Thursday, April 16, 2020

Basic Subjects For A Medical Student (Part 4a/7)

The purpose I share my medical syllabus during my era is to help me know the topic should I revise during my free time to improve my medical knowledge and to give an idea for future medical students about the topic they would learn in medical school.

Topic discussed during my 4th Semester in Medical School:


A. CORE SUBJECTS:
1. Histology:
a. Dermatomusculoskeletal System:
- Histology of skin tissue: Epidermis, dermis, subcutaneous, vessel structure, skin sensoric receptor, special structure of skin
- Histology of musculo-skeletal: Histology of bone and cartilage, histology of muscle tissue
- Histology of skin tissue and muscle (laboratory topic)
- Histology of bony tissue (laboratory topic)
b. Cardiovascular System:
- Histology of cardiovascular system
- Circulatory system (laboratory topic)
c. Respiratory System:
- Histological structure of respiratory system
- Histology of respiratory system (laboratory topic)

2. Dermatology:
a. Dermatomusculoskeletal System:
- Basic structure and function of skin
- Skin rashes: Type of skin rashes, skin disease examination procedure
- Skin infection:Parasitic skin disease and parasitic agent of skin disease (Ectoparasites, filaria, arthropod and larval infestation), viral skin disease, fungal skin disease (superficial mycosis, cutaneous mycosis, subcutaneous mycosis, non dermato phytosis), bacterial skin disease (pyodermatic disease, cutaneous tuberculosis, leprosy)
- Dermatitis: Types, incidence, causes, symptoms, pathogenesis, clinical features, specific test, diagnosis, differential diagnosis, medication, complication, ictiosis, atopy dermatitis, napkin eczema
- Allergic skin disease: Urticaria, angioedema, allergic vasculitis, scleroderma, lupus erythematosus
- Skin pigmentation disorder: Vitiligo, melasma, albinism, post inflammation hyperpigmentation and hypopigmentation
- Erythrosquamous disease
- Blistered skin disease
- Eccrine and sebaceous gland disorder: Acne vulgaris, rosacea, hidradenitis suppurativa, perioral dermatitis, miliaria
- Hair disorder: Alopecia areata, androgenetic alopecia, trichotillomania, telogen effluvium
- Non-infection inflammation of skin: Lichen planus, granuloma annulare, lichen sclerosus et atrophicus
- Skin and epithelial tumor (pre-malignant and malignant)
- Dermis and immigrant cell tumor
- Melanocyte cell tumor
- History taking in skin disease cases (skills laboratory topic)
- Management of abrasion wound (skills laboratory topic)
- Skin suturing technique (skills laboratory topic)
- Aseptic technique and introduction to minor surgical apparatus (skills laboratory topic)

3. Pathology (Anatomy):
a. Dermatomusculoskeletal System:
- Features of skin disease
- Histopathological features of skin lesion
- Histopathological features of blistered skin disorder and skin growth
- Histopathology of infection and congenital disorder involving muscolo-skeletal system
- Histopathology of bone benign neoplasm
- Histopathology of bone malignancy
- Biopsy of bone tumor
- Dermatomusculoskeletal (laboratory topic)
b. Cardiovascular System:
- Blood vessel disease: Pathogenesis of arterial blood vessel disorder, pathogenesis of venous blood vessel disorder, pathogenesis of blood and lymphatic vessel tumor
- Heart disease: Pathogenesis types of heart disorder, pathogenesis of ischaemic heart disease, pathogenesis of heart infection, pathogenesis of pericardial disease
- Histopathology changes in cardiovascular disease (laboratory topic)
c. Respiratory System:
- Histopathology of respiratory system disorder: Histopathology changes of lung infection disease, pneumonia and obstructive pulmonary disease
- Lungs tumor: Metastatic tumor to lungs, carcinoma in lungs
- Sinonasal polyposis, nasopharyngeal carcinoma, tuberculosis lymphadenitis, lungs carcinoma (laboratory topic)

