MBBS Regulations

Surgery

1)      SURGERY  :

i)    Theory Syllabus

            Name of the Unit                                                      No.of  Hours

                                                                                                Theory            Clinicals

            3^rd  Semester                                                                                 -             72

            4^TH  Semester(Clinical semesters)                         16            -

            a)wounds – closed and open

            b)hemorrhage and  shock

            c)Fluid  and Electrolyte balance

            d)Blood  transfusion

            e)Pyogenic  infections – Local, diffuse and septic

            g)Common  clinical  lesions – swelling, ulcer etc.

            5^th Semester (Clinical  semester)                                            16            48

            A)wounds  and burns  : wounds, types

                General  Principles of treatment, thermal

                Injuries,  burns etc. electrical  injuries

            B)Ulceration and Gangrene : Simple non-specific

                  Ulceration , acute and chronic ulcers, skin

                  Grafting,  gangrene, threatened , dry and moist,

                  Vascular, infective,  taumatioc and toxic  gangrene

            c)Chemotherapy :  Definition, Sulphanamide ground

                penicillin, strptomycin and the newest  antibiotics,

                 principles of radiation.

             6^th  SEMESTER (Clinical  Semester)                                16            48

             A)Diseases  of the Skin: Bolis, Carbuncles,

                  Ompetige, Tuberculosis, Infections, Growth

                  And  Cysts, Sabaceous  Glands,  Nails

            b)Infections of the  Fingers and hand

     Anatomy, prophylaxis  the distal segment of the

    Fingers,  tenosynovitis,  abscess in the palm,

    Lymphangitis

a)      The  surgery of the Blood vessels : Atteries,

               Injuries, diseases, Atheroma, Arterioscleosis,Aneurysm,

              Thrombosis  and  Embolism. 

               Veins :  Injury, Phlebitis  Variose veins, growth  of the

               Blood  vessels.

A)    The  diseases of lymphatic  system : The diseases and

              Growths  of  lymphatics,  elephatiasis, infections  of the lympth

            Glands, lymphadenoma  lympho sarcomas, lymphnodes –

            Diseases and surgery, slides  of T.B. and Hodgkins.

            e)Disesase of  mouth  etc.,  - Specimens  of tumours of jaw

            and mouth .

5.         7^th senester (clinicla semester)                                32            48

a)                  Anatomy of large bowel, rectum and anal canl (Congenital aomalies) Disesases of of large bowel with emphasis on cancerncolon and volvulus of signoid-specimens of canccercolon and I leocaecal T.B.&colostomy

b)                 Anorectasl suppuration

c)                  Haemorrhoids internal and external

d)                 Ulcers and Tumours and Anal Canal

e)                  Retctum-Specimens of Cnce rectumm.       

1)                  8^th semester (Clinical Semester)

a)                  Thyroid-surgical anatomy, Physiology classification of goitres, thyrotexicosis, tumours and surgery-specimens and slides of thyrotoxicosis, carcinoma and colloid goitre

b)                 Breast-surgical anatomy, Physiology Diseases and surgey, specimens and slides of fibroadenoma and Carcinoma.

c)                  Hrnias

d)                 Penis

e)                  Anatomy of abdominal wall-ventral herina-abdominal incison and Mc. Burney’s point

f)                   Anatomy of inguinal canal and inguinal  heria – bassiniji operation.

g)                  Other types of herina

h)                  Abdominal injuries-open and closed

i)                    Ulcers and tumours of penis

7)         9^th semester (clinical Semester)                                                                    32            72

a)                  Anatomy and iseases of liver

1)                  Abcess

2)                  Tumklurs

3)                  Specimens of hydatid cyst and liver abscess.

b)                 Cholecysititis and chelelithiasis-specimens of cholecystitis and gall stones.

c)                  Surgical jaundice

d)                 Pancreatitis, pancretic calculi and tumours

e)                  Spleer

f)                   Testis

OPERATIVE SURGERY

a)                  Sepsis and Antisepsis

b)                 Sterilizatin-method

c)                  General Surgical Techniques. Antiseptic and aseptic surgery, theatre arrangements and technique, Ligature  materials, pre-operative preparation and post –operative treatment

d)                 Surgical anatomy of nect with block sdissecion of cervical nodes – Tracheostomy.

