1 Department of Medicine, CMH Lahore Medical College Study Guide MBBS (Medicine) Table of Contents 1. Departmental Info 2. Course Content 3. Departmental Teaching Schedule 4. Departmental Material 5. Reading Material Suggested
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Department of Medicine, CMH Lahore Medical College
Study Guide MBBS (Medicine)
Table of Contents
1. Departmental Info
2. Course Content
3. Departmental Teaching Schedule
4. Departmental Material
5. Reading Material Suggested
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1. Departmental Info
Prof. Dr. Arif Qayyum Khan, Professor & Chairman Department of Medicine
Gastroenterology and Hepatology, Brig. Salman Saleem, Assistant Professor, Brig.
Muhammad Khalid Azam, Assistant Professor, Brig. Syed Khurram Shahzad. HOD,
Cardiology, Col. Muhammad Asif Farooq, Professor, Lt. Col. M. Tahir Ibrahim, Assistant
Professor, Lt. Col. Ayaz Ahmad, Assistant Professor Cardiology, Lt. Col. Muhammad
Farooq, Assistant Professor, Lt. Col. Nauman Kashif, Assistant Professor, Lt. Col. Faisal
Mehmood, Assistant Professor, Dr. Muhammad Siddique, Professor of Medicine, Dr.
Qasim Bashir, Professor Clinical & Interventional Neurology, Dr. Javed Iqbal, Associate
Professor, Dr. Samina Fida, Associate Professor, Dr. Ashfaq Zia, Assistant Professor,
Dr. Hala Mansoor, Assistant Professor Gastroenterology, Dr. Raja Yasser Shahbaz,
Assistant Professor, Dr. Saba Saif, Assistant Professor of Rheumatology, Dr Ahmad
Usman, Assistant Professor of Cardiology.
Department of Medicine Consists of 03 Medical Units, Headed by Professor Dr. Arif
Qayyum Khan, Brig. Salman Saleem and Cardiology Unit headed by Brig. Syed
Khurram Shahzad.
Medical Students rotate in all three Medical units and Cardiology Unit, where they are
exposed to wide range of patients in the wards, OPD’s and Emergency department.
Teaching schedule includes interactive lectures and bedside clinical teaching. Emphasis
is given to integrated medical teaching. It is mandatory for the medical students to attend
the Medical Units in the evening. Intensive bedside teaching is done by the faculty
members, not below the rank of Assistant Professor. Students are exposed to
subspecialties like Gastroenterology, Hepatology, Cardiology Oncology, Pulmonology,
Neurology, Nephrology, Rheumatology, Endocrinology, Psychiatry and Dermatology
during their rotations.
Clinicopathological conferences are held on regular basis where the students prepare
CPC under the supervision of faculty members. All presentations are made by the
students.
Students are assessed on UHS and NUMS format at the end of each rotation.
Assessment includes OSPE’s, short and long cases. Midterm assessments and send up
examinations are also conducted.
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The faculty is nationally and internationally known. Faculty members regularly publish,
present and attend National and International meetings.
Awards and Honors
Prof. Arif Qayyum Khan Chairman Department of Medicine, Gastroenterology and
Hepatology was awarded Fellowship of the American Association of Study of Liver
Diseases (FAASLD) highest award among the AASLD membership at 66th Annual
Meeting of American Association for the Study of Liver Disease held in San Francisco
California USA.
Dr. Qasim Bashir, Professor, Clinical & Interventional Neurology was awarded
Fellowship of the Society of Vascular and Interventional Neurology (FSVIN).
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2. Course Content
MEDICINE
Distribution of subjects
Paper-I All except Paper-II
Paper-II will include:
1. Infectious Diseases 7.Endocrinology including Diabetes
2. Metabolic Diseases 8.Genitourinary System
3. Immunology 9. Genetics
4. Oncology 10.Water and Electrolyte Balance
5. Acid and Base Balance 11.Psychiatry
6. Dermatology
1. CARDIOLOGY The course outline is as follows: • Rheumatic fever and infective endocarditis.
• Valvular heart diseases.
• Mitral valve
• Aortic valve
• Ischaemic heart disease.
• Angina
• Myocardial infarction
• Cardiac arrhythmias
• Atrial fibrillation
• Ventricular tachycardia
• Premature atrial and ventricular beats.
• Heart failure.
• Left ventricular failure.
• Congestive cardiac failure.
• Cor pulmonale.
• Congenital heart diseases (brief).
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• Cyanotic/acyanotic heart diseases.
• Fallot’s tetralogy
• Atrial septal defect
• Ventricular septal defect
• Patent ductus arteriosus
• Cardiomyopathies
• Pericardial diseases.
• Constrictive pericarditis
• Pericardial diseases
• Pericardial effusion
• Atherosclerosis/arteriosclerosis.
• Hypertension.
• Peripheral vascular disease.
• Symptoms and signs
• Arteriosclerosis
• Acute & chronic ischaemia of the leg
• Aneurysms
• Buerger's disease
• Raynaud's disease
• variocose veins
• Venous thrombosis
• Investigations.
• Electrocardiography, Xray chest, Echocardiography, Thallium Scan, Stress
Testing, Holter And Angiography Etc.
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common cardiovascular
diseases.
• Systemic hypertension
• Ischaemic heart diseases
• Congestive cardiac failure
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• Valvular diseases and infective endocarditis
Understand the Symptomatology to reach the Differential Diagnosis:
Palpitation, breathlessness, chest pain, raised JVP, jaundice etc.
Skills To Be Learnt:
• History taking in CVS.
• GPE in CVS – clubbing, koilonychia, osler’s nodes, splinter haemorrhages,
cyanosis.
• Pulse, JVP, blood pressure.
• Inspection, palpation of precordium.
• Percussion, auscultation of precordium – mitral, tricuspid, aortic, pulmonary
areas.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in CVS diseases. Procedures (Observe/ Assist):
• ECG taking and basic reading i.e. Normal, Acute MI, Ischemia, complete heart
block, APC, VPC, SVT, VT etc.
• X-ray chest interpretation – (Cardiology).
• Should observe, learn and even may assist electroversion therapy (DC shock)
with indications, complications etc.
• Observe Echo and should recognize chambers and valves on echo print.
• Observe pericardial effusion aspiration.
• Should learn thrombolytic therapy, heparinisation/anticoagulation therapy and
control, antiplatelet therapy, nitrates infusion, digitalization, treatment of acute
pulmonary edema, o2 therapy.
• Cardiac monitoring.
• Basics of ETT.
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2. PULMONOLOGY COURSE OUTLINES:
• Asthma.
• Environmental lung diseases/occupational.
• Asbestosis
• Silicosis
• Bagassosis
• Pneumoconiosis
• Byssinosis
• Farmer’s lung
• Pneumonia
• Community acquired
• Nosocomial
• Lobar and bronchopneumonia
• Adult respiratory distress syndrome
• Acute respiratory failure
• Mechanical ventilation.
• Bronchiectasis.
• Chronic obstructive airway diseases.
• Chronic bronchitis
• Emphysema
• Interstitial lung diseases.
• Pulmonary thromboembolism
• Acute corpulmonale.
• Type-I and type-II respiratory failure
• Pleural effusion.
• Pneumothorax.
• Tuberculosis
• Tumors of the lung
• Disorders of chest wall and pleura
• Chest trauma
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• Deformities of the rib cage
• Dry pleurisy, pleural effusion, empyema, pneumothorax.
• Basics of pulmonary function tests.
• Imaging in pulmonary diseases/investigations
CLINICAL TRAINING: Important Topics To Be Discussed:
Case discussion for diagnosis and management of common pulmonary diseases.
• Bronchial asthma
• Pleural effusion
• Pneumonia
• Hemoptysis
• Pulmonary tuberculosis
• Chronic obstructive airway disease
• Type-I and type-II respiratory failure
• Bronchogenic carcinoma
Understand the Symptomatology to reach the Differential Diagnosis:
• Breathlessness
• Wheezing
• Haemoptysis
• Orthopnoea
• Paroxysmal nocturnal dyspnoea (PND)
• Pain in calf on walking
• Undue coldness, redness or blueness of extremities
• Chest pain
• Cough/expectoration/sputum
Skills To Be Learnt:
• History taking in respiratory system – dyspnoea, cough, expectoration,
haemoptysis.
