syndrome, multi-organ failure. Detoxication therapy and
immunotherapy.
Chronic specific infection. Tuberculosis of bones and joints. Tuberculous peritonitis. Syphilis.
Actinomycosis. Etiology. Pathogenesis. Clinical manifestations, diagnosis and treatment.
Necrosis. Gangrene. Ulcers. Fistulas. Causes, clinical manifestations, diagnosis and treatment.
2
2
2
Thematic modul №2
Basics of Clinical Oncology
22
Tumors. Etiopatogenesis. Benign and malignant tumors. Classification (TNM). Clinical manifestations.
Methods of diagnosis. Principles of treatment.
2
Thematic modul №3
Methods of examination and curation of surgical patients
23
24
25
26
27
Patient examination. Gathering of complaints, anamnesis of the life and of the disease. Physical
examination of the head, neck and chest. Methods of examination of surgical patients: abdomen,
musculoskeletal system, blood vessels and lymph nodes.
Curation of surgical patients.
Curation of surgical patients, writing of a a history of the disease.
Defense of a history of the disease.
2
2
2
54
The final module control – exam.
In total
Head of General Surgery Department
2
prof. Zheliba M.D.