Dr. D.Y. Patil Medical College, Hospital & Research Centre, Pimpri, Pune – 18 Department of Surgery LESSON PLAN – 6 TH SEMESTER LECTURE Monday: 9am to 10am Tuesday: 2 pm to 3 pm Sr. No Date Topic Learning Objectives Name of the Teacher 1 4/1/2016 Trauma Care a) Define Trauma b) Trauma as a disease c) Trauma Epidemiology d) Philosophy of trauma management e) ATLS f) Primary Survey g) Secondary Survey h) Definitive Care Pre hospital trauma care Dr. (Brig.) KVS Rana 2 5/1/2016 Benign Breast Diseases Anatomy of Breast Aberration of Normal Development and Involution(ANDI) o Classification o Presentation o Clinical Features o Investigations o Treatment Galactocele Phylloides Tumour Dr. Iqbal Ali 3 11/1/2016 Polytrauma a) Initial evaluation 1. Primary survey- EMS, ATLS, A,B,C,D 2. Secondary survey- a. casualty examination, b. investigation- x-rays and USG, Dr. (Brig.) KVS Rana
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Definition Metaplasia, Anaplasia, Dystrophy, Teratomas Benign tumors and their characteristics Malignant tumors and their characteristic Difference between Benign and Malignant tumors Different varieties of Benign and Malignant tumors Theories of Carcinogenesis Types of Carcinogens Spread of Malignant tumors Local or direct spread Invasion by lymphatics- embolism and permeation Spread through blood vessels Spread through serous cavities Spread along natural passage Innoculation Staging and Grading Tumor Host Interrelationship Investigations Tumor markers
Dr. Prashant
Male
5 18/1/201
6
Blood
Transfusion
a) Introduction b) Indication c) Blood transfusion notes d) Complications and management
Dr.M .Dhamangonkar
6 22/1/201
6 Shock
Definition Types of shock Hematogenous Pathophysiology, Compensatory mechanisms Adrenergic discharge, Hyperventillation, Vasoactive hormones, Renal conservation Mild, Moderate, Severe. Clinical monitoring BP, Respiration, Urine output, Swan Ganz Catheter, Pulmonary artery wedge pressure Treatment Resuscitation, Control of bleeding, ECF replacement. Drugs – Chronotropic and Ionotropic agents. Vasodilators and Vasoconstrictors. Diuretics and Beta blockers. Traumatic Pathophysiology, Clinical features and Treatment Neurogenic Pathophysiology, Clinical features and Treatment Cardiogenic Pathophysiology, Clinical features and Treatment Septic Pathophysiology, Clinical features and Treatment Warm shock, Cold shock Anaphylactic shock Crush syndrome
Dr. Prashant
Kumar
7 25/1/201
6
Resuscitatio
n
a) Introduction b) Instruments and drugs c) Indication d) Fluid therapy e) Complications
Dr.M
.Dhamangonkar
8 29/1/2016
Burns
Definition Various types of Burns Ordinary burns, Scalds, Electric burns,
Chemical burns, Radiation burns, Cold burns – Frostbite Pathology of burns Local Changes Severity of burn – Partial thickness, Full thickness. Extent of burn – Rule of nine Vascular changes Infection Systemic Changes
Dr. V. Kshirsagar
Shock – Cardiogenic, Oligaemic, Neurogenic, Bacteriaemic Bichemical Changes Changes in Blood Systemic lesions Treatment Treatment of Shock – Sedation, Fluid resuscitation, Maintenance of airway, General treatments – Escharatomy and Fasciotomy Tetanus prophylaxis Antibiotics Nutritional support Gastric decompression Treatment of GI complications Local Treatments First aid measures, Burn wound care, Skin grafting, Physical therapy and rehabilitation Complications of Thermal burn Treatment of Electric injury Treatment of Chemical burns
9 1/2/2016 Dressing Trolley
Instruments on Dressing trolley, Aseptic Precautions, Need for Dressing, Materials used for dressing,
Dr. Prashant Male
10 5/2/2016 Sterilization
Definition Disinfection Disinfectant, Antiseptic, Degerming, Sanitization Bacteriostatic agent, Germicide, Bactericide, Fungicide, Viricide, Sporicide Physical methods of Microbial control Heat Moist heat – Autoclave, Pasteurization, Dry heat Filtration, Freezing, Dessication, Plasmolysis, Radiation – Ionizing, Ultraviolet, Microwave. Chemical methods of Microbial control Phenols and phenolics Halogens – Iodine, Halogens – Chlorine, Alcohols –Ethanol, Heavy metals – Silver, Quaternary Ammonium Compounds Aldehydes- Gluteraldehyde, Formaldehyde gas Gaseous sterilizers – Ethylene oxide Peroxygens – Ozone, Hydrogen peroxide
organism,clinical features,Investigations,treatment Gas gangrene- definition, causative organism,clinical features,Investigations,treatment
Dr. Prashant
Kumar
12 12/2/2016
Nosocomial infection
Definition Etiology Causative organisms Clinical features of different nosocomial infections Treatment Prevention
Dr.Shama Shaikh
13 15/2/2016
Chronic Infection &
Tetanus
Tuberculosis-introduction, incidence, prevalence, causative organism,mode of infection, types, clinical features, investigations, treatment, medical and surgical interventions Leprosy- introduction, incidence, prevalence, causative organism,mode of infection, types, clinical features, investigations, treatment, medical and surgical interventions Syphilis- introduction,incidence,prevalence,causative organism,mode of infection,types,clinical features,investigations,treatment,medical
and surgical interventions Tetanus- introduction,incidence,prevalence,causative organism,mode of infection,types,clinical features,investigations,treatment,medical and surgical interventions,prevention
Dr. V. Kshirsagar
14 22/2/201
6
Neck
Swellings
Anatomy of Neck Types of swelling Differential Diagnosis