• Chest pain, wheezing.
• Inspection, palpation, percussion, auscultation front of chest.
• Inspection, palpation, percussion, auscultation back of chest.
• Interpretation of related radiological and laboratory investigations.
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• Interpretation of pulmonary function tests.
• General medication and prescription writing in pulmonology
• Any deficient program.
Procedures (Observe/ Assist):
• How to start O2 therapy, indications, and complications.
• Learn pleural aspiration and assist
• Endotracheal suction, assist
• Pleural biopsy, observe
• FNA biopsy, observe
• Under water seas aspiration, observe/assist
• Management of respiratory failure
• Observe bronchoscopy
3. DERMATOLOGY
COURSE OUTLINES:
• Anatomy, physiology of skin related to clinical dermatology
• Infestations: scabies, pediculosis.
• Bacterial and mycobacterial infections
• Fungal and viral diseases.
• Acne vulgaris
• Eczemas.
• Psoriasis
• Lichen planus
• Bullous disorders.
• Pigmentary disorders
• Disorders of nails.
• Disorders of hairs.
• Sexually transmitted diseases.
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CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common dermatological
diseases.
Should recognize lesions of:
• Leprosy
• Syphilitic lesions (chancre, secondary syphilis, gumma)
• Tinea (corporis, capitis, inguinale, unguam)
• Candida (oral, skin)
• Scabies
• Lice
• Mosquito bite
• Acute & chronic eczema
• Lesions of small pox, chicken pox, herpes simplex, herpes zoster
• SLE.
• Psoriasis
• Lichen planus
• Impetigo contagiosum
• Moluscum contagiosum
• Acne vulgaris
• Seborhoea
• Exfoliative dermatitis
• Skin neoplasm like squamous cell cacinoma, basal cell carcinoma and
melanoma
• Leukoderma
• Pityriasis versicolor
• Alopecia and hirsutism
• Sexually transmitted diseases
• Furnculosis, cellulitis
• Drug eruption
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Understand the Symptomatology to reach the Differential Diagnosis:
• Alopecia
• Eruption and rashes
• Itching
• Pigmentation and depigmentation
Skills To Be Learnt:
• History taking in Dermatology
• Clinical examination of various skin lesions
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in Dermatology
Procedures (Observe/ Assist):
• Scraping for fungus
• Use of magnifying glass
• Observe skin biopsy
• Use of Wood’s lamp
4. Neurology and Central Nervous System
COURSE OUTLINES:
Infections and inflammatory lesions
Meningitis
Bacterial.
Tuberculous.
Viral etc.
Brain abscess
Encephalitis
Hydrocephalus
Epilepsy and other convulsive disorders
Cerebrovascular diseases (stroke).
Ischemic
Embolism
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Infarction
Haemorrhage
Intra-cerebral
Subarachnoid
Dementia and Alzheimer’s disease.
Parkinson’s disease and other movement disorders.
Motor neuron disease.
Multiple sclerosis.
Cranial nerve disorders.
Transient mono-ocular blindness
(amaurosis fugax).
Trigeminal neuralgia.
Facial palsy (Bell’s).
Vertigo, nystagmus
Spinal cord disorders.
Spinal cord compression
Hemiplegia, paraplegia, quadriplegia
Myelitis.
Spondylosis.
Syringomyelia and syringobulbia.
Peripheral nerve disorders.
Peripheral polyneuropathy
Gullian Barry syndrome
Mononeuritis multiplex.
Space occupying lesions of brain and spinal cord.
Muscular dystrophies
Myopathies, myasthenia gravis
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common CNS disorders:
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• Cerebrovascular accident
• Paraplegia
• Polyneuropathy
• Muscular dystrophies and Motor neuron disease
• Parkinsonism
• Meningitis
• Tetanus
• Hemiplegia
• Facial Palsy
Understand the Symptomatology to reach the Differential Diagnosis:
• Behaviour
• I.Q
• Speech disturbances
• Memory
• Confusional states
• Dementia
• Tremor
• Fasciculations
• Athetosis
• Chorea
• Gait abnormalities
• Convulsions/fits
• Coma
• Syncope/dizziness
• Vertigo
• Deafness
• Blindness
• Numbness, tingling, sensory loss
• Rigidity / paralysis.
• Movement disorders
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Skills To Be Learnt:
• History taking in CNS.
• Higher mental functions – level of consciousness, behaviour, speech, memory.
• Examination of cranial nerves.
• Examination of motor system.
• Examination of sensory system – crude touch, pain, temperature.
• Fine touch, pressure, vibration, joint position.
• Cortical sensations
• Two point localization, two point discrimination.
• Reflexes
• Examination of cerebellar system
• Examination of nystagmus
• Examination of rigidity
• Assessment of movement disorders
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in Neurology
Procedures (Observe/ Assist):
Observe and learn lumbar puncture
5. ALIMENTARY SYSTEM COURSE OUTLINES:
Oral cavity
Infections and inflammatory disorders
Benign and malignant diseases
Esophagus.
Dysphagia with special reference to
Ca oesophagus
GERD
Achalasia
Candiasis of oral cavity and oesophagus
Stomach
Gastritis.
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Peptic ulcer
Intestines
Malabsorption syndromes.
Tropical sprue
Coeliac disease
Inflammatory bowel diseases.
Ulcerative colitis
Crohn’s disease
Irritable bowel syndrome (IBS).
Liver
Ascites.
Jaundice.
Congenital hyperbilirubinaemia
Gilbert syndrome
Dubin Johnson syndrome
Rotor syndromes
Haemolytic
Obstructive
Hepatitis
Viral, acute and chronic
Toxic
Drugs
Auto immune hepatitis.
Cirrhosis of liver.
Hepatic encephalopathy.
Carcinoma liver and transplant.
Acute and chronic pancreatitis.
Upper GI bleeding, lower GI bleeding
Drugs contraindicated in liver diseases
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CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common gastrointestinal and
hepatobiliary diseases.
• Acid peptic disease
• Tender hepatomegaly
• Hepatosplenomegaly
• Jaundice
• Chronic liver disease
• Acute and chronic diarrhoea
• Variceal bleeding and peptic ulcer bleeding.
• Abdominal Koch’s infection
Understand the Symptomatology to reach the Differential Diagnosis:
• Oral ulceration
• Dysphagia
• Heart burn
• Nausea/vomiting
• Indigestion/flatulence
• Diarrhoea and constipation
• Melena, hematemesis, bleeding per rectum
• Jaundice
• Hepatomegaly
• Abdominal distension/ascites
Skills To Be Learnt:
• History taking in GIT – vomiting, diarrhoea, pain abdomen, constipation,
haematemesis, melena, dyspepsia, distension.
• Examination of GIT –
• Inspection, palpation.
• Percussion, auscultation.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in GIT diseases.
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• Any deficient programme.
Procedures (Observe/ Assist):
• Learn N/G tube passing and feeding
• Learn and observe aspiration of peritoneal fluids
• Learn and observe endoscopies, upper and lower GIT
• Preparing a patient for GI endoscopies
6. KIDNEYS AND URINARY SYSTEM COURSE OUTLINES:
Acute renal failure.
Chronic renal failure
Nephrotic syndrome.
Nephritic syndrome.
Urinary tract infections
Infections of the kidneys
Infections of the lower urinary tract
Inflammatory lesions of the kidneys
Introduction to dialysis & renal transplant
Drugs causing renal disease (brief).
Analgesic nephropathy.
Lead, uric acid, hypercalcemia, radiation & hypersensitivity
Nephropathy.
Drugs contra indicated in renal insufficiency
Drugs to be used with caution in renal disease.
Polycystic kidneys.
Renal vascular disorders
Renal artery stenosis
Renal vein thrombosis
Tumours
Hemolytic uremic syndrome.
Prostatic diseases
CLINICAL TRAINING: Important Topics To Be Discussed:
Case discussion for diagnosis and management of common Renal & Urinary
system diseases
• Nephrotic syndrome
• Nephritic syndrome
• Acute renal failure
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• Chronic renal failure
Understand the Symptomatology to reach the Differential Diagnosis:
• Lumbar /pelvic pain
• Anuria, oliguria
• Hematuria
• Dysuria, pyuria
• Urgency / frequency of micturation
• Urinary retention
• Urinary incontinence
• Nocturia
Skills To Be Learnt:
• History taking – lumbar pain, anuria, oliguria, hematuria, dysuria,
urgency/frequency of micturition, pyuria, urinary retention, nocturia, urinary
incontinence, pelvic pain.
