THE TASHKENT STATE SECOND MEDICAL INSTITUTE
CHAIR OF PATHOLOGICAL ANATOMY
I "CONFIRM"
The pro-rector on study
Professor D.K.Nazhmitdinova
____________________________
«______» _______________ 2011
Theme: GASTRITISES. The STOMACH ULCER. The STOMACH CANCER
Methodical working out for the teacher prepared on ЕМС
It is considered and is recommended
ЦМК institute
«________» _____________ 2011
Протоколь № __________
Tashkent - 2011
1. Duration of employment of 135 minutes
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2. A theme: Gastritises. A stomach ulcer. A stomach cancer.
3. A theme substantiation: the Major section of work of the doctor of the general
practice is recognition of illnesses of inflammatory tumoral character; timely and
qualitative statement of the clinical diagnosis; reception by students of thorough
both strong knowledge and acquisition of practical skills on diagnostics and
treatment of illnesses of a stomach.
4. The employment purposes:
- To study a pathogenesis and morphology of illnesses of a stomach
- To study classification of gastritises
- To study classification of a cancer of a stomach
-Study aetiologic factors and the mechanism of development of a stomach
ulcer of a stomach
- To study complications, outcomes of a stomach ulcer of a stomach.
4.1. The training purpose:
- To study the various pathological processes developing in a stomach;
- To study modern kliniko-morphological classification dishormonal illnesses,
tumours of genitals and mammary glands, illnesses of pregnancy and the postnatal
period;
- To know the morphological characteristic of changes in предстательной to gland
and a uterus at dishormonal infringements;
- To know precancer processes in genitals and mammary glands;
- To know the basic morphological displays of illnesses of pregnancy;
- To study possible complications and causes of death at the given pathological
processes.
4.2. The educational purpose: Employment promotes formation of the person of
the erudite expert, education of diligence, responsibility, development of practical
skills in studying and the analysis of the new scientifically-practical information.
4.3. The developing purpose: to Stimulate at students analytical thinking, to
induce to independent work at studying of patologo-anatomic changes of genitals
of men and women and a pregnancy pathology. To use for this purpose new
technologies of training.
5. Questions for self-preparation of students at theme studying:
- What illnesses concern a stomach pathology
- An aetiology and a pathogenesis of a sharp gastritis
- Morphology of a sharp gastritis
- Classification of a chronic gastritis
- An aetiology and a pathogenesis of a chronic gastritis
- Pathologic anatomy a chronic gastritis
- An aetiology and a stomach ulcer pathogenesis
- Macro and - microscopic characteristics of a sharp ulcer
- Macro and - microscopic characteristics chronic ulcers
- Complications and stomach ulcer outcomes
- Classification of cancers of a stomach
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- Pathological anatomy of a cancer of a stomach
6.
Place of carrying out of employment:
Employment are spent on the basis of the Republican Patologo-anatomic Center РПАЦ.
The chair has educational audiences, a museum macro-and micropreparations,
microscopes of Biollamas, teleequipment, tables, there is a section hall the cut.
Bodies and fabrics аутопсийные and operatively removed are used.
7. Material equipment of employment:
- A theoretical part of employment show on tables and schemes.
- Auxiliary examples, tests for distinction are offered students.
- Micropreparations are shown by means of a microscope or telesystem and
sketched and described by students in albums.
- Macropreparations are studied in a museum and described in albums.
8. Practical skills:
8.1. The student should know morphological and clinical changes at illnesses to
digestive system.
8.2. The student should be able to identify bodies and pathological processes in
them at external survey.
- To be able cages, fabrics under a microscope to identify at a stomach ulcer
and a stomach cancer.
- To be able to compare the morphological changes proceeding in a stomach at a
stomach ulcer and a cancer with clinical symptoms.
- To be able on macro-and to microscopic signs to identify illness, its outcomes
and complications.
- To be able to differentiate the pathological processes proceeding at a stomach
ulcer and a cancer of a stomach to morphological signs.
- An order of the description of morphological changes in body on a
macropreparation:
1. To define what body or a fabric.
2. To describe the form, volume, a consistence, appearance, colour. A kind and
colour on a cut.
3. To define pathological process (illness), its type, localisation - to diagnose.
Macropreparations on a theme:
1. A sharp stomach ulcer
2. A chronic stomach ulcer
3. Stomach ulcer punching
4. Пенетрация ulcers in a pancreas
5. Chronic атрофический a gastritis
6. A stomach cancer
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- An order of the description of morphological changes in body and fabrics on
a micropreparation:
1. To name body and a fabric.
2. To define histotopograpfy changes in a fabric.
3. To define type, localisation of pathological process (in паренхиме, строме,
in derivatives).
4. To name the found pathological process (illness) the diagnosis.
Micropreparations on a theme:
1. A chronic stomach ulcer (№ 80)
2.Adenocarcinoma a stomach (№69)
- Tables: №.
9. Methods of innovative technology of carrying out of employment:
10. A technique and control types on employment:
- Oral interrogation: the method «Who more, who faster» in the employment
beginning is used. The group to share on 2 subgroups. Who is considered will give
faster and more than true answers. The method "Auction" is applied to an
estimation of knowledge of preparations - given macro-or the micropreparation is
considered who will more correctly, more full describe them orally.
- Written interrogation: Apply methods «Пчелинный a plenty», «the Cat in a
bag» is allows to estimate theoretical and practical knowledge of students.
- Test interrogation: Allows to check up initial level of knowledge. Tests of the
obuchajushche-supervising program are given.
Practical skills are checked at studying macro-and micropreparations of
pathologically changed bodies at ССД, a sketch and the description of these
preparations on algorithm п 8.
11. Timing and the employment organisation:
The carrying out Мin.
№ Employment stages
form
1 Parenthesis of the teacher. Definition of the
purpose and problems of employment, theme
5
definition
2 Check of initial level of knowledge by means
of
new
pedagogical
technologies, Oraly
контрольно training tests. Finding-out of not
40
clear aspects of a theme, work check on
preparation.
5
3 Estimation the teacher initial кровня The conclusion of the
knowledge.
teacher.
by
students
macro-and
4 Studying
micropreparations a demonstration material Explanation of the
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in a museum, display of micropreparations (a teacher.
5
5
6
7
microscope or telesystem) drawings, tables.
The description of macropreparations, sketch Independent work of
of micropreparations in an album.
students
Estimation of mastering of a material, the Oral
or
written
control of total level of knowledge and errors answers to tasks,
of students.
tests,
situational
problems.
An
estimation of level of
knowledge and errors
of students.
Estimation of level of knowledge given on Announcements
of
the given theme of each student on 10 ball estimations, the task
scale, the announcement of a theme of for
following
following employment and questions to it.
employment
and
questions
for
preparation for it.
40
15
5
12. The literature:
1. Abdullahodzhaeva M. S of "the Basis of a pathology of the person» Tashkent,
1997.
2. Abdullah°zhaeva M. S «to Odes патологияси асослари»
Тошкент, 1999.
3. Serov V.V., Yarygin Н. Е, B.S.Atlas's spiders of pathological anatomy.,
Moscow, 1986
4. Strukov A. I, Serov V.V. Pathological anatomy. Moscow, 1993
5.
Патологик
анатомияни
мустаkил
°рганиш
учун
techniques ±°лланма. Тошкент, 1990 й.
6. The training program on pathological anatomy. Tashkent, 1993
The methodical recommendation
It is made by the assistant
E.V.Tashchinsky also is discussed
At cathedral conference.
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The manager. Chair of path.anatomy, the prof. ___________ I. R.Isroilov.