4. Pharmacology:
a. Dermatomusculoskeletal System:
- Pharmacology of leprosy medication
- Pharmacology of fungal skin infection
- Pharmacology of skin disease: Topical agents, corticosteroids
- Posology of topical medication and drug interaction of skin disease medication (laboratory topic)
- Effect of histamin and antihistamin in dermato-musculo-skeletal system (laboratory topic)
- Somatic sensation: Pharmacology of painkiller medication for dermato-musculo-skeletal system
- Bone metabolism and drugs used in bone disorders
- Effect of local anesthetic drug in reducing pain effect in musculo-skeletal system (laboratory topic)
b. Cardiovascular System:
- Pharmacology of anti-hyperlipidemia agent
- Pharmacology of vasolidator, anti-angina and anti-coagulant drugs
- Pharmacology of anti-hypertensive agents
- Pharmacology of anti-arrhythmia agents
- Pharmacology of cardiotonic, heart failure medication and diuretic
- Posology of drugs used in cardiovascular disease (laboratory topic)
- Drug interaction of polypharmacy prescription in cardiovascular cases (laboratory topic)
- Caffeine's effect in cardiovascular system (laboratory topic)
- Beta-blocker effect in cardiovascular system (laboratory topic)
c. Respiratory System:
- Pharmacology of anti-tuberculosis medication: Isoniazide, Rifampin, Ethambutol, Pyrazinamide, Streptomycin, second-line drugs for tuberculosis (aminosalicylic acid, kanamycin, amikacin, etc.)
- Pharmacology of cough medication and asthmatic drug
- Pharmacology of drug used in respiratory system cases (laboratory topic)
- Posology of drugs used in respiratory disease (laboratory topic)
- Drug interaction of polypharmacy drug prescription in respiratory cases (laboratory topic)

5. Nutrition:
a. Dermatomusculoskeletal System:
- Function of nutrition for skin and skin manifestation in nutritional disorder
- Nutrition and bone health: Nutrition and bone, bone mass and bone density
- Medical nutritional therapy in osteopenia, osteoporosis, osteoarthritis, rheumatoid arthritis, and gout
b. Cardiovascular System:
- Nutrition in cardiovascular disease
c. Respiratory System:
- Nutrition in respiratory disease (tutorial topic)

6. Anatomy:
a. Dermatomusculoskeletal System:
- Anatomy of extremities: General anatomy (osteology, arthrology, myology), superior extremities, inferior extremities
- Osteology and superior extremity (laboratory topic)
- Inferior extremity (laboratory topic)
b. Cardiovascular System:
- Anatomy of cardiovascular system
- Anatomy of chest wall, mediastinal space, vascularisation and innervation of thorax (laboratory topic)
- Anatomy of heart and blood vessel system (laboratory topic)
c. Respiratory System:
- Embryology (organogenesis) of tracheo-bronchi and ifs branches
- Anatomy of respiratory tract: Development of lungs, trachea, bronchus, pleura, pulmonal hilar
- Anatomy of lungs: lungs, anatomical structure of chest wall, anatomical structure of lungs
- Anatomical structure of chest wall (laboratory topic)
- Anatomical structure of lungs (laboratory topic)

7. Biochemistry:
a. Dermatomusculoskeletal System:
- Biochemistry of tissue: Mineralization of bone, extracellular matrix (structural protein, specific protein, proteoglycan)
- Determining creatinine level (laboratory topic)
b. Cardiovascular System:
- Structure and feature of cardiac muscle: Sarcoplasm
- Actin-myosin-ATP interaction in contraction of cardiac cell
- Function of troponin and tropomyosin system
- Function of calcium ion and creatinine phosphate in contraction of cardiac cell
c. Respiratory System:
- Acid-base equilibrium: Definition of pH (Handersen Hasselbach equation), function of buffer, function of hemoglobin in maintaining acid-base equilibrium

8. Physics:
a. Dermatomusculoskeletal System:
- Muscle and force
b. Cardiovascular System:
- Physics of the cardiovascular system
- Cardiovascular instrumentation
c. Respiratory System:
- Physics of lungs and respiration
- Fluid and Pressure: Pascal's principle, Dalton, Boyle, Laplace Law, Hendry Law, flow, Poiseuille's law, laminar flow, turbulent flow, Bernoulli Effect and Entrainment, cohesion and adhesion, Barometric effect to air in lungs and oxygen partial pressure over height and depth under water
- Determination of humidity of air and surface tension level (laboratory topic)

9. Physiology:
a. Dermatomusculoskeletal System:
- Function and characteristic of muscle: Function of muscle, muscle contraction, regulation of muscle contraction
- Somatic sensation: Mechanism of somatic sensation, mechanism of pain
- Beneficial stimuli in dermato-musculo-skeletal system (laboratory topic)
- Effect of continuous stimuli and exhaustion (laboratory topic)
b. Cardiovascular System:
- Haemodynamic law
- Function of cardiovascular system
- Function of heart
- Function of blood vessel
- Homeostasis mechanism
- Systemic and pulmonary circulation
- Characteristic and working mechanism of cardiac muscle
- Pumping mechanism of heart
- Regulation mechanism of heart's work
- Physiology of vasomotor 
- Heart regulation and circulation during physical work
- Electrocardiograph (ECG): Intrinsic conducting system
- Pathophysiology of cardiovascular system: Heart conduction disorder, heart valve disorder, Congenital heart disease, hypertension, heart failure, ischaemic heart disease, cardiogenic shock
- Stanius ligature and vagus nerve stimulation (laboratory topic)
- Blood pressure and pulse pressure changes during working or attitude changes (laboratory topic)
- Physical fitness (laboratory topic)
c. Respiratory System:
- Physiology in respiration: Function of respiratory system, mechanism of respiration, important pressure in ventilation, respiratory muscle activity, airflow, gas exchange and transportation of gas, regulation of respiration, regulation of respiration during exercise
- Respiratory movements (laboratory topic)

