1
Danylo Halytsky
Lviv National Medical University
Department of Phthisiology and Pulmonology
“Approved” ___________
Prof. Ilnytsky I., Chairman,
Department meeting
Protocol № 1, 28.08.2014
CURRICULUM
of the Lectures in Phthisiology for IV Year English Medium Students of Medical Faculty
Specialization: Medicine ( 10 hours)
№
Topics
1.
2.
Tuberculosis as scientific and practical problem. The history of
tuberculosis. Epidemiology of tuberculosis. Etiology and pathogenesis of
tuberculosis. Tuberculosis immunity.
Standarts for revealing and diagnosis of tuberculosis.
3.
Treatment of tuberculosis: basic principles and methods.
4.
Prophylaxis of tuberculosis.
5.
Primary and secondary tuberculosis.
Total
Responsible for the course
Date
Hours
05.09.14
(2 hours)
19.09.14
(2 hours)
03.10.14
(2 hours)
17.10.14
(2 hours)
31.10.14
(2 hours)
10 hours
Assosiate Prof. Nevzhoda O.
2
CURRICULUM
of the Practical Lessons in Phthisiology for IV Year English Medium Students
of Medical Faculty
Specialization: Medicine (40 hours)
№
1
1.
Topics
2
Epidemiology of tuberculosis. Etiology and pathogenesis of tuberculosis.
Tuberculous immunity. Clinical classification of tuberculosis.
2. Standarts for diagnosis of tuberculosis. Special methods of revealing and
diagnosis of tuberculosis (bacteriologic examination, chest radiography,
tuberculin skin test).
3. Treatment of tuberculosis: basic principles. Anti-TB drugs. Standart drug
regimens.
4. Prophylaxis of tuberculosis.
5. Primary tuberculosis. Tuberculosis of unknown location. Tuberculosis of the
intrathoracic lymphatic nodes. Primary complex. Pathogenesis. Symptoms and
sings. Diagnosis. Differential diagnosis. Complications. Prognosis. Treatment.
6. Disseminated tuberculosis. Miliary tuberculosis. Tuberculosis of nervous
system. Tuberculous meningitis. Pathogenesis. Symptoms and sings. Diagnosis.
Differential diagnosis. Complications. Prognosis. Treatment.
7. Focal and infiltrative tuberculosis. Caseous pneumonia. Tuberculoma. Cavitary
tuberculosis. Fibro-cavernous tuberculosis. Cirrhotic tuberculosis.
Pathogenesis. Pathomorphology. Symptoms and sings. Diagnosis. Differential
diagnosis. Complications. Prognosis. Treatment.
8. Pleural tuberculosis. TB pleuratis and empyema. Pathogenesis. Symptoms and
sings. Diagnosis. Differential diagnosis. Complications. Prognosis. Treatment.
Examination of the patients. Complications of secondary tuberculosis:
hemoptysis, hemorrhage, spontaneous pneumothorax, chronic cor pulmonare,
amyloidosis of internal organs. Pathogenesis. Symptoms and sings. Diagnosis.
Treatment. Case report defence.
9. Pulmonary tuberculosis combined with professional pulmonary disease.
Tuberculosis in HIV/AIDS patients. Symptoms and sings. Diagnosis.
Peculiarities of the course and treatment. Coordinated care in different settings.
10. Concluding module control
Total:
Group
2
3
4
5
6
7
8
9
Hours
3
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
40 hours
Date
1
04.09
12.09
05.09
03.09
10.09
09.09
02.09
01.09
2
18.09
26.09
19.09
17.09
24.09
03.09
16.09
15.09
3
02.10
10.10
03.10
01.10
08.10
07.10
30.10
29.09
Responsible for the course
4
16.10
24.10
17.10
15.10
22.10
21.10
14.10
13.10
5
30.10
07.11
31.10
29.10
05.11
04.11
28.10
27.10
6
13.11
21.11
14.11
12.11
19.11
18.11
11.11
10.11
7
27.11
05.12
28.11
26.11
03.12
02.12
25.11
24.11
8
11.12
19.12
12.12
10.12
17.12
16.12
09.12
08.12
9
25.12
10
08.01
26.12
24.12
31.12
30.12
23.12
22.12
09.01
21.01
14.01
13.01
20.01
19.01
Assosiate Prof. Nevzhoda O.
3
CURRICULUM
of the Out of Class Working for IV year English Medium Students of Medical Faculty
Specialization: Medicine (40 hours)
№№
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Topics
Strains of M. tuberculosis, their types, virulence, infectivity and
transmission. Persistance and reversion of M. tuberculosis. Transmission
of tuberculosis. TB drug resistance, its clinical significance.
The main epidemiological indices.
Methods of early revealing of tuberculosis. Timely, untimely, lately
diagnosed tuberculosis. Prompt identification of persons with pulmonary
tuberculosis. High risk groups for TB infection and TB disease. Selected
high-risk settings.
Nonspecific therapy of tuberculosis (hygiene-dietary regimen,
pathogenetic and symptomatic treatment). Surgical treatment. Facilities
in sanatoria and health resorts.
Tuberculosis of the peripheral lymphatic nodes. Bone and joints
tuberculosis. Symptoms and sings. Diagnosis. Treatment.
Differential diagnosis of disseminated pulmonary tuberculosis.
Differential diagnosis of infiltrative pulmonary tuberculosis.
Differential diagnosis of fibrous-cavernous pulmonary tuberculosis.
Tuberculosis and pregnancy. Tuberculosis in patients with diabetes
mellitus, gastric and duodenal ulcer.
Categories and groups of tuberculous patients.
Total:
Responsible for the course
Hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
4 hours
40 hours
Assosiate Prof. Nevzhoda O.
Practical Skills in Phthisiology Necessary for Concluding Module Control
for IV year English Medium Students of Medical Faculty
Specialization: Medicine
1.
2.
3.
4.
5.
6.
7.
To identify categories of persons at high risk for development TB disease.
To carry out history taking in patients with pulmonary tuberculosis.
To identify and explain the pathologic pulmonary x-ray abnormalities.
To formulate diagnosis of pulmonary tuberculosis relative to its classification form.
To evaluate Mantoux skin test results.
To explain the role of microscopic and bacteriological examination of sputum.
To diagnose tuberculosis of respiratory organs based on historical data, clinical, x-ray
findings, laboratory studies.
8. To explain the main principles of treatment of tuberculosis and to determine a
management plan with drug prescription.
9. To determine criteria of cured TB.
10. To diagnose urgent cases and to render urgent aid in patients with tuberculosis.
11. To demonstrate practical skills in keeping of medical documents in TB clinic: to fill in a
history case.
12. To choose the persons for preventive therapy.
Responsible for the course
.
Assosiate Prof. Nevzhoda O.