Of medical and pedagogical faculty worker program on the subject of «internal diseases» for VII



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5. Differential diagnosis in the practice of GPs. Presumptive diagnosis. The most dangerous disease.Diagnostic errors.Disease simulators.Mental disorders and simulation. Principles of Teaching topic - (6.0 hours)
Teach GPs on establishing a preliminary diagnosis, brief differential diagnostic schemes to highlight the problems of the most dangerous diseases, diseases of imitators, mental disorders and particularly the establishment of the proposed simulyatsii.To descry diagnosis.To teach GPs to recognize and differentiate the most dangerous problem zabolevaniy. Discuss diagnostic errors in his professional activity. To teach GPs on simulators diseases, mental disorders and simulyatsii. To put alleged scheme diagnosis . Common differential diagnostic . To list most dangerous diseases . To schedule imitator . To detect mental disorders and complaints simulation . Analyze data and medical history to determine a preliminary diagnosis in patient.Suppose and correctly choose your tactics with the most dangerous disease.Correct differential diagnosis in a primary diagnostic healthcare. To distinguish disease simulators, mental disorders and simulyatsiyu.Correctly to inspect the patient to establish a preliminary diagnosis. Correctly fill outpatient card.To get through differential diagnosis. assign the necessary examination and treatment of patients, interpret the data. Properly choose their tactics at the most dangerous diseases, diseases of simulators, detection of mental disorders and simulation.

Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11
6. Chest pain. Diseases that present with chest pain.The most dangerous diseases that occur with chest pain.Differential diagnosis of NDCs, CHD angina, pix. Tactics GPs. Indications for referral to a specialist or hospital admissions in the profile department. Principles of treatment of clinical supervision, control and rehabilitation in the SVP or SP.The definition of disability. Principles of Teaching-topic (6.0 hours)
Pain in the chest is one of the most frequent causes of treatment of patients for medical help. Although the possible causes of chest pain a lot, until the exact diagnosis, any chest pain should be seen as a general practitioner as pain suspected cardiac origin on the one hand and the need to eliminate the most dangerous diseases on the other. In this situation, the force of general practitioners (GPs) should be directed primarily at the exclusion of the most dangerous diseases, such as myocardial infarction, pulmonary embolism, spontaneous pneumothorax, dissecting aortic aneurysm, etc. After you have removed the above condition, the GP must make a differential diagnosis of chest pain. This syndrome occurs, including the neuro dystonia (NCD) and coronary heart disease (angina), which are widespread among the population. From GPs requires a deep knowledge for diagnosis, care and clarify locations of this group of patients to be treated in a hovercraft or GWP, or referral to specialized hospitals. These circumstances are the basis for the inclusion of the subject in the training of GPs.To teach on timely diagnosis and differential diagnosis, choice of optimal treatment tactics in different variants of NCD, CHD angina, as well as the principles of their conduct in terms of primary health care, provided the requirements "qualification characteristics of a general diagnostic questions. To view different clinical variants NTsD . To review questions diagnosis of various variants of the angina (stable exertional angina - 4 FC and unstable angina) .To discuss clinical laboratory and instrumental data data NDCs, different variants of angina. To conduct differential NCD diagnosis, angina pectoris. Identify the main diagnostic criteria NDCs, angina pectoris. To discuss the indications for surgical treatment IBS. To discuss questions tactics within the qualifying characteristics of GPs Discuss the principles of treatment (non-drug and drug) . To discuss principles of management, supervision and monitoring of patients in a hovercraft or SP. To discuss principles of primary, secondary and tertiary prevention with data of diseases. To demonstrate patients with NDC and angina.

Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"



Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11
7. Pain in the chest. Differential diagnosis of ischemic heart disease, myocarditis and myocardial dystrophy. Tactics GPs. Indications for referral to a specialist or hospital admissions in the profile department. Principles of treatment of clinical supervision, control and rehabilitation in the SVP or SP. Principles of prophylaxis.The definition of disability. Principles of Teaching-topic (6.0 hours)
Heart disease is one of the common causes of chest pain. Among the causes of cardiac origin CHD plays a special role, as chest pain is often the only symptom in this disease, and also has the characteristic features. However, chest pain seen with myocarditis and myocardial dystrophy. This disease is most often observed among the working population. Recent years, the number of patients with the above mentioned diseases are increasing. From GPs requires a deep knowledge of diagnosis, the provision of health care and clarify the locations of this group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These circumstances are the basis for the inclusion of the subject in the training of GPs. To teach on timely diagnosis and differential diagnosis, choice of optimal treatment tactics in different types of angina pectoris, myocarditis and myocardial dystrophy, as well as the principles of their conduct in terms of primary health care, provided the requirements of "Qualification characteristics of general practitioners' Etiology, pathogenesis and classification of angina pectoris, myocarditis.Clinical symptoms and syndromes for angina, myocarditis and myocardial dystrophy. The differential diagnosis of various types of angina pectoris, myocarditis and myocardiodystophy Pharmacodynamics of drugs used in the treatment of angina pectoris, myocarditis and myocardial dystrophy . The principles of clinical supervision and monitoring of patients with ischemic heart disease, myocarditis and myocardiodystophy To know primary, secondary and tertiary prevention with data diseases.To analyze complaints and medical history data for various types of angina pectoris, myocarditis and myocardiodystophy.Differentiate angina, myocarditis and myocardial dystrophy at the clinic and Results of laboratory - instrumental observation .Rationally use drugs,To council on non-drug therapies, as well as conducting a healthy .Tecnics ECG recording and transcript ee.Correctly prescribe treatment to patients with angina pectoris, myocarditis and myocardial dystrophy, depending on techeniya.Pravilno fill medical history patients with angina, myocarditis and myocardiodystophy . To prescribe necessary survey plan for angina, myocarditis and myocardiodystophy .To interprete results of ECG in patients with angina pectoris, myocarditis and myocardiodystophy .To prescribe treatment in patients with angina pectoris, myocarditis and myocardial dystrophy caused by various medical examinations condition.To prescribe, implement prevention angina pectoris, myocarditis and myocardial dystrophy in a hovercraft or SP.Printsipy treatment (non-drug and drug) .Principle of reference dispensary observation and monitoring of patients with ischemic heart disease, myocarditis and myocardial dystrophy in a hovercraft or SP.Printsipy primary, secondary and tertiary prevention in these diseases. demonstrate patients with angina pectoris, myocarditis or myocardial dystrophy.

Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11
8. Chest pain. Differential diagnosis of degenerative disc disease of the thoracic spine, intercostal neuralgia, chest trauma, herpes zoster. Tactics GPs. Indications for referral to a specialist or hospital admissions in the profile department. Principles of treatment of clinical supervision, control and rehabilitation in the SVP or SP. Principles of prophylaxis.The definition of disability. Principles of teaching themes (6.0 hours)
Teach GPs on timely diagnosis and differential diagnosis, choice of optimal treatment tactics in different variants of NCD, CHD angina, as well as the principles of their conduct in terms of primary health care, provided the requirements of "Qualification characteristics of a general praktiki.To descry questions diagnosis of various clinical variants of NDC . To descry questions diagnosis of various variants of the angina (stable exertional angina - 4 FC and unstable angina) .To discuss clinical laboratory and instrumental data data NDCs, different variants of angina. To conduct differential diagnostics NDCs, angina. Identify the main diagnostic criteria NDCs, angina. discuss the indications for surgical treatment IBS. To discuss questions tactics within the qualifying characteristics of GPs discuss the principles of treatment (non-drug and drug) . To discuss principles of management, supervision and monitoring of patients in a hovercraft or SP. To discuss principles of primary, secondary and tertiary prevention in these diseases .To demonstrate patients with NDC and angina. To list diseases that occur with pain in the chest .Tol list most dangerous diseases that occur with pain in the chest kletki.Ethiology, pathogenesis and classification of NDCs, ischemic heart disease.Clinical manifestations NDCs, stable and unstable stenokardii.Differential diagnosis of different types of NDCs, angina.Pharmacodynamics drugs used in the treatment of angina and NDCs. Indications for surgical treatment of stenokardiyah.Principals of dispensary observation and monitoring of patients with coronary artery disease stenokardiey.Principals ofprimary, secondary and tertiary prevention with data disease. To analyze complaints and medical history data for different types of NDCs and angina. Diagnose, differentiate NDCs, angina clinic and laboratory - instrumental studies; Technique ECG and decrypt. To select drugs with proven efficacy Advise on non-drug methods treatment. To outwit monitoring conditions SVP SP.Correctly or prescribe treatment for patients with NDC, angina depending on process.Correctly fill histories of patients with NCD, stenokardiey.To prescribe plan required inspection at NDCs, stenokardii.To interprete results of ECG in patients with NCD, stenokardiey.To prescribe treatment in patients with NCD, angina.

