Thematic plan of the lessons in Phtlisiology for IV year students of medical faculty


Thematic plan
of the Practiсal lessons  in  Phtlisiology  for IV year  students of medical faculty
(32 hours)  

п/п
T H E M E
Hours
1.
 Clinical presentation of pulmonary tuberculosis.  Introduction to standard manner of working with medical records.  Chest radiography. Methods of studying X -Ray examinations of  lungs and main pathological findings on the CXR. Examination of the patients. Clinical classification of tuberculosis.
4 hours

2.
Laboratory diagnostics of tuberculosis. Rule’s of specimen’s collection. Genotypic and phenotypic lab methods. Pulmonary function testing.
Tuberculin skin testing. Interpreting of  Mantoux test reactions. Differential diagnosis between tuberculosis infection and post-BCG reactions.
4 hours

3.
Primary tuberculosis: tuberculosis of unknown localization, tuberculosis of  intrathoracic lymph nodes, TB primary complex.  Diagnostics and Treatment. Management of complications in patients with primary TB.
4 hours
4.
Secondary tuberculosis. Clinical examination, diagnostic methods and treatment in patients with focal and infiltrative TB. Management of  TB case in TB dispansery, writing of case history.
4 hours
5.
Extrapulmonary tuberculosis. Tuberculous meningitis.  Diagnostics and Treatment. Differential diagnosis with meningitis of other aetiology.
Pleural tuberculosis. Clinical examination, diagnostic methods and treatment. Differential diagnosis with patients with pleurisy of other aetiology. Disseminated (milliary) tuberculosis. Diagnostics and Treatment.
4 hours
6.
Fibrous-cavitary tuberculosis. Clinical manifestation, diagnosis,  differential diagnosis and  treatment. Complications of pulmonary TB: hemoptysis, lung haemorrhage, spontaneous pneumothorax, lung and heart failure, atelectasis, amyloidosis. Defense of case history.
4 hours
7.
TB prevention. Specific, sanitary and social prophylaxis of TB. BCG vaccination and revaccination. Management of post-vaccine complications. Working in TB outbreak settings.
TB dispensary. How TB should be detected in primary care.
4 hours
8.
Differential exam.
2 hours      
      


Practical skills


Theoretical knowledge

TOTAL:
30 hours

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