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Learning outcome in Pediatric

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  • 1. Learning Outcomes (Paediatrics for training MQE students)A child presenting with developmental DelayLearning Outcomes Describe the factors influencing normal development Enumerate the causes of developmental delay Describe developmental screening by history taking and physical examination Describe the differentiating points of cerebral palsy, Down’s syndrome and cretinism in history and physical finding Describe and interpret the investigations to be performed to get to the diagnosis of each condition Discuss the management of cerebral palsy, Down’s syndrome and cretinism according to the Malaysia protocolA child presenting with convulsionsLearning Outcomes Define convulsions Briefly describe the pathophysiology of convulsions Describe causes of convulsions in children (Afebrile and febrile) Describe history taking and physical examination of a child with fever and convulsions Discuss the investigations and their findings in common conditions causing fever with convulsions (febrile convulsions, acute pyogenic meningitis, TB meningitis, cerebral malaria) Discuss the detailed management of febrile convulsions, acute pyogenic meningitis, TB meningitis Describe history taking and physical examination of a child with afebrile convulsions (Epilepsy) Describe the management of epilepsy according to Malaysia protocol
  • 2. A bleeding childLearning Outcomes Describe the normal mechanism of haemostasis List the causes based on the changes in haemostatic mechanism Describe history taking and physical examination of a child with bruises to arrive at the diagnosis Recognise the differentiation points (clinical features, investigation findings) of ITP, aplastic anaemia, acute lymphoblastic leukaemia and haemophillia Describe the management of ITP, aplastic anaemia, acute lymphoblastic leukaemia and haemophilliaA child presenting with anaemiaLearning Outcomes Define anaemia Briefly describe the pathogenesis of anaemia List the causes based on pathophysiology Describe history taking and physical examination of a child with anaemia to arrive at the diagnosis of common causes of anaemia in children Describe investigations needed and their findings in common causes of anaemia in children Discuss the detailed management of thalassaemiaA child presenting with oedemaLearning Outcomes Discuss the pathophysiology of oedema Enumerate the causes of oedema based on pathophysiology Describe history taking and physical examination on a child with oedema Describe the differentiating points in history, physical findings and investigation findings of acute glomerulonephrtitis and nephrotic syndrome Describe the detailed management of acute glomerulonephritis Describe the detailed management of nephrotic syndrome
  • 3. A child presenting with failure to thriveLearning Outcomes Define failure to thrive Describe the factors influencing growth of a child Enumerate the (common) causes of failure to thrive according to the influencing factors Describe the history taking, physical examination and investigation of a child with failure to thriveAcute GastroenteritisLearning Outcomes Define and classify diarrhoea Describe history taking, physical examination and assessment of dehydration Describe the complications of diarrhoea Describe the investigations and interpretation of results Describe management (Plan A,B,C)A dyspnoeic childLearning Outcomes Briefly describe the pathophysiology of dyspnoea Enumerate the causes of dyspnoea based on pathophysiology Describe history taking and physical examination to arrive at the diagnosis of common respiratory and cardiac causes Describe the management of heart failure Describe the management of ventricular septal defect, patent ductusarteriosus, TOF Describe the management of rheumatic vulvular heart diseasesA child presenting with cough an difficult breathingLearning Outcomes Describe the causes of cough and difficult breathing in a child Describe the history taking and physical examination to arrive at the diagnosis of common causes of cough with difficult breathing
  • 4. Describe the investigations and their findings in common diseases causing cough with difficult breathing Describe the management of pneumonia and bronchiolitis according to the Malaysia protocolA child with recurrent wheezeLearning Outcomes Enumerate the causes of recurrent wheezing in children based on pathogenesis Describe history taking and physical examination to differentiate the common causes of recurrent wheezing Describe history taking and physical examination and investigation in a child with asthma Describe the detailed management of asthma according to Malaysia protocolDHF/DSSLearning Outcomes Explain the pathophysiology of dengue shock syndrome Describe the diagnosis (clinical features, investigations) of DHF/DSS Describe the management of DHF/dengue shock syndromeA child presenting with jaundiceLearning Outcomes Briefly describe the pathophysiology of jaundice in children Enumerate the causes of jaundice based on pahthophysiology Describe history taking and physical examination of a child with jaundice to arrive at the diagnosis of common diseases State the investigations and findings of common causes of jaundice Describe the detailed management of viral hepatitis
  • 5. A child presenting with fever with rashLearning Outcomes Describe the causes of fever with rash Identify the types of rashes Describe history taking and physical examination to arrive at the diagnosis of Measles, Chickenpox, Rubella and Kawasaki’s disease Describe the investigations and their findings in Measles, Chickenpox, Rubella and Kawasaki’s disease to confirm diagnosis Describe the management of Measles Chickenpox and Kawasaki’s diseaseA neonate presenting with respiratory distressLearning Outcomes Define respiratory distress in newborns Briefly describe the pathogenesis of respiratory distress in newborns Describe the causes of respiratory distress in newborns Describe the diagnosis of common causes of respiratory distress in newborns Discuss the investigations and their findings in common conditions causing respiratory distressProlonged neonatal jaundiceLearning Outcomes Define prolonged jaundice Classify prolonged jaundice Enumerate the causes based on classification Discuss differential diagnosisNeonatal jaundiceLearning Outcomes Describe the bilirubin metabolism Discuss the pathophysioly of neonatal jaundice List the causes of jaundice based on pathophysiology Describe history taking and physical examination to arrive at the diagnosis of common conditions causing neonatal jaundice
  • 6. State the investigations and their findings in common conditions causing neonatal jaundice Describe the management of neonatal jaundiceInfants of diabetic motherLearning Outcomes Define infants of diabetic mother Describe the features of IDA Describe the complications of IDA

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