Sunday, April 26, 2020

Internal Medicine

SECTION 1/10: INTERNAL MEDICINE
(HEMATOLOGY AND IMMUNOLOGY)

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 of Internal Medicine (Hematology and Immunology) discussed during my time in Medical School:

A. LECTURE:
1. 1st semester:
a. Basics Biology of Cells 1:
- Innate immunity
- Lymphocyte activation process in acquired immunity
- B lymphocyte and antibody
- T lymphocyte
- Cytotoxic T lymphocyte in cellular immunity response
- Inflammatory T lymphocyte
- Complementary system
- Antigen-antibody reaction
- Immunodeficiency

2. 2nd semester:
a. Hematological and Immunological System:
- Anemia: Aplastic anemia in adult, nutritional deficiency anemia in adult, haemolytic anemia in adult, anemia of chronic disease in adult 
- Bleeding disorders in adult: ITP, and DIC
- Coagulation disorders in adult: Thrombosis (DVT, and Pulmonary embolism)
- MPD (Myeloproliferative Disorder) in adult
- MDS (Myelodysplastic Syndrome) in adult
- Leukemia in adult
- Lymphoma in adult
- Blood transfussion in adult
- Hypersensitivity reaction
- Autoimmune disease in adult: Types of autoimmune diseases (SLE, DM type 1, Hashimoto disease, Grave disease, Myastenia Gravis)
- Immunodeficiency: Basic concept of immunopathogenesis immunodeficiency
- Secondary immunodeficiency in adult: HIV/ AIDS

3. 6th semester:
a. Emergency Medicine:
- Hematologic emergencies: Acquired bleeding disorders, hemophilia, hemolytic anemia


B. SKILLS LABORATORY (OSCE):
1. 3rd semester:
a. Growth and Development:
- Preparing peripheral blood smear
- ABO and rhesus blood grouping technique
- Bleeding time and rumple leed test



*This medical syllabus copied and edited from 1 manual book for 1st semester medical student, 1 manual book for 2nd semester medical student, 1 manual book for 3rd semester medical student and 1 manual book for 6th semester medical student from my university during my era. 

**The topic currently discussed 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.




SECTION 2/10: INTERNAL MEDICINE (ENDOCRINOLOGY)

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 of Internal Medicine (Endocrinology) discussed during my time in Medical School:

A. LECTURE:
1. 2nd semester:
a. Metabolism System:
- Insulin hormone disorder: Insulin resistance
- Diabetes Mellitus
- Hypoglycemia
- Obesity
- Dyslipidemia
- Thyroid hormone disorders: Hyperthyroid, hypothyroid, thyroid tumor
- Adrenal hormone disorders: Cushing disease, Addison disease, Pheocromositoma
- Hypophysis disorder: Acromegaly, diabetes insipidus, Hypopituitary
- History taking of metabolic disorder cases, vital signs, Body Mass Index (BMI) (skills laboratory topic)

2. 6th semester:
a. Emergency Medicine:
- Endocrine emergencies: Diabetic coma, alcoholic ketoacidosis, lactic acidosis, thyroid crisis


B. SKILLS LABORATORY (OSCE):
1. 3rd semester:
a. Reproductive System:
- History taking of metabolic disorder cases, vital signs, Body Mass Index (BMI)



*This medical syllabus copied and edited from 1 manual book for 2nd semester medical student, 1 manual book for 3rd semester medical student and 1 manual book for 6th semester medical student from my university during my era. 