• Examination of abdominopelvic and lumbar area
• Inspection, palpation, percussion, auscultation.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in upper & lower urinary tract
diseases.
Procedures (Observe/ Assist):
• Observe and assist insertion of Foley’s catheter/Red rubber catheter
• Learn and observe peritoneal and hemodialysis
• Indications and outcomes of renal transplant
• Observe I/V urograms
7. ENDOCRINOLOGY COURSE OUTLINES:
Anterior pituitary.
Growth hormone disorders
Acromegaly
Gigantism.
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Short stature
Infertility
Diseases of hypothalamus and posterior pituitary.
Empty sella syndrome
Diabetes insipidus
Syndrome of inappropriate ADH secretion (SIADH).
Thyroid gland.
Hyperthyroidism (thyrotoxicosis)
Hypothyroidism (myxedema, cretinism)
Inflammatory lesions
Benign and malignant tumors
Adrenal Gland.
Cushing Syndrome
Aldosteronism Primary/Secondary.
Hirsutism.
Addison’s disease
Acute Addisonian crisis
Inflammatory lesions
Adrenocortical tumors including Pheochromocytoma
Endocrine Pancreas
Diabetes mellitus and hypoglycaemic states
Other associated endocrine disorders
Testes
Sexual precocity
Heterosexual precocity
Gynaecomastia
Inflammations
Tumours
Multiple endocrine neoplasia
Type I
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Type II
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common endocrine disorders
• Diabetes mellitus
• Thyroid diseases
• Cushing’s disease
• Infertility and common reproductive disorders
Skills To Be Learnt:
• History taking and correlate with a specific diagnosis.
• Examination of thyroid gland, male and female genital organs etc.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in endocrinology
8. RHEUMATOLOGY COURSE OUTLINES:
Osteoarthritis
Osteoporosis
Rheumatoid arthiritis and related arthropathies
Paget’s disease of the bone.
Osteopetrosis (marble bone disease).
Multiple myeloma
Multi-System Immunological Diseases
Systemic lupus erythematosis (SLE)
Serum sickness
Systemic sclerosis (scleroderma).
Mixed connective tissue diseases (brief).
Sjogren’s syndrome (brief).
Ankylosing spondylitis.
Bechet’s syndrome (brief).
Vasculitis syndromes (brief).
Anaphylactoid purpura
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Polyarteritis nodosa
Hpersensitivity vasculitis
Wegner’s granulomatosis
Temporal arteritis
Takayasu’s arteritis
Thromboangitis obliterans (Burger’s disease)
Sarcoidosis (brief).
CLINICAL TRAINING: Important Topics To Be Discussed:
Case discussion for diagnosis and management of common rheumatological
diseases.
• Rheumatoid arthritis
• Osteoarthritis
• Multiple Myeloma
• SLE etc.
Understand the Symptomatology to reach the Differential Diagnosis:
• Joint pain and joint swelling
• Joint deformities
• Muscle cramps
• Muscle weakness
• Muscular wasting
• Other related systemic signs and symptoms
Skills To Be Learnt:
• History taking and correlate with a specific diagnosis.
• Examination and assessment of the pattern of involvement of bones, joints, skin
and other organs
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in rheumatology.
Procedures (Observe/ Assist):
• Observe aspiration of fluids from joints (knee)
• Observe bone marrow aspiration/terphine
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9. METABOLIC DISORDERS COURSE OUTLINES:
Hyperlipidemia
Hemochromatosis
Porphyrias
Wilson’s disease
Gout and hypercalcemia
Storage diseases.
Lipid.
Leukodystrophies
Niemann pick disease.
Gaucher’s disease.
Glycogen.
Fabry’s disease.
Hereditary connective tissue disorders
Osteogenesis imperfecta.
Ehler’s danlos syndrome.
Chondrodysplasias.
Marfan syndrome.
Alport syndrome.
Disorders of amino acid metabolism and storage
Homocystinuria.
Alkaptonuria.
Hartnup disease.
Renal glycosuria
10. INFECTIOUS DISEASES COURSE OUTLINES:
Clinical syndromes.
Sepsis and septic shock, meningococcaemia
Acute infectious diarrhoeal diseases and bacterial food poisoning.
Hospital acquired infections.
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Common disease syndromes caused by the following bacteria and their drug
therapy.
Pneumococci
Staphylococci.
Streptococci.
Hemophilis influenzae.
Shigella.
Gonococci.
Pseudomonas.
Following diseases in detail.
Tetanus.
Enteric fever/salmonellosis.
Cholera.
Tuberculosis.
Leprosy.
Amoebiasis/giardiasis/trichomoniasis.
Malaria.
AIDS.
Rabies.
Infectious mononucleosis.
Helminthic infestations
Ascariasis
Hookworm
Whipworm (trichuriasis)
Threadworm (entrobiasis)
Taenia (tapeworm)
Hydatid diseases
CLINICAL TRAINING:
Important Topics To Be Discussed:
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Case discussion for diagnosis and management of common infectious diseases
in Pakistan
• Malaria
• Typhoid fever
• Acute diarrhoeal diseases
• Acute / chronic respiratory tract infections
• Generalized septicemia etc.
Understand the Symptomatology to reach the Differential Diagnosis:
Fever
Headache, pain
Anorexia/ weight loss
Haemoptysis/ chest pain/ epigastric
Cough/expectoration/sputum
Dysuria, pyuria
Diarrhoea / vomiting
Melena, hematemesis
Jaundice/hepatomegaly
Eruption and rashes
Itching
Joint pain and joint swelling etc. Skills to Be Learnt:
• History taking and correlate with a specific diagnosis.
• Examination and assessment of the pattern of fever, involvement of organ
systems and any positive findings.
• Interpretation of related radiological and laboratory investigations
• Symptomatic treatment and prescription writing in infectious diseases.
Procedures:
Perform:
• Injection I/V, I/M, S/C, intradermal
• Oxygen therapy
• Urinary catheterisation – collection of samples
• Collection of blood samples/ blood film preparation
Observe:
• Observe I/V lines/Fluids/Blood/Blood products, direct,
branula, cutdown, CVP
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• N/G tube passing and feeding
• Foley’s catheter/Red rubber catheter
• IOP record maintenance
• Aspiration of fluids (Pleural, Pericardial, Peritoneal, Knee)
• Lumbar Puncture
• O2 therapy
• Nebulisation etc.
11. HAEMATOLOGY COURSE OUTLINES:
Anaemias.
Classification
Iron deficiency
Megaloblastic
B-12 deficiency
Folic acid deficiency
Anaemia of chronic disorder
Haemolytic anaemia
Hereditary
Acquired
Intra-corpuscular
Extra-corpuscular
Aplastic anemia
Haemoglobinopathies.
Sickle cell syndromes
Thalassaemias
Myeloproliferative diseases.
Chronic myeloid leukemia (CML)
Polycythemia vera
Myelofibrosis
Essential thrombocytosis
Leukemias.
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Acute
Chronic
Lymphomos
Non-Hodgkin’s
Hodgkin’s
Blood groups and blood transfusion.
Bone marrow transplantation.
Disorders of haemostasis.
Thrombocytopenia
Idiopathic thrombocytopenic purpura (ITP)
Von Willebrand’s disease.
Vessel wall disorders.
Disorders of coagulation.
Haemophilia
Vitamin K deficiency.
Disseminated intravascular coagulation (DIC).
Anticoagulants Therapy
Heparin
Oral (warfarin etc.)
Vit. K infusion
Antiplatelet drugs
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common haematological
disorders
• Anaemias
• Bleeding disorders
• Myeloproliferative or lymphoproliferative diseases
Understand the Symptomatology to reach the Differential Diagnosis:
• Lassitude
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• Dyspnoea
• Infections
• Edema
• Gum hypertrophy
• Bleeding tendency
• Bruising purpura
• Lymph node enlargement
• Weight loss
• Facial swelling
• Bone pain
• Jaundice
• Hepatosplenomegaly
• Hypersensitivity/ allergic reactions etc.
