New: 5th year Course Book/Pediatrics

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New: 5th year Course Book/Pediatrics

  1. 1. Corse Book Content Course coordinator and list of teachers on this course 1-Name of the cores; Paediatric 2-Torter in charge; assistant professor Dr. Jamal Ahmad Rashid. 3- Department / Branch and the college: Pediatrics / College of Medicine 4-Contacs; Web site links; drfamalahmadrashid@yahoo.comDr.Jamal Ahmad Rashid; alhamwandi@yahoo.com-adnanDr.Adanan Mohamad Hassan; hayderfmoh@yahoo.com;Dr. Haydar Fakher tarahus73@yahoo.comDr. Tara Hussain Tyib;
  2. 2. Course objectives Our main objective in this course is to provide the student with the important knowledge and skills in basic pediatrics that will help him deal with children in general and encounter the important clinical skills that will help him as a physician dealing with children whatever his specialty branch would be latter on. At the end of the cores students should be able to; 1- Have the necessary skill to take a good history and perform a systemized and thorough clinical examination. 2- Be familiar with basic topics in pediatrics; including growth and development, main infectious diseases, diarrhea and fluid and electrolyte management. 3- Be familiar with pediatric emergencies such as respiratory distress and shock …etc. 4- Students should have learned the ethics of communication with the child and their parents.
  3. 3. Course overview The students have theirtheory studyat collage inthe formof lectures. The practical cessionsare performedathospital inthe formof clinical cessionsonadmitted patients.Here theyreviewhistorytakingandphysical examinationtheyhadstudiedinfourth year,withmore discussionandinterpretationof data. Theyare dividedinto12groupseach group will come dailyto paediatricteachinghospital for3 weeks.
  4. 4. Course Reading list; Student can benefit fromthe following reading list; 1- Nelson essential of paediatrics. 2- Nelson Text book of paediatrics. 3-Furfur Textbook of paediatrics. 4- Lange clinical manual of Neonatology. List of lectures; Lecturer Subject Dr. Adnan Hamawendi Attention deficit hyperactivity disorder Dr. Adnan Hamawendi Enuresis Dr. Adnan Hamawendi Habit disorders Dr. Adnan Hamawendi Recurrent abdominal pain Dr. Adnan Hamawendi Diarrhoea 1 (4 lectures) Dr. Adnan Hamawendi Cystic Fibrosis Dr. Adnan Hamawendi Constipation Dr. Adnan Hamawendi Gastroesophagealreflux, peptic ulcer Dr. Adnan Hamawendi Malabsorbtion Dr. Adnan Hamawendi Neonatal cholestasis Dr. Adnan Hamawendi Cerebral palsy Dr. Adnan Hamawendi Encephalitis Dr. Adnan Hamawendi Epilepsy ( 2 lectures) Dr. Adnan Hamawendi Mental retardation Dr. Adnan Hamawendi Neuromuscular disease Dr. Adnan Hamawendi Seizureand epilepsy Dr. Adnan Hamawendi Dr. Adnan Hamawendi Evaluation of renal function and structure
  5. 5. Dr. Adnan Hamawendi Glomerulonephritis Dr. Adnan Hamawendi Nephrotic syndrome Dr. Adnan Hamawendi Renal tubular acidosis Dr. Adnan Hamawendi UTI Dr. Jamal Ahmad Rashid Introduction Dr. Jamal Ahmad Rashid Congenital heart disease Dr. Jamal Ahmad Rashid Cardiac Arrhythmias Dr. Jamal Ahmad Rashid Poisoning Dr. Jamal Ahmad Rashid Diabetes mellitus Dr. Jamal Ahmad Rashid Diabetes insipidus Dr. Jamal Ahmad Rashid Bleeding disorders Dr. Jamal Ahmad Rashid Endocrine lectures Dr. Jamal Ahmad Rashid Genetics Dr. Jamal Ahmad Rashid Haematology (2 lectures) Dr. Jamal Ahmad Rashid Homocystine urea Dr. Jamal Ahmad Rashid Inborn errors of metabolism Dr. Jamal Ahmad Rashid Paediatric oncology 2 lectures Dr. Jamal Ahmad Rashid Skill cell anaemia