**The topic currently discussed 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.




SECTION 3/10: INTERNAL MEDICINE (NEUROLOGY)

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 of Internal Medicine (Neurology) discussed during my time in Medical School:

A. LECTURE:
1. 4th semester:
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

2. 6th semester:
a. Brain and Mind System:
- Spasticity: Upper motor neuron (UMN) paralysis and lower motor neuron (LMN) paralysis, cortical lesion, sub-cortical lesion, brain stem lesion, spinal medulla lesion, peripheral nerve lesion, neural-muscular junction lesion, muscle lesion
- Extrapyramidal disorder: Parkinson syndrome, hyperkinetic-hypotonic syndrome
- Consciousness disturbances: Definition of consciousness, coma (degree of unconsciousness, metabolic coma, diencephalic coma), Glasgow coma scale (GCS), pattern of respiration, brainstem reflex, management of coma
- Inflammation of central nervous system: Purulent meningitis, serous meningitis, encephalitis
- Cortical function disorder: Function of cerebral cortex and its functional disorder
- Brain's blood flow disorder: Pathophysiology, classification and risk factor of brain's blood flow disorder, transient ischaemic attack (TIA), hemorrhagic stroke (intracerebral, subarachnoid, post-stoke symptoms and prevention of hemorrhagic stroke), non-hemorrhagic stroke (cerebral thrombosis and cerebral embolism)
- Epilepsy and status epilepticus
- Trauma of central nervous system
- Headache
- Vertigo
- Cerebral tumor
- Cranial nerve I (Olfactory nerve) disorder: Symptom, examination of cranial nerve I, Foster-Kennedy syndrome
- Cranial nerve II (Optic nerve) disorder: Symptom, examination of cranial nerve II, optical neuritis, papillitis, retinal atrophy edema, visual acuity disorder, chiasmatic lesion
- Cranial nerve III, IV, VI disorder: Symptom, examination of cranial nerve III, IV, VI, movement of eyeball and pupil, ophthalmoplegia, strabismus, conjugate eye deviation disease
- Cranial nerve V (Trigeminal nerve) disorder: Symptom, examination of cranial nerve V, branches of trigeminal nerve, types of trigeminal nerve neuralgia
- Cranial nerve VII (Facial nerve) disorder: Symptom, examination of cranial nerve VII, Tics, facial nerve neuralgia, crocodile tears
- Cranial nerve VIII (Vestibulocochlear nerve) disorder: Symptom, examination of cranial nerve VIII (Swabach, Rinne, Weber), deafness, tinnitus, vertigo, nistagmus, Meniere syndrome
- Cranial nerve IX (Glossopharyngeal nerve) disorder: Symptom, examination of cranial nerve IX, Vernett syndrome, glossopharyngeal nerve neuralgia
- Cranial nerve X (Vagus nerve) disorder: Symptom, examination of cranial nerve X (oculocardiac-pharyngeal, carotid sinus reflex)
- Cranial nerve XI (Accessory nerve) disorder: Symptom, examination of cranial nerve XI
- Cranial nerve XII (Hypoglossal nerve) disorder: Symptom, examination of cranial nerve XII
- Autonomic nervous system disorder: Physical examination of autonomic nervous system, Specific abnormal respiratory pattern, neurogenic urinary bladder disease, central fever (regulation of body temperature impairment), diabetes insipidus, Hischsprung disease, Horner syndrome, causalgia, excessive sweating, Beurger syndrom
- Periphery nervous system disorder: Diabetic neuropathy, alcoholic neuropathy, autonomic neuropathy, Guillain-Barre syndrome
- Spinal medulla disorder: Symptom, traumatic spinal medulla disease, tumor-related spinal medulla disorder (intramedullary, extramedullar intradural, extramedullar  extradural tumor), medulla spinal infection, congenital disorder of medulla spinal
- Back pain: Herniated nucleus pulposus (HNP) spondylosis, spondylolisthesis, Tuberculous spondylitis, spondyloarthrosis
- Nociceptive pain and neuropathic pain
- Neuralgia: Occipital neuralgia, Brachialgia, Erb's-Duchene paralysis, intercostal neuralgia, pudendal neuralgia
- Myopathy: Myositis, poliomyositis, myotonia, neuro-muscular junction disorder - Myastenia Gravis, periodic paralysis
b. Emergency Medicine:
- Neurology emergencies: Headache (migraine), peripheral nervous system disturbance, epilepsy, medulla spinal disturbance, hypokalemic periodic paralysis 


