This document provides information about a pediatric course, including:
1. The course coordinator is Assistant Professor Dr. Jamal Ahmad Rashid from the Pediatrics department and College of Medicine.
2. The main objective is to provide students with knowledge and clinical skills to care for children, including history taking, physical exams, common pediatric topics, and ethics.
3. Students will have lectures and clinical sessions at the hospital to practice skills on patients over 12 groups spending 3 weeks each at the pediatric teaching hospital.
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New: 5th year Course Book/Pediatrics
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. 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. 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. 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. 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. 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. 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. 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. 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.