Assign a clinical examination, primary and secondary prevention with NCD, angina.Inspection patients with NDC, angina and PICS. Interpretation of ECG NDCs, angina and PIKS. Write drugs for the treatment of patients with NCD, angina.


Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11


9.Heartbeats. Differential diagnosis of arrhythmias: sinus tachycardia, respiratory arrhythmia, ext rasystoles. Tactics GPs. Indications for referral to a specialist or hospital admissions in the profile department. Principles of treatment of clinical supervision, control and rehabilitation in the SVP or SP. Principles of prophylaxis.The definition of disability. Principles of teaching subjects (6 hours)
Teach GPs on timely diagnosis and differential diagnosis, choice of optimal treatment tactics rhythm disturbances caused by various diseases, as well as the principles of their conduct in terms of primary health care, provided the requirements of "Qualification characteristics of a general praktiki.To descry issues of diagnosis and differential diagnosis of arrhythmias: sinus tachycardia, respiratory arrhythmia, extrasystoles. Demonstrate patients with arrhythmias: sinus tachycardia, respiratory arrhythmia, ekstrasistoliya.To discuss results of clinical, laboratory and instrumental studies of patients with arrhythmias (sinus tachycardia, respiratory arrhythmia, extrasystoles) .Perform differential diagnosis of sinus tachycardia, respiratory arrhythmia , ekstrasistolii.To teach GPs providing differentiated treatment of patients with sinus tachycardia, respiratory arrhythmia, ekstrasystoly.To discuss questions about tactics as part of the qualifying characteristics of GP.Principle treatment (non-drug and drug) .Principle of reference dispensary observation and monitoring of patients in a hovercraft or a joint venture. The principles of primary, secondary and tertiary prevention with data condition.Holding this lesson provides an opportunity to study in time and correctly diagnose differentiated according to clinical and ECG different types of cardiac arrhythmias; establish a preliminary diagnosis and determine the future tactics bolnogo.Mechanism and causes of sinus tachycardia, respiratory arrhythmia, arrhythmia. Clinical manifestations of sinus tachycardia, respiratory arrhythmia, ekstrasystoly.EKG : signs of sinus tachycardia, respiratory arrhythmia, ekstrasistolii.Differential diagnosis disorders of ritma.Antiarrhythmic drugs, their pharmacodynamics and principles dosage.Principles dispensary observation and monitoring in a hovercraft or SP.Principle of primary, secondary and tertiary prevention with data . To analys these complaints and history for the diagnosis of sinus tachycardia, respiratory arrhythmia, exstrasystole.To put diagnose and differential diagnosis of sinus tachycardia, respiratory arrhythmia, extrasystole. To interprete ECG results in patients with sinus tachycardia, respiratory rhythm, extrasystoles prescribe treatment and to conduct medical examinations patients with cardiac arrhythmias.
Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11

10.Heartbeats. Differential diagnosis of heart circulatory failure, anemia, thyrotoxicosis. Tactics GPs. Indications for referral to a specialist or hospital admissions in the profile department. Principles of treatment of clinical supervision, control and rehabilitation in the RC. Principles of prophylaxis.The definition of disability. Principles of Teaching-topic (6,0hour)
Heartbeat may cause many heart diseases, especially heart failure. This syndrome is also characterized by elevated thyroid (hyperthyroidism), and anemia In this situation, the force of general practitioners (GPs) should be directed to the diagnosis of diseases that caused the violation rate, for medical care, as well as monitoring under the RC. These circumstances are the basis for the inclusion of the subject in the training of GPs.To teach on timely diagnosis and differential diagnosis, choice of optimal treatment tactics rhythm disturbances caused by various diseases such as circulatory failure, anemia, thyrotoxicosis, as well as the principles of their conduct in outpatient departments, provided the requirements of "Qualification characteristics of general practitioners'