10. Orthopedics:
a. Dermatomusculoskeletal System:
- Musculo-skeletal working system: Musculo-skeletal system movement mechanism
- Infection of bone and joint
- Fracture of bone and joint
- Neoplasm in skeletal system
- Congenital disorder in skeletal system
- Scoliosis
- Disorder of bone and joint
- Disorder of nerve and muscle
- Infection of soft tissue
- Basic orthopaedic examination: History taking, physical examination, measurement concept in orthopaedic
- Bandaging (skills laboratory topic)
- Splinting (skills laboratory topic)

11. Neurology:
a. Dermatomusculoskeletal System:
- Disorder of nerve and muscle: Cerebral palsy, medulla spinal injury, peripheral nerve injury, musle injury, Morbus Hansen, Poliomyelitis, muscular dystrophy, spina bifida

12. Radiology:
a. Dermatomusculoskeletal System:
- Radiological image of musculo-skeletal system disorder
b. Cardiovascular System:
- Chest x-ray interpretation in heart disease cases
- Interpretation of chest x-ray (skills laboratory topic)
c. Respiratory System:
- Normal chest x-ray
- Pathological features of chest x-ray in respiratory system cases
- Interpretation of chest x-ray (skills laboratory topic)

13. Forensic: 
a. Dermatomusculoskeletal System:
- Forensic Traumatology: Blunt trauma, sharp injury, gunshot wound, electrical wound, burn wound
b. Cardiovascular System:
- Forensic in cardiovascular system
c. Respiratory System:
- Forensic in respiratory system: Asphyxia, hanging, drowning
-  Asphyxia, hanging, drowning (tutorial topic)

14. Paediatric:
a. Cardiovascular System:
- Embryology of congenital heart disease
- Anatomy of cardiovascular in congenital heart disease
- Basic of congenital heart disease
- Acyanotic congenital heart disease: Atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA), coarctation of the aorta
- Cyanotic congenital heart disease: Tetralogy of Fallot (TOF)
b. Respiratory System:
- Pneumonia in children
- Primary tuberculosis
- Tuberculin test
- Tuberculosis scoring system in children
- Tuberculosis in specific condition: Miliary tuberculosis, pleural tuberculosis, perinatal tuberculosis, tuberculosis with HIV in children, extra-pulmonary tuberculosis in children
- Bronchiolitis
- Allergic cough and asthma in children
- Congenital lungs and diaphragm disease in children

15. Cardiology:
a. Cardiovascular System:
- Congenital heart disease in adult: Atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA)
- Heart valvular disorder: Mitral valve (mitral stenosis, mitral regurgitation), aortic valve (aortic stenosis, aortic regurgitation), tricuspidal valve (tricuspidal stenosis and tricuspidal regurgitation), pulmonal valve (pulmonal stenosis and pulmonal regurgitation)
- Rheumatic fever and rheumatic heart disease
- Arterial vascular disease: Burger's disease, Takayasu vasculitis, arterial thromboembolism, arterial thrombosis, aortic aneurism, Raynaud's disease, lower extremities chronic ischemia, subclavian steal syndrome
- Venous vascular disease: Acute deep vein thrombosis, chronic venous insufficiency
- Lymphatic vessel disease: Lymphoedema, lymphdenitis, lymphangitis
- Coronary heart disease: Artherosclerosis, coronary blood flow and myocardial ischemia (MI), stable angina, acure coronary syndrome (ACS), unstable angina, non-Q wave infarct, acute myocardial infarct (AMI)
- Essential hypertension
- Hypertension heart disease
- Arrhythmia: Electrophysiology, classification, atrial fibrillation (AF), atrial flutter, supraventricular tachycardia (SVT), sick sinus syndrome (brady-tachy arrhythmia), extrasystole (ventricular and supraventricular), ventricular tachycardia (VT), ventricular fibrillation, cardiac arrest
- Conduction disease: Bundle branch block, AV block
- Myocardial disease: Cardiomyopathy (dilatation cardiomyopathy, hypertrophy cardiomyopathy, restrictive cardiomyopathy, peripartum cardiomyopathy), myocarditis
- Pericarditis
- Heart failure
- Cardiac emergency
- Cardiogenic shock
- Diagnostic tools in cardiovascular examination
- Cardiovascular disorder rehabilitation
- History taking in cardiovascular system cases (skills laboratory topic)
- Physical examination of heart (cardiovascular) in adult patient (skills laboratory topic)
- Auscultation of heart (skills laboratory topic)
- Electrocardiograph (ECG) procedure (skills laboratory topic)
- Interpretation of electrocardiograph (ECG) (skills laboratory topic)

