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Topics of classes foe 3-d cours

Topics for clinical practical classes for 3-d year students

Topic

Time (hours)

Questions for class

1. Introduction in to discipline. Surgical documentation. Surgical deontology.

3

1. The concept of surgery and surgical diseases.

2. History of surgery.

3. Current state of surgery.

4. Organization of surgical service.

5. The concept of deontology.

6. Moral appearance and general culture of the doctor.

7. Medical ethics, medical thinking and new medical technologies.

2. Desmurgy

3

1. The concept of bandage and dressing. The medicinal value of dressings.

2. The main modern dressings. Kinds of bandages. Soft bandages, general rules for the imposition of bandages.

3. The technique of imposing soft bandages on different parts of the body.

3.Antiepsis

3

1. The concept of antiseptics. Types of antiseptics.

2. Mechanical antiseptics.

3. Physical antiseptics.

4. Chemical antiseptics.

5. Biological antiseptics.

6. Mixed antiseptics.

4.Asepsis

3

1. Dressing material, its main properties. Autoclave, its device and work.

2. Prevention of contact infection.

3. Surgical instruments, sterilization, care for them. Optical devices, gloves.

4. Methods for controlling sterility.

5. Preparation of personnel hands for operation. Preparation of the operating field.

5. Bleeding and hemostasis.

3

1. Classification of bleeding.

2. Clinical manifestations of external and internal bleeding.

3. Instrumental diagnostics of bleeding

6.Bleeding and hemostasis

3

1. Spontaneous stop of bleeding.

2. Temporary stop of bleeding.

3. The definitive stop of bleeding.

7. Basics of Transfusiology

3

1. Group system ABO and group system Rhesus.

2. Methods for determining the blood groups according to ABO systems

3. Methods for determining the Rh factor.

4. Errors in determining the blood type and Rh factor.

8. Basics of Transfusiology

3

1. Methods and technique of blood transfusion.

2. Complications of blood transfusion.

3. Components and preparations of blood.

4. Blood substitutes.

5. Organization of blood and donor service.6.

9. The final lesson on antiseptics, asepsis, bleeding and blood transfusion.

3

1.MCQ

2. Practical skills

3. Interviewing

10.General and local anesthesia

3

1. Mechanisms and causes of pain. Estimation of anesthetic risk.

2. Components of general anesthesia.

3. Types of anesthesia. Equipment and methods of inhalation anesthesia. Modern inhalation anesthetic agents, muscle relaxants.

4. Objective methods for assessing the severity of the condition of patients and affected.

5. Types, symptoms and diagnosis of terminal conditions

6. Monitoring systems.

11.General and local anesthesia

3

1. Types of local anesthesia.

2. Preparations for local anesthesia, the mechanism of their action, the main characteristics.

3. The technique of certain types of local anesthesia.

4. Indications for use, types and techniques of Novocaine blockades.

12. Examination of surgical patient

3

1. Purposeful clarification of the patient's complaints and the history of the disease.

2. Concomitant, transferred diseases and operations. Drug tolerance.

3. Clinical examination of the patient.

4. Evaluation of the local status.

5. Drawing up a plan for examining the patient.

6. The role of laboratory and instrumental methods in the examination of a surgical patient.

13. Preoperative period. Operation period.

3

1. Preparation of the patient for surgery.

2. Selection of anesthesia and preparation for it.

3. Legal and legal basis for conducting a survey and surgical interventions.

4. The notion of surgical operation. Criteria of operational risk, ways of its reduction.

5. Position of the patient on the surgery table. Principles of choosing operational access.

6. Stages of surgical operation.

14. Postoperative period

3

1. The reaction of the body to operational aggression.

2. Clinical observation of the patient. Laboratory and functional diagnostic control of the state of the main body systems.

3. Anesthesia. Prophylaxis, diagnosis and treatment of wound complications.

15. Wounds and wound process.

3

1. Classification of wounds. Clinical features of various types of wounds.

2. Pathogenesis and phases of the wound process.

3. Types of wound healing.

4. Purulent wounds. Common and local signs of suppuration of the wound.

5. Principles of first aid in case of wounds.

6. Primary surgical treatment of wounds, its types. Secondary surgical treatment.

16. General insufficiency in surgical patients.

3

1. Types of injuries and classification of injuries.

2. General principles of the diagnosis of traumatic injuries.

3. General principles of organization of prehospital and inpatient trauma care.

4. Shock - types, pathogenesis, clinical picture, diagnostics, phases and stages of shock. First aid. Complex therapy.

5. Collapse, faint.

17. Mechanical injury. Fractures and dislocations.

3

1. Classification. The clinical picture of fractures and dislocations.

2. Fundamentals of X-ray diagnostics

3. First aid. Transport tires. Rules of transport immobilization.

4. Basic principles and methods of treatment.

5. Complications of fractures and dislocations.

18. Thermal, chemical and radiation damage. Electric trauma

3

1. Classification, determination of the depth and area of burns.

2. First aid for burns.

3. Burn disease.

4. Radiation and chemical burns.

5. Injury from cooling. Types of general and local cold trauma. General and topical treatment

6. Electrical injury. Features of examination and treatment.

19. Final lesson on trauma

3

1. Testing.

2. Practical skills.

3. Interviewing.

20. Fundamentals of purulent-septic surgery.

3

1. Clinical manifestations, laboratory diagnostics.

2. Acute aerobic and anaerobic surgical infection.

3. Modern principles of prevention and treatment of purulent diseases.

4. General principles of treatment the purulent surgical diseases.

5. Purulent diseases of the skin and subcutaneous tissue.

21. Acute purulent nonspecific infection.

3

1. Furuncle, carbuncle. Abscess, phlegmon.

Erysipelas, hydroadenitis.

2. Phlegmon of the neck. Subfascial and intermuscular phlegmons of the extremities.

3. Purulent mediastinitis. Suppurative paranephritis. Acute paraproctitis, fistulas of the rectum.

4. Acute purulent mastitis.

5. Classification, types of panaricium. Features of purulent inflammation of the hand.

6.Peritonitis. Pleurisy.

22. Purulent surgery of bones and joints. General purulent surgical infection

3

1. Osteomyelitis.

2. Purulent bursitis. Purulent arthritis.

3. Classification, clinical picture of sepsis.

4. Principles of treatment of sepsis

23. Acute and chronic specific infection.

3

1. The concept of acute surgical specific infection. Classification.

2. The main diseases: tetanus, anthrax, diphtheria of wounds.

3. The concept of a chronic surgical specific infection. Classification.

4. The main diseases: tuberculosis, actinomycosis, candidomycosis.

24. The final lesson on infection.

3

1. Testing.

2. Development of practical skills.

3. Interviewing.

25. Fundamentals of surgery of circulatory disorders, necrosis.

3

1. Disturbances of arterial blood flow.

2. Violations of venous circulation.

3. Impaired lymph circulation.

26. Fundamentals of tumor surgery.

3

1. General characteristics of tumors.

2. Benign and malignant neoplasms. Ways of metastasis.

3. Clinical classification of tumors. Clinical diagnosis.

4. Special methods of diagnosis.

5. Principles of surgical treatment of tumors.

6. Principles of organization of oncological service.

27. Curation

3

1. Scheme of writing a medical history.

2. Work with the patient

28. Curation

3

1. Analysis of written medical history.

2. Answers to the questions of the teacher.

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