MINISTRY OF HEALTH CARE OF UKRAINE
DNIPROPETROVSK MEDICAL ACADEMY
DEPARTMENT OF INFECTIOUS DISEASES
STUDENT’S GUIDANCE
for the module
„PEDIATRIC INFECTIOUS DISEASES”
For 6TH year students on specialty “General Medicine”
DNIPROPETROVSK - 2015
«APPROVED»
First prorector of DSMA,
Chief of CMC of DSMA.
Correspondent member of AMS of Ukraine
professor Т. О. Pertseva
«____» ___________2015y.
Student’s guidance: «Pediatric infectious diseases» 6 th year (general
medicine) / Under redaction of L.R. Shostakovich-Koretskaya. –
Dnipropetrovsk: CMC DSMA, 2015.- 20p.
The guidance is compiled based on the active educational plan and Typical
program on the discipline «Pediatric infectious diseases» for the students of
highest medical schools of the ІІІ-IV levels of accreditation. It includes the data
about structure, goal and tasks of the subject, structure of the credits, practical
classes and self-performed work of the students, list of the individual tasks and
methods of diagnosis of efficacy of subject study, list of practical tasks
according to the requirements of ECC and EPP, list of program questions which
are used for final module control, list of information sources, scale of conversion
of the marks for the subject into the traditional (national) marks, as well as
general information regarding the studying of the students at the department of
infectious diseases of the course of «Pediatric infectious diseases». The guidance
is provided for the 6th year students who attend specialities 7.110101 – «General
medicine».
Discussed and approved at the methodical counceil of the department of
infectious diseases «_____» ________ 2015 y. (Protocol №___).
Chief of the department
of infectious diseases
professor L.R. Shostakovich-Koretskaya
Approved by the subject metodical commettee of DSMA in pediatrics
«_____ » _______ 2015 y. (Protocol №__)
Chief of the subject metodical commette
in pediatrics
2
professor О.E.Аbaturov
CONTENTS
1.
2.
3.
4.
General information and structure of the subject
Goal and tasks of the subject
Strucutre of the credits of the module «Pediatric infectious diseases»
Thematical plans
4.1 Thematical plan of the practical classes
4.2 Thematical plan of the self-performed work of the students
5. Content of the subject
5.1 Subject module 1. “Differential diagnosis of infectious diseases
with exanthemas, pediatric respiratory infections and
neuroinfections in children. Emergency care at pediatric respiratory
infections and neuroinfections”
5.2 Subject module 2. “Differential diagnosis of acute bowel infections
(ABI) and viral hepatites (VH) in children. Emergency care at ABI
and VH”
5.3 Subject module 3. “Differential diagnosis and emergency care at
influenza and ARVI in children. Immunoprophylaxis of infectious
diseases in children”
5.4 Self-performed individual work (SPW)
6. Distribution of the points for evaluation of the educational activity of the
students
7. List of the practical skills, mastering of which is controlled during final
module control
8. List of the questions for the final module control
9. Evaluation of the educational activity of the students
9.1 Practical classes
9.1.1 General information
9.1.2 Criteria of evaluation
9.1.3 Reevaluation of unsatisfactory mark and working for the
missed classes
9.2 Individual self-performed work
9.2.1 General information
9.2.2 Criteria of evaluation
9.3 Final module control
9.3.1 General information
9.3.2 Criteria of evaluation
9.3.3 Reevaluation of final module control
9.4 Convertation of the points number on the subject into the mark of
the scale ECTS and into traditional scale
10. List of study-methodological literature
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4
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7
7
7
8
8
8
9
10
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12
13
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16
17
17
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18
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1. GENERAL INFORMATION AND STRUCTURE OF THE SUBJECT
Study subject: «Pediatric infectious diseases».
Learnt at the 6th year at ХІ or ХII semester.
The program is structurized, it consists of 1 module, 3 content modules, 9 subjects.
STUDY PLAN OF THE DISCIPLINE
General amount of hours – 75 hours (2.5 points)
Structurized plan of preparation for the study discipline
«Pediatric infectious diseases, VI year»
Structure of the
learnt subject
Module
“Pediatric
infectious
diseases”
Amount of hours / of them
Total
Auditory
amount of
SPW
Lectu- Practihours /
res
cal/Sem
credits
75/2,5
6
30/8
31
Year
of the
study
6
Kins of control
Intermediate and
final
module
control
(standartized)
Content
modules 3
Basis of the study – department of infectious diseases (Municipal clinical hospital #21 named
after prof G.E.Popkova, Kanatnaya str, 17).
The subjct is taught in Ukrainian (local students), Russian (foreign stidents) and English
(English-speaking students) languages.
Personal staff of the department
(subdivision of «Pediatric infectious diseases):
Shostakovich-Koretskaya Ludmila Romanivna, PhD, professor, chief of the
department.
Mavrutenkov Victor Volodymirovich, PhD, docent (professor assistant),
responsible for the scientific work of the department.
Cherginets Artem Valeriovych, PhD, docent (professor assistant), responsible for
the educational work with the students of 5th and 6th years at the rotation
“Pediatric infectious diseases”, as well as with the interns studying at the specialty
«Pediatrics»
Yakunina Oxana Myhailivna, PhD, teaching assistant, responsible for student
scientific group of the department.
