MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HT RY COMPONE! Component Description A general overview of the discipline of surgery. Topies covered include surgical approach to patient care, surgical management of medical and surgical disorders, and surgical subspecialty perioperative considerations. Lectures are intended to foster the student's appreciation of a surgical versus'a medical approach to disease management, and when is surgery necessary. nt Diagnosis and ‘Curent Medical ‘Treatment and Diagnosis 2014 Subj ‘Surgery Component Ov - Unit 1 - Surgical Approach to Patient Management: he Preoperative Assessment Unit 4 An ‘Unit 5 - Approach to Cardiac and Vase: Unit 6 Approach to the Acute Abdomen ant - Units 1-4 — [Unit $ - Approach to Plastic and Cos Unit 9— App h to Breast Sureer Unit 10-Urology Unit 11-13 Approach to Orthopedic Surgery [ Comprehensive Surgery ExamMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAM ENTALS OF CLINICAL MEDICINE IT RY COMPONENT. UNIT": SURGICAL APPROACH TO PA’ POST-OPERATIVE MANAGEMEN’ UNIT OBJECTIV PRE-OPERATIVE AND Aficr completion of this component unit, the student will be able to: 1, Discuss the general surgical approach to the patient (A) History Elective’ emergency surgery physical examinations Diagnostic testing Describe the components of the continuum of surgical patient care (B) Pre-oHeraLiVE Postoperative 3. Identify the elements of the preoperative general health assessment (A) Nutritional status Tinmune competency 4. Discuss the specific factors which pose a_ perioperative/post-operative risks and managementand prevention to minimize these risks (A) Existing pulmonary dysfunction Thromboembolism Elderly, Obese Medicetion intake (aspirin, warfarin) 5. Discuss tle essential components of preoperative preparation (A) Consultations Principles of Operative permit (informed consent) for Elective and Emergency Surgery Preoperative sereening tests (Routine CBC, ECG, ABG, Pulmonary Funetion Tes Homostatic evaluation)UNIT 1 (Continued) 6, Outline the principles of preoperative asepsis and the various modes of maintaining aseptic techniques in the operative environment (A) Equipment sterilization Skin Antisept Conviol of hospital environment 7. Outline the principles of postoperative care (A) Mobilization Respiratory care Wound eare the presentation, perform the assessment, derive (A) Denotes gore knowledge - essential to appropriately recog the diagnosis, anc treat the disorder as a primary eare provider (B) Denotes kev knowledge - important 1 appropriately recognize the presentation, perform the assessment, and diagnose the disorder as a priniary (© Denotes important knowledge - helplil wo appropriately recognize to enhance and augment knowledge in the reas of medical practiMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAME! ALS OF CLINICAL MEDICINE IIL UNIT 2: POSTOPERATIVE PATIENT CAR WOUND CARE AND EALING UNIT OBA TV Afier completion of this component unit, the student will be able to: 1. Discuss:the management of the patient in the immediate postoperative period (A) Post a! thesia care unit (PACU) tive order Monitofing: Vital signs, Central v nous pressure, Fluid balance Discuss patient care in the intermediate postoperative period (A) Wound care Drain care Pulmonary care Fluid and electrolyte management GL care cuss the mechanis'n of wound healing (B) 4, List and describe the types of clinical wound healing (A) Discuss the factors which affect wound repair and healing (A) Selection of suture material types of suture materials Nutritional status, 6. Dese: w surgical postoperative wound management: (A) Suture, surgical technique, post- ive care oper (A) Denotes eure knowledge - essential 10 appropr ize the presentation, perform the assessment, derive the diagtosis, ad eat the disorder sa primary eare provider (B) Denotes hey kuswledge «important s appropriately recognize the presentation, perform the assessment, and tingnose the disorder asa primary care rolerral © Denotes impartant knowl ‘lnfal 10 appropriately re core and ke tive ize 1 enhance and augment knowledge in theMERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI. )MPONI UNIT 3: SURGICAL COMPLICATIONS UNIT OBJECTIVES Aficr completion of this component u . the student will be able to: 1. Discuss’the etiology, prevention, and management of complications of wound healing: (A) ilinlitis (infection) Dehiscenee 2. Discuss etiology, . di gastrointestinal compticatic and management of post-operative respiratory and s (AY sis, Pneumonia, Pulmonary thromboembolism, Effusion, Pneumothorax, Bowel Obstruction, ~ Atelee -Hlemoperitoneum, Fecal impaction (Ileus), Small and La C.defcile colitis 3. Diseuss the etiology and management of post-operative cardiac dysrhythmia and myocardial infaretion (A) 4. Discuss the etiology,prevention, and management of other post-operative complications ay son vir embolist Urinary retention and infection Thyroid storm 7. Discuss the etiology, pre: © ation. and management of post-operative and ICU syndrome Discuss the ineidence, etiology, and management of post-operative fever (A) |A) Denotes