Syllabus for comprehensive course

GENERAL SURGERY (PART I)

1. Introduction and history of surgery 2. Basis of clinical surgery 3. Wounds Physiology of wound healing Types of wounds Management of wounds Scars 4. Surgical infections Patho-physiology Erysipelas, cellulitis, abscess, carbuncle Tetanus Gasgangrene HIV Tuberculosis Actinomycosis Mycetoma and candidiasis Nosocomial infections 5. Skin-soft tissue lesions Sebaceous cyst Dermoid cyst Haemangioma Naevus Malignant skin lesions Parasitic cysts Lipoma Nerve sheath tumours Soft tissue sarcoma Differential diagnosis of swellings and ulcers of skin Differential diagnosis of soft tissue swellings 6. Haemorrhage, shock and blood transfusion Haemorrhage Classification Patho-physiology Management Shock Classification and aetiology Patho-physiology Clinical features Investigations Treatment Complications and treatment Septic shock Patho-physiology Clinical features Diagnosis Treatment Blood transfusion Indications Blood products Types of transfusion Complications of transfusion 7. Bleeding disorders in surgery 8. Fluid-electrolyte balance and acid base balance Physiology of body water, transport and distribution Water disturbance Sodium and potassium disturbance Acid-base balance Acidosis and alkalosis Metabolic response to trauma Post operative fluid therapy 9. Burns and skin grafting Patho-physiology of burns Management Complications Electrical burns Scalds Chemical burns Skin grafting-basic principles and types of grafts and flaps

10. Diseases of face, oral cavity and salivary glands Cleft lip Stomatitis and glossitis Swellings of oral cavity Carcinoma of mouth Epulis Jaw tumours Salivary glands-Infections and tumors 11. Diseases of the neck Classification of swellings in the neck Branchial cyst Branchiogenic carcinoma Potato tumour Secondaries 12. Thyroid Anatomy and physiology Goitre classification Simple goitre Thyrotoxicosis Thyroid neoplasms and autoimmune thyroididtis Solitary nodule Clinical examination and diagnosis of thyroid swellings 13. Diseases of the parathyroids and adrenals 14. Diseases of the Breast Anatomy and physiology Inflammations Fibroadenoma ANDI & Fibroadenosis Carcinoma DD of lump breast 15. Diseases of the arteries Trauma Classification of occlusive arterial disease Thrombosis and embolism Investigations and management of chronic occlusive arterial disease

Atherosclerosis Buergers disease Raynauds disease Gangrene, bed sores, frost bite Aneurysm, AV fistula 16. Diseases of the Veins Physiology of venous drainage Anatomy of veins of lower limb Varicose veins Venous ulcers Venous thrombosis and pulmonary embolism 17. Diseases of the Lymphatics and lymph nodes Acute lymphangitis TB lymphadenitis Lymphoedema Differential diagnosis of lymphnodal swellings Lymphoma 18. Diseases of the Hand Hand infections Differential diagnosis of swellings of hand 19. Head injuries Pathophysiology and classification Primary management Extra dural haemorrhage 20. Diseases of the peripheral nerves Injuries and management Tumours 21. Chest injuries Classification Management 22. Radiotherapy 23. Diseases of the oesophagus Congenital diseases Injuries GORD and hiatus hernia Neoplasms

SYSTEMIC SURGERY (PART II)

24. Abdominal disease introduction Basic anatomy Clinical examination 25. Abdominal wall and the Hernia General features of hernia Inguinal hernia Femoral hernia Umbilical hernia Epigastric hernia Incisional hernia Abdominal wall tumours Swellings and discharges from umbilicus 26. Surgical Jaundice Physiology of bilirubin metabolism Classification of jaundice Investigations Obstructive jaundice Classification Patho-physiology Investigations Treatment 27. Diseases of the Gall bladder and bile ducts Anatomy and physiology Cholelithisis Acute cholecystitis Chronic cholecystitis Cholecystectomy Tumours of gall bladder and bile ducts 28. Diseases of the Pancreas Anatomy and physiology Acute pancreatitis Chronic pancreatitis Pseudopancreatic cyst Carcinoma of pancreas Endocrine tumours of pancreas 29. Diseases of the liver Anatomy and physiology Investigations Trauma Infections Cirrhosis Tumours Differential diagnosis of hepatomegaly 30. Diseases of the Stomach Anatomy and physiology Investigations Congenital hypertrophic stenosis Chronic peptic ulcer Pyloric stenosis Acute complications of peptic ulcer Perforation Haemorrhage Tumours of stomach Volvulus, trichobezoar, foreign body PO complications of gastric surgery Gastro Jejunostomy 31. Diseases of the Intestines Anatomy and physiology Megacolon Ulcerative colitis Crohns disease Tuberculosis Typhoid Tumours Colostomy 32. Intestinal obstructon General principles causes, pathology, clinical features, investigations and treatment 33. Specific diseases causing intestinal obstruction 34. Diseases of the Anus and rectum Anatomy

 Prolapse Fissure in ano Perianal abscess Fistula in ano Pilonidal sinus Piles Tumours 35. Diseases of the Appendix Anatomy Acute appendicitis Appendicular mass Tumours 36. Diseases of the peritoneum and retroperitoneal tumours Acute peritonitis Tuberculous peritonitis Peritoneal abscess Ascites Mesenteric swellings Retroperitoneal masses 37. Diseases of the Spleen Anatomy and physiology Rupture Spherocytosis Thrombocytopaenia Splenomegaly differential diagnosis Splenectomy 38. Clinical presentation and investigations of urinary tract Anatomy Symptoms of urinary tract Investigations Renal failure 39. Diseases of the Kidney Congenital diseases Injuries Hydronephrosis Calculi Infections and perinephric abscess Neoplasms 40. Diseases of the bladder Anatomy

Rupture Retention Incontinence Calculi Neoplasms 41. Diseases of the Prostate Anatomy Benign prostatic hypertrophy Carcinoma Infections 42. Diseases of the Penis, urethra Injuries Infections Stricture Phimosis Carcinoma of penis 43. Diseases of the Scrotum and testis Development and descent Undescended testis Varicocele Hydrocele Torsion Tumours Differential diagnosis of scrotal swellings 44. Preoperative preparation and principles of anaesthesia 45. Surgical procedures 46. Diagnostic radiology