Budayeva Irina Vasilievna, PhD, teaching assistant, responsible for therapeutic
work of the department.
Chykarenko Zoya Olexandrivna, teaching assistant, responsible for work with
English-speaking students of the department.
Detailed information about the department, as well as study-methodical matherals
can be found at the site: www.dsma.dp.ua, http://infectology.dsma.dp.ua
4
2. GOAL AND TASKS OF THE STUDIED SUBJECT
Pediatric infectious diseases as a study discipline:
а) is included as the module 2 into the study program in Pediatrics for 6th
year of the specialty “General medicine”.
б) is based on the knowledge received by the students during learning
medical biology, microbiology, epidemiology, clinical pharmacology, pediatric
propedeutics and genral pediatrics, nosologic forms of main pediatric infectious
diseases and is integrated with these subjects;
в) is proved by skills and knowledge which are considered as final goals of
learning pediatrics as a separate subject and can be used by the students during
studying in internship and during further professional activity.
The goal of the final stage of the study of pediatric infectious diseases is to
make deeper theoretical knowledge, to improve and master practical skills, to
possess the professional level of the future doctors on the specialty “General
medicine” for independent work.
Final goals of the studied subject «Pediatric infectious diseases, 6th year»
are based on the ground of learning goals, which are pointed in educationalprofessional program (EPP) and are described as the following:
1. To be able to point out different clinical variants and typical complications
of the most common infectious diseases of children.
2. To be able to point out the tacktics of the management of the patient at the
most common infectious diseases of children.
3. To be able to fill medical documentation at the clinics of pediatric infectious
diseases.
4. To demonstrate the ability to make the plan of investigation of the ill child
and to interprete the obtained results at the most common infectious diseases
of children.
5. To perform differential diagnosis and to make preliminary clinical diagnosis
of the most common infectious diseases of children.
6. to be able to diagnose and to provide emergency help at the main emergency
situations of the clinics of pediatric infectious diseases.
Types of studying activity of the students according to the studying plan are
the following:
a) lectures
b) practical classes;
c) seminars
d) self-performed work of the students.
Practical classes. According to the credit-module system of organization of
the study process, the practical classes are performed in the regime of rotation of
modules of clinical subject. According the method of organization, they are
clinical, pointed to the control of theoretical knowledge mastering and practical
skills forming, as well as ability to analyse and use the acquired knowledge for
practical tasks solution. The length of one practical class, according to the study
5
plan and with consideration of the norms of weekly auditory schedule of the
students, is 6.5 academic hours.
The mastering of the subjcts is controlled at practical classes according to
concrete goals: ability to point out ethiologiacl and pathogenetic factors of the
diseases of pediatric age, to classify and analyse the typical and atypical clinical
picture, to make the plan of investigation and to analyse the laboratory and
instrumental data, to perform differential diagnosis between infectious and somatic
diseases of pedoatric age, to demonstrate possession of complex therapy,
rehabilitaion and prophylaxis of the diseases, to make the main diagnosis and to
point out complications and emergency situations, to provide the urgent medical
help at main emergency conditions, to perform evaluation of the prognosis of the
disease, to demonstrate possession of moral and deontological principles of the
medical specialist and principles of specialty subordination in pediatrics.
The list of the criteria of diagnosis and management of infectious diseases in
children is pointed out according the appropriate protocols of the specialty
«Pediatric infectious diseases» (Regulation of Health Care Ministry of Ukraine
#354 «Protocols of diagnosis and treatment of infectious diseases in children»
from 09.07.2004, with changes).
A seminar is, generally, a form of academic instruction, either at an
academic institution or offered by a commercial or professional organization. It has
the function of bringing together small groups for recurring meetings, focusing
each time on some particular subject, in which everyone present is requested to
actively participate.
Self-perfromed work of the students. It is one of the organizational forms
of study, which is described by the study plan and is performed by the student
him/herself beyond auditory classes. Possible kinds of self-performed work of the
students include: preparation for practical classes with the
usage of
methodological instructions prepared by the teachers of the department, working
with additional literature, creation of the algorhythms, structural-logical schemes,
writing the researches, annotations, being on duty in the clinics beyond classes.
Organization of the self-performed work in departments of infectious hospital is
provided by the stuff of the department.
Individual studies. It is the form of organization of the study with the goal
of making the knowledge obtained during the study more profound, generalized
and strong, as well as usage of this knowledge in the practice, that is, individual
study and research tasks. The following activities are proposed in the program as
individual studies: analysis of clinical cases, work with archives of the clinics,
preparation of reports for practical classes, preparation of literature reveiws for
clinical cases, which have difficulties in differential diagnosis and/or treatment,
making report at clinical doctors’ and/or clinical pathological conferences.
Final control. Evaluation of the mastering of the module is performed after
its completion at the final module control classes.
Evaluation of the student’s performance at the subject. It is according to
the rating and is made on a multiple-point scale with consideration of the marks of
separate content modules.
