Department of Medicine, CMH Lahore Medical College Study ... · 1 Department of Medicine, CMH Lahore Medical College Study Guide MBBS (Medicine) Table of Contents 1. Departmental

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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


• 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


• 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:


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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• Alopecia

• Eruption and rashes

• Itching

• Pigmentation and depigmentation


• History taking in Dermatology

• Clinical examination of various skin lesions


• General medication and prescription writing in Dermatology


• 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:


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


• 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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• 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


• General medication and prescription writing in Neurology


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:


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


• Oral ulceration

• Dysphagia

• Heart burn

• Nausea/vomiting

• Indigestion/flatulence

• Diarrhoea and constipation

• Melena, hematemesis, bleeding per rectum

• Jaundice

• Hepatomegaly

• Abdominal distension/ascites


• History taking in GIT – vomiting, diarrhoea, pain abdomen, constipation,

haematemesis, melena, dyspepsia, distension.

• Examination of GIT –

• Inspection, palpation.

• Percussion, auscultation.


• General medication and prescription writing in GIT diseases.

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• Any deficient programme.


• 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


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


• Lumbar /pelvic pain

• Anuria, oliguria

• Hematuria

• Dysuria, pyuria

• Urgency / frequency of micturation

• Urinary retention

• Urinary incontinence

• Nocturia


• 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.


• General medication and prescription writing in upper & lower urinary tract

diseases.


• 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:


Case discussion for diagnosis and management of common endocrine disorders

• Diabetes mellitus

• Thyroid diseases

• Cushing’s disease

• Infertility and common reproductive disorders


• History taking and correlate with a specific diagnosis.

• Examination of thyroid gland, male and female genital organs etc.


• 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).


Case discussion for diagnosis and management of common rheumatological

diseases.

• Rheumatoid arthritis

• Osteoarthritis

• Multiple Myeloma

• SLE etc.


• Joint pain and joint swelling

• Joint deformities

• Muscle cramps

• Muscle weakness

• Muscular wasting

• Other related systemic signs and symptoms



• Examination and assessment of the pattern of involvement of bones, joints, skin

and other organs


• General medication and prescription writing in rheumatology.


• 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:


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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.


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:


• Examination and assessment of the pattern of fever, involvement of organ

systems and any positive findings.


• 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:


Case discussion for diagnosis and management of common haematological

disorders

• Anaemias

• Bleeding disorders

• Myeloproliferative or lymphoproliferative diseases


• 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.


• 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


• General medication and prescription writing in Haematology.



• 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:


Case discussion for diagnosis and management of common Psychiatric

disorders like-

• Anxiety

• Depression

• Schizophrenia

• Manic depressive psychosis

• Phobias

• Eating disorders



• History taking in psychiatry

• Clinical examination of patients

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• Counseling and psychoanalysis especially in patients with suicidal and

homicidal attitude.


• 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:


• 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

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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. 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


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


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. Qasim Bashir

Dr. Javed Iqbal

Dr. Samina Fida

Dr. Ashfaq Zia


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


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)


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


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


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 &macrovascular)

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. Qasim Bashir

Dr. Javed Iqbal

Dr. Samina Fida

Dr. Ashfaq Zia

Dr. Hala Mansoor

Dr. Saba Saif


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


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


44

3. Departmental Teaching Schedule


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)


(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

45


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


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)


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


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


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


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


Case Discussion

Brig. Salman

Saleem

Brig. Muhammad

Khalid Azam


Clinical methods/


Col. Muhammad

Asif Farooq

Dr. Hala Mansoor


Wednesday


Case Discussion

Lt. Col. Faisal

Mehmood

Prof. Arif Qayyum

Khan


Clinical methods/


Dr. Saba Saif Dr. Qasim Bashir


Thursday


Case Discussion

Brig. Salman

Saleem

Brig. Muhammad

Khalid Azam


Clinical methods/


Col. Muhammad

Asif Farooq

Dr. Qasim Bashir


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

51

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

Documents

Department of Medicine, CMH Lahore Medical College Study ... · 1 Department of Medicine, CMH Lahore Medical College Study Guide MBBS (Medicine) Table of Contents 1. Departmental