CONTENTS

3-b)                        ORTHOPAEDICS

j)                    Theory Syllabus

VI SEMESTER

CHAPTER                                                                                                                                                                            No. of hours

1.      ORTHOPAEDICS : GENERAL                                                                                       2

Histrory-Orthopaedics in  India-Emblem-Deformities-Acquredd deformities-causes –principles & managaement-clinical exsminaitn of an orthopaedic patient-investgatins, Rradiological and imaginbg Techniques – wlk cycle-abnormal gaits-splinting-traction rocedures-material-preventive orthopaedics-Geriatric orthopaedics.

2.      CONGENITAL DEFORMITIES :                                                                                                2

Etiology L:- Congential talipes – enquino varus-congenital dislocation hip-Congenitial genus recurvatum, sprengle’s –madelugn’s deformity – congenital tortiocollis – spina Bifida.

3. DEVELOPMENTAL DISORDERS OF BONES:-                                                 2

Anatomical and physiological factors-multiple exostosis, Enchondromatosis-Chondro osteognenesis imperfecga-Fihrous dyusplasias-Neurofibromatosis-congenital pseudarthosis of tibioa.

4. INFECTIONS OF BONES AND JOINTS:                                                                                 2

Ostemomyelitis-acute pyogenic ostemyelitis – chronic ostemytelitis-primary subucute osteomyelitis Brodies abscess-Garre’s osteomyelitis, Typhoid osteomyelitis- septic spondylitis – Brucellar osteomyelitis-Mycotic infecgion of nbone-syphilitic infectin of bone- parastic infectin of boen.

                        Arthritis-acute pyogenic arthritis-septic arthritis of infancy-smallpox artthritis-acute Rheumatic artthritis chronica arthritis-syphilitic infection of joints – guinea worm arthritis.

1.                  BONE AN JOINT TUBERCULOSIS :            4

Tuberuculosis of  the spine-pott’s paraplegia Tuberrculosis of the hip Joint & Knee joint- tuberculosis of other joints-sacro iliac joint-ankle-tarsal joints – shulder elbow wrist :  tuberculous osteomyelistis- dactylitis – caries Rib-BCG ostemyelitis – poncet’s tuberculous rheumatism.

6. GENERALISED DISEASES OF BONES :                                                                                                 1

Rickets-Osteoprosis – prathyroid Osteodystrophy paget’s dosease – Fluorosis.

1.                  DISEASES OF JOINTS :                                                                        1

Synovial fluid-classification-Ankylosing spondhlitis osteorthrosis knee- gout-pseudo gout-Haemophilic arthiritis-villonodlular synovitis.

2.                  AVASCULAR NECROSIS OF BONE AND EPIPHYSEAL OSTEOCHONDRITIS:

Definition-pathogenesis – cloinical features-radiological staging, Epiphyseal osteochnodritis –perthes diease-Osgoold sch latter’s disease.

3.                  TUMOURS OF BONE                                                                                    4

Osteoed osteoma-osteoma-osteochnodroma-aneurysmal bone cyst-osteosarcoma-giant cell tumour chondorblastoma –ewing’s sarcoma plasmacyotoma bonemetastasis.

10.                        NEUROLOGICAL AND MUSCULAR DISORDERS :                                               1

                        Cerebral Palsy-Types-Treatment-Anterior polimoyelitis – stages management- physiotherapy.

11. REGIONAL CONDITIONS OF NECT AND UPPER LIMB:                        2

spondylosis – cervical rib-torticollis-periathritis shulder tennis elbow-cubitus varus-ganglion-de quervin’s disease – trigger finger – carpal tunnel sysndrome-deputyren’s contracture.

12. REIONAL CONDITIONS OF THE SPINE AND LOWE LIMB:                        2

Spondylolithisis – Fibrositis back – Hip clinical examinaion-Coxa vara- Genu Valgum-Genu Varumrecurrent dislocaion of patella-lantar fascitis.

13. PHYSICAL MEDICINE AND REHABILIATION:                                                             5

Definitions-rehabilitation-Medical rehabilitation-physical medicine-massage therapy – Exercise therarapy-Hydrotherapy – Electrotherapy-shaort wave diathrmy ultrasound theapy- laser therapy l-lower limp pros thesis – Upper limb prosthesis.

TRAUMATOLOGY

IV.              SEMESTER

                        CHAPTER                                                                                                                            No. of hours

13.              INJURIES TO BONES AND JOINTS :-GENERAL

Fractures- tyopes of fractures-mechanism o fracture-bilogy of fracture healing facors wihich infoluence fracture heling – general principles of management of fractures-didagnosis- conservative mnagement functional cast racing – Open reducitn and internal fixation. Complications of Fractures.

