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General Surgery for BDS: Course Outline

General Surgery is a discipline of surgery having a central core of knowledge embracing anatomy, physiology, metabolism, immunology, nutrition, pathology, wound healing, shock and resuscitation, intensive care, and neoplasia, which are common to all surgi

Course Outline

Core Knowledge and Principles of Surgery

  • Physiological response to surgical trauma and homeostasis
  • Wound and its repair
  • Pathophysiology and management of shock including fluid and electrolyte imbalance
  • Investigation and treatment of infections and parasitic infestations of surgical importance
  • Hemorrhage blood transfusion and their implications
  • Management of acutely injured & critically ill patients including aspiration pneumonia and embolic phenomenon
  • Principles in the management of common skin and soft tissue problems: ulcers, abscesses, sinus & fistulae, swellings, embedded foreign bodies and minor injuries
  • Principles of anaesthesia
  • Nutrition of surgical patients

To deal with critical Situations

  • Cardiac arrest
  • Polytrauma with airway difficulty and circulatory instability
  • Uncontrolled external hemorrhage
  • Sudden upper repiratory tract obstruction
  • Patient in hypovolumic or septicemic shock
  • Tension pneumothorax
  • Cardiac temponade
  • Unconscious patient due to head injury
  • Patient with gas gangrene and tatenus
  • Bums

Knowledge of Systems and the Diseases

Head, Face and Neck

  • Development abnormalities of face, palate, lip
  • Principles of management of head injuries and its complications
  • Oral region including tongue
  • Diseases of salivary glands (inflammation, calculus, tumors)
  • Neck lumps including lymphatics thyroid, parathyroid

Chest Wall & Thorax

  • Blunt & penetrating injuries and their complications
  • Lung abscess and empyema thoracis​
  • Growth of cysts in the lungs

Gastro Intgestinal Tract

  • Diseases causing oesophageal obstruction
  • Peptic ulcer disease & its complications
  • Tumors of stomach
  • Conditions causing acute abdomen
  • Conditions causing chronic abdomen including malignant lesions of small and large bowel

Abdominal, Pelvic and Genital Traumas and Hernias

  • Principles in management of abdominal trauma
  • Epigastric hernia
  • Incisional hernia

Course Outline

Liver

  • Trauma
  • Obstructive jaundice
  • Liver abscess
  • Hydated cyst
  • Malignancy (hepatoma&secondaries)

Gall Bladder

  • Acute and chronic cholecystitis
  • Cholelithiasis and its complications
  • Malignancies

Pancreas

  • Acute, relapsing and chronic pancreatitis
  • Pancreatic masses including (benign, malignant) neoplasia

Skin & Soft Tissues

  • Common benign and malignant skin lesions
  • Wounds/ulcers/abscesses/sinuses/fistulae
  • Soft tissue lumps

Orthopedics and Trauma

  • Common congenital malformatios of locomotive system
  • Bone fracture & their comp-lications
  • Sports injuries and afflictions of tendons and bursae
  • Bone and joint infections
  • Arthritis
  • Bone and cartilage tumours

Vascular and Nerve Disorders

  • Vascular afflictions
  • Varicosities
  • Deep venous thrombosis
  • Peripheral nerve injuries

Essential Skill to be Acquired

  • Provide first aid: resuscitation (abc) of polytrauma, cpr
  • Collect samples of blood, Urine, Sputum, Pus swab etc
  • Understand the principles of pre-operative preparations, Sterilization/disinfecting techniques
  • Understand principles of wound care, Skin suturing and suture removal, Incision and drainage of superficial abscesses, Excision of small soft tissue lumps, Needle biopsies, Aspiration of localized fluids, etc
  • Have observed common surgical procedures, Treatment of fracture/dislocation and methods of general/local anesthesia
  • Have observed instillation of chemotherapy and principles of radiotherapy

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Text Book

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