Consider the diagnosis and differential diagnosis of arrhythmias with circulatory failure, anemia, thyrotoxicosis. Demonstrate patients with circulatory failure, arrhythmias, anemia, thyrotoxicosis. Discuss the results of clinical and laboratory and instrumental studies of patients with rhythm disorders (circulatory failure, anemia, thyrotoxicosis) .Perform differential diagnosis of arrhythmias with circulatory failure, anemia, thyrotoxicosis. Educate GPs provide differentiated treatment of patients with circulatory failure, arrhythmias, anemia, thyrotoxicosis .Principle of reference dispensary observation and monitoring of patients with arrhythmias circulatory failure, anemia, thyrotoxicosis.v conditions RC.Principle of primary, secondary and tertiary prevention with data of diseases.Mechanism arrhythmia circulatory failure, anemia, thyrotoxicosis. Clinical manifestations of circulatory failure, anemia, thyrotoxicosis.Differential diagnosis of circulatory failure, anemia, thyrotoxicosis. Of drugs used arrhythmias circulatory failure, anemia, thyrotoxicosis. Principles of clinical supervision and monitoring of patients in a hovercraft or SP.Printsipy primary, secondary and tertiary prevention with data of diseases To differentiate arrhythmias circulatory failure, anemia, thyrotoxicosis. To choose the right medication for the treatment of patients with arrhythmias circulatory failure, anemia, thyrotoxicosis. Advise on non-drug therapies.


Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11


11.Heartbeats. Differential diagnosis of heart circulatory failure, anemia, thyrotoxicosis. Tactics GPs. Indications for referral to a specialist or hospital admissions in the profile department. Principles of treatment of clinical supervision, control and rehabilitation in the RC. Principles of prophylaxis.The definition of disability. Principles of Teaching-topic (6.0 hours)
Heartbeat may cause many heart diseases, especially heart failure. This syndrome is also characterized by elevated thyroid (hyperthyroidism), and anemia In this situation, the force of general practitioners (GPs) should be directed to the diagnosis of diseases that caused the violation rate, for medical care, as well as monitoring under the RC. These circumstances are the basis for the inclusion of the subject in the training of GPs. To teach on timely diagnosis and differential diagnosis, choice of optimal treatment tactics rhythm disturbances caused by various diseases such as circulatory failure, anemia, thyrotoxicosis, as well as the principles of their conduct in outpatient departments, provided the requirements of "Qualification characteristics of general practitioners'

Consider the diagnosis and differential diagnosis of arrhythmias with circulatory failure, anemia, thyrotoxicosis. Demonstrate patients with circulatory failure, arrhythmias, anemia, thyrotoxicosis. Discuss the results of clinical and laboratory and instrumental studies of patients with rhythm disorders (circulatory failure, anemia, thyrotoxicosis) .Perform differential diagnosis of arrhythmias with circulatory failure, anemia, thyrotoxicosis. Educate GPs provide differentiated treatment of patients with circulatory failure, arrhythmias, anemia.Principle reference dispensary observation and monitoring of patients with arrhythmias circulatory failure, anemia, throtoxicosys and conditions RC.Principle of primary, secondary and tertiary prevention with data zabolevaniyah.Mechanism of arrhythmia circulatory failure, anemia, thyrotoxicosis. Clinical manifestations of circulatory failure, anemia, thyrotoxicosis.Differential diagnosis of circulatory failure, anemia, thyrotoxicosis. Of drugs used arrhythmias circulatory failure, anemia, thyrotoxicosis. Principles of clinical supervision and monitoring of patients in a hovercraft or SP.Principle of primary, secondary and tertiary prevention with data zabolevaniyah.To differentiate arrhythmias circulatory failure, anemia, thyrotoxicosis. To choose the right medication for the treatment of patients with arrhythmias circulatory failure, anemia, thyrotoxicosis. Advise on non-drug therapies, as well as conducting a healthy way lifestyle.Technics ECG and decipher it.

Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11


12. Headache. The disease occurs parent bolyu.Gipertonicheskaya sclerotic disease and hypertension. Indications for referral to a specialist or hospital admissions profile otdelenie.Taktika GPs. Principles of clinical supervision, control and rehabilitation in the RC. Principles of prophylaxis. Principles of Teaching-topic (6.0 hours)
In case of hypertension GPs should diagnose not only the high blood pressure, but it is necessary to determine the reason for medical care. In the case of diagnosis of hypertension GPs have to solve the problem of determining the group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These and other circumstances are the basis for the inclusion of the subject in the training of GPs.To teach on timely diagnosis and differential diagnosis of symptomatic arterial hypertension, as well as the principles of management of patients in a primary health care provided by the requirements of "Qualification characteristics of a general practice.To descry differential diagnosis of symptomatic (parenchymal renal, endocrine, hemodynamic, cerebral) arterial hypertension. patients with symptomatic (parenchymal renal, endocrine, hemodynamic, cerebral) arterial gipertenziey.To discuss questions about tactics as part of the qualifying characteristics of GPs Discuss the principles of treatment (non-drug and drug) . To discuss principles of management, supervision and monitoring of patients in a hovercraft or To discuss principles of primary, secondary and tertiary prevention with dataof diseases.Mechanism of occurrence of symptomatic arterial hypertension.

Clinical manifestations of symptomatic arterial hypertension.Diagnostics of symptomatic arterial hypertension.Differential diagnosis of different variants of symptomatic arterial hypertension.Principle of dispensary observation and monitoring of patients in a hovercraft or SP.Principle of primary, secondary and tertiary prevention with data of diseases. to differentiate symptomatic arterial hypertension (renal parenchymal endocrine, hemodynamic, cerebral) . To consult on non-drug methods of treatment.To hold monitoring under the RC.Correctly to inspect the patient for diagnosis of diseases associated with AG.Pravilno fill history of the disease in patients with symptomatic arterial hypertension (renal parenchymal, endocrine, hemodynamic, cerebral) interpret the results of the ECG in patients with symptomatic hypertension.

Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11


13. Headache. Modern principles of primary and secondary prevention of hypertension in primary care.Principles of clinical supervision, control and rehabilitation in the SVP or SP. Principles of prophylaxis. Principles of Teaching-topic (6.0 hours)
In case of hypertension GPs should diagnose not only the high blood pressure, but it is necessary to determine the reason for medical care. In the case of diagnosis of hypertension GPs have to solve the problem of determining the group of patients to be treated in a hovercraft or a joint venture, or referral to specialized hospitals. These and other circumstances are the basis for the inclusion of the subject in the training of GPs.

Teach GPs on timely diagnosis and differential diagnosis of cerebral arterial hypertension, as well as the principles of management of patients in a primary health care provided by the requirements of "Qualification characteristics of general practitioners " to consider the differential diagnosis of cerebral AH. To demonstrate patients with cerebral AH.To discuss questions about tactics in within the qualifying characteristics of GPs To discuss the principles of treatment (non-drug and drug) . To discuss principles of management, supervision and monitoring of patients in a hovercraft or SP. To discuss principles of primary, secondary and tertiary prevention with data of diseases Mechanism of occurrence of cerebral hypertension. Clinical manifestations of cerebral AH.Diagnostics of symptomatic hypertension .Differential diagnosis of various options AH.Principle of symptomatic treatment (pharmacological and non-pharmacological) in these diseases. The principles of clinical supervision and monitoring of patients in a hovercraft or SP.Principle of primary, secondary and tertiary prevention with data of diseases.To differentiate cerebral hypertension (cranio brain injury, vertebral-basilar syndrome, arachnoiditis, encephalitis, brain tumors) .Select drugs with proven efficacy

Advise on non-drug methods lecheniya.To hold monitoring under the SVP or SP.Correctly to inspect the patient for diagnosis of diseases associated with AG.Correctly fill history of the disease in patients with cerebral arterial hypertension (traumatic brain injury, vertebral-basilar syndrome, arachnoiditis, encephalitis, tumors brain) . To interpret ECG results in patients with cerebral arterial hypertension (traumatic brain injury, vertebral-basilar syndrome, arachnoiditis, encephalitis, brain tumors).

Learning technologies used during the lesson: "Brainstorming", "handle in the middle of the table", "Work in small groups"

Literature: A: D 1,3,4,5: 1,2,5,6,7,10,11


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