Medicine Lecture Topics

 

 These will be conducted in Faculty of Medicine or in the Clinical Department building of the Ratnapura Teaching Hospital or electronically (e.g. Zoom). Some of the lectures will be available only as a recorded format.

 

3rd Year Lecture Topics

 

Clinical skills

1.      History taking

2.      Physical examination-General

3.      Clinical examination of cardiovascular system

4.      Clinical examination of respiratory system

5.      Clinical examination of abdomen

6.      Clinal examination of central nervous system (Cranial nerves, upper and lower limbs)

7.      Communication (Observed History taking and communication Skills)

8.      Ethical principles (Four principles of ethics: autonomy, beneficence, non-maleficence, justice)

 

Cardiovascular System

9.      Common clinical presentations

10.    Imaging and other cardiac investigations

11.   Management of severe chest pain: Acute coronary syndrome; diagnosis, risk         assessment & treatment

12.   Hypertension; diagnosis, investigation & treatment

13    Heart failure; diagnosis, investigation & treatment

13.   ECG/Cardiac arrhythmias

14.   cardiogenic shock

 

Respiratory System

15.    Analysis of respiratory symptoms and special investigations

16.   Upper and lower respiratory tract infections and Pneumonia in adults

17.   Asthma in adults: Acute severe asthma

18.   Chronic obstructive pulmonary disease

19.   Clinical application of lung function tests

 

Nephrology

20.   Common clinical presentations

21.   Acute renal failure (Acute kidney Injury)

22.   Chronic renal failure (Chronic kidney disease)

23.   Urinary tract infections

24.   Glomerular diseases 1 (AGN, CGN)

25.   Glomerular disease 2 (Nephrotic syndrome)

26.   Diabetic nephropathy

 

Gastrointestinal System

27.   Analysis of common clinical presentations (Poor appetite, nausea and vomiting, dysphagia and constipation)

28.   Ulcer and non-ulcer dyspepsia

29.   Acute and chronic diarrhea

 

Hepato-biliary

30.   Liver enzymes and liver function tests

31.   Jaundice (Evaluation of jaundiced patient)

32.   Acute hepatitis

33.   Alcoholic liver disease

34.   Chronic liver disease, cirrhosis, portal HT & encephalopathy

35.   Fatty liver disease

 

Endocrinology and metabolism

36.   Common clinical presentation (obesity, polyuria, loss of weight)

37.   Diabetes mellitus 1

38.   Diabetes mellitus 2

39.   Diabetes Emergencies: DKA, HONK, Hypoglycemia

40.   Thyroid disorders pathology, investigations and management

41.   Disorders of bone and calcium metabolism

42.   Obesity, metabolic syndrome, lipid metabolism

 

Nervous system

43.   Common clinical presentations and evaluation

44.   CNS infections /CNS Tuberculosis

45.   Cerebral vascular disorders (Stroke)

46.   Acute flaccid paralysis

47.   Spinal cord disorders

48.   Headache disorder

49.   Management of Unconscious/ confused patient

50.   Convulsions and Epilepsy

 

Hematology and Immunology

51.   Approach to a patient with anaemia

52.   Anaemia due to hematinic deficiency

53.   Hemolytic anaemia

54.   Haematological malignancy (Leukemia, Lymphoma, Myeloma)

55.   Thrombocytopenia, polycythemia and pancytopenia

 

Musculo-skeletal

56.   Evaluation of patient with arthritis

57.   Rheumatoid arthritis and osteoarthritis

58.   Systemic Lupus Erythematosus, APLS and other autoimmune disorders

 

Infections and parasitic diseases

59.   Clinical and laboratory diagnosis of infections, antibiotic resistance

60.   Leptospirosis

61.   Chicken pox

62.   Pyrexia of unknown origin

63.   Typhoid/gastroenteritis

64.   Dengue

65.   Influenza and Covid 19

66.   Sepsis and septic shock

 

Dermatology

67.   Common dermatological conditions and terminology in dermatology

 

Geriatrics

68.   Common clinical presentation and comprehensive geriatric assessment

69.   Delirium

 

Palliative care

70.   Common clinical presentations and principles

71.   Pain and symptom control

 