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3. STRUCTURE OF THE CREDIT MODULE
“PEDIATRIC INFECTIOUS DISEASES»
Pract. SelfClasse perfor
Subject
/Semi
med
nars
work
Subject module 1. Differential diagnosis of infectious diseases with
exanthemas, pediatric respiratory infections and neuroinfections in
children. Emergency care at pediatric respiratory infections and
neuroinfections
Subject 1. Differential diagnosis of infectious diseases
2
5
3
with exanthemas syndrome
Subject 2. Differential diagnosis and emergency
5
3
conditions at pediatric respiratory infections
Subject 3. Differential diagnosis of neuroinfections in
5
3
children.
Subject 4. Emergency conditions at neuroinfections in
5
3
children. Diagnosis and treatment.
Subject module 2. Differential diagnosis of ABI and VH in children.
Emergency care at ABI and VH
Subject 5. Differential diagnosis of ABI in children.
4
3
Subject 6. Emergency conditions at ABI in children.
2
4
Diagnosis and treatment.
Subject 7. Differential diagnosis and emergency
5
3
conditions at VH in children
Subject module 3. Differential diagnosis and emergency situations at
influenza and ARVI in children. Immunoprophylaxis of infectious diseases
in children
Subject 8. Differential diagnosis and emergency
5
3
situations at influenza and ARVI in children.
Subject 9. Immunoprophylaxis of infectious diseases
4
2
3
in children
Self-performed individual work
3
Total: credits ECTS-2,5; hours-75 of them:
6
38
31
Lect
ures
Individual
work
Analysis of
clinical cases,
work with
archives of
the clinics,
preparation of
literature
reveiws for
clinical cases,
which have
difficulties in
differential
diagnosis
and/or
treatment,
making report
at clinical
doctors’
and/or clinical
pathological
conferences.
4. THEMATICAL PLANS
4.2. THEMATICAL PLAN OF THE PRACTICAL CLASSES AND SEMINARS
№
1
2
3
4
5
6
7
8
Subject
Differential diagnosis of infectious diseases with exanthemas
syndrome
Emergency conditions at pediatric respiratory infections
Differential diagnosis of neuroinfections in children.
Emergency conditions at neuroinfections in children. Diagnosis
and treatment.
Differential diagnosis of ABI in children. (seminar)
Emergency conditions at
ABI in children. Diagnosis and
treatment. (seminar)
Differential diagnosis and emergency conditions at VH in children
Differential diagnosis and emergency situations at influenza and
7
Amount of hours
5
5
5
5
4
2
5
5
ARVI in children.
9
Immunoprophylaxis of infectious diseases in children (seminar)
Total amount of hours
2
38
4.2. THEMATICAL PLAN OF THE SELF-PERFORMED WORK OF STUDENTS
№
1
Amount of
hours
Kinds of self-performed work
Preparation for practical classes
Individual self-performed work:
analysis of clinical cases, reports at
2
clinical conferences, preparation of the
report
Work with themes not included into
3
the plan of practical classes
Total amount of hours
Types of control
28
Intermediate
control
practical classes
at
3
Intermediate
control
practical classes
at
-
Final module control
31
4.3. THEMATICAL PLAN OF LECTURES
№
1
2
Topic
Differential diagnosis of exanthems diseases in children
Immunoprophylaxis of infectious diseases
Всього
Hours
2
4
6
5. CONTENT OF THE SUBJECT
5.1.SUBJECT MODULE 1: “Differential diagnosis of infectious diseases with
exanthemas, pediatric respiratory infections and neuroinfections in children.
Emergency care at pediatric respiratory infections and neuroinfections”
Concrete goals:
1. To point out different clinical variants and complications of the most
common infectious diseases with exanthema syndrome, pediatric respiratory
infections and neuroinfections in children of different age.
2. To establish the tacktics of management of the patients at the most common
infectious diseases with exanthema syndrome, pediatric respiratory
infections and neuroinfections in children.
3. To demonstrate the ability to fill in medical documentation of the children
with the infectious diseases with exanthema syndrome, pediatric respiratory
infections and neuroinfections.
4. To plan the evaluation of the children and to interprete the obtained results
of the most common infectious diseases with exanthema syndrome, pediatric
respiratory infections and neuroinfections in children.
5. To perform differential diagnosis and the make preliminary clinical
diagnosis of the most common infectious diseases with exanthema
syndrome, pediatric respiratory infections and neuroinfections in children.
6. To mke the diagnosis and to provide emergency care at emergency
situations, caused by pediatric respiratory infections and neuroinfections in
children.
8
Subject 1. Differential diagnosis of infectious diseases with exanthemas
syndrome.
Main clinical symptoms and variants of the course of infections with exanthema
syndrome (measles, rubella, chicken pox, scarlet fever, pseudotuberculosis).
Differential diagnosis exanthemas syndrome at different infectious and noninfectious diseases. Principles of the management of the patients, organization of
anti-epidemic activities in the area of infections at diseases with exanthema
syndrome.
Subject 2. “Differential diagnosis and emergency conditions at pediatric
respiratory infections.”
Leading clinical symptoms and variants of the course of pediatric respiratory
infections (diphtheria, infectious mononucleosis, parotic infection, whooping
cough). Differential diagnosis of various forms of pediatric respiratory infections.
