Objectives of The Tutorials

 

GENERAL SURGERY

 

Surgical Infections (Presentation & Management)

 

Objectives

a.        To identify and discuss different type of surgical injections and organisms causing them.

b.        Sound knowledge of different aspects and surgical infections eg: wound infection intra abdominal abscess, proplylactive antibiotics anti septics, hospital acquired infections ,,etc…

c.        Discuss the basic investigations and sound approach to manage a patients with surgical infection.

 

Trauma

 

Objectives

a.        Describe the fundamental principles of initial assessment and management.

b.        Identify the correct sequence of priorities used in assessing the multiply injured patient.

c.        Describe guidelines and techniques used in the initial resuscitation and definitive-care phases when treating the multiply injured patient.

d.        Identify how the patient’s medical history and the mechanism of injury contribute to the identification of injuries.

e.        Identify the concepts related to teamwork in caring for the injured patient.

 

Adrenal & Other Endocrine Lesions

 

Objectives

a.      Anatomy of adrenal.

b.      Broad idea about physiology of the adrenal.

c.       Pheochromocytoma, Corn's Cushing's ailments

d.      Adrenal insufficiency.

 

Thyroid & Parathyroid

 

Objectives

a.        Anatomy, physiology , etiology.

b.        Hyperthyroidism, Hypothyroidism.

c.        Grave's .

d.        Thyroid Cancers

e.        Parathyroid adenoma

 

Obesity

 

Objectives

                          a.      Define and understand the meaning of obesity

                          b.      Know and understand epidemiologic, etiological factors, and health effects associated with obesity

                          c.      Know how to take adequate history and perform relevant physical examination of an obese patient

                          d.      Order and understand relevant investigations needed for an obese patient

                          e.      Describe and discuss the various treatment options for obesity

 

Heamatemasis ( Upper GI Bleeding )

 

Objectives

a.        To identify and discuss the common causes of upper GI bleeding.

b.        Present and interpret a good history taking from patients with common causes of upper BI Bleeding eg peptic ulcer and oesophageal varices.

c.        Discuss different causes of pontal hypertension.

d.        Outline methods of treatment of different causes of upper GI Bleeding.

 

 

Management of patient with Breast lump and  nipple discharge

 

Objectives

a.        Identify and discuss the differential diagnosis of breast lump.

b.        Present and interpret a good history and conduct a sound physical examination for a patient with breast lump.

c.        Discuss the possible causes of nipple discharge according to the colour and nature of the discharge.

d.        Present a sound approach investigate a patient with breast lump and nipple discharge to mainly breast biopsy imaging and suggest a possible approaches for treatment.

 

 

Epigastric Pain and Mass

 

Objectives

a.        Identify and discuss the common causes of epigastric pain.

b.        Present and interpret a good history from a patient with epigastric pain and identify the possible cause from site, character and radiation of the pain.

c.        Conduct a sound abdominal examination.

d.        To suggest a sound approach to investigate such patient and suggest sound approach for treatment.

 

 

Lateral Neck Mass & other soft Tissue Lesions

 

Objectives

a.        Brief anatomy of neck & its relationship to clinical practice.