B. SKILLS LABORATORY (OSCE):
1. 5th semester:
a. Special Senses System:
- Cranial nerve

2. 6th semester:
a. Brain and Mind System:
- History taking and doctor-patient communication in neurological cases
- Physical examination of motoric system
- Physical examination of sensoric and vertebral system
- Physical examination of reflexes and sign of radicular pain
- Physical examination of cerebellar-coordination-meningeal stimulation function
- Physical examination of neurology in children


C. TUTORIAL:
1. 6th semester:
a. Brain and Mind System:
- Brain's blood flow disorder: Pathophysiology, classification and risk factor of brain's blood flow disorder, transient ischaemic attack (TIA), hemorrhagic stroke (intracerebral, subarachnoid, post-stoke symptoms and prevention of hemorrhagic stroke), non-hemorrhagic stroke (cerebral thrombosis and cerebral embolism)



*This medical syllabus copied and edited from 1 manual book for 4th semester medical student, 1 manual book for 5th semester medical student and 2 manual book for 6th semester medical student from my university during my era. 

**The topic currently discussed 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.




SECTION 4/10: INTERNAL MEDICINE (CARDIOLOGY)

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 of Internal Medicine (Cardiology) discussed during my time in Medical School:

A. LECTURE:
1. 4th semester:
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

2. 6th semester:
a. Emergency Medicine:
- Special considerations in the diagnosis and treatment of shock: Equating blood pressure with cardiac output, age, athletes, pregnancy, medications, hypothermia, pacemaker
- Reassessing patient response and avoiding complications: Continuos hemorrhage, fluid overload and central venous pressure (CVP monitoring), recognition of other problems
- Cardiovascular emergencies: Cardiac arrest, cardiogenic pulmonary edema, acute coronary syndrome


B. SKILLS LABORATORY (OSCE):
1. 4th semester:
a. Cardiovascular System:
- History taking in cardiovascular system cases
- Physical examination of heart (cardiovascular) in adult patient
- Auscultation of heart
- Electrocardiograph (ECG) procedure
- Interpretation of electrocardiograph (ECG)



*This medical syllabus copied and edited from 1 manual book for 4th semester medical student and 1 manual book for 6th semester medical student from my university during my era. 
**The topic currently discussed 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.





SECTION 5/10: INTERNAL MEDICINE (PULMONOLOGY)

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 of Internal Medicine (Pulmonology) discussed during my time in Medical School:

A. LECTURE:
1. 4th semester:
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

2. 6th semester:
a. Emergency Medicine:
- Pulmonary emergencies: Hemoptysis, respiratory failure, exacerbation of asthma, exacerbation of chronic obstructive pulmonary disease, sepsis with shock and respiratory failure, pneumothorax, atelectasis, pulmonary embolism (PE), lung edema, near drowning, foreign bodies in respiratory organs, , massive pleural effusion, inhalation of toxic gases-toxic-fire, acute respiratory distress syndrome (ARDS)

3. 7th semester:
a. Family Medicine:
- Basic in Family Medicine: Family's role in management of lungs tuberculosis (DOTS - Direct observe treatment short course, ISTC - International standard TB care) 


B. SKILLS LABORATORY (OSCE):
1. 4th semester:
a. Respiratory System:
- History taking of respiratory system cases
- Physical examination of respiratory system
- Spirometry and peak flow examination
- Oxygen therapy technique and inhalation technique



*This medical syllabus copied and edited from 1 manual book for 5th semester medical student, 1 manual book for 6th semester medical student and 1 manual book for 7th semester medical student from my university during my era. 
**The topic currently discussed 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.




SECTION 6/10: INTERNAL MEDICINE (NEPHROLOGY)

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 of Internal Medicine (Nephrology) discussed during my time in Medical School:

A. LECTURE:
1. 5th semester:
a. Genitourinary System:
- Urinary tract infection: Upper urinary tract infection, lower urinary tract infection
- Glomerulonephritis (GN)
- Kidney failure: Acute kidney injury (AKI) and chronic kidney disease (CKD)
- Polycystic kidney disease
- Interstitial nephritis


B. SKILLS LABORATORY (OSCE):
1. 5th semester:
a. Genitourinary System:
- History taking in genitourinary system cases
- Physical examination in genitourinary system cases
- Insertion of urinary catheter



*This medical syllabus copied and edited from 1 manual book for 5th semester medical student from my university during my era. 
**The topic currently discussed 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.




