The Curriculum Outline of Surgery

For Nepalese Medical Students

Department of Surgery

Weifang Medical University

Pre fac e
Surgery is one of the main subjects of the clinical medicine. It’s a subject referring some diseases which doctors usually treat with operations or manure procedures. It’s characterized with remarkable practicality and also has a profuse theorysystem. The teaching Objective is that medical students could master the etiology, pathogenesis, clinical manifestations, diagnoses and treatments of the surgery diseases. Thereby they can make a foundation for surgical work. The procedure of surgery teaching includes class lectures, experiences, practices and intern practices. Ability training should be emphasized as well as the combination of theory with practice. In teaching methods, teachers should pay attention to the correlation of surgery with other medical subjects, take

advantages of self-learning and teacher-student interflow, put stress on the gradualness, and bring the initiative of students into full play.

The Teaching Period (class hours) of Each Part of the Subject [1 class hour(Chr) = 40 minutes] chapte r 1. 2. 3. 4. Introduction Contents theor y 2 experiments practice

Molecular biology in surgery 2 Asepsis The disturbance of humoral fluids in surgical patients 2 6 2

5. 6. 7. 8. 9. 10. 11.

Surgical shock MODS Surgical infection Trauma and military injury Tumor Transplantation Increased intracranial pressure

4 3 4 4 4 4 4 2

2 2 2 4 4 2 4

12. 13.

Craniocerebral trauma

4

4 4

Intracranial and intraspinal 4 tumors

14. 15. 16. 17. 18. 19. 20. 21. 22.

The disease in the neck The chest diseases The thoracic injury The pulmonary diseases The esophagus disease The heart disease The abdominal hernia The abdominal injury Stomach and duodenum diseases

4 4 4 4 4 8 4 4 8

4 4 4 4 4 8 4 4 8

23. 24. 25.

Small intestine diseases Appendix disease

4 4

4 4 4

Colon, rectum and anal canal 6 disease

26. 27. 28 29 30

liver diseases The portal hypertension Bile duct diseases Pancreas diseases

4 4 8 4

4 4 8 4 4

Peripheral blood vessel and 4 lymphatic diseases

31

Genitourinary Congenital Anisotropy

4

4

32. 33. 34. 35. 36. 37. 38.

Urinary Injury Genitourinary Infection Genitourinary Tuberculosis Urinary Obstruction Urinary Calculus Genitourinary Tumor

4 4 3 4 4 4

4 4 4 4 4 4 4

Surgical therapy of diseases 4 of adrenal gland

39.

Male sexual dysfunction and male infertility

4

4

40. 41.

Fracture Synopsis The injury of the bones and joints of upper limbs

8 6

8 6

42.

Hand injury and replantation 4 of amputated limbs and fingers.

4

43.

The injury of the bones and joints of lower limbs

6

6

44.

Fracture of the spine and pelvis

4

4

45.

The chronic injury of

4

4

locomotor system 46. Pains in Back-leg and neckshoulder 47. The pyogenic infection of bone and joints 48. 49. 50. 51. Bone and joint tuberculosis Bone tumor Synopsis of plastic surgery Principles of operative surgery 4 4 4 16 4 4 4 4 4 4 4

tota l

216

20

196

CHAPTER 1 INTRODUCTION ⒈ Objectives ⑴ To understand the category of surgery. ⑵ To set up the correct view point for surgery studying. ⒉ Teaching contents The category of surgery; how to study surgery. ⒊ Homework ⑴ How can we study well surgery? ⑵ What’s the relationship between surgery and internal

medicine? CHAPTER 2 MOLECULAR BIOLOGY IN SURGERY ⒈ Objectives ⑴ The important role of molecular biology in modern surgery . ⑵ To master the main principles of gene diagnosis. ⑶ To understand the usage of the gene diagnosis and biological therapy in surgical practice. ⒉ Teaching contents The structure and function of gene, molecular diagnosis and their clinical usages. ⒊ homework What’s the main principles of gene diagnosis?

CHAPTER 3 ASEPSIS 1. Objectives
(1)

To create aseptic concept. To master the aseptic principles during operation.

(2)

To know well the commonly used ways of asepsis and sterilization.

(3)

To master the announcements of washing hands and wearing sterile gown and gloves.

(4)

To know well the way of sterilization of the operation region and paving the sterile towels.

2. Contents
(1)

The definition of asepsis . The commonly used ways of asepsis and sterilization of surgical instruments, surgical articles, surgical dressings.

(2)

(3)

Aseptic principles during the operation .

3. Contents of practice
(1)

Commonly used ways of asepsis and sterilization . The procedures of gloves. washing hands ,wearing sterile gown and

(2)

(3)

The preparation, sterilization of the surgical region and paving the sterile towels.

4. Emphasis The concept of asepsis . Aseptic principles during operation. 5. Homework
(1)

What are the Aseptic principles during operation? How to wash your hands and wear sterile gown and gloves?

(2)

CHAPTER 4 THE HUMORAL DISTURBANCE OF SURGICAL PATIENTS 1. Objectives
(1)

To master the etiology and treatment of the metabolic disturbance of water and sodium.

(2)

To know well the clinical manifestation and diagnosis of various types of

dehydration.
(3)

To master the etiology and treatment of the metabolic disturbance of potassium.

(4)

To know well the clinical manifestation and diagnosis of the metabolic disturbance of potassium.

(5)

To master the etiology,pathophysiology, clinical manifestation and treatment of metabolic acidosis and alkalosis.

(6)

To understand the etiology of respiratory acidosis and respiratory alkalosis.

(7)

To understand the physiologic regulation of water ,electrolyte,and acid-base balance.

2.Contents of teaching
(1)

the etiology, clinical manifestation, treatment of isotonic, hypertonic and hypotonic dehydration.

(2)

the etiology, clinical manifestation, treatment of hypocalemia and hypercalemia.

(3)

the etiology, clinical manifestation, treatment of metabolic acidosis and alkalosis.

(4)

the etiology, clinical manifestation, treatment of respiratory acidosis and alkalosis.

3.Emphasis The diagnosis , prophylaxis, treatment of the disturbance of water , electrolyte, and acid-base balance. 4. Time distribution for theory teaching Total 6 class hours including 4 class hour(Chr) lecturing and 2 Chr discussion . 5.homework
(1)

To retell the clinical manifestation, diagnosis, treatment of various types of dehydration, metabolic disturbance of potassium.

(2)

To retell the etiology, pathophysiology, clinical manifestation and treatment of metabolic acidosis and alkalosis. CHAPTER 5 SURGICAL SHOCK

1. Objectives
(1)

To master the etiology, cardial pathologic changes of surgical shock

(2)

To master the clinical manifestations, diagnosis and therapeutic principles of surgical shock.

(3)

To know well the principles of therapy for surgical shock..

2. Contents of teaching

The etiology, pathophysiology, clinical manifestation, diagnosis and treatment of surgical shock. 3.Emphasis The pathophysiology, diagnosis and treatment of surgical shock. 4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5. Homework
(1)

The etiology , pathophysiology of surgical shock. The clinical manifestation diagnosis and treatment of surgical shock. CHAPTER 6 MODS

(2)

1. Objectives
(1)

To understand the definition, etiology ,clinical manifestation, diagnosis and treatment of MODS.

(2)

To master the etiology, clinical manifestation,diagnosis and therapeutic principles s of acute renal failure.

(3)

To know well the clinical manifestations of acute respiratory distress syndrome.