Differential diagnosis of the syndromes of tonsillitis and croup at different
infectious and non-infectious diseases. Management of the patient with croup
syndrome. Emergency help at croup. particular Таities of the course of apnoe form
of pertussis in children. Management of the patient with pertussis with the goal of
prevention of apnoe. Emergency help at respiratory support in patients with
pertussis. Organization of anti-epidemic activities in infectious source at pediatric
infectious diseases.
Subject 3. “Differential diagnosis of neuroinfections in children.”
Leading clinical symptoms and variants of the course of meningococcal infection.
Differential diagnosis of meningococcemia and diseases with hemorrhagic rash.
Leading clinical symptoms of bacterial and viral meningitides, their complications
and differential diagnosis. Clinical and laboratory characteristics of primary and
secondary encephalites, their complications and differential diagnosis.
Management of the patients with meningitis and encephalitis.
Subject 4. “Emergency conditions at neuroinfections in children. Diagnosis
and treatment.”
Leading clinical symptoms of sepsis and septic shock (SS) at meningococcal
infection and brain edema (BE) at neuroinfections in children. Management of the
patients and emergency help at SS and BE.
5.2. SUBJECT MODULE 2: “Differential diagnosis of acute bowel infections (ABI)
and viral hepatites (VH) in children. Emergency conditions at ABI and VH”
Concrete goals:
1. To point out different clinical variants of the course of ABI and VH in
children of different age.
2. To establish the management of the patient with ABI and VH in children.
3. To demonstrate the ability to fill medical documentation of children with
ABI and VH.
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4. To make the plan of investigation of the patient and to evaluate the obtained
results of investigation at ABI and VH.
5. To perform differential diagnosis and to make preliminary clinical diagnosis
at ABI and VH.
6. To make the diagnosis and to provide emergency care at ABI with the
syndrome of toxicosis – exicosis and neurotoxicosis.
7. To make the diagnosis and to provide emergency care at acute hepatic
failuree, caused by VH.
Subject 5. “Differential diagnosis of ABI in children”
Main clinical symptoms and syndromes of ABI: local (enteritis, colitis) and
general (dehydration, toxicosis). Clinical variants of the course of shigellosis,
salmonellosis, escherichiosis, bowel yersiniosis, viral diarrheas in children of
different age. Differential diagnosis of ABI with the diseases of gastro-intestinal
tract of non-infectious origin and other infectious diseases. Management of the
patients with ABI (investigation, indications for hospitalization, treatment). Antiepidemic activities in the source of the infection.
Subject 6. “Emergency conditions at ABI in children. Diagnosis and
treatment.”
Main clinical symptoms of dehydration and toxis encephalopathy at ABI in
children. Laboratory and instrumental data at syndromes of dehydration and toxis
encephalopathy. Management for th general practitioner at the diagnosis of
emergency conditions at ABI in children, provision of urgent help.
Subject 7. “Differential diagnosis and emergency situations at viral heatites
(VH) in children”
Main clinical symptoms, data of laboratory and instrumental investigations at
different clinical variants and depending of the causative agent of the VH.
Differential diagnosis of typical and atypical forms of VH in children.
Management of the patient with viral hepatitis. Anti-epidemic activities in the
source of the infection. Main clinial symptoms of acute hepatic failure at VH in
children. Laboratory and instrumental data for evaluation of degree of severety and
prognosis of the course of VH ith the syndrome of acute hepatic failure.
Management of the patients with the syndrome of acute hepatic failure. Providing
of emergency care.
5.3. SUBJECT MODULE 3: “Differential diagnosis and emergency situations at
influenza and ARVI in children. Immunoprophylaxis of infectious diseases in
children”
Concrete goals:
1. To point out different clinical variants of the course of influenza and ARVI
in children of different age.
2. To establish the management of the patient with influenza and ARVI in
children.
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3. To demonstrate the ability to fill medical documentation of children with
influenza and ARVI.
4. To make the plan of investigation of the patient and to evaluate the obtained
results of investigation at influenza and ARVI.
5. To perform differential diagnosis and to make preliminary clinical diagnosis
at influenza and ARVI.
6. To make the diagnosis and to provide emergency care for cases caused by
influenza and ARVI.
7. To plan the individual schedule of vaccination of the child, considering age,
health condition and epidemiologic situation.
8. To make the diagnosis and to provide emergency care at post-vaccination
reactions and complications.
Subject 8. Differential diagnosis and emergency situations at influenza and
ARVI in children.
Main clinical symptoms of influenza and ARVI in children. Pandemic influenza,
its epidemiologic, clinical adn pathogenetical particularities. Main clinical
symptoms of emergency conditions, which are observed at influenza and ARVI
(hyperthermic syndrome and croup syndrome) and their therapy. Management of
patients with influenza and ARVI. Prophylaxis of influenza and ARVI in children.
Subject 9. Immunoprophylaxis of infectious diseases in children
Schedule of prophylactic vaccination. Vaccinations according to age.
Recommended vaccinations. Vaccinations according to condition of the health.