Skills To Be Learnt:
• History taking in general
• General physical examination, pallor, cyanosis, jaundice, clubbing, koilonychia,
lymph nodes, edema, pulse, cyanosis, fever, headache, anorexia, weight loss,
pain, facial swelling etc.
• Examination and assessment of the extent of the disease
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in Haematology.
Procedures (Observe/ Assist):
• Injection I/V, I/M, S/C, intradermal
• Collection of samples of blood/blood film preparation
• Perform I/V lines/fluids/blood/blood products, direct branula, cutdown, CVP etc.
• Observe bone marrow aspiration/ trephine
12. PSYCHIATRY
COURSE OUTLINES:
• Mood disorders.
• Major depressive episodes
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• Unipolar
• Bipolar
• Dysthymic
• Atypical
• Maniac episodes
• Anxiety disorders.
• Acute anxiety states
• Panic disorders
• Generalized anxiety disorders
• Psychic Traumatic disorders
• Obsessive-compulsive disorders
• Phobic disorders
• Schizophrenia.
• Alcoholism.
• Addiction.
• Psychosexual disorders in men and women.
CLINICAL TRAINING:
Important Topics To Be Discussed:
Case discussion for diagnosis and management of common Psychiatric
disorders like-
• Anxiety
• Depression
• Schizophrenia
• Manic depressive psychosis
• Phobias
• Eating disorders
Understand the Symptomatology to reach the Differential Diagnosis:
Skills To Be Learnt:
• History taking in psychiatry
• Clinical examination of patients
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• Counseling and psychoanalysis especially in patients with suicidal and
homicidal attitude.
• Interpretation of related radiological and laboratory investigations
• General medication and prescription writing in psychiatry
Procedures:
• Psychotherapy
• Electroconvulsive Therapy (ECT)
• Electroencephalogram (EEG)
13. MISCELLANEOUS AND EMERGENCIES
• Heat stroke
• Snake bite
• Electric shock
• Poisoning etc.
Procedures To Be Performed/Observed/Assisted:
Perform:
• Injection I/V, I/M, S/C, intradermal
• Oxygen therapy
• Urinary catheterisation – collection and samples of blood
Observe:
• Observe I/V lines/fluids/blood/blood products, direct, branula, cutdown, CVP
• N/G tube passing and feeding
• Foley’s catheter/Red rubber catheter, IOP record maintenance
• Endotracheal tube placement
• Endotracheal suction/maintenance of airway/nursing on side etc.
• Aspiration of fluids (Pleural, Pericardial, Peritoneal, Knee)
• Lumbar puncture
• O2 therapy
• Nebulisation
• ECG taking/reading
• X-ray chest reading
• Barium series
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• I/V urograms
• Bone and joint X-ray reading for medical problems (Rheumatoid arthritis,
osteoarthritis, collapse vertebra, caries spine, multiple myeloma, cervical rib etc.)
• Preparing a patient for endoscopies, upper and lower GIT
THE LOG BOOK/CLINICAL CARD RECORD
The student is expected to make a record of his/her achievements in the log
book. The log book is a collection of evidence that learning has taken place, it is
a reflective record of achievements. The log book shall also contain a record of
the procedures which student would have performed in 3rd, 4th & 5th year.
CMH LAHORE MEDICAL COLLEGE
DEPARTMENT OF MEDICINE
Lectures in Medicine for 3rd Year MBBS (2018-2019)
Timings: Wednesdays (09:40am to 10:30am) Fridays: (08:00am to 08:50am)
Lecture Hall G
Sr. No
Date Lecture Instructor
1 28-09-2018 Introduction to Clinical Medicine Prof. Arif Qayyum Khan
2 05-10-2018 Palpitation- History and Evaluation Dr. Samina Fida
3 12-10-2018 Chest Pain(IHD, Angina, ACS)- History and Evaluation Dr. Javed Iqbal
4 19-10-2018 Dyspnea (Bronchial Asthma, COPD, Oxygen therapy)-
History and Evaluation
Dr. Raja Yasser Shahbaz
5 26-10-2018 Cough (Bronchiectasis,) - History and Evaluation Dr. Muhammad Siddique
6 09-11-2018 Heart failure- History and Evaluation Dr. Saba Saif
7 16-11-2018 Edema -History and Evaluation Dr. Saba Saif
8 23-11-2018 Dysphagia- History and Evaluation Prof. Arif Qayyum Khan
9 28-11-2018 Abdominal pain- History and Evaluation Prof. Arif Qayyum Khan
10 30-11-2018 Syncope- History and Evaluation Dr. Raja Yasser Shahbaz
11 05-12-2018 Nausea and Vomiting-History and Evaluation Dr. Ashfaq Zia
12 07-12-2018 Unconsciousness- History and Evaluation Dr. Qasim Bashir
13 12-12-2018 GI Bleed Definitions: Upper GI Bleed History and Prof. Arif Qayyum Khan
31
Evaluation
13-12-2018 to 21-12-2018 1st Module Exam
22-12-2018 to 30-12-2018 Winter Vacations
14 04-01-2019 Acute Diarrhea- History and Evaluation Dr. Hala Mansoor
15 09-01-2019 Lower GI Bleeding- History and Evaluation Prof. Arif Qayyum Khan
16 11-01-2019 CNS- Common nomenclature and definitions Dr. Qasim Bashir
17 16-01-2019 Tremors-History and Evaluation Dr. Javed Iqbal
18 18-01-2019 Jaundice -History and Evaluation Prof. Arif Qayyum Khan
19 23-01-2019 Headache- History and Evaluation Dr. Qasim Bashir
20 25-01-2019 CVA approach to the patient Dr. Qasim Bashir
21 30-01-2019 Seizures- History and Evaluation Dr. Ashfaq Zia
22 01-02-2019 Paraplegia - History and Evaluation Dr. Ashfaq Zia
23 06-02-2019 Ascites- History and Evaluation Prof. Arif Qayyum Khan
24 08-02-2019 Splenomegaly- History and Evaluation Dr. Hala Mansoor
25 13-02-2019 Cranial Nerve Palsies- History and Evaluation Dr. Qasim Bashir
26 15-02-2019 UMN & LMN Lesions- History and Evaluation Dr. Hala Mansoor
27 20-02-2019 Movement Disorders-History and Evaluation Dr. Qasim Bashir
28 22-02-2019 Constipation- History and Evaluation Dr. Hala Mansoor
29 01-03-2019 Thyroid disorders (Goiter, Hyperthyroidism,
Hypothyroidism)- History and Evaluation
Dr. Saba Saif
04-03-2019 to 10-03-2019 Co-Curricular week
30 08-03-2019 Chronic Diarrhea Dr. Hala Mansoor
31 15-03-2019 Anemia- History and Evaluation Dr. Ashfaq Zia
21-03-2019 to 29-03-2019 2nd Module Exam
32 05-04-2019 Generalized lymphadenopathy- History and Evaluation Dr. Hala Mansoor
33 12-04-2019 Joint Pain (Gout, SLE, RA)- History and Evaluation Dr. Saba Saif
34 19-04-2019 Fever (Enteric Fever)-History and Evaluation Dr. Samina Fida
35 26-04-2019 Malaria/Dengue Fever- History and Evaluation Dr. Samina Fida
36 03-05-2019 Anuria/Oliguria (Renal Failure, Acid Base Disorders)-
History and Evaluation
Dr. Samina Fida
37 10-05-2019 Proteinuria- History and Evaluation Dr. Samina Fida
Clinical Medicine Written Paper
Dr. Muhammad Siddique
32
17-05-2019
3rd Year MBBS
Timing 08:00am to 10:00am
Lecture Hall G
Dr. Qasim Bashir
Dr. Javed Iqbal
Dr. Samina Fida
Dr. Ashfaq Zia
Dr. Raja Yasser Shahbaz
Dr. Hala Mansoor
Dr. Saba Saif
38 24-05-2019 Overview of diabetes mellitus- History and Evaluation Dr. Javed Iqbal
39 31-05-2019 Weight loss- History and Evaluation Dr. Raja Yasser Shahbaz
Department of Medicine,CMH Lahore Medical College
Lecture Schedule in Medicine for 3rd Year BDS 2018-2019
Tuesdays
08:50am to 09:40am
Thursdays
08:50am to 09:40am
Lecture Hall-I
Sr. # Date Topic Instructor
1 16-10-2018