2. Contents of teaching (1) the etiology, clinical manifestation,diagnosis of MODS. (2) the etiological classification, clinical manifestation,diagnosis and the therapeutic principles of acute

renal failure. (3) the clinical manifestation,diagnosis and the therapeutic principles of acute respiratory distress syndrome. 3.Emphasis
(1)

The definition of

MODS.

(2)

The etiology, treatment of ARF.

4. Time distribution for theory teaching Total 3 Chrs including 2 Chr lecturing and 1 Chr discussion .

CHAPTER 7 SURGICAL INFECTION 1. Objectives
(1)

To master the etiology and the principles of therapy for surgical infection.

(2)

To master the diagnosis and principles of therapy for sepsis. To master the clinical manifestation, diagnosis and treatment of tetanus.

(3)

(4)

To know well the clinical manifestation and suppurative infection of superficial tissues.

(5)

To understand the clinical manifestation and treatment of the acute suppurative infection of hands, the using

principles of antibiotics. 2. Contents of teaching

(1)

The definition, classification, etiology, diagnosis, treatment of surgical infection.

(2)

The definition, etiology, diagnosis, treatment of general surgical infection.

(3)

The pathogenic mechanism, clinical features ,diagnosis, treatment, prophylaxis of tetanus.

3. Emphasis
(1)

The etiology of surgical infection. The diagnosis and the treatment of sepsis. The diagnosis and the treatment of tetanus.

(2)

(3)

4. homework
(1)

To tell the common etiology of surgical infection. To tell the clinical manifestation, diagnosis and treatment of tetanus.

(2)

(3)

What are the diagnostic and therapeutic principles of sepsis? CHAPTER 8 TRAUMA AND MILITARY INJURY

1. Objectives
(1)

To master the classification, diagnosis and therapeutic principles of trauma.

(2)

To master the debridement for soft tissues injuries. To understand the pathologic changes of trauma.

(3)

2. Contents of teaching

(1)

The definition and classification of trauma. The pathology of trauma. The diagnosis of trauma. The principles of therapy for trauma.

(2)

(3)

(4)

3. Contents of practice Debridement. 4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5.homework The principles of debridement of soft tissues . CHAPTER 9 TUMOR 1. Objectives
(1)

To master the principles of classification and nominating for tumors.

(2)

To master principles of the diagnosis and treatment of tumors. To understand the diagnosis and treatment of the common benign tumors of the superficial tissues.

(3)

2. Contents of teaching
(1)

The classification and nomination for tumors. The common etiology of tumors. The pathology of tumors. The clinical manifestation of tumors.

(2)

(3)

(4)

(5)

The diagnosis of tumors. The treatment of tumors.

(6)

3. Emphasis The pathology, the diagnosis ,the principles of therapy for tumors. 4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5. homework The diagnostic procedures, the principles of therapy for tumors. CHAPTER 10 TRANSPLANTATION 1. Objectives
(1)

To understand the basic definition of transplantation. To know well the pretransplantation preparation works. To master the clinical manifestation of various types of rejection, and the prophylaxis, treatment of acute rejection.

(2)

(3)

2. Contents of teaching
(1)

The definition and classification of transplantation. Clinical immune reaction of transplantation. Transplant antigens. The activating of the immunoreaction.

(2)

(3)rejection: Hyperacute rejection ,

Acute rejection, Chronic rejection.
(4)

The treatment of acute rejection The acquiring of transplantation organs.

(5)

Selection of organs The obtaining and storage of the organs. (6)the indications for renal transplantation 3. Emphasis
(1)

Transplantation immunology. The diagnosis of rejection

(2)

4. Time distribution for theory teaching Total 4 Chrs including 2 Chr lecturing and 2 Chr discussion . 5. homework The preoperative preparation for transplantation. CHAPTER 11 INCREASED INTRACRANIAL PRESSURE 1. Objectives
(1)

To understand the definition of increased intracranial pressure.

(2)

To know well the etiology, pathology, pathophysiology of increased intracranial pressure.

(3)

To master the clinical manifestation of increased intracranial pressure.

(4)

To master the indication and contraindication of lumber vertebral canal puncture.

(5)

To know well the clinical manifestation of acute brain hernia. To understand the special examination, diagnosis and treatment of increased intracranial pressure.

(6)

(7)

To master the treatment of increased intracranial pressure and the therapy of decreasing intracranial pressure.

2. Contents of teaching
(1)

Increased intracranial pressure: the definition, pathology, patho- physiology, clinical manifestation, mechanism.

(2)

Tentorium cerebelli hernia : the clinical manifestation , diagnosis and treatment

(3)

Increased intracranial pressure: new development.

3. Emphasis The etiology, pathology, pathophysiology, diagnosis and treatment of increased intracranial pressure. 4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5. Homework (1)The clinical manifestation of increased intracranial pressure.
(2)

The treatment of increased intracranial pressure. ,and the therapeutic methods of decreasing intracranial pressure.

CHAPTER 12 CRANIOCEREBRAL TRAUMA 1. Objectives
(1)

To know well the principles of therapy for scalp injury . To know well the diagnosis of linear fracture of skull and the surgery indication of the depressed fracture.

(2)

(3)

To master the clinical manifestation and treatment of fracture of skull base.

(4)

To master the diagnosis and treatment of cerebral concussion. The clinical features of diffused axonal injury. . The clinical manifestation of cerebral concussion and laceration and primary cerebral stem injury .

(5)

To understand the differentiation of primary brain injury and secondary brain injury.

(6)

To master the clinical manifestations of epidural hematoma and subdural hematoma.

(7)

To know well the diagnosis of chronic subdural hematoma. The presentation of CT, MRI of intracranial hematoma. The surgery indications for intracranial hematoma.

(8)

To know well the GLASCOW evaluation and traditional evaluation for coma.

2. Contents of teaching
(1)

Skull fracture : the classification, diagnosis, treatment

(2)

Primary brain injury: pathogenesis ,clinical manifestation and treatment

(3)

Intracranial hematoma: diagnosis and treatment Opened brain injury: treatment Chronic subdural hematoma: diagnosis Intracranial hematoma: the presentation CT ,MRI

(4)

(5)

(6)

(7)The surgery indication for intracranial hematoma.
(8)

The GLASCOW evaluation and traditional evaluation for coma

3. Emphasis
(1)

Fracture of skull base : clinical manifestation and treatment Epidural hematoma and subdural hematoma: clinical manifestation.

(2)

(3)

Cerebral concussion: the diagnosis and treatment.

4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5. Homework
(1)

To tell the clinical manifestation of epidural hematoma and subdural hematoma.

(2)

To tell the diagnosis and treatment of cerebral concussion. CHAPTER 13 INTRACRANIAL AND INTRASPINAL TUMORS

1. Objectives
(1)

To know well the classification of intracranial tumors.

(2)

To understand the clinical manifestation, diagnosis and differential diagnosis of intracranial tumors. To understand the treatment of intracranial tumors.

(3)

To master the classification and clinical manifestation of intracranial tumors.

(4)

To master the differential diagnosis of intramedullary and extramedullary lesions.

2. Contents of teaching
(1)

Intracranial tumors: clinical manifestation, the classification, diagnosis and differential diagnosis and treatment.

(2)

Intraspinal tumors: clinical manifestation, classification, diagnosis and differential diagnosis and treatment.

3.Homework
(1)

To tell the common clinical manifestation of intracranial tumors.

(2)

To tell the differential diagnosis of intramedullary and extramedullary lesions.

4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 14 THE DISEASES IN THE NECK

1.

Objectives and demands To understand anatomy and physiology of thyroid gland. To understand physiology of parathyroid gland.