care knowledge = the diagnosis, and te the disord @) Inv ledge = in je disorder as a primary care referral (© Denotes important knowledge - helpful to appropriately recognize to enhance and augment knowledge in the core ai Key aneas of medical practice sential to appropriately recognize the presentation, perform the assessment, derive a primary eare provider priutely recognize the presentation, perform the assessment, and MERCY COLLEGEUNIT 4: GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA S05 - FUNDAMENTALS OF CLINICAL MEDICINE HL :GERY COMPONENT. ANESTHESIA AND ANALGESIA UNIT OBJECTIVES: Afier completion of this component unit, the student will be able to: 1, Discuss the anesthetic preoperative evaluation (B) History arid physical exami Drvg or medication history tion Anesthesia informed consent Discuss immediate preoperative anesthesia management (B) Preoperative medication (sedation) Choice of anesthesi Holding room, Operating room 3. Discuss general anesthesia, management and maintenance, it’s advantages and disadvantages of (A) \. Rupid-Sequence incuetior 1. Inhalation Inéuetion 4. Differentiate between Spinal, pidural (Local) and Peripheral Block (Regional) Anesthesia @) 5. Discuss the presentation and management of post-operative problems (A) 6. Discuss general considerations of postoperative pain management (A) Introvenous Opioid Oral analgesies Epidural analgesia Patient Controlled Nerve blockUNIT 5: (A) Denowes the jowledge - essential to appropriately recognize the presentation, perform the assessment, derive ‘osi amd treat the disorder asa primary eare provider 1y knowledge - impostant to appropriately recognize the presentation, perform the assessment, and fe disorder as a primary care referral Lknowleds - helpful to appropriately recognize'to enhance and augment knowledge in the 28 of medical practice MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES core and key PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE II IR RY MPON! APPROACH TO CARDIAC AND VASCI LAR SURGERY, UNIT OBJECTIVES: After completion of this component unit, the student will be able to: 1. Discuss the indications, perioperative considerations, prognosis and complication of coronary artery bypass procedure (A) Disevss eardiopulmons factors that affect myocardial preservation , and complications of the procedure (B) bypass procedure, 3. Outline the considerations for surgical management of valvular heart disease (B) Determination of Prosthet y Complications/Prognosis | necessity valve prosthesis selection 3. List the sites of ancurysm formation and factors that contribute to the rupture of aneurysin (A) 4. Outline the ‘considerations for surgical management of aortie aneurysm and aortic dissection (A) 4. Outline the procedure for heart transplantation (C)the etiology, clinical presentations, diagnostic tests and In to lower extremity venous and arterial insufficien ical management jocclusion. (A) «tiss the surgical management of varicose veins (A) (A) Denotes core knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diaguios's. and treat the disorder sare provider {B) Denores key knowledge « important to icy recognize the presentation, perform the assessment, and diagnose the Wisorder as a primary eare rotor (©) Denotes important knowledge - helpful to apjropeiately recognize to enhance and augment knowledge in the core and key areas oF medieal practice MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE IIT RGERY COMPON! APPROACH TO THE ACUTE ABDOMEN UNIT OBJECTIVES: After completion of this component unit, the student will he able to: 1, Define the concept of the acute abciomen, identify the primary goal of assessment and its ifieance (.\) 2, Discuss the importance of the elinival history in assessing the acute abdomen (A) Description of pain Associated symptoms 3. Kdentit} specific physical examination procedures and maneuvers to assess the acute i (B) = Iliopsoas sign Rebound tendemess = Obturator sign Murphy's signUNIT 7 4. Discuss the role of di ostic studies in the evaluation of the acute abdomen (A) 5. Discuss the etiology, presentation, diagnostic tests, and management of the disorders in the differential diagnosis of the acute abdomen (A) - Peritoneal adhesions Biliary colie Diverticulitis Feeal Inpaction = Small and Large bowel obste Ischemia Volvulos ction Mesenteric 6. Discuss the etiology, presentation, and management of intraperitoneal disorders (A) Peritonitis Iniraperitoneal abse Ascites secondary to m: al to appropriately recognize the presentation, perform the assessment, derive sare provider ‘ely recognize the presentation, perform the assessment, and tant helpful to sppropriaely ree core ane! key seas oF mediea! practice ize to enhance and augment knowledge in the MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE IL SURGERY COMPONENT CAL MANAG APPENDICITIS TROINTES STINAL CONDITIONS: BOWEL OBSTRUCTION; HERNIA, NAL BLEEDING UNIT OBJECTIVES: Afier completion of this component unit, the student will be able to: I. Discuss the incidence and prevalence, the clinical presentation, the diagnosis