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11

Ministry of health of ukraine

Vinnitsa national medical university of n.I.Pirogova

"IS CONFIRMED"

At methodical meeting of chair

Internal medicine №1

Head of the department

____________ prof. Stanislavchuk M. A.

«______» _______________ 200 ___

Methodical recommendations

For students

Subject matter

Foundation of Internal medicine

Module

1

Substantial module

2

Subject of the lesson

PNEUMONIA

Course

4

Faculty

Medical № 1

Vinnytsya 2012

1. The subject of the lesson: PNEUMONIA

Study-hours: 6

The aim: The students must be able to diagnose PNEUMONIA, determine the severity, and prescribe the proper treatment.

Topicality: In the United States, about 2 million people develop pneumonia each year, and 40,000 to 70,000 of them die. Often, pneumonia is the final illness in people who have other serious, chronic diseases. It is the sixth most common cause of death overall, and the most common fatal infection acquired in hospitals. In developing countries, pneumonia is either the leading cause of death or second only to dehydration from severe diarrhea.

Educational goal:

1. Determine main aetiological factors of PNEUMONIA.

2. Learn the modern classification of PNEUMONIA.

3. Define the clinical symptoms of PNEUMONIA.

4. Make the plan of additional investigation of the patient and analyze their results.

5. Make the clinical diagnosis of the patient with PNEUMONIA.

6. Prescribe the proper treatment.

The student must know:

1. Aetiology and pathogenesis of PNEUMONIA.

2. Clinical symptoms of PNEUMONIA.

3. Modern classification of PNEUMONIA.

4. Methods of diagnostics of PNEUMONIA.

5. Methods of treatment of PNEUMONIA.

The student must be able:

1. To choose the symptoms of PNEUMONIA from the history data.

2. In examination of the patient to choose the symptoms of PNEUMONIA.

3. To make the scheme of investigation.

4. To define the type and the severity of the PNEUMONIA.

5. To determinate the treatment depending on the type and degree of PNEUMONIA.

6. To prescribe the proper treatment for the patient with PNEUMONIA.

2. Basic level of training

№п/п

The names of previous courses

The obtained skills

1.

Normal anatomy

To know the anatomical structure of the organs of respiratory system, their topography, blood supply and innervation.

2.

Histology

Aware of the cellular structure of the organs of respiratory system.

3.

Biochemistry

To have an understanding of the mechanisms of gas exchange through the alveolar-capillary membrane, the biochemical structure of the surfactant and the importance of its structure for performing the functions; the biochemical composition of bronchial mucus.

4.

Normal physiology

To know the basic functions of respiratory tract; have an idea about the process of gas exchange, take part in the elimination of metabolic products, in thermoregulation, in maintaining acid-base balance; know neuro-hormonal mechanisms of regulation of respiration. Understand the importance of protective elements of respiratory system - mucocilliar clearance, surfactant, immune mechanisms (alveolar macrophages, neutrophils, lymphocytes, immunoglobulins, complement system, lysozyme, lactoferrin).

5.

Physiopathology

To know ways of getting pathogen in the lung parenchyma and the mechanisms of damaging of lung, depending on the type of pathogen. To know stages of development of inflammation in the lungs and types of resolution.

6.

Pharmacology

To know the mechanism of action, indications and contraindications of medicines, which is used in treating of pneumonia and be able to write them in the form of recipes.

8.

Propaedeutic therapy

Demonstrate skills in examination of patients with pneumonia (collecting complaints, history of disease and life, doing an objective examination, analyzing the results diagnostic testing (chest X-ray, functional tests, CBC, general analysis of sputum).

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