(1)

(2)

To know well surgical classifications and features of hyperthyroidism;

(3)

To know well indications for surgical treatment, preoperative preparation, postoperative complications and therapy.

(4)

To know well etiology and principles of therapy for simple goiter.

(5)

To know well pathological types and clinical features of thyroid carcinoma.

(6)

To master clinical manifestations of thyroid carcinoma ; To master differential diagnosis and treatment of thyroid masses.

(7)

To understand the features of tumors in different part of the neck.

2. The teaching contents:
(1)

The outline of Anatomy and physiology of thyroid. The etiology, clinical manifestations and treatment of simple goiter.

(2)

(3)

Surgical classification, clinical manifestations, diagnosis, indications for surgery of hyperthyroidism.

(4)

Preparation before surgery and main complications of partial excision of thyroid.

(5)

The pathologic types, clinical features, differential diagnosis and treatment of thyrophyma and thyroid carcinoma.

3. The emphasis and difficulty: Clinical manifestations and principles of therapy for hyperthyroidism and thyroid carcinoma. 4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5. homework
(1)

What are the clinical manifestations of thyroid carcinoma? To describe the differential diagnosis and principles of therapy for thyroid nodes. CHAPTER 15 THE BREAST DISEASES

(2)

1. Objectives and demands (1)To know well the main contents and the meaning of the visualization of the breast; To know well the methods of the palpation of the breast. To know well the groups of axillary lymph nodes. To know well the common methods of the special exam about the breast diseases. (2)To know well the etiology, clinical manifestations and

principles of the therapy for acute mastitis. (3) To know well the clinical features and treatment of the mastopathy and fibroadenoma. (4) To master clinical manifestations, clinical stages and treatment of the breast cancer. 2. The teaching contents: (1) The main contents and meaning of the vision inspection of the breast. (2) The methods of the palpation of the breast. (3) The groups of the axillary lymph nodes and the common special exam methods of the breast exam. (4) The etiology, clinical manifestations, diagnosis, prevention and cure of acute mastitis. (5) The diagnosis and treatment of mastopathy. (6) The clinical features and treatment of the breast fibroadenoma. (7) The etiology, pathology, clinical stages, clinical manifestations, differential diagnosis and therapeutic principles of the breast cancer. 3. The emphasis and difficulty The clinical manifestations, clinical stages, main points of the differential diagnosis and principles of the therapy.

4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . 5.The homework : ⑴ What are the manifestations of the breast cancer? ⑵ To describe the clinical stages and the treatment of the breast cancer. CHAPTER 16 THE CHEST INJURY 1. Objectives and demands (1) To understand the anatomical features of the ribs. (2) To master the pathophysiology of the fracture of multiple ribs (chest softening); the clinical manifestations and treatment of the rib fracture. (3) To master the treatment of the closed pneumothorox. (4) To master the pathophysiology and the emergent treatment of the open pneumothorox. (5) To master the clinical manifestations and the treatment of tension pneumothorox. (6) To know well the pathophysiology of the hemothorax;the judgment of the advance hemothorax;the clinical manifestations and signs of the pericardium congestion. (7) To know well the methods about the close drainage of thoracic cavity.

(8) To understand the diagnosis and the principles of the therapy for the injured suffocation, the lung injured for explosion, the combined injury of the breast and belly. 2. The teaching contents: (1) Introduction about the injury of the breast. (2) The etiology, pathophysiology, clinical manifestations, diagnosis and treatment of the rib fracture, pneumothorax and hemothorax. (3) The clinical manifestations and signs of the pericardium congestion. 3. The emphasis and difficulty: The pathophysiology, clinical manifestations, diagnosis and treatment of the multiple ribs fracture, tension pneumothorax and advance hemothorax. 4. The homework: (1) The pathophysiology of the chest softening. (2) The emergent treatment of all kinds of pneumothrorax. 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . CHAPTER 17 THE PULMONARY DISEASES 1. Objectives and demands (1) To master the pathology, clinical manifestations, diagnostic

procedure, differential diagnosis and treatment of the lung cancer. (2) To understand the main point of the diagnosis and treatment about adenoma of the bronchus and lung benign tumors. (3) To understand surgical treatment of the bronchiectasis and pulmonary tuberculosis (TB). 2. The teaching contents: (1) Etiology, pathology, clinical manifestations, diagnosis, differential diagnosis and surgical therapy for lung cancer. (2) The international TNM staging of the lung cancer. 3. The emphasis and difficulty The clinical manifestations, diagnostic procedure and differential diagnosis of the lung cancer. 4. The homework (1) What are the pathologic types of the lung cancer? (2) Differential diagnosis of lung cancer. 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . principles of the

CHAPTER 18 THE ESOPHAGUS DISEASE 1.Objectives and demands

(1)

To master the pathology, clinical manifestations, diagnosis and differential diagnosis of the esophageal carcinoma.

(2)

To understand the prevention and treatment of the esophageal carcinoma.

(3)

To understand the diagnosis and principles of the therapy for cardiospasm, esophageal leiomyoma and diverticulum of the esophagus.

2.The teaching contents
(1)

The epidemiology, etiology, pathology, clinical manifestations, diagnostic procedure, differential diagnosis, prevention and treatment of the esophageal carcinoma.

(2)

International TNM staging of the esophageal carcinoma.

3.The emphasis and difficulty The pathology, early clinical manifestations, diagnostic procedure and differential diagnosis of the esophageal carcinoma. 4. Homework How to diagnose the early esophageal carcinoma? 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 19 THE HEART DISEASE
1.

Objectives and demands

(1)

To master the fundamental conception of the extracorporeal circulation and the cardiac muscle protection.

(2)

To understand the fundamental knowledge of the open heart surgery.

(3)

To master surgical

principles of the therapy for common

congenital heart disease.
(4)

To master the operative indications of the mitral stenosis and the aortocoronary bypass.

2. The teaching contents
(1)

The basic measure of the heart disease: a. basic equipment of the extracorporeal circulation. b. Implementation of the extracorporeal circulation. c. heart muscle protection.

(2)Congenital heart disease: The pathology, pathophysiology, clinical manifestations and principles of therapy for patent ductus arteriosus, pulmonary stenosis, atrial septal defect, ventricular srptal defect and tetralogy of Fallot.
(3)

The acquired heart disease

The pathology, pathophysiology, clinical manifestations and principles of the therapy for rheumatic mitral

stenosis,atherosclerotic coronary artery disease. 3. The emphasis and difficulty

Surgical principles of the therapy for congenital heart disease and acquired heart disease. 4. Homework
(1)

Term explanation extracorporeal circulation, heart muscle protection, tetralogy of Fallot.

(2)

What are the operative indications of patent ductus arteriosus, ateial septal defect, ventricular septal defect?

(3)

How To master operative indications for aortocoronary bypass? What are the operative indications for aortocoronary bypass?

(4)

5. Time distribution for theory teaching Total 8 Chrs including 6 Chr lecturing and 2 Chr discussion .

CHAPTER 20 THE ABDOMINAL HERNIA 1. Objectives and demands (1).To know well dissection of inguinal tunnel, inguina area and femoral tunnel. (2) To master pathogenesis, clinical types of indirect inguinal hernia. To master differential diagnosis of indirect inguinal hernia and direct inguinal hernia. (3) To know well surgical treatment of indirect inguinal hernia. To know well the treatment of incarcerated hernia and

strangulated hernia. (4) To know well main point of diagnosis and treatment of femoral hernia. (5) To understand clinical manifestations and treatment of the other abdominal hernia. 2. The teaching contents: (1)Introduction: conception, etiology, pathodissection and clinical type of abdominal hernia. (2)Inguinal hernia: partial dissection of inquina area; clinical manifestations and differential diagnosis of indirect inquinal hernia and direct inquinal hernia; surgical basic principles and indications of all methods about inquinal hernia; principles of the therapy for incarcerated hernia and strangulated hernia. (3)Femoral hernia Anatomy outline of inquinal tunnel; clinical manifestations, differential diagnosis and surgical treatment of femoral hernia. 3. Emphasis and difficulty: Constitution, clinical manifestations, diagnosis, differential diagnosis and treatment of inquinal hernia. 4. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

5. Homework (1)To describe pathogenesis of indirect inguinal hernia. (2)How to identify indirect hernia and direct hernia? CHAPTER 21 THE ABDOMINAL INJURY
1.