Acute chest pain differential diagnosis and
management principles
Dr. Muhammad Siddique
2 18-10-2018 Ischemic Heart Disease-I Dr. Raja Yasser Shahbaz
3 23-10-2018 Ischemic Heart Disease-II Dr. Raja Yasser Shahbaz
4 25-10-2018 Hypertension Dr. Javed Iqbal
5 30-10-2018 Rheumatic fever Dr. Samina Fida
6 01-11-2018 Infective endocarditis Dr. Hala Mansoor
7 06-11-2018 Cardiac failure Dr. Muhammad Siddique
33
8 08-11-2018 Valvular heart disease Dr. Muhammad Siddique
9 13-11-2018 Enteric fever Dr. Muhammad Siddique
10 15-11-2018 Dengue fever Dr. Javed Iqbal
11 20-11-2018
Malaria Lt. Col. Muhammad
Farooq
12 22-11-2018 Enteric Fever Dr. Saba Saif
13 27-11-2018 Infective endocarditic Dr. Muhammad Siddique
14 29-11-2018 Fungal infections diagnosis and treatment Dr. Raja Yasser Shahbaz
15 04-12-2019 HIV/AIDS and other STDS Dr. Hala Mansoor
16 06-12-2018 Pneumonia Dr. Muhammad Siddique
17 11-12-2018 Bronchial asthma Dr. Muhammad Siddique
18 13-12-2018 Tuberculosis-I Dr. Javed Iqbal
19 18-12-2018 Tuberculosis-II Dr. Javed Iqbal
20 20-12-2018 COPD Dr. Muhammad Siddique
22-12-2018 to 30-12-2018 Winter Vacation
21 01-01-2019 Acute Hepatitis Prof. Arif Qayyum Khan
22 03-01-2019 Acid peptic disease Dr. Muhammad Siddique
23 08-01-2019 Meningitis and encephalitis Dr. Muhammad Siddique
24 10-01-2019 Chronic Hepatitis Prof. Arif Qayyum Khan
25 15-01-2019 Cerebrovascular accident Dr. Qasim Bashir
26 17-01-2019 Cirrhosis of Liver Dr. Muhammad Siddique
27 22-01-2019 Epilepsy Dr. Qasim Bashir
34
28 24-01-2019 Liver disease and dentistry Prof. Arif Qayyum Khan
29 29-01-2019 Ascites diagnosis and management Dr. Muhammad Siddique
30 31-01-2019 Clotting disorders (Hemophilia, Von-Willibrand) Dr. Muhammad Siddique
31 07-02-2019 Bleeding disorders (ITP,DIC) Dr. Muhammad Siddique
08-02-2019 to 15-02-2019 1st Module Exam
08-02-2019 1st Term Exam (General Medicine)
32 19-02-2019 Nephrotic syndrome Dr. Samina Fida
33 21-02-2019 Acute renal failure Dr. Samina Fida
34 26-02-2019 Chronic renal failure Dr. Samina Fida
35 28-02-2019 Hyperthyroidism Dr. Muhammad Siddique
04-03-2019 to 10-03-2019 Co-Curricular Week
08-03-2019 Sports Day
36 12-03-2019 Hypothyroidism Dr. Muhammad Siddique
37 14-03-2019 Parathyroid disorders Dr. Muhammad Siddique
38 19-03-2019 Diabetes mellitus-I Dr. Javed Iqbal
39 21-03-2019 Diabetes mellitus-II Dr. Javed Iqbal
40 26-03-2019 RA Dr. Saba Saif
41 28-03-2019 Osteoporosis Dr. Hala Mansoor
42 02-04-2019 SLE Dr. Saba Saif
35
DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
Lecture Schedule in Medicine for 4th Year MBBS 2018-19
Days/Timings Tuesdays (08:00am to 08:50am) Fridays: (08:50 to 09:40)
Location (Lecture Hall D)
Sr.# Date Topics Instructor
1 25-09-2018 Altitude illness Dr. Raja Yasser Shahbaz
2 28-09-2018 Cold and heat disorders Dr. Ashfaq Zia
3 02-10-2018 Dog bite (Rabies) / snake bite Dr. Javed Iqbal
4 05-10-2018 Electric shock and radiation reactions Dr. Samina Fida
5 09-10-2018 Poisoning/Paracetamol Poisoning Dr. Hala Mansoor
6 12-10-2018 ECG interpretation Brig. Khurram Shahzad
7 16-10-2018 IHD-I Col. Muhammad Nadir Khan
8 19-10-2018 IHD-II Col. Muhammad Nadir Khan
9 23-10-2018 Heart Failure Brig. Khurram Shahzad
10 26-10-2018 Peptic Ulcer Col. Shahzad Ashraf
11 30-10-2018 Interpretation of LFTs Prof. Arif Qayyum Khan
13 06-11-2018 Acute Hepatitis Prof. Arif Qayyum Khan
14 09-11-2018 Rheumatic fever and its complications Dr. Ashfaq Zia
15 13-11-2018 Valvular heart disease Lt. Col. Muhammad Farooq
16 16-11-2018 Infective endocarditis Dr. Javed Iqbal
17 20-11-2018 Jaundice etiology classification and workup Dr. Hala Mansoor
18 23-11-2018 Asthma Dr. Samina Fida
19 27-11-2018 Chronic Hepatitis Prof. Arif Qayyum Khan
20 30-11-2018 Liver abscess Col. Shahzad Ashraf
21 04-12-2018 COPD Brig. Salman Saleem
07-12-2018 to 14-12-2018 1st Module Exam
22 18-12-2018 Pleural effusion Dr. Raja Yasser Shahbaz
23 21-12-2018 Cirrhosis of Liver Col. Shahzad Ashraf
22-12-2018 to 30-12-2018 Winter Vacations
24 01-01-2019 Pneumonia Brig. Muhammad Khalid Azam
36
25 04-01-2019 Hypertension Dr. Saba Saif
26 08-01-2019 Tuberculosis Brig. Muhammad Khalid Azam
27 11-01-2019 Ascites workup and management Prof. Arif Qayyum Khan
28 15-01-2019 Upper GI Bleed Dr. Hala Mansoor
29 18-01-2019 Pneumothorax Dr. Samina Fida
30 22-01-2019 Malabsorption syndrome/celiac disease Col. Shahzad Ashraf
31 25-01-2019 Lung Tumors Dr. Ashfaq Zia
32 29-01-2019 Inflammatory Bowel Disease Dr. Hala Mansoor
33 01-02-2019 Typhoid Fever Dr. Raja Yasser Shahbaz
34 08-02-2019 Workup of Renal disorders Lt. Col. Nauman Kashif
35 12-02-2019 Acute postinfectious glomerulorephritis / nephritic syndrome
Dr. Samina Fida
36 15-02-2019 Dengue Fever Dr. Saba Saif
37 19-02-2019 Nephrotic Syndrome Lt. Col. Nauman Kashif
38 22-02-2019 Acute and chronic pyelonephritis –UTI Lt. Col. Nauman Kashif
39 26-02-2019 Acute confusional state/Coma Dr. Javed Iqbal
40 01-03-2019 Gastrointestinal Tuberculosis Prof. Arif Qayyum Khan
04-03-2019 to 10-03-2019 Co-Curricular Week
41 05-03-2019 Anemia classification + Megaloblastic anemia Dr. Raja Yasser Shahbaz
42 08-03-2019 Renal Cell Carcinoma Dr. Samina Fida
42 12-03-2019 Iron deficiency anemia Dr. Saba Saif
15-03-2019 to 22-03-2019 2nd Module Exam
43 26-03-2019 Acute meningitis Lt. Col. Muhammad Farooq
44 29-03-2019 Hemoglobinopathies I Thalasemia Dr. Javed Iqbal
45 02-04-2019 Hemoglobinopathies II sickle cell disease and others
Lt. Col. Tahir Ibrahim
46 05-04-2019 Hemolytic anemia (H.S + autoimmune) Dr. Javed Iqbal
47 09-04-2019 Acute Leukemia Dr. Raja Yasser Shahbaz
37
48 12-04-2019 Myeliproliferative disorders (CML, Myelofibrosis, Polycythemia)
Dr. Hala Mansoor
49 16-04-2019 Lymphoproliferative disorders (Lymphomas Hodgkins + Non Hodgkin)
Dr. Hala Mansoor
50 19-04-2019 Aplastic anemia Lt. Col. Muhammad Farooq
51 23-04-2019 Bleeding and Coagulation disorders (ITP and DIC, Hemophilia and vonwillbrand disease)
Dr. Saba Saif
52 26-04-2019 Addison Disease Dr. Raja Yasser Shahbaz
53 30-04-2019 Diabetes overview + Type I diabetes Dr. Javed Iqbal
54 03-05-2019 Headache and migraine Dr. Qasim Bashir
55 07-05-2019 Type II diabetes and complications Dr. Javed Iqbal
56 10-05-2019 CVA Dr. Qasim Bashir
57 14-05-2019 Cushing Syndrome Lt. Col. Muhammad Farooq
17-05-2019
Clinical Medicine Written Paper
4th Year MBBS
Timing 08:00am to 10:00am
Lecture Hall D
Dr. Muhammad Siddique
Dr. Qasim Bashir
Dr. Javed Iqbal
Dr. Samina Fida
Dr. Ashfaq Zia
Dr. Raja Yasser Shahbaz
Dr. Hala Mansoor
Dr. Saba Saif
58 21-05-2019 Hyperthyroidism Dr. Raja Yasser Shahbaz
59 24-05-2019 Myesthenia gravis Dr. Qasim Bashir
60 28-05-2019 Hypothyroidism Dr. Ashfaq Zia
61 31-05-2019 RA Dr. Saba Saif
62 04-06-2019 SLE Dr. Saba Saif
38
Department of Medicine, CMH Lahore Medical College
Lecture Schedule for Final Year MBBS 2018-19
Lecture Hall-F
Timings: Tuesdays: (08:50-09:40)
Thursdays: (08:00-08:50 and 08:50-09:40) Fridays: (08:00-08-
:50)
Sr.