Contraindications to vaccination. Post-vaccinal reactions and complications, their
diagnosis and treatment. Anaphylactic shock, diagnosis and emergency help.
5.4. SELF-PERFORMED WORK (SPW)
THE GOAL of this work is to widen the knowledge of the student in the area
of pediaric infectious diseases by the way of performance of individual tasks at the
following directions (by the choice): analysis of clinical cases, preparation of
reports for practical classes, work with archives of the clinics, preparation of
literature reveiw on clinical cases, which have difficulties in differential diagnosis
and/or treatment, report at clinical doctors’ and/or clinical-pathological conference.
1.
2.
3.
4.
5.
6.
7.
8.
9.
List of the subjects for reports:
Exanthema subitum (examthema infantum, roseola, 6th disease)
Infectious erythema (parvoviral infection, 5th disease)
Kawasaki disease
Lyme disease (Lyme – borreliosis)
Toxic shock syndrome (staphylococcal, streptococcal)
Rey syndrome
Haemolythic-uremic syndrome (Gasser’s syndrome)
Pigmentic hepatoses in children
Antibiotic-associated diarrhea
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10. Cat-scratch disease (filinosis)
11. Rat-bite fever (sodoku, Haverchill)
12. Fever of unknown origin in children
13. Leptospirosis in children
6. DISTRIBUTION OF THE POINTS FOR EVALUATION OF THE
EDUCATIONAL ACTIVITY OF THE STUDENTS
Content of evaluated activity
Subject module 1
Subject 1. Differential diagnosis of infectious diseases with exanthemas
syndrome
Subject 2. Differential diagnosis and emergency conditions at pediatric
respiratory infections
Subject 3. Differential diagnosis of neuroinfections in children.
Subject 4. Emergency conditions at neuroinfections in children. Diagnosis
and treatment.
Subject module 2
Subject 5. Differential diagnosis of ABI in children.
Subject 6. Emergency conditions at ABI in children. Diagnosis and
treatment.
Subject 7. Differential diagnosis and emergency conditions at VH in
children
Subject module 3
Subject 8. Differential diagnosis and emergency situations at influenza and
ARVI in children.
Subject 9. Immunoprophylaxis of infectious diseases in children
Performance of individual self-performed work
Total amount of points for study activity
Final module control
Amount of points for the module
Maximal amount
of points
48
12
12
12
12
36
12
12
12
24
12
12
12
120
80
200
During studying the subject by traditional system the students are given marks:
«5» — 12 points
«4» — 9 points
«3» — 7 points
«2» — 0 points
For performance of individual self-performed work the students are given marks:
12 points («5»)
9 points («4»)
7 points («3»)
Maximal amount of points for current studying activity of the student is
120 (60%)
Maximal amount of points for final module control is 80 (40%)
Maximal amount of points for credits module control is 200 (100%)
12
The student is allowed to pass the final module control if the student has
completed the requirements of the study program and in case of acquisition of not
less than 70 points for practical classes and performance of individual selfperformed work (7х10).
The final module control is approved for the student if the student acquired
50 from 80 points.
7. LIST OF THE PRACTICAL SKILLS, MASTERING OF WHICH IS
CONTROLLED DURING FINAL MODULE CONTROL
(according to ECC of the specialist in the specialty
7.110101 – internal medicine, division 1101 medicine)
І. Analysis of laboratory and instrumental investigations:
1. General blood analysis
2. General urine analysis
3. CSF analysis
4. Coprocytogram
5. Serological investigations at infectious diseases
6. Bacteriologic analyses of fluids and discharges
7. Immunologic markers of infectious diseases
8. Blood bilirubin and its fractions
9. False phasphatase, tymole probe, transaminases of the blood.
ІІ. Provision of medical help at urgent conditions
1. Diphtheria croup
2. Apnoe at pertussis
3. Septic shock at meningococcal infection
4. Brain edema at meningites and encephalites
5. Toxicosis – exicosis at acute bowel infecions
6. Neurotoxicosis at acute bowel infecions
7. Acute hepatic failure at viral hepatites
8. Acute stenosing laryngotracheitis at ARVI
9. Hyperthermic syndrome at influenza
10.Febrile seisures
11.Anaphylactic shock at vaccinations
8. LIST OF THE QUESTIONS FOR THE FINAL MODULE CONTROL
«PEDIATRIC INFECTIOUS DISEASES»
1. Measles. Clinics of typical and atypical forms. Complications. Differential
diagnosis. Treatment. Prophylaxis.
2. Rubella. Differential diagnosis of acquired and inborn rubella. Treatment.
Prophylaxis.
3. Varicella. Clinics of typical and atypical forms of varicella. Complications.
Differential diagnosis. Treatment. Prophylaxis.
4. Zoster. Diagnosis. Differential diagnosis. Treatment. Prophylaxis.
13
5. Herpetic infection (herpes symplex). Clinical forms. Differential diagnosis.
Treatment. Prophylaxis.
6. Scarlet fever. Clinical picture of typical and atypical forms. Complications.
Differential diagnosis. Treatment. Prophylaxis.
7. Tonsillitis in children. Ethiologic particularitis depending of age. Clinics.
Diagnosis. Differential diagnosis. Treatment. Management of tonsillitis
patients at home.
