Course title------INTERNAL MEDICINE I

Course Code----IMed410
Credit hours--- 7 (8 weeks)
Course description
It enables the health officer to acquire adequate knowledge and understanding of internal
diseases and approaches how to diagnose, treat, and care of patients with internal diseases
Prerequisite courses – All courses in year one and two and Physical diagnosis in year three
. Course objectives
1. To teach the student the approach to the diagnosis, treatment, care and prevention of
internal diseases
2. To teach the students the common internal diseases

Course content
I. Infectious disease
1. Introduction
[Infectious agent, host, incubation period, immunity, fever and other symptoms of
infection]
2. Acute febrile illnesses
 Typhus and typhoid
 Malaria
 Relapsing Fever
 Meningitis (Acute, chronic)
 Viral syndromes
3. Chronic Febrile Illnesses
 Disseminated tuberculosis
 Leishmaniasis
4. HIV/AIDS and principles of ART
5. Helminthes
 Schistosomiasis
 Cestodes
 Round worms
6. Tetanus
o Anthrax
o Brucellosis
7. Sexually transmitted diseases including HIV
II. Gastrointestinal Diseases
 Differential diagnosis of abdominal pain
 Gastritis, peptic ulcer disease and upper gastrointestinal bleeding
 Diarrhoeal diseases ---infectious and non-infectious
  Viral hepatitis and other causes of jaundice
 Chronic liver disease
-Cirrhosis
-Hepatoma
III. Respiratory Diseases
 Differential diagnosis of cough and chest pain
 Upper respiratory tract infection
 COPD
 Pneumonia
 Pulmonary Tuberculosis and Pleural effusion
 Bronchial asthma
 Suppurative lung diseases
IV. Cardiovascular Disease
 Differential Diagnosis of dyspnoea
 Congestive Heart Failure and Pulmonary oedema
 Acute rheumatic fever
 Valvular heart disease and sub-acute bacterial endocarditis [infective endocarditis]
 Hypertension
 Ischemic heart disease and cardiomyopathies
 Pericardial diseases
 Circulatory failure, shock
 Arrhythmias
V. Kidney diseases
 Differential diagnosis of oedema
 The nephritic syndrome
 Nephrotic syndrome
 Renal failure –Acute and Chronic
 Urinary tract infection
VI. Hematological diseases
 Anaemia
 Leukaemia
 Lymphomas (NHL, HD)
 Bleeding disorder
VII. Endocrine and metabolism
 Hyperthyroidism and Hypothyroidism
 Diabetes mellitus
VIII. Neurological disease
  Headaches
 Seizure Disorders
 Coma and stroke syndromes
 Paraparesis and paraplegia
 TB spondylitis
 Neurolathrysm
XI. Arthiritidis
 Approach to a patient with joint problem
 Rheumatoid arthritis
 SLE
XII.Poisoning
XIII. ENT:
 Sinusitis
 Allergic rhinitis
 Deafness
 Epistaxis [DDx and Mx]
 Mastoiditis
 Otitis media
TEACHING METHODS
i. Lecture & discussion
ii. Bed side teaching
iii. Round Teaching
iv. Tutorial & Seminar
v. Demonstration
Mode of Evaluation
 Continuous assessment
 Practical Exam (case- based)
 Written final Exam