No
Date Topic Instructor
1 11-12-2018 (08:50-09:40) Evaluation of a Jaundiced
Patient
Prof. Arif Qayyum Khan
2 13-12-2018 (08:00-08:50) Dengue Fever Dr. Raja Yasser Shahbaz
3 13-12-2018 (08:50-09:40) Acute Hepatitis-I Prof. Arif Qayyum Khan
4 14-12-2018 (08:00-08:50) Brucelosis/Infectious
Mononucleosis
Dr. Javed Iqbal
5 18-12-2018 (08:50-09:40) Acute Hepatitis-II Prof. Arif Qayyum Khan
6 20-12-2018 (08:00-08:50) Pneumonia Brig. Muhammad Khalid
Azam
7 20-12-2018 (08:50-09:40) Chronic Hepatitis-I Prof. Arif Qayyum Khan
8 21-12-2018 (08:00-08:50) Headache/Migraine Dr. Qasim Bashir
22-12-2018 to 30-12-2018 Winter Vacations
9 01-01-2019 (08:50-09:40) ECG-I Col. Muhammad Nadir Khan
10 03-01-2019 (08:00-08:50) ECG-II Col. Muhammad Nadir Khan
11 03-01-2019 (08:50-09:40) Bronchial Asthma Brig. Muhammad Khalid Azam
12 04-01-2019 (08:00-08:50) IHD-I Lt. Col. Ayaz Ahmed
13 08-01-2019 (08:50-09:40) Chronic Hepatitis-II Prof. Arif Qayyum Khan
14 10-01-2019 (08:00-08:50) COPD Dr. Javed Iqbal
15 10-01-2019 (08:50-09:40) Malaria Dr. Hala Mansoor
39
16 11-01-2019 (08:00-08:50) Epilepsy Brig. Salman Saleem
17 15-01-2019 (08:50-09:40) Enteric Fever Dr. Javed Iqbal
18 17-01-2019 (08:00-08:50) IHD-II Lt. Col. Ayaz Ahmed
19 17-01-2019 (08:50-09:40) Autoimmune Hepatitis
(AIH+PBC+PSC)
Prof. Arif Qayyum Khan
20 18-01-2019 (08:00-08:50) Parkinsonism Dr. Qasim Bashir
21 22-01-2019 (08:50-09:40) ILD/DPLD Brig. Muhammad Khalid
Azam
22 24-01-2019 (08:00-08:50) Multiple Sclerosis Dr. Qasim Bashir
23 24-01-2019 (08:50-09:40) Pleural Effusions Dr. Ashfaq Zia
24 25-01-2019 (08:00-08:50) Myocarditis and Cardiomyopathy Col. Muhammad Nadir
Khan
25 29-01-2019 (08:50-09:40) Complications of Cirrhosis
Ascites+SBP+HRS
Prof. Arif Qayyum Khan
26 31-01-2019 (08:00-08:50) Cerebellar Disease Dr. Samina Fida
27 31-01-2019 (08:50-09:40) Pericarditis Dr. Javed Iqbal
28 01-02-2019 (08:00-08:50) Heart Failure Lt. Col. Ayaz Ahmed
29 07-02-2019 (08:00-08:50) Hypertension Dr. Hala Mansoor
30 07-02-2019 (08:50-09:40) Fulminant Hepatic
Failure/Hepatic Encephalopathy
Prof. Arif Qayyum Khan
31 08-02-2019 (08:00-08:50) Motor Neuron Disease Dr. Qasim Bashir
32 12-02-2019 (08:50-09:40) Upper GI Bleed-I Prof. Arif Qayyum Khan
33 14-02-2019 (08:00-08:50) Meningitis Dr. Qasim Bashir
34 14-02-2019 (08:50-09:40) Upper GI Bleed-II Prof. Arif Qayyum Khan
35 15-02-2019 (08:00-08:50) CVA-I (Thrombotic and Embolic) Dr. Qasim Bashir
36 19-02-2019 (08:50-09:40) HCC+ Liver Transplant Prof. Arif Qayyum Khan
37 21-02-2019 (08:00-08:50) Pulmonary Hypertension Brig. Muhammad Khalid
Azam
38 21-02-2019 (08:50-09:40) CVA-II (Hemorrhagic including
SAH)
Dr. Qasim Bashir
39 22-02-2019 (08:00-08:50) Respiratory Failure/ARDS Dr. Javed Iqbal
40 26-02-2019 (08:50-09:40) Liver Disease in Pregnancy Col. Shahzad Ashraf
40
41 28-02-2019 (08:00-08:50) GB syndrome/ Bells palsy Dr. Qasim Bashir
42 28-02-2019 (08:50-09:40) Tuberculosis Dr. Javed Iqbal
43 01-03-2019 (08:00-08:50) Acute Leukemia-I Maj. Gen. Naeem Naqi
04-03-2019 to 10-03-2019 Sports Week
44 05-03-2019 (08:50-09:40) Diabetes Mellitus-I Brig. Salman Saleem
07-03-2019 Sports Day
45 12-03-2019 (08:50-09:40) Diabetes Mellitus-II Treatment non pharmacologic and pharmacologic
Brig. Salman Saleem
46 14-03-2019 (08:00-08:50) CA Lung Brig. Muhammad Khalid Azam
47 14-03-2019 (08:50-09:40) Aortic valve disease Lt. Col. Ayaz Ahmed
48 15-03-2019 (08:00-08:50) Acute Leukemia-II Maj. Gen. Naeem Naqi
49 19-03-2019 (08:50-09:40) Dysphagia & Odynophagia Prof. Arif Qayyum Khan
50 21-03-2019 (08:00-08:50) Complications of Diabetes
(microvascular ¯ovascular)
Dr. Javed Iqbal
51 21-03-2019 (08:50-09:40) Diabetes mellitus complications (Hyperglycemic Hyperosmolar
state HHS) &Diabetic
Ketoacidosis)
Dr. Javed Iqbal
52 22-03-2019 (08:00-08:50) CML Maj. Gen. Naeem Naqi
53 26-03-2019 (08:50-09:40) GERD Prof. Arif Qayyum Khan
54 28-03-2019 (08:00-08:50) Heart blocks Col. Muhammad Nadir
Khan
55 28-03-2019 (08:50-09:40) Achalasia /DES Prof. Arif Qayyum Khan
56 29-03-2019 (08:00-08:50) Hypothyriodism Dr. Javed Iqbal
57 02-04-2019 (08:50-09:40) Peptic Ulcer Prof. Arif Qayyum Khan
58 04-04-2019 (08:00-08:50) Assessment of renal disease Dr. Samina Fida
59 04-04-2019 (08:50-09:40) Lung abcess Dr. Raja Yasser Shahbaz
60 05-04-2019 (08:00-08:50) CLL Maj. Gen. Naeem Naqi
61 09-04-2019 (08:50-09:40) Osteoarthritis Dr. Saba Saif
62 11-04-2019 (08:00-08:50) Hyperthyroidism Dr. Raja Yasser Shahbaz
63 11-04-2019 (08:50-09:40) Acute Kidney injury Lt. Col. Nauman Kashif
64 12-04-2019 (08:00-08:50) Myopathies Brig. Salman Saleem
65 16-04-2019 (08:50-09:40) Chronic Kidney Disease Lt. Col. Nauman Kashif
41
66 18-04-2019 (08:00-08:50) Addison’s disease Dr. Javed Iqbal
67 18-04-2019 (08:50-09:40) Osteoporosis/Osteomalacia Dr. Saba Saif
68 19-04-2019 (08:00-08:50) Brain abscess and SOL Brig. Salman Saleem
69 23-04-2019 (08:50-09:40) DVT+ Pulmonary embolism Dr. Hala Mansoor
70 25-04-2019 (08:00-08:50) Liver Abcess Dr. Muhammad Siddique
71 25-04-2019 (08:50-09:40) CLL Lt. Col. Faisal Mehmood
72 26-04-2019 (08:00-08:50) Parathyroid Disease Dr. Ashfaq Zia
29-04-2019 to 09-05-2019 Mid-Term Exams
02-05-2019
Midterm Exam (Medicine)
Dr. Muhammad Siddique
Dr. Qasim Bashir
Dr. Javed Iqbal
Dr. Samina Fida
Dr. Ashfaq Zia
Dr. Hala Mansoor
Dr. Saba Saif
Dr. Raja Yasser Shahbaz
73 10-05-2019 (08:00-08:50) Acyanotic Congential Heart disease
Maj. Hajira Akbar (Cl. Paeds Cardiologist)
74 14-05-2019 (08:50-09:40) Cushing disease Lt. Col. Muhammad Farooq
75 16-05-2019 (08:00-08:50) Pheochromocytoma Dr. Raja Yasser Shahbaz