  6. 6. Exams Department of paediatrics is accustomed to the following pattern of questions in the final theoretical exams; 1- Multiple choice questions: We write down numbered statements followed by 4-5 answers, suggestions or completions. We ask the student to encircle the lettered answer which perfectly fits (single choice only). Example Factors associatedwith increasedsusceptibilitytoacquire diarrhoea include all the followingsexcept: A. Bottle feeding. B. Age more than 5 years. C. Introductionof weaningfoodat6 monthsof age. D. Shortage of watersupplies. E. Failure towashhandsafter goingtotoilet. AnswerB 2- True and false questions: Numbered statement is given followed by 4-5 lettered descriptions, suggestions or any information in context with the aforesaid statement. The student is asked to write either (F) for false or (T) for true in the parentheses cited after the lettered answer or suggestion. Department’s policy is to cancel one right answer for every wrong one. It is advisable for the student not to write down the (T) or (F) unless he’s /she’s absolutely sure about, if not the student is advised to put D in between the brackets ( short for I don’t know). EXAMPLE ;-Precociouspuberty: (T)A. Isdefinedasthe onsetof sexual maturationbefore 10yearsin girls& before 11 yearsinboys. (T)B. Is more commoningirls. (F)C. Islessseriousinboys (F) D. Resultsinan increasedfinal height (T) E. May be causedby untreatedceliacdisease
  7. 7. 3-Problem solving questions in which present the student with cases and ask him or her for his approach as to which investigation he would send, differential diagnosis or a provisional diagnosis, and may be some points on management. EXAMPLE ;An eight-month- oldinfantpresentswith diarrhoeaandvomitingof three daysduration,he lookslethargic,withsunkeneyesanddrytongue,he drinkspoorlyand a skinpinchgoesback veryslowly. Q.1 what ishydrationstate of thisinfant? Severe dehydration Q.2 what single investigationcanhelpinhismanagement? Bloodureaand electrolyte Q.3 what type of fluidismostsuitable fortreatment? Normal saline shoot,followedby ½ glucose saline 4- Data questions; In which we present the student with very short historical point as the age and sex of the patient and his main chief complain or presentation and give him some laboratory data in which he should be able to interpret. Example The followingisthe pedigree of the arrowed10-yearoldboywhohad showeddelayed motor mile-stonessince 2-yearof age & became Wheel-chairboundby9 yearsof age.
  8. 8. Q1-What isthe most probable diagnosis? Duchene musculardystrophy Q2-What isthe mode of inheritance of hisillness? X linked recessive Q3-What investigationdoyousuggest? EMG Creatinine phosphokinaselevel Muscle biopsy. 5-Short assay questions in which we ask the student to write a short assay about a certain subject. Example Q) Write short notes about honey moon period . Answer :  Honey moon of diabetic children: this is a temporary reduction in insulin requirement, which occurs in about 70% of diabetic children within few weeks after initial diagnosis. This period is probably due to transient recovery of islet cell function and some increase in insulin production. The period usually lasts about a month, but may rarely continue for up to 2 years.
  9. 9. 6-Enumerate questions; In which we ask the student to enumerate only, for example complications of a certain disease or the contraindications of a certain procedure. Example Q) Enumerate the main lines in treatment of cerebral palsy Answer : 1) Physiotherapy. 2) Orthopedic intervention. 3) Treatment of associated problems, like seizures, learning disabilities, strabismus, and behavioral problems. - Exam’s duration: Mid-year or final exam duration is three hours (standardized by the Council of the College of Medicine). Clinical exams; Clinical examination is performed at the end of the course and there are also final exams at the end of the term. End of course exams include the following; The clinical exam is in the form of long case examination by which we asses the skill of history taking and examination, and their interpretation of the clinical data.

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