«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-ofschool work amoun t 2 hours Place, responsible persons Tuberculosis hospital. Teachers


Tuberculosis Auditory and Current humanitarian and epidemiology. out-of-school methodical issues of Tuberculosis as a work tuberculosis. Chain of disease global humanity transmission. challenge. Epidemiological situation in Basic preliminary different countries. Main risk knowledge control. factors for tuberculosis.


General approach for Seminar and Diagnostic algorithm for the case detecting. out-of-school patient with suspicion of work tuberculosis. Routine clinical and radiological examination place. Specific diagnostic methods (microbiological, radiological

1. Principle epidemiological indicators calculating and interpreting. 2. Risk groups and risk factors for tuberculosis defining. 3. Different types of national tuberculosis load analyses. 1. Diagnosis formula. 2. Clinical signs of TB different localization defining. 3. Physical examination of the patient with suspicion for TB.

2 hours 1 hour

Tuberculosis hospital, Teachers

examination, tuberculin skin test). Differential diagnosis in pulmonary and extrapulmonary tuberculosis cases.


Primary tuberculosis Seminar and Primary and post-primary definition and clinical out-of-school tuberculosis peculiarities. Each types. Pre-local work type general signs. Early period tuberculosis. Bronchial of tuberculosis. Primary lymph nodes tuberculosis clinical feature and tuberculosis. Primary variants. Clinical peculiarities tubercle complex. in different age groups. Clinical feature, Miliary tuberculosis principle radiological finding, risk factors. Clinical treatment, outcomes. peculiarities in Complications. immunocompromised patients. Differential diagnosis. Disseminated pulmonary Disseminated tuberculosis. Clinical types, tuberculosis. Miliary evolution and clinical variants. tuberculosis. Differential diagnosis in Tuberculosis of pulmonary dissemination cases.

4. Microscopic, bacteriological test results interpreting. 5. Obligate diagnostic 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. 1. Primary tuberculosis detecting algorithm. 2. Primary tuberculosis differentiation from nonspesific pneumonia, hemoblastosis, lymphoma, sarcoidosis. 3. Patient with primary tuberculosis residuals management. 4. Miliary tuberculosis detecting algorithm. 5. Disseminated tuberculosis differentiation from disseminated lung cancer, pneumaconiosis, non-specific

2 hours 1 hour

Tuberculosis hospital. Teachers

nervous system and meninges. Clinical variants and outcomes. Differential diagnosis. Tubercle pleurisy. Case presentation.

Tuberculosis of meninges and nervous system pathogenesis and clinical feature. Differential diagnosis in meningeal syndrome case. Clinico-pathogenetic variants and differential diagnosis of tubercle pleurisy.



Post-primary Auditory and Focal and infiltrative tuberculosis clinical out-of-school pulmonary tuberculosis. types. work Caseous pneumonia. Tuberculosis Tuberculoma. Fibrouscomplications. cavernous and cirrhotic Case presentation. tuberculosis. Clinical feature, radiological finding, differential diagnosis, treatment, outcomes. Secondary tuberculosis complications: hemophtysis, spontaneous pneumathorax, secondary pulmonary hypertension, amyloidosis. Pathogenesis, revealing, management. Pleural effusion due to tuberculosis. Clinical feature, radiological finding, differential diagnosis, treatment, outcomes. Case presentation. General principles of 1. Patient Principles and Auditory, with approaches to seminar and tuberculosis treatment. category of the

pneumonia, sarcoidosis, pulmonary fibrosis. 6. Tubercle meningitis differentiation from purulent, viral meningitis and meningeal syndrome of non-inflammatory origin. 7. Tubercle pleurisy differentiation from paracancroid and non-specific pleurisies. 1. Post-primary tuberculosis detecting algorithm. 2.Pulmonary tuberculosis differentiation from lung cancer, benign tumors, non-specific pneumonia, sarcoidosis, pulmonary fibrosis. 3. Patient with post-primary tuberculosis residuals management. 4. Patient with chronic pulmonary tuberculosis complicated by amyloidosis, secondary pulmonary hypertension management.

2 hours 1,5 hour

Tuberculosis hospital, Teachers і

different disease

2 hours

Tuberculosis hospital,

tuberculosis treatment. out-of-school Prophylaxis. work Tuberculosis associated with other disease. Antituberculosis drugs: Case presentation. classification, dosage, mechanisms of activity. Side effects: treatment and prevention. Tuberculosis prevention. Social, medical, sanitary approach. BCG vaccination. HIV-associated tuberculosis. Tuberculosis in patients with diabetes mellitus, pneumoconiosis. Tuberculosis and pregnancy. Clinical and managerial peculiarities.


Critical conditions Auditory, Principles of critical conditions care in pulmonary seminar and development in tuberculosis tuberculosis clinics at out-of-school course at adults, children and adults, children and work adolescents. Types of different adolescents. critical conditions concern to Final module control. origin, severity, and duration. Pathogenesis, prevention, care algorithm of pulmonary hemorrhage, spontaneous pneumathorax, hemothorax, acute respiratory and circulatory

according to international classification management. 1 hour 2. Pathogenetic treatment application. 3. Indication for surgery detecting. 4. Patient with HIV-associated tuberculosis management peculiarities. 5. Pregnant women suffering from tuberculosis management. 6. Recovery criteria defining. 7. Post-recovery residuals detecting. 8. Indications and contraindications for BCGvaccination. 9. BCG-vaccination procedure. 10. Chemoprophylaxis administration. 11. Preventive measures in tuberculosis hotbed. 1. Pulmonary hemorrhage 5 hours detecting and critical care. 2. Spontaneous pneumathorax detecting and critical care. 3. Hemothorax detecting and critical care. 1 hour 4. Acute intoxication management. 5. Acute respiratory and circulatory insufficiency preventing, detecting and


Tuberculosis hospital, Teachers

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

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