Objectives and demands To know well clinical manifestations, diagnostic steps and diagnostic methods of closed abdominal injury.

(1)

(2)

To master principles of the therapy for closed abdominal injury and indication of emergent surgery exploration.

(3)

To know well clinical feature of injury in spleen, liver, pancreas; To know well clinical feature of injury about small

intestine, colon and rectum. 2. The teaching contents:
(1)

Etiology, clinical manifestations, diagnostic steps and methods of closed abdominal injury;

(2)

Treatment, indication of surgical exploration, surgical time chosen and basic principles of surgical treatment;

(3)

Clinical feature, diagnosis and treatment of rupture about liver, spleen, pancreas and intestine.

(4)Clinical manifestations and treatment of retroperitoneal

hematoma.
3.

Emphasis and difficulty:

Clinical manifestations, early diagnostic methods and principles of the therapy for closed abdominal injury. 4. Homework ⑴ principles for the therapy for closed abdominal injury ⑵ Indication of emergent surgery exploration about abdominal injury. 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 22 STOMACH AND DUODENUM DISEASES
1.

Objectives and demands

⑴ To understand anatomy of stomach and duodenum ⑵ To master surgical indications for gastroduodenal ulcer; To know well operative Objectives, methods and surgical complications . ⑶ To know well clinical manifestations, diagnoses and principles of the therapy for acute perforation of gastroduodenal ulcer, massive hemorrhage and pyloric obstruction. ⑷ To master diagnoses and principles of therapy for carcinoma of stomach.

⑸ To understand clinical manifestations and surgical features of congenital hypertrophic pylorostenoses. 2. The teaching contents ⑴ Anatomy and physiology of stomach; Anatomy of duodenum. ⑵ Principles of therapy for gastroduodenal ulcer; indications of surgical treatment of gastroduodenal ulcer and its surgical

principles and methods; clinical manifestations, diagnosis, differential diagnosis and therapy for acute perforation of gastroduodenal ulcer ,massive hemorrhage and pyloric obstruction; surgical complications of gaastroduodenal ulcer. ⑶ Pathology ,clinical manifestations, early diagnosis and therapy for carcinoma of stomach. ⑷Pathology, clinical manifestations, diagnostic, differential diagnosis and therapy for congenital hypertrophic pylorostenosis. 3.Emphasis and difficulty: Surgical indication for gastroduodenal ulcer; surgical principles and theoretical base for common operative methods; clinical manifestations and treatment methods of complications for gastroduodenal ulcer; clinical manifestations, early diagnosis and therapy for carcinoma of stomach. 4.Homework ⑴What are the indications of surgical therapy for gastric ulcer

and duodenum ulcer? ⑵How many complications are there after operation of gastroduodenal ulcer? ⑶What is the theoretical base of surgical therapy for gastroduodenal ulcer? ⑷To describe clinical manifestations ,early diagnosis and therapy for carcinoma of stomach. 5. Time distribution for theory teaching Total 8 Chrs including 6 Chr lecturing and 2 Chr discussion .

CHAPTER 23 DISEASE OF SMALL INTESTINE
1.

Objectives and demands

(1) To master etiology, classification, pathophysiology, diagnosis and treatment of intestinal obstruction. (2) To master identification of simple intestinal obstruction and strangulated intestinal obstruction, mechanical intestinal obstruction and paralytic ileus, high intestinal obstruction and low intestinal obstruction. (3) To know well treatment of all kinds of intestinal obstruction. (4) To understand surgical indications for nonspecial intestinal disease.

(5) To understand clinical manifestations and treatment of small intestine tumor. 2. The teaching contents: (1) The clinical manifestations, diagnosis and treatment of tuberculosis of intestine; clinical manifestations, diagnosis and treatment of Crohn’s disease.

(2) Etiology, classification, pathophysiology, clinical manifestations, diagnosis and treatment of intestinal obstruction; identification of simple intestinal obstruction and strangulated intestinal obstruction. (3) Clinical manifestations, diagnosis and treatment of common small intestine tumors. 3. Emphasis and difficulty Etiology, classifications, pathophysiology of intestinal obstruction; pathophysiology, clinical manifestations of strangulated intestinal obstruction; diagnosis and treatment of simple intestinal obstruction and strangulated intestinal obstruction. 4. Homework (1)What is the common etiology of intestinal obstruction? How to classify the different intestinal obstructions? (2)What are the clinical manifestations of intestinal

obstruction? (3)How to distinguish simple intestinal obstruction and strangulated intestinal obstruction? CHAPTER 24 APPENDIX DISEASE
1.

Objectives and demands To know well etiology and pathology of acute appendicitis. To master clinical manifestations, diagnosis, differential diagnosis, treatment and surgical complications of acute appendicitis.

(1)

(2)

(3)

To know well feature and principles of the therapy for special appendicitis.

(4)

To understand diagnosis and treatment of chronic appendicitis.

2. Teaching contents: Outline of pathophysiology of appendix ;etiology, pathology, clinical manifestations, diagnosis and differential diagnosis of acute appendicitis; surgical treatment indication and complications of acute appendicitis; clinical feature and treatment methods of acute appendicitis of newborn infant, acute appendicitis of children ,acute appendicitis in gestational period and acute appendicitis of old man; etiology, pathology, diagnosis and treatment of chronic appendicitis.
3.

Emphasis and difficulty

Clinical manifestations, diagnosis and differential diagnosis of acute appendicitis. 4. Homework
(1)

The differential diagnosis of the appendicitis. What are the surgical complications of the acute appendicitis?

(2)

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 25 COLON, RECTUM AND ANAL CANAL DISEASE
1.

Objectives and demands To know well meaning of rectum digital examinations, body position and special examinations.

(1)

(2)

To master clinical manifestations, diagnosis, principles of the therapy for carcinoma of rectum; To know well its surgical methods and indications.

(3)

To understand clinical feature and principles of the therapy for congenital ano-rectal malformation and congenital megacolon.

(4)

To know well differential diagnosis, clinical manifestations and treatment of perianorectal abscess

(5)

To master clinical manifestations, diagnosis and principles of the therapy for carcinoma of colon; To know well its

pathology types and surgical methods. 2. Teaching contents: (1)Pathophysiology and clinical common exam methods of rectum and anal canal.
(2)

Body position and meaning of rectal examinations. Differential diagnosis, pathology, classification, diagnosis and treatment of congenital ano-rectal malformation.

(3)

(4)

Pathology, clinical manifestation, diagnosis and treatment of congenital megacolon.

(5)

Differential diagnosis, clinical manifestations and treatment of periano- rectal abscess.

(6)

Pathology, clinical manifestations, diagnosis and treatment of carcinoma of rectum.

(7)

Pathology, stage, clinical manifestations, early diagnosis and principles of the therapy for carcinoma of colon.