evaluation, and the differential di wendicitis (A)UNIT 8: 2. Discus: rgical approach, complications, and prognosis of appendicitis (A) 3. List and des other. (A) ibe the anatomy of the various types of hernia, Differentiate one from the Sliding inguinal direct, indirect, femoral, strangulated and abdominal (umbi isional) herni opi 4. Discuss the ineiden ne clinical py tations and diagnosis, of cach type of hernia (A) Know the surgical management and complication of surgical repair of hemia (A) 6. Discuss the clinical pre management of GI hemor entation, diagnostic tests, differential diagnosis and surgical (A) 7. Discuss the surgical management of peptic ulcer disease (PUD) and complications of ulcer operation (A) -Dumping syndrome the elinigal signs and symptoms, pre-op and post-op diagnostie tests and surgical ment of Gastrointestinal Carcinoma (A) oma of the colon, Carcinoma of the rectum, Cat Corel inoid tumor (A) Denotes gare knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the diagnosis, and weat the disorder as a primary eare provider (B) Denotes kev knowledge - important to appro the presentation, perform the assessment, and diagnose the Tisorder as a primary care referral (©) Denoves impustant knawlesne - helpful to uppropriately recognize to enhance and augment knowledge in the core and KeP aueas oF medical practic,MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE IT SURG RY COMPONENT : APPROACH TO PLASTIC AND COSMETIC SURGERY UNIT OBJECTIVES: uinit, the student will be able to: After completion of this compon 1, Outline the principles and common procedures of plastic surgery (A) 2. Describe the different types of skin a1 fis (A) -split thickness, full thickness and composite Detine the different types of skin flaps 4. Discuss the indications, advantages and disadvant flaps (A) sement of skin grafts and Describe the prineiples of skin lesion and wound care and plastic surgery wound cosmesis (B) 6. Outline the plastic pery D ment of congenital head and neck anomalies (B) 7. List indieations for plastic surgery (A) (A) Denotes core knowledg the dir (B) Denwwes diagnose © Denowes in essential to appropriately recognize the presentation, perform the assessment, derive y care provider eeognize the pres sion, perform the assessment, and i o appropriately recognize to enhance and augment knowledge in theMERCY COLLEGE AYRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HL UNIT 9: SURGICAL APPROACH TO BREAST DISEASE OBJECTIVES: Afier completion of this component unit, the student will be able to: 1. Discuss patient counseling, methods, and tility of breast disease sereening (A) Self-examination techniques :mination of the breast----Normal and abnormal findings Mammography 2. Describe the diagnostic approach to assessing a patient with a breast mass (A) Ultrason aphy ie biopsy rae needle biopsy Open breast biopsy 3, Discuss the etiolog signs and symptoms, diagnosis, and management of benign breast disorders (A) Fibroadenoma - Gynecomastia Discuss the risk factors, incidence. si ‘ens and symptoms, diagnostic tests, and surgical management of neoplastic breast disease (A), Paget’s disease/Intraductal careinoma/Inflammatory carcinoma Papillary Carcinoma and In‘iltrating Lobular Carcinoma Breast conserving therapy veisus mastectomy 6. Discuss the TNM staging .metastatie patterns, symptoms of recurrence and prognosis of breast caneer (A) (A) Denotes are knowledge - essential to appropriately recognize the presentation, perform the assessment, derive the dia disorde nary care provider (B) Deno: ‘oly recognize the presentation, perform the assessment, and cipful to appropriately recognize to enhance and augment knowledge in the ‘oF medical practice MERCY COLLEGEGRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HL SURGERY COMPONENT UNIT 10 UROLOGY After completion of this component unit, the student will be able to: UNIT OBJECTIVES 1. Discuss the invidence, etiology, comp! cations and management of eryptorchidism (A) 2. Discuss the fo clinical presentation and evaluation and management of varicocele and spermatocele (A) 3. Discuss the etiology, presentation, diagnostic evaluation a A xd management of penile anomalies -hypospadias cpispadias 4, Discuss the presentation and management of phimosis and paraphimosis (A) 5. Discuss the sology, associated medical conditions, presentation and management of 6. Discuss the pathology. associated medical conditions, presentation and management of testicular iorsion and prostalitis (A) 7. Discuss the incidence, prevalence. diagnostic tests, clinical presentation and management of prostatic carcinoma (A) (A) Denotes enre ku essential 14 propriately recognize the presentation, perform the assessment, derive the diagvosis, the disorder as a primary care provider (B) Denoies kes <- imporiait so appre lately eecognize the presentation, perform the assessment, and (© Denoves im Inoyledue - be! fal to appropriately recognize to enhance and augment knowledge in the ‘oF medical practice MERCY COLLEGE GRADUATE PROGRAM IN PHYSICIAN ASSISTANT STUDIES PA 505 - FUNDAMENTALS OF CLINICAL MEDICINE HI