تفاصيل المقرر

المقدمة


There is an old saying that goes something like ``The way to the man`s heart is through his intestinal mucosa with only a brief detour through his liver``.
The GIT system is probably one of the most ill-treated systems of the human body, yet it has the remarkable capability of with-standing a great deal of punishment, usually without serious consequences. Day in, day out, two, three or more times a day was send down a lot of and a variety of things (from Kisra to Submarines) from food to different drugs feeling fairly sure that ``Old irongut`` will somehow withstand the invasion and emerge victorious once agani.
This course is divided into two parts, each part falls in a separate semester, (though strongly linked and integrated) so that it can be easy to swallow and digest, seeking simplicity and proper fitting in the faculty curriculum ( problems solving and integration of basic sciences, clinical and social).
The two parts of this course are an attempt to explain the way this marvelous system works or ``Fails to Work`` affected by the many diseases prevalent in this community like gastroentritis and other diarrhoeal diseases, malnutrition, parasitic infestations, liver diseases and bilharziasis which all together contribute a great deal to the mortality and morbidity in this country.
The ultimate goal of the two parts of this course is to make the student properly understands and actively & efficiently handle and manage the common problems of the GIT system in this country including its prevention and متضمنا الوقاية منها ومكافحتها و م , based on sound scientific knowledge of basic structure, functions, malfunctions and diseases of this system.



المحتويات


1 abdominal wall landmarks on the human body and their significance in conducting an abdominal examination and planning of abdominal incisions.
2 the embryology of the gut and the deviation from normal as in the various congenital anomalies of the gut.
3 GIT organs in a human body or a diagram and their, gross appearance and major , relations within the human body , their microstructure and functions
5 neural control og the GIT system and its role in regulation of motility and secretion
6 the various GIT hormones and their site of secretion, functions and their role in motility, digestion and absorption
7 the mechansim of motility of the oesophagus, stomach and small and large intestine and its role in the pathogenesis of disorders of motility as in vomiting and achalasia of the cardia.
8 the mechanism of salivary and gastric secretions and secretions of small and large intestine and their functions and role in deglutition, digestion and absorption.
9 functions of liver, Pancreas and secretions of gall bladder and their role in digestion and absorption
10 mechanism of defecation
11 a gastrointestinal problem.
12 the clinical presentation, pathology and treatment of the primary cropharyngeal, tongue and salivery gland conditions
13 dysphagia
14 an inguinoscrotal swelling



المنسقون



المطلوبات


ALL PRE-SET COURSES


الأهداف


Although the objectives are named as this belonging to part I and others to part II, we must emphasize that this is just arbitary division and the two parts are complementary to each other.
The first part concerned with studying GIT system from the mouth to duodenum in addition to the liver and gall bladder

1 ) GENERAL OBJECTIVES:

The objective of this course is to make the student understand correctly and actively and efficiently work to solve the common problems of the GIT system in this country, based on sound scientific knowledge of basic structure and function, malfunction and diseases of this system in addition to associated social and cultural factors.

2 ) SPECIFIC OBJCTIVES:

This first part is concerned with studying of GIT system from the mouth to duodenum. By the end of part one of this course the student should be able to:-
2.1 Indentify the following abdominal wall landmarks on the human body or a given diagram and mention their significance in conducting an abdominal examination and planning of abdominal incisions.
- Umblicus
- anterior superior iliac spine
- pubic tubercle
- costal margins
- xyphoid process
- inguinal ligament
- superficial and deep inguinal rings

2.2 Describe the embryology of the gut and discuss the deviation from normal as in the various congenital anomalies of the gut.
2.3 Identify the following GIT organs in a human body or a diagram and describe their, gross appearance and major , relations within the human body , their microstructure and functions
The organs are Teeth, pharynx, tongue oesphagus, salivary glands and stomach and duodenum, Liver and gall bladder
2.4 Identify in a human body the different abdominal wall muscles, their anatomical properties and their relation to the inguinal canal.
2.5 Discuss neural control og the GIT system and its role in regulation of motility and secretion
2.6 Enumerate the various GIT hormones and discuss their site of secretion, functions and their role in motility, digestion and absorption
2.7 Describe the mechansim of motility of the oesophagus, stomach and small and large intestine and discuss its role in the pathogenesis of disorders of motility as in vomiting and achalasia of the cardia.
2.8 Discuss the mechanism of salivary and gastric secretions and secretions of small and large intestine and describe their functions and role in deglutition, digestion and absorption.
2.9 Discuss functions of liver, Pancreas and secretions of gall bladder and their role in digestion and absorption
2.10 Discuss mechanism of defecation

2.11 Given a patient with a gastrointestinal problem, the studnet should be able to :
- Take a relevant history.
- Conduct a systematic abdominal physical examination.
- Clinical conditions of vit. Deficiencies and treatment

2.12 Outline in brief the clinical presentation, pathology and treatment of the primary cropharyngeal, tongue and salivery gland conditions including:
- stomatitis
- moniliasis
- gingivitis
- sialo-adenitis
- carcinoma of the lip
- salivary tumours
- mumps

2.13 Given a patient with dysphagia the student should be able to:
- List the aetiological and predisposing factors.
- Discuss the pathology
- Diagnose by taking a good history, elicit physical findings and list relevant investigation.
- Construct a differential diagnosis including:
- Strictures
- Achalasia of the cardia
- Oesphageal carcinoma

2.14 Given a patient with an inguinoscrotal sweelling the student should be able to:
- Discuss the anatomy of the inguinal and femoral canals
- differentiate clinically between femoral and inguinal hernias.
- List a differential diagnosis including
- vaginal hydrocele
- saphena varix
- inguinal lymph nodes
- varicocele
- Outline in brief principles of management and patients supervision



طرق التدريس


1 Lectures, tutorial, seminars, problem based learning
2 Practical classes.
3 Clinical rounds.
4 Audiovisual aids.
5 Assignments.
6 Internet



المصادر


1) HUMAN RESOURCES

1.1 Anatomists.
1.2 Physiologist.
1.3 Biochemist.
1.4 Community Medicine.
1.5 Physicians
1.6 Surgeon
1.7 Paediatrician.
1.8 Pathologist
1.9 Bacteriologist 1.10 Radiologist

2) PHYSICAL RESOURCES:

2.1 Room for students
2.2 Buses for transport



وسائل التقويم


MCQs 40%
Essyas 30%
OSPE 20%
A&P 10%



المراجع


1. Davidson - Principles of Medicine.
2. Baiely & Love - short practice of surgery.
3. Co,panion Medical Studies
4. Hutchinson Clinical Methods
5. A guide to Human Parasitology
6. BDS Biochemistry
8. Gunningham Manual of Anatomy
9. Atlas of Microscopic anatomy by Bergman
10. Muire Textbook of Pathology
11.Paediatric Gastro-enterology
12. Lecture notes acute diarrhoeao diseases
13. Diseases of Children in the Tropical and Subtropics Jelliffee and Standfied



الجدول الزمني

إتصل بنا