b.        Etiology of acute / chronic neck mass

c.        Evaluations/ management of neck mass

Hernias   Objective a.              The student will be able to present a good history from patient with external hernia. b.              Identify and discuss different type of hernia. c.              To conduct a sound systematic examination of different types of hernia. d.              To suggest a sound approach to treat patients with different types of hernia.   Jaundice   Objective                           a.            Pathophysiology of jaundice.                           b.            Differences between obstructive and non-obstructive jaundice ( by history, examination, investigation ).                           c.            Differential diagnosis of surgical causes of jaundice ( evaluation and management) .                           d.            Identify and manage complications of obstructive jaundice, mainly coagulopathy and cholangitis..     Nutritional Support   Objectives a.              Role of nutrients. b.              Effect of malnutrition in surgical patients. c.              Indications of nutritional supports. d.              Methods of providing nutrition's in surgical patients.     Post Operative Assessment ,  Management and Complications   Objectives a.              Accept that complications are best anticipated and avoided. b.              Recognize the incidence of co-morbidity. c.              Understand the importance of matching the procedure to the associated risks. d.        Appreciate the importance of recognizing complications early and teaching them vigorously.   Bleeding By Rectum (Lower GI Bleeding )   Objectives a.      Stabilization of the patient. b.      Assessment of the magnitude of hemorrhage c.       If passing bright red blood but not in shock bleeding probably from small bowel or colon d.      Chronic rectal bleeding typically with cancer, polyps, piles.   Left Upper Quadrant Abdominal Pain & Mass   Objectives a.        The first objective is how the students should approach the a patient with left upper quadrant mass and pain from the history and clinical exam which should the student to think about the different cause if this problem ( like splenomegaly, splenic infarcation, splenic disease, acute pancreatis . b.        The students should know the investigations ( chemistary ) radiological investigations nuclear medication as well  wish them reach the diagnosis. c.        The lecture discuss the management of each case per se the surgical treatment.  ( indication of splenectomy in different hematological diseases ,  abscess   ) d.        The student should know the complication of splenectomy & how to treat.   ANESTHESIA
Anesthesia: Fluid Therapy & electrolyte and acid base disorders        Objectives   a.     Discuss indications of fluid therapy. b.     Goals of fluid therapy c.     Classification of fluids d.     Advantages and disadvantages of crystalliod and colloids e.     Role of colloids in fluid therapy f.      Sequelae of electrolytes and acid base imbalances. g.    Treatment of major acid base deficits.   Blood Transfusion & Substitutes and Reactions    Objectives   a.     Indication of blood transfusion b.     Definition of massive transfusion c.     Different strategies of blood transfusion d.     Blood substitutes transfusion e.     Complications of blood and substitutes transfusion               ICU monitoring and management of critically ill patients          Objectives   a.     Definition of critically ill patient. b.     Monitoring including arterial and central venous lines insertion c.     Fluid therapy in critical ill patient d.     Treatment of sepsis in critically ill e.     Pharmacotherapy in critically including inotropic support f.      Ventilatory support of critically ill including different ventilation modes    THORACIC   Management of patients of lung lesions        Objectives a.     Identify and recognize the differential diagnosis of lung mass. b.     Differentiate between the benign lesions for malignant lesions. c.     Differentiate between small cell lung cancer and  non small cell lung cancer  (  NSCLC ) and there managements. d.     Able to stage (N.S.C.L.C ). e.     Able to know the presentation of patients with lung cancer.
Presentation & Management of Patients with Dysphagia            Objectives   a.     Definition of phathophesiology of swallowing . b.     Management of carcinoma eosophagus. c.     Presentation of motility disorders of the oesophagus in particular achalasia. d.     Demonstration of diaphragmatic hernia and its associated symptoms. e.     Developing a clinical approach to patients presenting with dysphagia.   Chest Injuries            Objectives                       a.      To identify the different types of chest injuries ( rib fractures, hemothorax, pneumothorax, lung contusion, etc,,,.                     b.      To know the pathophysiology of the chest injuries and its implication on the patient condition and the need for the urgent management prior to the development of the fatal complications ( e.g. lung contusion  and the hypoxia ).                     c.      To know the specific indication for the urgent intervention ( like tension pneumothorax ) and the management of chest injuries in general.                     d.      Sound knowledge of the mechanism of the injury ( eg. Blunt or penetrating  ) and to know the life threatening conditions identified in the primary survey and the potentially lethal chest injuries identified in the secondary survey.   VASCUALR
Presentation & Management of Swollen leg including Varicose Veins   Objectives   a.           Identify and discuss the common causes of leg swellings. b.           Discuss the pathogenesis of leg oedema. c.           Present and interpret a good history and examination for patients with varicose vein,  deep venous thrombosis, lymphoedema. d.           Discuss the different methods in investigation and management of varicose vein, DVT, lymphoedema.
UROLOGY   Presentation & Management of Common Problems In Pediatric Urology             Objectives   a.     Initial approach for patients with antenatal Hydronephrosis and basics for specific managements. b.     Introduction to neurovesical dysfunction and the management neuropathic bladder and the approach to the wet child. c.     Initial approach for patients with internal congential urogenital anomalies    Presentation & Management of Patients with Renal Colic   Objectives   a.     Identify the symptoms of renal colic. b.     Identify the risk factors of developing stone disease c.     Identify the potential risks and complications of stone disease. d.     Discuss the management strategies as well as the available medilites  for treatment.        Lower Urinary Tract Symptoms ( LUTS )            Objectives: a.     Discuss the various LUTS both the obstructive and the initiative symptoms. b.     List potential differential diagnosis. c.     Outline possible line of work up d.     Describe the treatment of options for BPH and other causes of bladder outlet obstruction.     Presentation & Management of patients with Hematuria & Renal Masses.                   Objectives   a. Differential diagnosis of gross hematuria. b. Work up of patients with hematuria. c. Differential diagnosis of renal mass. d. Management of renal all carcinoma management of urethral carcinoma e. Identify the risk factors of developing stone disease f.  Identify the potential risks and complications of stone disease. g.Discuss the management strategies as well as the available medolites  for treatment.
Scrotal Swellings                   Objectives   a.        Surgical anatomy of the scrotal compartment. b.        Causes of scrotal swellings in adults and children. c.        Identification of scrotal swellings as a manifestation of an intraabdominal or a systemic pathology. d.        Tricks and points of emphasis in clinical examination of scrotal swellings. e.        A practical flowcharted approach to management of scrotal swellings from history, examination and investigations.   PLASTIC Presentation & Management of Common Problems in Plastic Surgery         Objectives   a.              To manage a proper examination of the hand and discover the congenital anomalies.   Presentation & Management of Burn Patients   Objectives   a.       Diagnose and manage an acute burn patients and it's complications.   Presentation & Management of Skin lesions         Objectives   a.        To diagnose the common benign precancerous & cancerous lesions.      NEUROSURGERY   Presentation & Management of spinal cord lesions         Objectives   a.              How to detect clinical signs of spinal cord compression. b.              Interpret & Correlate radiological in the clinical findings. c.              Awareness of various types of investigations in spinal cord   compression.