3. Emphasis and difficulty: Anatomy and exam methods of rectum and anal canal; diagnosis and treatment of carcinoma of rectum; early diagnosis and principles of the therapy for carcinoma of colon. 4. Homework (1)What is the clinical manifestation of carcinoma of rectum?
(2)

To describe surgical treatment indications of carcinoma of

rectum.
(3)

Clinical manifestations of carcinoma of colon. Which are the feature of clinical manifestations about carcinoma of left-half colon and right-half colon?

(4)

5. Time distribution for theory teaching Total 6 Chrs including 4 Chr lecturing and 2 Chr discussion .

CHAPTER 26 THE LIVER DISEASE 1. Objectives and demands (1) To know well anatomicophysiology of liver. (2) To know well differential diagnosis and surgical treatment of bacterial liver abscess. (3) To master clinical manifestations, diagnosis, differential diagnosis and surgical indication of primary liver cancer. (4) To understand progress of the treatment of liver cancer. 2. Teaching contents: (1) Anatomicophysiology of liver; etiology, pathology, clinical manifestations, diagnosis, differential diagnosis and treatment of bacterial liver abscess. (2) Etiology, pathology, clinical manifestation, diagnosis, differential diagnosis and treatment of primary liver cancer. (3) Supplement modern treatment progress of liver cancer.

3. Emphasis and difficulty Etiology, pathology, clinical manifestations, differential diagnosis and treatment of liver abscess; Etiology, pathology, clinical manifestation, differential diagnosis and treatment of primary liver cancer. 4.Homework How to diagnose early primary liver cancer? 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 27 THE PORTAL HYPERTENSION 1. Objectives and demands (1) To understand anatomy of portal system and physiological meaning of blood from portal system pouring into liver. (2) To know well etiology, pathophysiology and clinical manifestation of portal hypertension. (3) To know well the purpose and variety of surgical treatment of portal hypertension. 2. The teaching contents: (1) Anatomy and physiology of portal system. (2) Pathophysiology, clinical manifestation, diagnosis, differential diagnosis and treatment of portal hypertension.

(3) The use of tricavity and bicapsular tuble; endoscopic treatment of varication. (4) Application of medicine contracting vessel as massive bleeding. (5) The purpose of surgical treatment. (6) Conceptions of extensive devascularization around the cardia and shunt. 3. Emphasis and difficulty (1) Anatomic feature of portal system. (2) Surgical 4. Homework (1)What is the common etiology of portal pertension? (2)Surgical principles of the therapy for rupture of esophagusgastric varices. 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . principles of the therapy for portal hypertension.

CHAPTER 28 THE BILE DUCT DISEASE 1. Objectives and demands (1) To understand anatomy and physiology of bile ducts. (2) To know well the common special exam methods of bile duct disease.

(3) To know well clinical manifestations, main point of diagnosis and surgical indication of cholelithiasis and bile duct infection. (4) To master etiology, clinical manifestations and treatment of AOSC(acute obstructive supporative cholangitis). (5) To understand clinical manifestations and treatment of carcinoma of gallbladder and carcinoma of bile duct. 2. The teaching contents: (1)Anatomy and physiological function of bile duct disease, especially common special exam methods of bile duct disease. (2) Clinical manifestations, diagnosis, differential diagnosis and treatment of cholelithiasis. (3) Etiology, pathology, clinical manifestations, diagnosis and treatment of acute cholecystitis, AOSC and primary sclerosing cholangitis. (4) Etiology, pathology, diagnosis and treatment of bile duct tumor. (5) Complications and its prevention and treatment of bile duct disease. (6) Surgical indications of biliary ascariasis. 3. Emphasis and difficulty (1) Common special examinations of bile duct disease.

(2) Etiology, pathology, clinical manifestations, diagnosis, differential diagnosis and treatment of cholecystolithiasis and cholangiolithiasis. 4. Homework (1)What are surgical exporative indications of common bile duct during gallbladderectomy? (2)What are clinical manifestations of extrahepatic bile duct stone? (3)What are the therapeutic principles s of intrahepatic bile duct stone and extrahepatic bile duct stone? (4) Principles of the therapy for AOSC. 5. Time distribution for theory teaching Total 8 Chrs including 6 Chr lecturing and 2 Chr discussion .

CHAPTER 29 THE PANCREAS DISEASE 1. Objectives and demands (1) To know well the clinical manifestation , diagnosis, local complications and indication of surgical therapy. (2) To know well the clinical manifestations of cancer of the head of the pancreas and periampullary adenocarcinoma. (3) To understand the clinical manifestations and diagnosis of insulinoma.

2. The teaching contents: (1) Anatomicophysiology of pancreas. (2) Etiology, pathology, clinical manifestations, diagnosis, treatment and complications of acute pancreatitis. (3) Clinical manifestations, diagnosis and treatment of cancer of the head of the pancreas and periampullary adenocarcinoma. 3. Emphasis and difficulty (1) Etiology, pathology, clinical manifestations, diagnosis and treatment of acute hemorrhagic necrotic pancreatitis. (2) Clinical manifestations, diagnosis and treatment of cancer of the head of the pancreas and periampullary adenocarcinoma. 4. Homework (1) What are the clinical manifestations of acute pancreatitis? (2) Local complications of acute pancreatitis? 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 30 THE PERIPHERAL BLOOD VESSEL AND LYMPHATIC DISEASE 1. Objectives and demands (1) To know well etiology, pathology, clinical manifestations, stages, diagnosis and treatment of thromboangitis obliterans

(Buerger disease). (2) To know well diagnosis and treatment of arterial aneurysm. (3) To know well anatomy, physiology of lower extremity vein. To know well diagnosis and treatment of primary lower extremity deep vein valve insufficiency.
2.

The teaching contents :

(1)Etiology, pathology, clinical manifestations, stages, diagnosis, differential diagnosis and treatment of thromboangitis obliterans and arteriosclerosis obliterans (ASO). (2) Anatomy of lower extremity vein; Clinical manifestations, diagnosis and treatment of chronic lower extremity vein insufficiency and deep venous thrombosis. (3) Diagnosis and treatment of arteriovenous fistula. 3. Emphasis and difficulty Diagnosis and treatment of arteriosclerosis obliterans (ASO), chronic lower extremity insufficiency and deep venous thrombosis. 4. Homework Diagnostic methods of primary lower extremity varicose veins? 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 31 GENITOURINARY CONGENITAL ANISOTROPY 1. Objectives
(1)

To master the clinical manifestations and principles of therapy for polycystic kidney.

(2)

To master the etiology, diagnosis and therapy of cryptorchidism.

(3)

To know well the etiology, pathology, diagnosis and therapy of hypospadias.

(4)

To understand clinical manifestations and therapy principles of therapy for obstruction of pyeloureteral junction.

2. The teaching contents (1) The etiology, clinical manifestations, diagnosis and therapy of polycystic kidney. (2) The clinical manifestations, diagnosis and therapy of obstruction of pyeloureteral junction. (3) The etiology clinical manifestations, diagnosis and therapy of crytorchidism (4) The pathology, diagnosis and therapy of hypospadias. 3. Emphasis
(1)

The clinical manifestations, diagnosis and therapy of polycystic kidney.

(2)

The etiology , pathology, diagnosis and therapy of

crytorchidism 4. Homework (1)Tell the clinical manifestations of polycystic kidney.
(2)

How many type does hypospadias has? Tell the principles of therapy for crytorchidism.

(3)

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 32 URINARY INJURY 1. Objectives
(1)

To master the pathology, clinical manifestations, diagnosis, conservative treatment and operative indications for renal injury.