8. Pseudotuberculosis. Differential diagnosis. Treatment. Prophylaxis.
9. Diphtheria. Clinical forms. Complications.
Differential diagnosis.
Treatment. Prophylaxis of diphtheria.
10. Diphtheria laryngotracheitis. Clinics. Differential diagnosis of true and false
croup. Urgent help.
11. Infectious mononucleosis. Differential diagnosis. Treatment.
12. Pertussis. Particularities of pertussis in infants. Differential diagnosis.
Treatment. Prophylaxis.
13. Apnoe form of pertussis. Prophylaxis of respiratory arrest in children with
pertussis. Emergency help at apnoe.
14. Parotic infection. Clinical picture of different forms (parotitis, submaxillitis,
sublinguitis, pancreatitis, orchitis, meningitis, etc.). Differential diagnosis.
Treatment. Prophylaxis.
15. Meningococcal infection. Clinical forms. Particularities of the course at firstyear children. Differential diagnosis of meningococcemia. Treatment.
Prophylaxis.
16. Septi shock at meningococcemia. Diagnosis. Emergency help.
17. Bacterial and viral meningites in children. Clinical particularities depending
of age of the child. Differential diagnosis. Treatment. Prophylaxis.
18. Encephallites in children. Ethiologic structure. Clinical particularities.
Laboratory and instrumental diagnosis. Differential diagnosis. Treatment.
Prophylaxis.
19. Brain edema at meningites and encephalites in children. Diagnosis.
Emergency help
20. Polyomyelitis. Clinical forms. Differential diagnosis. Treatment.
Prophylaxis.
21. Enteroviral infection. Clinical forms. Differential diagnosis. Treatment.
Prophylaxis.
22. Shigellosis in children. Particularities of the course in different age groups.
Differential diagnosis. Treatment. Prophylaxis.
23. Salmonellosis in children. Particularities of the course in different age
groups. Differential diagnosis. Treatment. Prophylaxis.
24. Escherichioses in children. Clinical particularities in children of different age
depending on the causative agent. Differential diagnosis. Treatment.
Prophylaxis.
25. Acute bowel infections in newborns. Ethiological structure. Clinical
particularities. Differential diagnosis. Treatment. Prophylaxis.
26. Intestinal yersiniosis. Particularities of the course in children of different
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age. Differential diagnosis. Treatment. Prophylaxis.
27. Rotaviral infection. Differential diagnosis. Treatment. Prophylaxis.
28. Dehydration at acute bowel infections. Ethiologic structure. Kinds of
dehydration. Clinical and laboratory diagnosis. Emergency help.
29. toxic encephalopathy at acute bowel infections. Ethiologic structure. Clinical
and laboratory diagnosis. Emergency help.
30. Viral hepatitis А. Differential diagnosis. Treatment. Prophylaxis.
31. Viral hepatitis В. Particularities of the course in early age children.
Differential diagnosis. Treatment. Prophylaxis.
32. Particularities of diagnosis and course of viral hepatites С, D, Е and others in
children. Differential diagnosis. Treatment. Prophylaxis.
33. Acute hepatic failure at viral hepatites in children. Clinical and laboratory
diagnosis. Urgent help.
34. Influenza. Clinical course. Particularities in early age children.
Complications. Differential diagnosis. Treatment. Prophylaxis. Emergency
help at hypertermic and seizure syndromes.
35. Pandemic influenza. Particularities of epidemiology and clinics at current
time. Complications. Differential diagnosis. Treatment. Prophylaxis.
36. Parainfluenza. Particularities of clinics. Differential diagnosis. Treatment.
Prophylaxis.
37. Acute stenosing laryngotrachitis at ARVI in children. Diagnosis. Differential
diagnosis with true croup. Emergency help.
38. Respiratory-synthitial virus infection in children. Particularities of clinics.
Differential diagnosis. Treatment. Prophylaxis.
39. Adenoviral infection. Particularities in early age children. Differential
diagnosis. Treatment. Prophylaxis.
40. HIV-infection/AIDS in children. Clinics. Diagnosis. Differential diagnosis.
Treatment. Prophylaxis.
41. TORCH-infections: toxoplasmosis, rubella, cytomegaloviral infection,
herpetic infection. Clinical forms of acquired and inborn forms, depending
on way of transmission and terms of acquisition. Laboratory diagnosis of
acure, reactivated and latent forms. Principles of treatment and prophylaxis.
42. Immunoprophylaxis of pediatric infectious diseases. Organization of
prophylactic vaccination for the children. Contraindications for vaccination.
Postvaccinal reactions and complications, their diagnosis and treatment.
43. Anaphylactic shock at vaccination. Diagnosis, emegrency help.
9. EVALUATION OF EDUCATIONAL ACTIVITY OF THE
STUDENTS
The forms of the control and the system of evaluation are performed
according to requirements of the discipline program and the new redaction
«Instructions for evaluation of the studying activity of the students at
implementation of credit-module system of educartional process organization»,
approved by Health Care Ministry of Ukraine 21.01.2008 № 08.01-22/65.
