নেত্রকোণা মেডিকেল কলেজ, নেত্রকোণা

Theoritical Part

Diseases of the respiratory system:  Applied anatomy and physiology  Investigations for respiratory diseases  Upper respiratory tract infections  Pneumonias  Tuberculosis: 1(Pulmonary)  Tuberculosis:2 (Extra-pulmonary)  Lung abscess and bronchiectasis  Diseases of the pleura: Pleurisy, Pleural effusion & empyema, Pneumothorax  Chronic Obstructive lung diseases and corpulmonale  Bronchial asthma & pulmonary eosinophilia  Acute and chronic respiratory failure  Neoplasm of the lung

Diseases of the cardiovascular system:  Applied anatomy and physiology and investigations  Ischemic heart disease  Angina pectoris  Myocardial infarction  Sudden (cardiac) death  Rheumatic fever  Valvular diseases of heart  Mitral stenosis & regurgitation  Aortic stenosis & regurgitation  Tricuspid & pulmonary valve diseases  Infective endocarditis  Hypertension  Cardiac arrhythmias (common) Sinus rhythms Atrial tachyarrhythmias Ventricular tachyarrhythymias Cardiac arrest Anti arrhythmic drugs  Heart block and pacemakers.  Heart failure – acute and chronic  Acute and chronic pericarditis, pericardial effusion, & cardiac tamponade

Diseases of the Gastro-intestinal and Hepatobilliary systems:  Applied physiology and investigation of the alimentary tract.  Stomatitis and Mouth Ulcers  Peptic Ulcer disease and non-ulcer dyspepsia  Malabsorbption syndrome  Irritable bowel syndrome  Inflammatory bowel disease  Acute viral hepatitis  Chronic Liver Diseases and its complications  Acute and chronic Pancreatitis

Nephrology & Urinary System:  Nephritic &Nephrotic Illness  UTI/ Pyelonephritis  ARF/Acute Kidney Injury  Chronic Kidney Disease  Renal manifestations of systemic diseases

Neurology  Concept of neurological diagnosis including investigations  Cerebrovascular diseases(I &II)  Headache  Meningitis: viral, bacterial and tuberculous  Encephalitis  Peripheral neuropathy  Disorder of cranial nerves Epilepsy  Extrapyramidal diseases  Common compressive and non compressive spinal cord syndromes  Myasthenia gravis  Myopathies and skeletal muscle disease

Water and electrolytes and acid-base homeostasis:  Disorders due to Sodium and Potassium imbalance  Disorders of acid-base balance

Endocrine and Metabolic diseases:  Diabetes mellitus(I & II)  Thyrotoxicosis  Hypothyroidism.  Cushing’s syndrome and Addisons disease.  Hypo- and Hyperparathyroidism  Calcium and Vitamin –D related disorders

Connective tissue Disorder:  Rheumatoid arthritis  Degenerative joint diseases  Gout  Ankylosing spondylitis and other spondyloarthropathies.  The collagen vascular diseases including systemic lupus erythematosus, systemic sclerosis  Osteoporosis

Geriatric medicine:  General Principles of treating the elderly/senior citizen  Health problems of the elderly/ senior citizen  Four Geriatric Giants – Acute confusional State, Falls, Incontinence and Frailty.  Healthy aging  Rehabilitation and Physical medicine.

Genetic Disorders:  General concept of genetic diseases and management of genetic disorder  Single gene disorder  Clinical aspects of medical biotechnology  Chromosal disorder (Down, Turner, klinefelters )

Immunologic disorders:  Immunologic deficiency diseases  Auto immunity, Allergy & hypersensitivity and immunogenetics& transplantation  Immunosuppressive drugs

Oncology, Principles:  General principles of diagnosis and management of neoplastic diseases  Palliative care

Poisoning and drug overdose:  Initial evaluation of the patient with poisoning or drug overdose and general principles of management  Treatment of common specific poisonings a) Organophosphorous compounds b) Sedatives and Hypnotics c) Household Poisons  Venomous stings, insect bites, poisonous snakes and insects.

Emergency medicine:  Cardiac Arrest – ALS, BLS  Acute pulmonary oedema and severe acute asthma  Hypertensive emergencies  Diabetic ketoacidosis and hypoglycaemia  Status epileptics  Acute myocardial infarction, shock and anaphylaxis  Upper G.I bleeding and hepatic coma  Diagnosis and management of comatose patient

Environmental disease & heat illness Global warming & Health hazards

Clinical Part

Review of history taking & clinical examinations (3rd year, 4th year)

Case discussion

 Long cases

Respiratory System  COPD  Bronchogenic carcinoma  Pneumonia CVS  CCF  CHD  IHD  VHD  Rheumatic heart disease  Hypertension  Pericardial diseases

GIT  Haematemesis&mealena  PUD  V. Hepatits  CLD  Carcinoma of Liver  Pancreatitis  Heapatic failure

Endocrine  Hyperthyroidism  Hypothyroidism  DM

Rheumatology  Rheumatoid arthritis  Seronegative arthritis  Osteoarthritis  Gout

Urinary  Glomerulonephritis  Nephrotic Syndrome  Acute Kidney Injury  Chronic Kidney Disease  Urinary Tract Infection

Haematology  Anaemia  Leukaemia  Bleeding diathesis

Nervous System  CVD  Multiple Sclerosis  Myasthenia Gravis  Parkinsonism  Peripheral neuropathy  GBS  Cranial neuropathy

Infection  Enteric fever  Malaria  Kala Azar  Filarisis  Amoeabiasis  Tetanus  Rabies  Poisoning  Snake bite  Tuberculosis  Diarroehea & Dysentery  Shock  Dengue

Short Cases :

 Hepato or Splenomegaly or both  Pleural effusion  Pneumothorax  Consolidation  Collapse  Fibrosis  Hemiplegia  Paraplegia  Facial nerve palsy (UMN + LMN)  Ascites  Lymphadenopathy  Thyroid  Examination of knee  Examination of precordium  Auscultation of lung

Clinical skills :  Bone Marrow aspiration  Aspiration of serous fluid  Pleural  Peritoneal  Pericardial  Foley’s catheterization  Intercostal tube  I/V canula  Lumbar puncture  Venesection  CPR

Interpretation of Laboratory Data

 General :

 Blood for R/E  Urine for R/E  Stool for R/E  FBS / GTT 

Specific :

 Liver function test (LFT)  Thyroid function test (TFT)  Kidney function test  Pulmonary function tests (PFT)  Test for malabsorption  Test for rheumatology  Test for neurology  Cardiac function test  Haematological test  Test for certain infectious diseases, e.g. Widal test.

 Radiology :  X-ray chest  X-ray  Bones  Skull  Joints  X-ray abdomen Contrast X-rays :  Barium Meal  Barium Follow through  Barium Enema  ERCP  Myelogram)  IVU.

 USG  CT & MRI

 Communication Skills

 Terminal Care  Care of death and dying