Toxicology and toxinology

72.   Snake bites,

73.   drug overdoses

74.   Organophosphates and other chemical and agrochemical poisoning

 

4th Year Lecture Topics

 

Cardiovascular System

75.  Common clinical presentations

76.  Cardiac arrest and CPR

77.  Acute coronary syndromes (repeat)

78.  Valvular heart disease and rheumatic fever

79.  Infective endocarditis

80.  Pericardial disease, Cardiomyopathies and cardiac tumors

81.   Pulmonary hypertensions

82.  Pulmonary embolism and Deep Vein Thrombosis

83.  Ethical issues related to resuscitation (DN-CPR, CPR)

 

Respiratory System

84.  Common clinical presentations

85.  Management of asthma (repeat)

86.  Tuberculosis

87.  Bronchiectasis

88.  Obstructive sleep apnea

89.  Chronic lung infections and suppurative lung disease

90.  Interstitial lung disease (ILD)

91.  Acute lung injury and Acute Respiratory Distress Syndrome

92.  Pleural disease, pneumothorax, pleural effusion and neoplasms

93.  Ethical issues related to ventilation (Removal of ventilatory support; when to commence ventilation in a person having respiratory failure; prioritization to provide ventilatory care)

 

Nephrology

94.  AKI and glomerular diseases: an overview (repeat)

95.  CKD an overview (repeat)

96.  Renal replacement therapy (Dialysis and transplantation)

97.  Ethical issues related to renal transplantation (Donors, Fees, Consent etc.)

 

Gastrointestinal System

98.  Upper GI bleeding and Malena

99.  Inflammatory bowel disease

100. Malabsorption, GI causes of Anaemia

101. Pancreatitis

 

Hepato-biliary

102. Chronic liver disease, cirrhosis, portal HT & encephalopathy (repeat)

103. Futility hepato-biliary pancreatic disease and palliative care

 

Endocrinology and metabolism

104. Disorders of hypothalamus and pituitary

105. Water and electrolytes disorders (potassium, sodium and calcium)

106. Adrenal disorders and Cushing’s syndrome

107. Acromegaly/PCOS

108. Radiological investigations of endocrine disorders

 

Nervous system

109. Movement disorders and Parkinson' disease

110. Muscle and neuromuscular junction disorders

111. Neuropathies (cranial/ peripheral/ autonomic/ focal)

112. Memory disorders and Dementia

113. Non-compressive myelopathies  

114. Gait disorders and Cerebellar syndrome

115. Motor neuron disease, disorders of NMJ and myopathies

116. Higher cerebral function and speech disorders   

117. Ethical issues related to brain death (Deciding when to take off a ventilator)

 

Haematology and Immunology

118. Bleeding and coagulation disorders   

119. Thrombophilic disorders and anticoagulation

120. Principles of immunology

121. Immune manipulation

 

Musculo-skeletal

122. Vasculitis

123. Seronegative arthropathies and crystal arthropathies

124. Myopathies (Inflammatory and other types)

125. Metabolic bone diseases

126. Connective tissue disorders (Marfans/EDS/ Hypermobility etc.)

 

Infections and parasitic diseases

127. HIV and AIDS

128. Common STDs

 

Dermatology

129. Urticaria, eczema and pruritus

130. TEN, Stevens Johnson syndrome

131. Populous squamous disease

132. Therapeutics in dermatology and drug reactions

133. Psoriasis

134. Infections of the skin

135. Dermatological manifestation of systemic disease

136. Leprosy

 

Geriatrics

137. Cognitive decline

138. Falls

139. Infections in the elderly

140. Frailty

141. Ethical issues (e.g. limits of care, a ‘good death’)

 

Palliative care

142. Management of terminally ill patient

143. Illness trajectories and identification of palliative patient

144. Ethical issues

 

Nutrition, growth and development module

134. Undernutrition and overnutrition in adults

135. Hospital assignment – planning diets for hospitalized patients

 

Toxicology and toxinology

145. Corrosives and gaseous poisoning (e.g. chlorine)

146. Insect bites

147. Plant poisons

148. Tobacco, alcohol and substance abuse

 

Other

149. Evidence-based medicine

150. Emerging issues of interest (e.g. COVID pandemic, climate change & health)