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9.1. PRACTICAL CLASSES
9.1.1. Intermediate control
Intermediate control is perfromed at each practical class according to concrete
goals of every subject. It is structurized and it includes complex evaluation in
points all kinds of study activity (study tasks), which are performed by the students
during practical classes:
1) at the beginning the test control of the students’ knowledge is performed.
The results of the test control are considered positive, if the studeng gave not less
than 70% of correct answers. At the less amount of correct answers the student
does not possess any points. At the total evaluation of the current study activity
this stage is 25% from the evaluation of the work, that is, 1-3 points.
2) at the main stage of practical classes the work of the student at the bedside
of the patient on the following aspects is evaluated: determination of clinical
variants and complications of the most common diseases of pediatric age, making
the plan of the management, planning the examination of the sick child and
interpretation of the obtained results, performance of differential diagnosis and
making the preliminary clinical diagnosis, filling in medical documentation,
providing emergency help at the main urgent situations in clinics of pediartic
infectious diseases, as well as solution of situational tasks, which include practical
skills reagrding evaluation of laboratory and instrumental data results,
algorrhythms of providing urgent help. At the general evaluation of the current
activities this stage is 45% from the evaluation of the work during practical classes.
Maximal mark is 5 points.
3) at the final stage of the practical classes the control is perfromed through
solution of complex situatioal tasks, including tasks with emergency situations,
which allows to evaluate the degree of the reaching of study goals. At the general
evaluation of the current activities this stage is 30%. Maximal mark is 4 points.
Maximal amout of credits which can be obtained by the student at practical
studies of the module, is 108. It is the result of multiplication of amount of points
appropriate to the mark «5» (12 points), and the amount of subjects (9) in the
module.
Minimal amount of credits which can be obtained at practical studies of the
module is calculated by the multiplication of amount of points appropriate for
mark «3» (7 points), and amount of subjects in the module (9), that is, 61 points.
9.1.2. Criteria of evaluation
Practical classes in pediatric infectious diseases are structured and provide
complex evaluation in points of all the kinds of studying activity (studying tasks),
which are performed by the students during practical classes.
Traditional marks, which are converted into points, are obtained by the
student at practical classes at the following conditions:
Mark «5» - if the student performed correctly not less than 90% of the
studying tasks (sum of points for all kinds of work is 11-12 points)
Mark «4» - if the student performed correctly not less than 80% of the
studying tasks (sum of points for all kinds of work is 9-10 points)
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Mark «3» - if the student performed correctly not less than 60% of the
studying tasks (sum of points for all kinds of work is 7-8 points)
Mark «2» - if the student performed correctly not less than 60% of the
studying tasks (sum of points for all kinds of work is 0 points).
The mark is given by the teacher in the «Book of presence and performance of
the students» (form НІ І-і) after testing the individual tasks and is told to the
students at the next classes.
9.1.3. Reevaluation of unsatisfactory mark and working for missed
classes
Student can only improve the mark «2». Intermediate marks «3» or «4» can
not be reevaluated. The student is obliged to improve «2», if the sum of points of
current credits does not reach the minimal for allowing to take the final module
control. The student is not obliged to improve the current «2» in case if the sum of
credits within the module is higher than the minimal for allowing to take the final
module control, but has the right to improve «2» and in case if minimal amount of
credits is reached.
Reevaluation is done by the teacher on duty only after classes according to the
schedule of consultations, which is proscribed by studying department. The student
has the right to reevaluate intermediate «2» during the whole period of the study of
the subject, but not later than the additional term, proscribed by studying
department of DSMA. The student can work for missed classes to the teacher
during his/her consulting hours (individual work with the students). During one
consultation the student can improve only one intermediate «2» or work for one
missed classes.
9.2.INDIVIDUAL SELF-PERFORMED WORK
9.2.1. General information
Evaluation of self-performed work of the students for preparation for
practical classes is performed during the intermediate control of the subject at
appropriate classes.
The program provides obliged individual self-performed work of the
students withing the following activities, according to the choice: analysis of
clinical cases, preparation of reports for practical classes, work with archives of the
clinics, preparation of literature reveiw on clinical cases, which have difficulties in
differential diagnosis and/or treatment, report at clinical doctors’ and/or clinicalpathological conference.
9.2.2. Criteria of the marks
Mark «5» is given if the student has profoundly evaluated in his/her work the
problem on the level of modern medical knowledge.
Mark «4» is given if the student has profoundly evaluated in his/her work the
problem, but admitted some unprecisions, or some details are not appropriate to the
modern medical knowledge.
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Mark «3» is given if the student has partially evluated in his/her work the
problem, and admitted some basic mistakes.
Mark «2» is given if the student has not evaluated in his/her work the
problem, and the provided data are not appropriate for the level of modern medical
knowledge.
The convertation of the points is done by the following way:
«5» - 12 points
«4» - 9 points
«3» - 7 points
Evaluation of individual self-performed work is done during practical classes.
The work is only considered as performed if the student has obtained positive
mark for case history.
The poinys for individual work are added to the sum of the points, which are
acquired during the classes.