76 16-05-2019 (08:50-09:40) Lymphomas / Non Hodgkins Lt. Col. Faisal Mehmood
77 17-05-2019 (08:00-08:50) Atrial and Ventricular arthymias Lt. Col. Ayaz Ahmed
78 21-05-2019 (08:50-09:40) MEN Brig. Salman Saleem
79 23-05-2019 (08:00-08:50) Diseases of pituitary glands Dr. Samina Fida
80 23-05-2019 (08:50-09:40) Inflammatory Bowel Disease-I Prof. Arif Qayyum Khan
81 24-05-2019 (08:00-08:50) Heart disease in pregnancy and
surgery
Col. Muhammad Nadir
Khan
82 28-05-2019 (08:50-09:40) Inflammatory Bowel disease-II Prof. Arif Qayyum Khan
83 30-05-2019 (08:00-08:50) Metabolic syndrome including
NAFLD and Obesity
Dr. Javed Iqbal
84 30-05-2019 (08:50-09:40) SLE Dr. Saba Saif
85 31-05-2019 (08:00-08:50) Renal infections including TB Dr. Samina Fida
86 04-06-2019 (08:50-09:40) Polycythemia Dr. Raja Yasser Shahbaz
Eid Ul Fitr (Tentatively)
42
05 June 2019 to 07 June 2019
Summer Vacations
10 June 2019 to 14th July 2019
87 16-07-2019 (08:50-09:40) Acute Diarrhea Dr. Raja Yasser Shahbaz
88 18-07-2019 (08:00-08:50) Acute Pancreatitis Brig. Salman Saleem
89 18-07-2019 (08:50-09:40) Aplastic anemia Lt. Col. Muhammad Farooq
90 19-07-2019 (08:00-08:50) Renal Replacement/transplant Lt. Col Nauman Kashif
91 23-07-2019 (08:50-09:40) Chronic Pancreatitis Col. Shahzad Ashraf
92 25-07-2019 (08:00-08:50) Chronic
Diarrhea/Malabsorption/Celiac
disease
Dr. Hala Mansoor
93 25-07-2019 (08:50-09:40) RA Dr. Saba Saif
94 26-07-2019 (08:00-08:50) Myelofibrosis and MDS Dr. Ashfaq Zia
95 30-07-2019 (08:50-09:40) Lower GI Bleed Col. Shahzad Ashraf
96 01-08-2019 (08:00-08:50) Multiple Myeloma Dr. Ashfaq Zia
97 01-08-2019 (08:50-09:40) Systemic Sclerosis Dr. Saba Saif
98 02-08-2019 (08:00-08:50) Sarcoidosis Dr. Javed Iqbal
99 06-08-2019 (08:50-09:40) GOUT/Pseodogout Dr. Saba Saif
100 08-08-2019 (08:00-08:50) CA Stomach Col. Muhammad Asif
Farooq
101 08-08-2019 (08:50-09:40) Seronegative Arthritis/Ankylosing spondylitis
Dr.Saba Saif
102 09-08-2019 (08:00-08:50) Dyslipidemia Dr Samina Fida
Eid ul Azha (Tentatively)
12 August 2019 to 14th August 2019
103 15-08-2019 (08:00-08:50) CA Colon Col. Muhammad Asif Farooq
104 15-08-2019 (08:50-09:40) ITP Dr. Muhammad Siddique
105 16-08-2019 (08:00-08:50) Infective endocarditis Dr. Raja Yasser Shehbaz
106 20-08-2019 (08:50-09:40) Vasculitis-Wegeners, Churg strauss
Dr. Saba Saif
107 22-08-2019 (08:00-08:50) Wilson disease/Hemochromatosis
Dr. Muhammad Siddique
108 22-08-2019 (08:50-09:40) PMR/polymyositis Dr. Saba Saif
109 23-08-2019 (08:00-08:50) Fungal Infection Dr. Raja Yasser Shahbaz
110 27-08-2019 (08:50-09:40) CA pancreas Dr. Hala Mansoor
111 29-08-2019 (08:00-08:50) Clotting disorders(Hemophilia Dr. Javed Iqbal
43
Von Willibrand disorder)
112 29-08-2019 (08:50-09:40) Hemolytic uremic syndrome, TTP and DIC
Dr. Hala Mansoor
113 30-08-2019 (08:00-08:50) HIV Dr. Raja Yasser Shahbaz
114 03-09-2019 (08:50-09:40) Guide to Immunization in Adults Prof. Arif Qayyum Khan
115 05-09-2019 (08:00-08:50) GB syndrome/ Bells palsy Dr. Qasim Bashir
116 05-09-2019 (08:50-09:40) Acid Base-I Dr. Samina Fida
117 06-09-2019 (08:00-08:50) Acid Base-II Dr. Samina Fida
Ashoorah (Tentatively)
09-10 September, 2019
118 12-09-2019 (08:00-08:50) Nuclear Medicine -I Lt. Col. Mehdi Raza
119 12-09-2019 (08:50-09:40) Nuclear Medicine -II Lt. Col. Mehdi Raza
120 13-09-2019 (08:00-08:50) Neuropathies Dr. Qasim Bashir
121 17-09-2019 (08:50-09:40) MVD Lt. Col. Ayaz Ahmed
122 19-09-2019 (08:00-08:50) Peptic Ulcer Prof. Arif Qayyum Khan
123 19-09-2019 (08:50-09:40) Lung Abcess Dr. Raja Yasser Shahbaz
124 20-09-2019 (08:00-08:50) Bone marrow transplant Lt. Col. Faisal Mehmood
125 24-09-2019 (08:50-09:40) RTA and Tubulointerstitial
Disease
Lt. Col. Nauman Kashif
126 26-09-2019 (08:00-08:50) Infectious Esophagitis/ Pill Esophagitis Corrosive injury
Prof. Arif Qayyum Khan
44
3. Departmental Teaching Schedule
DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
CLINICAL TEACHING SCHEDULE FOR 3RD
MBBS 2018-2019 (Amended)
Timings: 10:45am to 12:30pm
Days Medical Unit I Medical Unit II Medical Unit III
Mondays
Tuesdays
Wednesdays
Thursdays
Dr. Ashfaq Zia
(Mondays, Wednesdays) Dr. Javed Iqbal
(Tuesdays, Thursdays)
Dr. Raja Yasser Shahbaz
(Mondays, Wednesdays) Lt. Col. M. Tahir Ibrahim
(Tuesdays .Thursdays)
Dr. Hala Mansoor
(Mondays, Wednesdays) Lt. Col. Nauman Kashif
(Tuesdays ,Thursdays)
First Rotation
1st week History taking+GPE (CBL)
2nd
week History taking+CVS examination (CBL)
3rd
week History taking+GIT examination (CBL)
Second Rotation
1st week History taking+Respiratory system examination (CBL)
2nd
week History taking+CNS examination (CBL)
3rd
week History taking+CNS examination (CBL)
Third Rotation
1st week Revision CVS (CBL)
2nd
week Revision Respiratory system/ GIT (CBL)
3rd
week Revision CNS (CBL)
NOTE: No Combining of Batches Please
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DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
3rd year BDS 2018-2019
Outline of Clinical Teaching in the Subject of Medicine
1st Rotation History taking and GPE
Symptomatology and history taking pertaining to CVS + respiratory
system
Clinical examination of CVS and respiratory system
2nd Rotation Symptomatology and history taking pertaining to GIT
Clinical examination of GIT
Nomenclature symptomatology and history taking pertaining to CNS
and musculoskeletal system
Clinical examination of CNS and musculoskeletal system
3rd Rotation Revision of clinical methods
Case discussion of common clinical conditions
4th Rotation Revision of clinical methods