(2)

To master the etiology, clinical manifestations, diagnosis and therapy of bulb of penis injury.

(3)

To master the etiology, pathology, clinical manifestations, diagnosis and principles of therapy for post urethral injury.

(4)

To know well the etiology, diagnosis and therapy of bladder injury.

(5)

To understand ordinary etiology and principles of therapy for ureteral injury.

2. The teaching contents The etiology, pathology, clinical manifestations, diagnosis and therapy of renal injury, bladder injury and urethral injury. 3. Emphasis
(1)

The clinical manifestations, diagnosis, specific measure of conservative therapy of renal injury.

(2)

The etiology, clinical manifestations, diagnosis and therapy of bulb of penis injury.

(3)

The etiology, clinical manifestations, diagnosis and therapy of post urethral injury.

4. Homework
(1)

Tell the specific measure of conservative therapy of renal injury.

(2)

Tell the clinical manifestations and principles of therapy for bulb of penis injury.

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 33 GENITOURINARY INFECTION 1. Objectives
(1)

To master the etiology, common pathogenic bacteria route of infection and principles of the application of antibacterial

drugs of urinary infection.
(2)

To understand clinical manifestations, diagnosis and principles of therapy for pyonephrosis and perinephrosis.

(3)

To know well the etiology and principles of therapy for bacterial cystitis.

(4)

To know well the etiology, diagnosis, and principles of therapy for gonorrheal urethritis and nongonococcal urethritis.

(5)

To know well the etiology, diagnosis, and principles of therapy for chronic bacterial prostatitis.

2. The teaching contents
(1)

The pathogenic bacteria, causative factors of infection, route of infection and principles of therapy for genitourinary infection.

(2)

The clinical manifestations and principles of therapy for pyonephrosis and perinephrosis.

(3)

The etiology, clinical manifestations, diagnosis and therapy of gonorrheal urethritis and nongonococcal urethritis.

(4)

The clinical manifestations, diagnosis and therapy of chronic bacterial prostatitis.

(5)

The etiology, clinical manifestations, diagnosis and principles of therapy for acute bacterial cystitis and chronic

bacterial cystitis. 3. Emphasis (1)The causative factors of the urinary infection.
(2)

The clinical manifestations, diagnosis and therapy of chronic prostatitis.

(3)

The diagnosis and therapy of gonorrheal urethritis and nongonococcal urethritis.

4. Homework
(1)

What are the causative factors of the urinary infection? Tell the clinical manifestations, diagnosis and therapy of chronic prostatitis.

(2)

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 34 GENITOURINARY TUBERCULOSIS 1. Objectives
(1)

To master the etiology, pathology, diagnosis, differential diagnosis and therapy of renal tuberculosis.

(2)

To know well the application and announcements of common antibuberculosis drugs.

(3)

To know well the principles and indications for operation.

2. The teaching contents

(1)The route of infection of male genitourinary tuberculosis.
(2)

The pathological morphology, clinical manifestations, diagnosis and therapy of renal tuberculosis.

3. Emphasis
(1)

The pathology, clinical manifestations, diagnosis, differential diagnosis and therapy of renal tuberculosis.

4. Homework (1)Tell the pathology, clinical manifestations of renal tuberculosis. (2)What are other diseases from which renal tuberculosis distinguish? 5. Time distribution for theory teaching Total 3 Chrs including 2 Chr lecturing and 1 Chr discussion .

CHAPTER 35 URINARY OBSTRUCTION 1. Objectives
(1)

To understand etiology and pathophysiology of urinary obstruction.

(2)

To master the clinical manifestations, diagnosis and therapy of hydro- nephrosis.

(3)

To master the pathology, clinical manifestations, diagnosis, differential diagnosis,therapeutic method and operative

indications for benign prostatic hyperplasia.
(4)

To understand etiology and therapy acute retention of urine.

2. The teaching contents
(1)

Etiology, pathophysiology of urinary obstruction. The clinical manifestations, diagnosis and therapy of hyperplasia.

(2)

(3)

The etiology, pathology, clinical manifestations, diagnosis differential diagnosis and therapy of benign prostatic hyperplasia.

3. Emphasis
(1)

The clinical manifestations, diagnosis, differential diagnosis and therapy of benign prostatic hyperplasia.

4. Homework
(1)

What are the clinical manifestations of benign prostatic hyperplasia?

(2)

What are the diseases from which the benign prostatic hyperplasia should be distinguished?

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 36 URINARY CALCULUS 1. Objectives

(1)

To understand pathogenesis influential factors, athophysiology, calculary constit and calculary property of urolithiasis.

(2)

To master the clinical manifestations, diagnosis, differential diagnosis and therapy of upper urolithiasis.

(3)

To know well the etiology, clinical manifestations, diagnosis, and therapy of vesical calculi.

2. The teaching contents
(1)

The etiology and pathophysiology of urinary calculus.

(2)The clinical manifestations, diagnosis therapy and prevention of upper urolithiasis.
(3)

The clinical manifestations, diagnosis and therapy of vesical calculi.

3. Emphasis
(1)

The clinical manifestations, diagnosis and therapy of upper urolithiasis.

4. Homework (1)Tell the clinical manifestations of upper urolithiasis.
(2)

Tell the principles of therapy for upper urolithiasis.

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 37 GENITOURINARY TUMOR 1. Objectives
(1)

To understand pathology of various renal tumors. To master the clinical manifestations, diagnosis and therapy

of various renal tumors.
(2)

To master the pathology, the clinical manifestations, diagnosis and therapy of tumor of urinary bladder.

(3)

To know well the clinical manifestations, diagnosis and principles of therapy for carcinoma of prostate.

(4)

To understand pathology, the clinical manifestations, diagnosis and principles of therapy for tumor of testis.

2. Teaching contents
(1)

The pathology, the clinical manifestations, diagnosis and therapy of renal carcinoma, tumor of renal pelvis and nephroblastoma.

(2) The etiology, pathology, the clinical manifestations, diagnosis and therapy of tumor of urinary bladder. (3) The clinical manifestations, diagnosis and therapy of carcinoma of prostate and tumor of testis. 3. Emphasis
(1)

The pathological features, clinical manifestations, diagnosis and therapy of tumor of urinary bladder.

4. Homework
(1)

Tell the pathological features of tumor of urinary bladder.

(3)

Tell the operative principles of therapy for tumor of urinary bladder.

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER38 SURGICAL THERAPY OF DISEASES OF ADRENAL GLAND 1. Objectives
(1)

To know well the clinical manifestations, diagnosis and principles of therapy for Cushing’s syndrome, primary hyperaldosternism and disease of catecholomine.

(2) To understand preoperative preparation and operative points of adrenocortical ademoma, primary hyperaldosternism and pheochromocytoma. 2. Teaching contents
(1)

The clinical manifestations, diagnosis and principles of therapy for Cushing’s syndrome, primary hyperaldosternism and disease of catecholomine.

(2)

The preoperative preparation and therapy of adrenocortical ademoma, primary hyperaldosternism and

pheochromocytoma. 3. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 39 MALE SEXUAL DISTURBANCE, INFERTILITY AND CONTRACEPTION 1. Objectives
(1)

To understand anatomical and physiological feature of male genital system.

(2)

To understand type and therapy of male sexual disturbance.

(3)

To know well the etiology and diagnostic steps of male infertility.

(4)

To understand common methods of male contraception.

2. Teaching contents
(1)

The basic conception of male genital physiology. The diagnosis and therapy of male sexual disturbance. The etiology, diagnosis and therapy of male infertility. The measure and indications of male contraception.

(2)

(3)

(4)

3. Emphasis
(1)

The etiology and diagnostic steps of male infertility.