14.              INJURIES OF OF THE SHOULDER AND ARM :                                    2

Shoulder :- fracure clavicle – injuries of the Acromioclavicular joijt –dislocaion of the shoulder joint-recurrent dislocation of shoulder.

The arm-Frcure of the proximal end of humerus-Fracture neck of humerus-Gracture of the shaft of the humerus.

16.            INJURIES OF ELBOW, FOREARMAND WRIST                                        3

Elbow-supra condylar fracute-intercondylar fracture fracture of the medial epiconnbyle-fracture of the lateral condyle of the humerus-dislcatin of the elnbow-Fractures of the hed of the radius-Fracatures of the neck of the rediuss-Fractures of the olecranon.

The foream-Fractue nboth none foream-montegsia fracture dislocation-Gaolezzi fracture disloication. The wirist – coles fracture – fracture spparatin of lower epiphysis of rdius – smiths’s fracture – Bnarton’s fracture Fractre of scaphoid bone-disliocaiton of the Lunate bone

17.            INJURIES OF THE LAND :                                                                       1

Closed injuries – Fractures of Metacarpal bones – fractures of he phalanges – Dislocaion of metacarpo phalangeal joint- bennett’s fracture dislocqtion-Open innjuries – principles of management.- Tidy wounds- Crush injuries- principles of management-Tidy wounds-Crush injuries – Tendon injuries, Flexor tendon injuries Extensor tendon injuries – mallet finger.

18. INJURIES OF THE HIP AND THING:                                                        4

The Hip-dislocatin of the hi joint:- Posterior dislocasiton-Anterior dislocatin-anatomy and vascular supply-fracture of the nect of femur-intracapsualr fracture – Trochanteric fracture of femur.

The thigh :- Fracture shaft of the femur-Proximal third                            1

Middle third-distal third – Fracture femur in children

18.              INJURIES OF THE KNEE, LEG :-                                                            1

The Knee :- Fracture Patella

The leg :- Rracture of Tibia and Fibula

20.            INJURIES OF THE ANKLE AND FOOT:-                                                          1

            The  Ankle – Fractur and frascture dislocaitn of the ankele Epipheseal inury lower end Tibia.

The foot:- ractures of the talus – Fracture of the calcaneum- mangement of praplegia-bedsore-bladder care The Cervical Spine:- Lower Cervia spine injuries upper Cervical spin injuries.

19.              injuries of the spine:                                                                                    1

Dorso lubar spne-clasification-mechanism and Types of injuries – stabkle fractreswithout paraplegia Fractredislocaion with paraplegia-managemtnt 90f the fracutre-management of the fracture –Managemnt of parplegia-bed sore bladder care The cervical spine:- Lower crervial spine injuries Upper cervical spind injuries.

22. FRACTYRES OF THE PELVIS:                                                                     1

fractes of the pelvis-mechnism – classivaiton – mangement-fracture of the acetabulm-fracture of the sacrum and coccyx.

23.POLY TRAUMA                                                                                          1

Poly trauma-incidence-primary survey-Glasgow cp,a sca;e-triage-ressuscitatin mangement.

24. COMPOUND FRACTURES:                                                                       1

 Classification – emergencyu surigical tretment – mangement of would – management of fracture-management of infected open fracture-Complicatins of  open fracture.

25.  SOFT TISUE INJURIES ENCLUDING SORTS INJURIES :                1

 Injuries to ligaments : cruciate ligament injuries – injuries to semiunar cartilage

26. NERVE INJURIES:                                                                                                     2

Pathology of nerve injury-Wallerian degenaration-Regenetrain-injuries of the peripheral nerves – classivaion – mechnism of closed nerve injuries – Diagnosis of nerve lesion- clinical examination- mangement of nerve injuries. Redial nerve injuries : median nerve injuries – Ulnar nerve injureis-brachial pleaxus injuries – sciatic nerve injuries lateral popliteal nerve innhreis.

27. AMPUTATION:                                                                                                    1

General – indicaitons – types of Amputations – selciton of levels of amputations – evels of amoputation – stump and its management – complicaions of amputation- amputation in Children – prosthetic fitting and Rrehabilitation.

28. APPENDIX:                                                                                                             1

Bone Grafting

Plastrer of paris techniques

Splints used for traction

29. Fractures in Children.                                                                                         2

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