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Surgery (MBBS): Course Outline (MBBS)

General surgery is a surgical specialty that focuses on abdominal contents including esophagus, stomach, small bowel, colon, liver, pancreas, gallbladder and bile ducts, and often the thyroid gland.

Course Outline

GENERAL SURGERY.

1- Principles of Surgery

  1. Metabolic response to Surgical Trauma and homeostasis. (C2)
  2. Pathophysiology and Management of Shock (C3)
  3. Fluid, electrolyte and acid base balance. (C3)
  4. Haemorrhage, coagulapathy and Blood/products Transfusion and itscomplications. (C3)
  5. Nutrition of surgical patients. (C2)
  6. Wounds, wound repair and its complications (C3).

2- To understand:

  1. Investigation and treatment of common Infections and Parasitic Infestations of Surgical Importance including clinical therapeutics (C3)
  2. Gas Gangrene and Tetanus (C2).
  3. Special Infections related to surgery (C3)
  4. Tuberculosis
  5. Principles in the Management of common Skin and Soft Tissue Problems: Ulcers, abscesses, inflammations, cysts, sinuses & fistulae, swellings, embedded foreign Bodies, minor Injuries and benign and malignant conditions (C3)
  6. Principles of oncologic therapy and palliation (C2)
  7. Principles of organ transplantation and its ethics and implications (C2).
  8. Surgical Audit (small group discussions)
  9. Surgical ethics

3- TRAUMA

  1. Pre-hospital care (P2)
  2. Triage (P2)
  3. Primary survey, ABC and DE (P3). Primary Survey of Polytrauma patients with airway difficulty and circulatory instability (P2)
  4. External Haemorrhage (P2)
  5. Airway management. (P3)
  6. Tension Pneumothorax. (P2)
  7. Cardiac Tamponade. (P2)
  8. Head injuries
  9. Resuscitation P2
  10. Management of the Patient with Head Injury P1
  11. Management of an Unconscious patient due to Head Injury (C3, p1) and Glasgow Coma Scale (C3)
  12. Skull fractures C3
  13. Intracranial pressure C2
  14. Intracranial hemorrhage C3
  15. Cervical spine injury C3P1
  16. Spinal cord trauma P1
  17. Blunt and Penetrating Injuries of chest and their Complications C3, including haemothorax, pneumothorax, resuscitation, chest drains C3P1
  18. Principles of management of (blunt and penetrating), liver/spleen, pelvic and urogenital trauma C3Principles of management of fractures / dislocation C3/P1
  19. Focused Abdominal Sonographic Assessment for trauma (FAST) C3
  20. Peripheral nerve Injuries C3P1
  21. Amputations C3

4- Operative procedures and basic surgical skills

1- Provide First Aid: Resuscitation (ABC) of Polytrauma, CPR.

2- Collect samples of blood, urine, stool, sputum, pus swab etc.

3- Insert Naso-gastric tube, have observed chest intubation and paracentesis.

4- Do IV cannulation, should have Observed CV-line insertion and cutdown of veins.

5- Able to Catheterize male and female patients.

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