4. Homework

(1)

Tell the etiology of male infertility.

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 40 FRACTURE SYNOPSIS 1. Objectives
(1)

To master the conception, classification, clinical manifestations, early and advanced complications of fracture.

(2)

To know well the course and influential factors of the healing of fracture.

(3)

To know well the emergency treatment, principles of therapy, criterion of reduction of fracture and therapeutic methods for open fracture.

(4)

To understand essential requirements of manipulate reduction.

(5)

To understand indications and common measure of external fixation of open induction.

2. Teaching contents
(1)

The conception, etiology, classification and mechanism of replacement fracture of fracture.

(2)

The clinical manifestations and diagnosis of fracture.

(3)

The multi-injury, early and advanced complications of fracture.

(4)

The course of healing and influential factors of healing of fracture.

(5)

The preventive principles of late healed, disunion and malunion of fracture.

(6)

The emergency treatment and principles of therapy for fracture.

(7)

The principles of therapy for open fracture.

3. Emphasis
(1)

The conception, the clinical manifestations, early and late complications of fracture.

(2)

The emergency treatment and principles of therapy for fracture.

(3)

The criterion of reposition of fracture and therapy of open fracture.

4. Homework
(1)

The classification of fracture. The early and late complications of fracture. The healing criterion of fracture.

(2)

(3)

5. Time distribution for theory teaching Total 8 Chrs including 6 Chr lecturing and 2 Chr discussion .

CHAPTER 41 THE INJURY OF BONES OF UPPER LIMB AND JOINT 1. Objectives
(1)

To master the features of replacement, clinical manifestations, complications and diagnosis of fracture of shaft of humerus, humeral supracondylar fracture and fracture of the distal radius. To understand therapy of them.

(2)

To know well the features of replacement, diagnosis and principles of therapy for fracture of the calvicle and antebrachial double fracture.

(3)

To know well the clinical manifestations, diagnosis, differential diagnosis and measure of manipute reduction of dislocation of the shoulder joint.

(4)

To know well the classification, clinical manifestations and principles of therapy for dislocation of the elbow.

(5)

To know well the nosogenic age, pathogenosis, clinical manifestations, diagnosis and therapy of sub luxation of capitulum radii.

2. Teaching contents
(1)

The etiology, classification, clinical manifestations, diagnosis and therapy of fracture of the calvicle.

(2)

The clinical manifestations, diagnosis and therapy of dislocation of the shoulder joint, dislocate of the elbow and sub luxation of capitulum radii.

(3)

The anatomical synopsis, etiology, classification, features of replacement, clinical manifestations, complications, principles of therapy for fracture of shaft of humerus.

(4)

The anatomical synopsis of fracture of shaft of humerus. The etiology, classification, features of replacement, clinical manifestations, complications, principles of therapy for various fracture of shaft of humerus.

(5)

The anatomical synopsis, etiology, classification, features of replacement, clinical manifestations, complications, principles of therapy for double fracture of forearm.

(6)

The anatomical synopsis, etiology and classification of fracture of the distal radius. The clinical manifestations, diagnosis and principles of therapy for rectate fracture of the distal radius.

3. Emphasis
(1)

The features of replacement, clinical manifestations, complications and diagnosis of fracture of shaft of

humerus, humeral supracondylar fracture and fracture of the distal radius.
(2)

The clinical manifestations, diagnosis, differential diagnosis and manipulative reduction of dislocation of the shoulder.

4. Homework
(1)

The features of replacement of fracture of shaft of humerus, humeral supracondylar fracture and fracture of the distal radius.

(2)

The classification of dislocation of the shoulder joint .The measure of manipulative reduction of it.

(3)

The complications of humeral supracondylar fracture.

5. Time distribution for theory teaching Total 6 Chrs including 4 Chr lecturing and 2 Chr discussion .

CHAPTER 42 HAND INJURY AND REPLANTATION OF LIMB AND AMPUTATED FINGER. 1. Objectives
(1)

To know well the principles of therapy for hand injury. To know well the indications and operative principles of replantation of limb and amputated finger.

(2)

(3)

To understand time limited in common temperature of

replantation. 2. Teaching contents
(1)

The anatomical features of the hand, the functional position, rest position, protectant position of the hand.

(2) The exam and diagnosis of hand injury.
(3)

The field first aid and principles of therapy for hand injury.

(4) The replantation of the limb and amputated limb and finger: a. The emergency treatment of amputated limb and finger. b. The indications of replantation of limb and amputated limb and finger. c. The operative principles and steps of the replantation of limb and amputated finger. d. The treatment after operation of replantation of limb. 3. Emphasis
(1)

The principles of therapy for hand injury.

4. Homework
(1)

Tell the principles of therapy for hand injury. Tell the indications of replantaion of limb.

(2)

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 43 THE INJURY OF THE BONES AND JOINTS OF LOWER LIMBS 1. Objectives
(1)

To know well the classification, the clinical manifestations, diagnosis and therapy of metra-dislocation of the hip joint.

(2)

To master the classification, the clinical manifestations and therapy of fracture of the femoral neck.

(3)

To know well the etiology, classification and therapy of the fracture of femoral shaft.

(4)

To know well the etiology, classification, classification and therapy of fracture of the tibia and fibula and fracture of the ankle.

(5)

To know well the pathogenesis, clinical manifestations and therapy of meniscus of knee joint injury.

(6)

To understand etiology, classification and therapy of intertrochanteric fracture, fracture of tibibal plateau and fracture of patella.

2. Teaching contents
(1)

The classification, clinical manifestations, manipulative reduction of dislocation of the hip joint, the classification of metra-dislocation of the hip joint.

(2)

The anatomic synopsis, etiology, classification, the clinical

manifestations, diagnosis and therapy of fracture of the shaft of the femur and intertrochanteric fracture.
(3)

The anatomic synopsis, etiology, classification, the clinical manifestations, diagnosis and therapy of fracture of the shaft of fracture of the patella.

(4)

The anatomic synopsis, pathogenesis, pathology, clinical manifestations, the exam of imageology and arthroscopic exam and therapy of meniscus of knee joint injury.

(5)

The anatomic synopsis, etiology, classification therapy of fracture of tibial plateau and fracture of the tibia and fibia.

(6)

The anatomic synopsis, etiology, classification, clinical manifestations diagnosis and therapy of fracture of the ankle and bones of foot injury.

3. Emphasis
(1)

The classification, clinical manifestations and therapy of fracture of the femoral neck.

(2)

The classification and clinical manifestations of dislocation of the hip joint.

4. Homework (1) Tell the classification of fracture of the femoral neck.
(2)

Tell the classification and measure of manipulative reduction

of dislocation of the hip joint. 5. Time distribution for theory teaching Total 6 Chrs including 4 Chr lecturing and 2 Chr discussion .

CHAPTER 44 FRACTURE OF THE SPINE AND PELVIS 1. Objectives
(1)

To master the classification, the clinical manifestations, exam, diagnosis carrying for first aid and principles of therapy for fracture of lumbar vertebra and thoracic bertebral fracture.

(2)

To know well the classification, the clinical manifestations, exam, diagnosis and principles of therapy for cervical spine fracture.

(3)

To know well the classification, the clinical manifestation, principles of therapy and prevention of complications of spinal cord injury.

(4)

To know well the classification, clinical manifestation, diagnosis and principles of therapy for fracture of the pelvis.

2. Teaching contents
(1)

The etiology, classification, the clinical manifestations, exam, diagnosis, carrying for first aid and principles of

therapy for fracture of the spine.
(2)

The pathology, clinical manifestations, complications and principles of therapy for spinal cord injury.