Case discussion of common clinical conditions
DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
3rd Year BDS Institute of Dentistry 2018-19
Morning Clinical Teaching Schedule
(Mondays, Wednesdays) Timings: (12:00pm to 03:00pm)
The assigned students will be divided into two batches
Batch 1 Lt. Col. Muhammad Farooq (Mondays, Wednesdays) (12:00pm to
01:30pm)
Batch 2 Lt. Col. Muhammad Farooq (Mondays, Wednesdays) (01:30pm to
03:00pm)
46
Batch 2 Dr. Muhammad Siddique (Mondays, Wednesdays) (12:00pm to
01:30pm)
Batch 1 Dr. Muhammad Siddique (Mondays, Wednesdays) (01:30pm to
03:00pm)
DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
3rd Year BDS Institute of Dentistry 2018-19
Afternoon Clinical Teaching Schedule Timings: 03:00pm to 05:00pm
Day Teaching Schedule
Mondays
Batch I Self Learning: Practice History Taking and Clinical Skills
Batch II Self Learning: Practice History Taking and Clinical Skills
Wednesdays
Batch II Self Learning: Practice History Taking and Clinical Skills
Batch I Self Learning: Practice History Taking and Clinical Skills
Attendance is compulsory
47
DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
Outline of Clinical Teaching for 4th
Year MBBS 2018-2019 (Morning and Afternoon)
1st
Week
Monday CVS Case discussion General physical and Systemic examination (CBL)
Tuesday Neurology / Case discussion General physical and Systemic examination (CBL)
Wednesday CVS Case discussion General physical and Systemic examination (CBL)
Thursday CVS Case discussion General physical and Systemic examination (CBL)
2nd
Week
Monday GIT/Endocrine Case discussion General physical and Systemic examination (CBL)
Tuesday Neurology/ Case discussion General physical and Systemic examination (CBL)
Wednesday GIT/Endocrine Case discussion General physical and Systemic examination (CBL)
Thursday GIT/Endocrine Case discussion General physical and Systemic examination (CBL)
3rd
Week
Monday Respiratory System/Musculoskeletal system Case discussion General physical and Systemic examination (CBL)
Tuesday Neurology / Case discussion General physical and Systemic examination (CBL)
Wednesday Respiratory System/ Musculoskeletal system Case discussion General physical and Systemic examination (CBL)
Thursday Respiratory System/ Musculoskeletal system Case discussion General physical and Systemic examination (CBL)
48
CMH LAHORE MEDICAL COLELGE, DEPARTMENT OF MEDICINE
Clinical Teaching Schedule for 4Th Year MBBS 2018-2019
Timing: (11:50 am to 01:30 pm)
Morning Clinical Teaching Schedule
Days Instructor
Monday, Wednesday, Thursday,
Dr. Samina Fida
Tuesday Dr. Qasim Bashir
CMH LAHORE MEDICAL COLELGE, DEPARTMENT OF MEDICINE
Clinical Teaching Schedule for 4Th Year MBBS 2018-19
Afternoon Clinical Teaching Schedule Timing: 03:00pm to 05:00pm
Monday Dr. Raja Yasser Shahbaz
Tuesday Dr. Javed Iqbal
Wednesday Dr. Ashfaq Zia
Thursday Col. Muhammad Asif Farooq
Adherence to timings requested
49
DEPARTMENT OF MEDICINE, CMH LAHORE MEDICAL COLLEGE
CLINICAL TEACHING SCHEDULE FOR FINAL YEAR MBBS 2018-19 (MORNING)
Days Time Topics Medical-I Medical-II
Monday
11:00 to 12:30 Problem based learning
Case Discussion
Dr. Saba Saif Prof. Arif Qayyum
Khan
12:30 to 01:30 Problem based learning
Clinical methods/
Drugs/Instruments/Xray
Dr. Raja Yasser
Shahbaz
Dr. Javed Iqbal
01:30 to 02:30 Self-Learning, Preparation of the case for next day
Tuesday
11:00 to 12:30 Problem based learning
Case Discussion
Brig. Salman
Saleem
Brig. Muhammad
Khalid Azam
12:30 to 01:30 Problem based learning
Clinical methods/
Drugs/Instruments/Xray
Col. Muhammad
Asif Farooq
Dr. Hala Mansoor
01:30 to 02:30 Self-Learning, Preparation of the case for next day
Wednesday
11:00 to 12:30 Problem based learning
Case Discussion
Lt. Col. Faisal
Mehmood
Prof. Arif Qayyum
Khan
12:30 to 01:30 Problem based learning
Clinical methods/
Drugs/Instruments/Xray
Dr. Saba Saif Dr. Qasim Bashir
01:30 to 02:30 Self-Learning, Preparation of the case for next day
Thursday
11:00 to 12:30 Problem based learning
Case Discussion
Brig. Salman
Saleem
Brig. Muhammad
Khalid Azam
12:30 to 01:30 Problem based learning
Clinical methods/
Drugs/Instruments/Xray
Col. Muhammad
Asif Farooq
Dr. Qasim Bashir
01:30 to 02:30 Self-Learning, Preparation of the case for next day
Friday 10:30 to 12:30 Dr. Saba Saif Dr. Ashfaq Zia
50
DEPARTMENT OF MEDICINE
CMH LAHORE MEDICAL COLLEGE
CLINICAL TEACHING SCHEDULE FOR FINAL YEAR MBBS 2018-19 (AFTERNOON)
TIMINGS: (03:00PM TO 05:00PM)
Day Final Year
Monday Lt. Col. Amjad Hussain (Medical unit-I)
Brig. Syed Naveed Mumtaz (Medical unit-II)
Tuesday Dr. Hala Mansoor (Medical unit-I)
Dr. Raja Yasser Shahbaz (Medical unit-II)
Wednesday Dr. Saba Saif (Medical unit-I)
Dr. Javed Iqbal (Medical unit-II)
Thursday Lt. Col. Nauman Kashif (Medical unit-I)
Dr. Ashfaq Zia (Medical unit-II)
Adherence to timings requested
All teachers are requested to strictly follow the clinical teaching schedule
No combining of batches please
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4. Resources:
Library
Medical Wards
OPDs
Classroom
5. RECOMMENDED BOOKS: 1. Practice of Medicine by Davidson.
2. Clinical Medicine by Parveen J Kumar & Michaell, Clark
3. Hutchison's Clinical Methods by Michael Swash. 21st edition
4. Basic psychiatry by Myre Sim, e. B. Gordon
5. Oxford Text Book of Psychiatry
6. ABC of Dermatology. Latest Edition.
7. Smith's General Urology by Emil A. Tanagho and Jack W. McAninch 15th
edition. 2007
8. Online Journals and Reading Materials through HEC Digital Library Facility