«Approved»

Dean of the foreign students

Professor _______________Yu.G.Poostovyy
«____»________________2010

PRACTICAL CLASSES AND SEMINARS TOPICS ON PHTYSIOLOGY FOR

VI YEAR STUDENT
2010-2011 academic year

N Topic Class type Questions Practical skills Out-of- Place,

school responsible
work persons
amoun
t
1. Tuberculosis Auditory and Current humanitarian and 1. Principle 2 hours Tuberculosis
epidemiology. out-of-school methodical issues of epidemiological hospital.
Tuberculosis as a work tuberculosis. Chain of disease indicators calculating Teachers
global humanity transmission. and interpreting.
challenge. Epidemiological situation in 2. Risk groups and risk
Basic preliminary different countries. Main risk factors for
knowledge control. factors for tuberculosis. tuberculosis defining.
3. Different types of
national tuberculosis
load analyses.
2. General approach for Seminar and Diagnostic algorithm for the 1. Diagnosis formula. 2 hours Tuberculosis
case detecting. out-of-school patient with suspicion of 2. Clinical signs of TB hospital,
work tuberculosis. different localization Teachers
Routine clinical and defining. 1 hour
radiological examination place. 3. Physical examination
Specific diagnostic methods of the patient with
(microbiological, radiological suspicion for TB.
 examination, tuberculin skin 4. Microscopic,
test). bacteriological test
Differential diagnosis in results interpreting.
pulmonary and extrapulmonary 5. Obligate diagnostic
tuberculosis cases. minimum and
additional tests
application for case
detecting and
differential diagnosis.
6. Mantoux skin test
procedure and interpreting.
7. Mantoux skin test indication
and contraindication
determining.
8. Differentiation between
post-vaccine and infectious
reaction.
3. Primary tuberculosis Seminar and Primary and post-primary 1. Primary tuberculosis 2 hours Tuberculosis
definition and clinical out-of-school tuberculosis peculiarities. Each detecting algorithm. hospital.
types. Pre-local work type general signs. Early period 2. Primary tuberculosis Teachers
tuberculosis. Bronchial of tuberculosis. Primary differentiation from non- 1 hour
lymph nodes tuberculosis clinical feature and spesific pneumonia,
tuberculosis. Primary variants. Clinical peculiarities hemoblastosis, lymphoma,
tubercle complex. in different age groups. sarcoidosis.
Clinical feature, Miliary tuberculosis principle 3. Patient with primary
radiological finding, risk factors. Clinical tuberculosis residuals
treatment, outcomes. peculiarities in management.
Complications. immunocompromised patients. 4. Miliary tuberculosis
Differential diagnosis. Disseminated pulmonary detecting algorithm.
Disseminated tuberculosis. Clinical types, 5. Disseminated tuberculosis
tuberculosis. Miliary evolution and clinical variants. differentiation from
tuberculosis. Differential diagnosis in disseminated lung cancer,
Tuberculosis of pulmonary dissemination cases. pneumaconiosis, non-specific
 nervous system and Tuberculosis of meninges and pneumonia, sarcoidosis,
meninges. Clinical nervous system pathogenesis pulmonary fibrosis.
variants and outcomes. and clinical feature. Differential 6. Tubercle meningitis
Differential diagnosis. diagnosis in meningeal differentiation from purulent,
Tubercle pleurisy. syndrome case. viral meningitis and meningeal
Case presentation. Clinico-pathogenetic variants syndrome of non-inflammatory
and differential diagnosis of origin.
tubercle pleurisy. 7. Tubercle pleurisy
differentiation from para-
cancroid and non-specific
pleurisies.
4. Post-primary Auditory and Focal and infiltrative 1. Post-primary tuberculosis 2 hours Tuberculosis
tuberculosis clinical out-of-school pulmonary tuberculosis. detecting algorithm. hospital,
types. work Caseous pneumonia. 2.Pulmonary tuberculosis Teachers і
Tuberculosis Tuberculoma. Fibrous- differentiation from lung cancer, 1,5
complications. cavernous and cirrhotic benign tumors, non-specific hour
Case presentation. tuberculosis. Clinical feature, pneumonia, sarcoidosis,
radiological finding, differential pulmonary fibrosis.
diagnosis, treatment, outcomes. 3. Patient with post-primary
Secondary tuberculosis tuberculosis residuals
complications: hemophtysis, management.
spontaneous pneumathorax, 4. Patient with chronic
secondary pulmonary pulmonary tuberculosis
hypertension, amyloidosis. complicated by amyloidosis,
Pathogenesis, revealing, secondary pulmonary
management. Pleural effusion hypertension management.
due to tuberculosis.
Clinical feature, radiological
finding, differential diagnosis,
treatment, outcomes.
Case presentation.
5. Principles and Auditory, General principles of 1. Patient with different 2 hours Tuberculosis
approaches to seminar and tuberculosis treatment. category of the disease hospital,
 tuberculosis treatment. out-of-school according to international Teachers
Prophylaxis. work classification management. 1 hour
Tuberculosis 2. Pathogenetic treatment
associated with other application.
disease. 3. Indication for surgery
Antituberculosis drugs:
Case presentation. detecting.
classification, dosage,
4. Patient with HIV-associated
mechanisms of activity. Side
tuberculosis management
effects: treatment and
peculiarities.
prevention. Tuberculosis
5. Pregnant women suffering
prevention. Social, medical,
from tuberculosis management.
sanitary approach. BCG
6. Recovery criteria defining.
vaccination. HIV-associated
7. Post-recovery residuals
tuberculosis. Tuberculosis in
detecting.
patients with diabetes mellitus,
8. Indications and
pneumoconiosis. Tuberculosis
contraindications for BCG-
and pregnancy. Clinical and
vaccination.
managerial peculiarities.
9. BCG-vaccination procedure.
10. Chemoprophylaxis
administration.
11. Preventive measures in
tuberculosis hotbed.
6. Critical conditions Auditory, Principles of critical conditions 1. Pulmonary hemorrhage 5 hours Tuberculosis
care in pulmonary seminar and development in tuberculosis detecting and critical care. hospital,
tuberculosis clinics at out-of-school course at adults, children and 2. Spontaneous pneumathorax Teachers
adults, children and work adolescents. Types of different detecting and critical care.
adolescents. critical conditions concern to 3. Hemothorax detecting and
Final module control. origin, severity, and duration. critical care. 1 hour
Pathogenesis, prevention, care 4. Acute intoxication
algorithm of pulmonary management.
hemorrhage, spontaneous 5. Acute respiratory and
pneumathorax, hemothorax, circulatory insufficiency
acute respiratory and circulatory preventing, detecting and
 management.
insufficiency, pulmonary 6. Pulmonary embolism
embolism, larynx stenosis. detecting and management.
7. Larynx stenosis preventing,
detecting and management.

Approved on chair meeting August, 31 2010 Protocol № _1_______

Head of the Phtisiology chair,

Professor _______________Yu.G.Poostovyy

Head of the Methodic board,

Professor _______________Yu.N.Kolchin