(3)

The constit of pelvic ring and classification clinical manifestations, complications, diagnostic steps and therapy of fracture of the pelvis.

3. Emphasis
(1)

The classification, clinical manifestations, exam, diagnosis and principles of therapy for thoracic vertebral fracture and fracture of lumbar vertebra.

(2)

The clinical manifestation, complications and therapy of fracture of the pelvis.

4. Homework
(1)

Tell the classification of fracture of lumber vertebra and thoracic vertevra.

(2) Tell the classification of fracture of the pelvis.
(3)

Tell the complications of fracture of the pelvis.

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 45 THE CHRONIC INJURY OF LOCOMOTOR SYSTEM 1. Objectives

(1)

To master the diagnosis and principles of therapy for periarthritis of shoulder, radiohumeral epicondylitis, tenosynovitis osteochondrosis of the tuberosity of tibia and chondromalacia of patella.

(2)

To understand etiology, pathology of periarthritis of shoulder and tenosynovitis stenosans.

(3)

To understand etiology, classification, pathology and result of caput femoris necrosis.

(4)

To know well the prevention and principles of therapy for caput femoris necrosis.

2. Teaching contents
(1)

The classification, the clinical manifestations, principles of therapys and prevention of chronic injury of locomotor system.

(2)

The anatomic synopsis, etiology, clinical manifestations and therapy of periarthritis of shoulder, radiohumeral epicondylitis, tenosynovitis osteochondrosis of the tuberosity of tibia and chondromalacia of patella.

3. Emphasis
(1)

The diagnosis and therapy of periarthritis of shoulder, radiohumeral epicondylitis,tenosynovitis osteochondrosis of the tuberosity of tibia and chondromalacia of patella.

4. Homework
(1)

Tell the rang of periarthritis of shoulder.

(2) Tell clinical manifestations, tenosynovitis stenosans. (3) Tell the pathological course of osteochondrosis of capitular epiphysis of femur. 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 46 PAINS IN BACK-LEG AND NECK-SHOULDER 1. Objectives
(1)

To understand etiology, the property of backleg pain, neck pain and shoulder pain.

(2)

To master the clinical manifestations, diagnosis and differential diagnosis of hernia of intervertebral discs.

(3)

To master the classification, clinical manifestations, diagnosis and differential diagnosis of cervical spondylosis.

(4)

To know well the classification, pathology and therapy of hernia of intervertebral discs.

(5)

To know well the therapy of cervical spondylosis.

2. Teaching contents
(1)

The anatomic synopsis, etiology, classification, property of pain and pressure pain point of backleg pain.

(2)

The etiology, classification, pathology, clinical manifestations, diagnosis differential diagnosis and therapy of hernia of inervertebral discs.

(3)

The anatomic synopsis, etiology and classification of neck pain and shoulder pain.

(4)

The etiology, classification, clinical manifestations, diagnosis differential diagnosis and therapy of cervical spondylosis.

3. Emphasis
(1)

The clinical manifestations, diagnosis differential diagnosis of hernia of intervertebral discs.

(2)

The classification, clinical manifestations, diagnosis and differential diagnosis of cervical spondylosis.

4. Homework
(1)

Tell the clinical manifestations of hernia intervertebral discs.

(2)

Tell the classification and clinical manifestations of cervical spondylosis.

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 47 THE PYOGENIC INFECTION OF BONE AND JOINT

1. Objectives
(1)

To master the etiology, pathology, early diagnosis and principles of therapy for acute hematogenic osteomyelitis.

(2)

To understand etiology, diagnosis and principles of therapy for chronic suppurative osteomyelitis.

(3)

To understand pathology, clinical exams and principles of therapy for suppurative arthritis.

(4)

To know well the etiology, clinical manifestations , diagnosis and differential diagnosis of suppurative arthritis.

2. Teaching contents (1)The route of infection of suppurative osteomyelitis.
(2)

The etiology, pathology, clinical manifestations, early diagnosis and principles of therapy for acute hematogenic osteomyelitis.

(3)

The etiology, diagnosis principles of therapys and selection of operative measure of chronic hematogenic osteomyelitis.

(4)

The etiology, pathology, early diagnosis and principles of therapy for suppurative arthritis.

3. Emphasis
(1)

The etiology, pathology, early diagnosis and principles of therapy for acute hematogenic osteomyelitis and suppurative arthritis.

4. Homework (1)How to diagnose the acute hematogenic osteomyelitis early? (2)What is the aim of the operative for acute hematogenic osteomyelitis? 5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 48 BONE AND JOINT TUBERCULOSIS 1. Objectives
(1)

To know well the pathology, clinical manifestations, early diagnosis and principles of therapy for bone and joint tuberculosis.

(2)

To master the clinical manifestations and principles of therapy for spinal tuberculosis.

(3)

To know well the clinical manifestations and principles of therapy for coxalgia.

2. Teaching contents
(1)

The etiology, pathology, clinical manifestations, exams of imageology, systematic and local therapy of bone and joint tuberculosis.

(2)

The pathology, clinical manifestations, exams of imageology, diagnosis, differential diagnosis and therapy

of spinal tuberculosis.
(3)

The pathogenesis, clinical manifestations, diagnosis, antidiagstole and therapy of spinal tuberculosis with paraplegina.

(4)

The pathology, clinical manifestations, exams of imageology, diagnosis, differential diagnosis and therapy of coxalgia.

3. Emphasis
(1)

The pathology, clinical manifestations, early diagnosis and principles of therapy for bone and joint tuberculosis.

4. Homework (1)Tell the course of pathology of bone and joint tuberculosis.
(2)

Tell the operative principles of bone and joint tuberculosis. Tell the features of imageology of spinal tuberculosis.

3

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .

CHAPTER 49 BONE TUMOR 1. Objectives
(1)

To know well the classification, the distinguishing between benign and malignant bone tumor, differential diagnosis and principles of therapy for bone tumor.

(2)

To master the features of X-rays, clinical manifestations, and principles of therapy for osteochondrome.

(3)

To know well the clinical manifestations, diagnosis and principles of therapy for osteochondrome, giant cell tumor.

2. Teaching contents
(1)

The classification, the features of benign and malignant bone tumor, clinical manifestations, diagnosis surgical staging and principles of therapy for bone tumor.

(2)

The clinical manifestations, features of X-rays, diagnosis and principles of therapy for benign bone tumor.

(3)

The clinical manifestations, features of X-rays, and principles of therapy for giant cell tumor.

(4)

The clinical manifestations, features of X-rays, diagnosis and principles of therapy for osteosarcoma, Ewing’s sarcoma and myeloma.

3. Emphasis
(1)

The features of X-rays, clinical manifestations and principles of therapy for osteosarcoma.

4. Homework (1) Tell the features of X-rays of osteosarcoma.
(2)

Tell the things by which to diagnose bone tumor. Tell the principles of therapy for osteosarcoma.

(3)

5. Time distribution for theory teaching Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion . Chapter 50 ⒈ Teaching contents introduction of plastic surgery 2. Time distribution for theory teaching Total 4 Chrs including 2 Chr lecturing and 2 Chr discussion . Synopsis of plastic surgery

Chapter 51 ⒈ Objectives

Principles of Operative Surgery

To master the principles of operative surgery. ⒉ Teaching contents ⑴ Antisepsis principle and technique; ⑵ Knotting; Sutures ; Exposure; ⑶ Debridement and suture; ⑷ Experimental intestinal anastomosis; ⒊ Teaching methods Experiments following teachers Drains ;

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