5th year Course Book/PediatricsDocument Transcript
Corse Book Content<br />Course coordinator and list of teachers on this course<br />1-Name of the cores; Paediatric<br />2-Torter in charge; assistant professor Dr. Jamal Ahmad Rashid.<br />3- Department / Branch and the college: Pediatrics / College of Medicine<br />4-Contacs;<br />Web site links;<br />Dr.Jamal Ahmad Rashid; email@example.com<br />Dr.Adanan Mohamad Hassan; firstname.lastname@example.org<br />Dr. Haydar Fakher; email@example.com<br />Dr. Tara Hussain Tyib; firstname.lastname@example.org<br />Course objectives<br />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.<br />At the end of the cores students should be able to;<br />1- Have the necessary skill to take a good history and perform a systemized and thorough clinical examination.<br />2- Be familiar with basic topics in pediatrics; including growth and development, main infectious diseases, diarrhea and fluid and electrolyte management.<br />3- Be familiar with pediatric emergencies such as respiratory distress and shock …etc.<br />4- Students should have learned the ethics of communication with the child and their parents.<br /> <br />Course overview<br />The students have their theory study at collage in the form of lectures.<br />The practical cessions are performed at hospital in the form of clinical cessions on admitted patients. Here they review history taking and physical examination they had studied in fourth year, with more discussion and interpretation of data.<br />They are divided into 12 groups each group will come daily to paediatric teaching hospital for 3 weeks.<br />Course Reading list;<br />Student can benefit from the following reading list;<br />1- Nelson essential of paediatrics.<br />2- Nelson Text book of paediatrics.<br />3-Furfur Text book of paediatrics.<br />4- Lange clinical manual of Neonatology.<br />List of lectures;<br />LecturerSubjectDr. Adnan HamawendiAttention deficit hyperactivity disorderDr. Adnan HamawendiEnuresisDr. Adnan HamawendiHabit disordersDr. Adnan HamawendiRecurrent abdominal painDr. Adnan Hamawendi Diarrhoea 1 (4 lectures)Dr. Adnan HamawendiCystic FibrosisDr. Adnan HamawendiConstipationDr. Adnan HamawendiGastroesophageal reflux, peptic ulcerDr. Adnan HamawendiMalabsorbtionDr. Adnan HamawendiNeonatal cholestasisDr. Adnan HamawendiCerebral palsyDr. Adnan HamawendiEncephalitisDr. Adnan HamawendiEpilepsy ( 2 lectures)Dr. Adnan HamawendiMental retardationDr. Adnan HamawendiNeuromuscular diseaseDr. Adnan HamawendiSeizure and epilepsyDr. Adnan HamawendiDr. Adnan HamawendiEvaluation of renal function and structureDr. Adnan HamawendiGlomerulonephritisDr. Adnan HamawendiNephrotic syndromeDr. Adnan HamawendiRenal tubular acidosisDr. Adnan HamawendiUTIDr. Jamal Ahmad RashidIntroductionDr. Jamal Ahmad RashidCongenital heart diseaseDr. Jamal Ahmad RashidCardiac ArrhythmiasDr. Jamal Ahmad RashidPoisoningDr. Jamal Ahmad RashidDiabetes mellitusDr. Jamal Ahmad RashidDiabetes insipidusDr. Jamal Ahmad RashidBleeding disordersDr. Jamal Ahmad RashidEndocrine lecturesDr. Jamal Ahmad RashidGeneticsDr. Jamal Ahmad RashidHaematology (2 lectures)Dr. Jamal Ahmad RashidHomocystine ureaDr. Jamal Ahmad Rashid Inborn errors of metabolismDr. Jamal Ahmad RashidPaediatric oncology 2 lecturesDr. Jamal Ahmad RashidSkill cell anaemia<br />Exams<br />Department of paediatrics is accustomed to the following pattern of questions in the final theoretical exams;<br />
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).
Factors associated with increased susceptibility to acquire diarrhoea include <br /> all the followings except:<br /> Bottle feeding.<br />Age more than 5 years.<br />Introduction of weaning food at 6 months of age.<br />Shortage of water supplies.<br />Failure to wash hands after going to toilet.<br />Answer B<br />
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 ;-Precocious puberty:<br /> (T)A. Is defined as the onset of sexual maturation before 10 years in girls & before <br /> 11 years in boys.<br /> (T)B. Is more common in girls.<br /> (F)C. Is less serious in boys<br /> (F) D. Results in an increased final height<br /> (T) E. May be caused by untreated celiac disease<br />
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- old infant presents with diarrhoea and vomiting of three days duration, he looks lethargic, with sunken eyes and dry tongue, he drinks poorly and a skin pinch goes back very slowly.
Q.1 what is hydration state of this infant? Severe dehydration
Q.2 what single investigation can help in his management? Blood urea and electrolyte
Q.3 what type of fluid is most suitable for treatment? Normal saline shoot , followed by 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<br />The following is the pedigree of the arrowed 10-year old boy who had showed delayed motor mile-stones since 2 -year of age & became Wheel-chair bound by 9 years of age.<br />Q1-What is the most probable diagnosis?<br />Duchene muscular dystrophy<br />Q2-What is the mode of inheritance of his illness?<br />X linked recessive<br />Q3-What investigation do you suggest?<br />EMG <br />Creatinine phosphokinase level<br />Muscle biopsy.<br /> 5-Short assay questions in which we ask the student to write a short assay about a certain subject.<br />Example <br />Q) Write short notes about honey moon period .<br />Answer :<br />
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.
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.<br />Example <br />Q) Enumerate the main lines in treatment of cerebral palsy <br />Answer :<br />
Orthopedic intervention.<br />Treatment of associated problems, like seizures, learning disabilities, strabismus, and behavioral problems.<br />
Exam’s duration: Mid-year or final exam duration is three hours (standardized by the Council of the College of Medicine).
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.