16. Microbiology: 
a. Cardiovascular System:
- Microorganism of cardiovascular disease: Pyogenic cocci (Staphylococcus aureus, streptococcus hemolyticus, steptococcus pneumoniae), corynebacterium diphteriae, enterovirus (coxsackie virus A and B), candida (systemic infection), aspergillus
b. Respiratory System:
- Microorganism of respiratory tract infection: Pyogenic cocci (Steptococcus pneumoniae, Streptococcus group A, Staphylococcus spp), enterobacteriaceae (Klebsiella pneumoniae), Chlamydia and Mycoplasma (C. pneumoniae, M. pneumoniae), Legionellaceae (L. pneumophila), Rickettsiaceae (Coxiella burnetti), small rod gram bacteria (Hemophillus influenza)
- Mycobacteriaceae (M. tuberculosis) (tutorial topic)
- Staining of acid-fast bacteria (bacillus) with Zielh Neelsen technique (skills laboratory topic)
- Staining of bacteria with Gram staining technique (skills laboratory topic)

17. Pathology (Clinical):
a. Cardiovascular System:
- Hypercoagulable state in thromboembolism disorder
- Anti-coagulant and thrombolytic (fibrinolytic) therapy: Laboratory monitoring investigation for anti-platelet therapy, laboratory monitoring investigation for anti-coagulant therapy, laboratory monitoring investigation for IV Heparin and its derivative therapy, laboratory monitoring investigation for thrombolytic therapy, laboratory monitoring investigation for drugs used in percutaneous transluminal coronary angioplasty (PTCA) and stenting, laboratory monitoring investigation for drugs used in coronary artery bypass grafting (CABG), laboratory monitoring investigation for drugs used in open heart surgery
- Acute coronary event monitoring: Acute coronary event, transient ischaemic attack (TIA), reversible ischaemic neurological deficit, ischaemic stroke
- Antiphospholipid syndrome laboratory investigation: Sapporo criteria
- Catastrophic antiphospholipid syndrome: Taormina criteria
- Disseminated intravascular coagulation (DIC) and multiple organ failure
b. Respiratory System:
- Diagnostic laboratory investigation in respiratory disorder: Blood gas analysis
- Diagnostic laboratory investigation in pleural disorder: Pleural fluid analysis
- Diagnostic laboratory investigation in lower respiratory tract infection
- Pleural fluid analysis (laboratory topic)

18. Anesthesiology:
a. Cardiovascular System:
- Anesthetic effect to hemodynamic of cardiovascular system (anesthesia in CVS patient)
b. Respiratory System:
- Physiology of respiration: Ventilation-perfusion relationship 

19. Cardio-Thoracic:
a. Cardiovascular System:
- Surgical intervention in cardiovascular disease
b. Respiratory System:
- Surgical intervention in respiratory disease: Trauma of thorax, subcutaneous emphysema, hemothorax, pneumohemothorax, pleural effusion, empyema, lungs malignancy

20. Pulmonology:
a. Respiratory System:
- Diagnostic in respiratory disorder: Main symptoms, additional symptoms, physical diagnostic examination, equipment of diagnostic examination
- Pleural disorder: Pleural effusion, pneumothorax
- Non-tuberculosis lungs infection
- Aspiration pneumonia
- Lungs abscess
- Avian flu
- SARS
- Non-complicated pulmonary tuberculosis
- Tuberculous pleurisy 
- Tuberculosis with HIV
- Tuberculosis with DM
- Lungs tumor
- Lungs tumor (tutorial topic)
- Occupational lungs disease
- Lungs infarction
- Lungs embolism
- Cardiogenic pulmonary edema
- Non-cardiogenic pulmonary edema
- Acute bronchitis
- Bronchiectasis
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Obstructive sleep apnea (OSA)
- Interstitial lungs disease
- History taking of respiratory system cases (skills laboratory topic)
- Physical examination of respiratory system (skills laboratory topic)
- Spirometry and peak flow examination (skills laboratory topic)
- Oxygen therapy technique and inhalation technique (skills laboratory topic)

21. Parasitology:
a. Respiratory System:
- Parasites of respiratory tract: Loeffler's syndrome, lungs trematodes, crab-lobster-crayfish

22. Medical Rehabilitation:
a. Respiratory System:
- Lungs rehabilitation (tutorial topic)


*This medical syllabus copied and edited from 3 manual books for 4th semester medical student from my university during my era. 
**The topic currently discussed for 4th semester medical student in my university may different from this syllabus due to progression of medical knowledge and improvement of quality for medical syllabus based on my university assessment.

No comments:

Post a Comment