Methodical POINTING TO WORK Of STUDENTS ON PRACTICAL EMPLOYMENT

MOdoul 2 Rich module in content 2 practical employment № 25

Theme: Tetanus. Anaerobic gas gangrene, etiology, pathogenesis, clinic, diagnostics, medical treatment, prophylaxis.

Theoretical questions for the extra auditory independent study and discussion to practical employment №25:

1. Specificity of exciters of tetanus and gas gangrene;

2. Close the origin of tetanus and anaerobic gas gangrene;

3. Determination of tetanus and gas gangrene;

4. Clinical symptoms of tetanus and gas gangrene;

5. Methods of diagnostics of tetanus and gas gangrene;

6. Conservative and operative medical treatment of tetanus and gas gangrene;

7. Sanitary-hygienic mode at the care of patients with a tetanus and gas gangrene;

8. Specific and unspecific prophylaxis of tetanus and gas gangrene.

Providing of initial level of knowledge-abilities

Literature:

The basic literature:

1. Butyrsky A. General surgery. – Simferopol. 2004.

2. Schevchenko S.I. and others. Surgery. – Kharcov. 2004

The additional literature:

1. Kushnir R. Lectures of General surgery. – 2005.

2. Lyapis M.A. Methods of examination of a surgical patients. – 2004.

3. Methodological recommendations on surgical patients care. – Vinnitsa medical national university. 2006.

Distributing of marks which can be got by a student

At mastering of theme № 25 from rich in content to the module №1 for educational activity to the student the estimation for 4th is proposed by marks (traditional) scales, which are after converted in marks as follows:

Estimation	Marks
“5”(fine)	6 marks
“4” (well)	4 marks
“3”(satisfactorily)	2 marks
“2” (unsatisfactorily)	0 marks

MOdule 2

Rich module in content 2

practichnE EMPLOYMENT № 25

Theme: Tetanus. Gas gangrene. Diphtheria of wounds. Anthrax (2 hours)

I. Actuality of theme.

A tetanus, anaerobic gas gangrene, anthrax and diphtheria, belong to the sharp infectious diseases, that are studied in the clinic of infectious diseases, but related and to surgery. The excellent features of these infections are:

• specificity of exciters;

• specificity of motion of general and local reactions;

• features of diagnostics and medical treatment;

• epidemic character of illness.

Tetanus – heavy toxic-infection disease, which can arise up after any traumas of skin and mucus shells muddy by the spores of exciter. It is simpler to warn a tetanus than to treat. In spite of the use of the most modern methods of medical treatment, lethality from him arrives at 60-80%, Majority of reconvalicention (to 84 %) remained invalids.

Local displays of skin forms of sibiries look like on the sharp festering diseases, evocation by a banal infection, and diphtheria of wounds can be considered, how unspecific festering inflammation is. The errors of diagnostics are able to drive to hospitalization the patients to the surgical separation and distribution of infection, conducting of inadequate medical treatment that threatens to the general process and death of patients.

The quantity of patients of this group in a surgical clinic is very small in spite of the fact that, value of clinic for diagnostics and medical treatment of wound complications and inflammatory processes actual.

ІІ. Base level of knowledge:

Discipline	To Know	To Be Able
Department of microbiology	Etiology of gas gangrene, tetanus, anthrax, diphtheria	To describe exciters of gas gangrene, tetanus, anthrax, diphtheria
Department of pathanatomy	Character of inflammation, features of pathanatomic picture	To diagnose on to the morphological changes
Department of pathophysiology	Pathogenesis of development of diseases	In obedience to pathogenesis to ground setting of medical treatment
Department of radio-therapy	Roentgen changes in soft tissue at a clostridia infection	To diagnose gas gangrene, tetanus on to the changes on a roentgen
Department of pharmacology	Principles of modern rational therapy of gas gangrene, tetanus, sibiries and diphtheria of wounds	To appoint necessary medications for medical treatment of gas gangrene, tetanus, sibiries and diphtheria

ІІІ. Whole employments.

1. To learn the features of motion of gas gangrene, tetanus, anthrax, diphtheria of wounds (α=III).

2. To master principles of diagnostics and differential diagnostics of gas gangrene, tetanus, anthrax, diphtheria of wounds (α=III).

3. To learn the features of operative medical treatment of gas gangrene, tetanus, anthrax and diphtheria of wounds (α=III).

4. To learn the features of conservative medical treatment of gas gangrene, tetanus, sibiries and diphtheria of wounds (α=III).

5. To master the basic methods of prophylaxis of gas gangrene, tetanus, sibiries and diphtheria of wounds (α=III).