9.3. FINAL MODULE CONTROL
9.3.1. General information
It is performed after completing the study of all the subjects of the module at
the last classes of the module. The students who completed all the kinds of work
required by the studying program and who obtained amount of points not less than
70 points (61 – current points + 7 - SPW), considering individual self-performed
work, are allowed to pass final control.
The forms of the performance of final module control are standartized and
include: a) the control of theoretical (test control), b) practical skills
(demonstrating the skills of the student near the child’s bed), c) solution of
structurized situational tasks.
Criteria of evaluation
a) The test control includes 40 tests (from the database of «Step-2»). The
results of the test control are considered positive, if the student answered not less
than 75% tasks correctly. Maximal amount of points is 20. Their distribution is
done by the way of multiplication of the number of correct answers more than 30
(>75%) by 2 (number of points for correct answer). Length is 40 minutes. Maximal
amount of points is 20.
b) Performance by the students of the practical skills at the bedside consists
of the following: 1) gathering the anamnesis (maximal 5 points); 2) objective
evaluation (maximal 5 points); 3) pointing out the clinical syndromes of organs
and systems (maximal 5 points); 4) making preliminary diagnosis (maximal 5
points), 5) prescription of the treatment (maximal 5 points) and 6) prescription of
anti-epidemic activities (maximal 5 points). Length is 90 minutes. Maximal
amount of credits is 30.
c) Solution of the complex structured situational task from urgent situations
at pediatric infectious diseases, which includes explanation of the presence and
severety of emergency situation (maximal 10 points); intrepretation of laboratory
and instrumental data (maximal 10 points); decision about the plan of emergency
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help (maximal 10 points). Length is 30 minutes. Maximal amount of credits is
30.
Maximal amount of points of the final module control is 80. The final
module control is considered performed if the student acquired not less than 50
points.
Inspiring points according to the decision of Scientific Council of DSMA can
be added to the number of points from the subject to the students who have
scientific publications or obtained prizes at participation in competitions
(olimpiads) on the subjects between high schools of Ukraine, etc. The objectivity
of the evaluation of study activity of the students must be checked by statistical
methods (coefficient of correlation between current points and results of final
module control).
Traditional marks and points for final module control, which are put into the
journal of student’s success:
Traditional
Points
mark
70-80
5
60-69
4
50-59
3
<50
2
9.3.3. Reevaluation of final module control
Reasons for not to reevaluate the module control:
а) the student has not obtained the minimal amount of points for intermediate
activities and is not allowed to take the final module control;
б) the student has passed the final module control but obtained less than 50
points;
в) the student has missed and not passed classes and (or) lectures;
г) the student did not come for the final module control
Reevaluation of the final module control is perfromed not more than twice.
The first reevaluation of the final module control is performed by a commettee
within 3 weeks after the planned control, but not later than the additional term. The
second (and the last) reevaluation of the final module control is performed by a
commettee after termination of the course «Pediatric infectious diseases, VI year»
according to the schedule of the studying process.
Reevaluation is performed in a compiled group on the day appointed by the
study department of DSMA.
9.4. Convertation of the amount of points of the subject into the scale
ECTS and traditional scale.
The points from the subject are independenly converted both into ECTS
scale in dean’s offices and into 4-point scale at the department.
The students who sudy the same subject, with considering all the amount of
points for the subject, are distributed for ECTS scale by the following way:
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Mark ЕСТS
Statistics
А
Best 10% students
В
Next 25% students
С
Next 30% students
D
Next 25% students
Е
Rest 10% students
Ranging of the marks «А», «В», «С», «D», «Е» is performed for the
students of the given course, who study one specialty and have successuly
completed studying the subject.
Marks «FX, F» are given to the students who have not completed at least
one module of the subject after its finishing.
Mark «FX» is given to the students who obtained the minimal amount of
points for intermediate study activities but who have not passed the final module
control. This category of the students has right to reevaluate the final module
control according to the approved schedule during vacations within two weeks
after competion of the year. The repeated reevaluation of the final module control
is allowed not more than twice.
Mark «F» is given to the students who attended all the classes of the module
but who did not obtained the minimal amount of points for current study subject
and are not allowed to pass the final module control. This category of the students
has rights to study the module the second time.
The points of the subject for the students, who have successfully completed
the program of the subject, are converted at the department into traditional 4-point
scale by absolute criteria by the following way:
Points of the subject
4-point mark
From 170 till 200 points
5
From 140 till 169 points
4
From 120 till 139 points
3
< 120 points
2
The mark of ECTS is not converted into traditional 4-point scale, as the
ECTS scale and the 4-point scale are independent.
10. LIST OF EDUCATIONAL-METHODICAL LITERATURE
Main Literature
1. Pediatric Infectious Diseases=Інфекційні хвороби у дітей: Підручник для
мед. ВНЗ ІV р.а. - 2-ге вид., випр. Рекомендовано МОЗ / За ред. С.О.
Крамарьова, А.О. Надраги. — К., 2015. — 240 с.
Additional Literature
1. Fisher, Randall G.; Boyce, Thomas G. Moffet’s Pediatric Infections
Diseases: A Problem Approach, 4th Edition. – 2005.-1054 p.
2. Krugman’s infections diseases of children 11th edition. – 2003.- 820 p.
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