SECTION 7/10: INTERNAL MEDICINE (GASTROENTEROLOGY)

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 of Internal Medicine (Gastroenterology) discussed during my time in Medical School:

A. LECTURE:
1. 5th semester:
a. Gastrointestinal System:
- Oral cavity diseases: Herpes stomatitis, oral thrush, acute necrotizing ulcerative gingivitis
- Esophageal disease: Odinophagia, dysphagia, esophageal motility disorder, esophageal tumor, esophageal stricture
- Gastritis
- Hematemesis
- Melena
- Gastric tumor
- Duodenal ulcer
- Large intestinal functional disorder: Irritable bowel syndrome (IBS)
- Large intestine organic disorder
- Hematochezia
- Colon tumor
- Icterus
- Hepatitis
- Liver failure
- Portal hypertension
- Hepatic tumor
- Pancreatitis
- Pancreatic tumor
- Cholecystitis
- Cholelithiasis

2. 6th semester:
a. Emergency Medicine:
- Intoxication of alcohol, drug abuse, analgesic, xanthines, cardiac medication, organophosphate, toxic gases, sedative hypnotic, psychopharmacological agents, anticholinergic syndrome

3. 7th semester:
a. Elective (Viral-Oncogene):
- Hepatocellular carcinoma (HCC): Types of liver tumor with its differential diagnosis, etiology of HCC, pathogenesis of HCC, symptoms and signs of HCC, diagnosis of HCC


B. SKILLS LABORATORY (OSCE):
a. Gastrointestinal System:
- History taking in digestive system cases
- Physical examination in digestive system cases
- Nasogastric tube (NGT) insertion procedure
- Intramuscular injection procedure
- Intravenous catheter insertion procedure
- Digital rectal examination



*This medical syllabus copied and edited from 1 manual book for 5th semester medical student, 1 manual book for 6th semester medical student and 1 manual book for 7th semester medical student from my university during my era. 
**The topic currently discussed 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.




SECTION 8/10: INTERNAL MEDICINE (INFECTION-TROPIC)

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 of Internal Medicine (Infection-Tropic) discussed during my time in Medical School:

A. LECTURE:
1. 7th semester:
a. Tropical Medicine:
- Bacterial infection: Typhoid, tetanus, bacterial sepsis
- Viral infection: Dengue, chikungunya, rabies, HIV and AIDS, influenza
- Parasitic infection: Malaria, Filariasis
- Zoonotic infection: Leptospirosis
b. Elective (Tropical Infectious Disease):
- Epidemiology of HIV
- Diagnosis of opportunistic infection
- Treatment of opportunistic infection in HIV patient


B. SKILLS LABORATORY (OSCE):
1. 7th semester:
a. Tropical Medicine:
- Counselling technique in HIV/ AIDS cases
- Fluid resuscitation in dengue shock syndrome



*This medical syllabus copied and edited from 2 manual books for 7th semester medical student from my university during my era. 
**The topic currently discussed 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.




SECTION 9/10: INTERNAL MEDICINE (ONCOLOGY)

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 of Internal Medicine (Oncology) discussed during my time in Medical School:

A. LECTURE:
1. 7th semester:
a. Elective (Viral-Oncogene):
- Management of cancer with chemotherapy



*This medical syllabus copied and edited from 1 manual book for 7th semester medical student from my university during my era. 
**The topic currently discussed 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.




SECTION 10/10: INTERNAL MEDICINE (GERIATRIC)

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 of Internal Medicine (Geriatric) discussed during my time in Medical School:

A. LECTURE:
1. 7th semester:
a. Family Medicine:
- Infectious disease in geriatric
- Cardiovascular disease in geriatric
- Musculoskeletal disease in geriatric



*This medical syllabus copied and edited from 1 manual book for 7th semester medical student from my university during my era. 
**The topic currently discussed 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.

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