Curriculum | Bachelor of Physiotherapy | Paper Code – 03050302 | GENERAL SURGERY

 Bachelor of Physiotherapy- III year

Paper Code – 03050302

GENERAL SURGERY  

TOTAL TEACHING HOURS:200

THEORY-12O hrs 

Practical : 80 hrs

THEORY: 80 mARKS

PRACTICAL:80 MARKS

TIME: 3 HOURS

Note: For Paper setters /Examiners

  • Paper setter is required to set eight questions from the entire syllabus out of which 5 questions is to be attempted, each carrying 16 marks.

 

Course Objective: -The objective of this course is that after 200 hours of lectures, demonstrations, in addition to clinics the student will be able to demonstrate a general understanding of the surgical procedures that therapists would encounter in their practice. They should have a brief idea of the surgical procedures, what the patient’s symptoms and the resultant functional disability. This would help the candidates to understand the limitation imposed by the diseases on any therapy that may be prescribed.

 

S No Topic Learning objectives(At the end of the session the student should be able to) Teaching guidelines Methodology Time
1 General principles of surgeries

 

Describe the principle and procedures of surgeries To cover

General principles of surgeries

Describe different events accompanying in general anesthesia, principles of procedures, blood transfusion, body response to surgeries, anesthesia and blood trans fusion, Different types of anesthesia, complication and their management

Lecture discussion,

 

Visit to IPD and OPD for case discussion

 

 

10 hrs
2 Resuscitation & support

 

Describe the  Resuscitation & support

 

To cover

a.       Shock: types, clinical features, pathogenesis & treatment.

b.      Hemorrhage: types, clinical features & management.

c.       Fluid & electrolyte balances.

d.      Blood transfusion: Indications & management

Lecture discussion

 

 

Visit to IPD and OPD for case discussion

10 hrs
3 Wounds & ulcer

 

Describe the

Wounds & ulcer

 

To cover

a.       Healing by 1st& 2ndintention.

b.      Factors influencing would healing.

c.       Pathogenesis of healing.

e.       Scars:

i)          Hypertrophic scar.

ii)        Keloid.

Lecture

discussion

Visit to IPD and OPD for case discussion

10 hrs
4 Venous Disorders Describe the Venous Disorders

 

To cover

a.       Varicose veins.

b.      Deep vein thrombosis.

 

Visit to IPD and OPD for case discussion 8 hrs
5 Lymphatics  & Lymph Nodes

 

Describe the Lymphatics  & Lymph Nodes

 

To cover

a.       Lymphomas.

b.      Filariasis.

c.       Lymphangitis

d.      Lymphoedema . . e.cystichygroma

Lecture

discussion

Visit to IPD and OPD for case discussion

6 hrs
6 ARTERIAL DISORDERS

 

Describe the ARTERIAL DISORDERS

 

To cover

a.       Acute & Chronic arterial obstruction with investigations & management – embolism and thrombi.

b.      Amputations: types, Indications and decision Making, surgical procedures, Complications and their management.

c.       Gangrene – types, etiology, pathogenesis and management

Lecture

discussion

Visit to IPD and OPD for case discussion

10 hrs
7 CARDIO-THORACIC SURGERY

 

Describe the

Type of incision, General principles of surgery, Outline indications, Contra­indication, site of incision, p pre and post operative Assessment, management and complications of Cardiothoracic Surgery and their management

 

To cover

1.      CARDIAC SURGERY

 

a.       Valvotomy and Valve Replacement.

b.      Open Heart Surgery/Cardiac By pass Surgery.

c.       Surgery on Pericardium.

d.      Operations in congenital disorders.

e.       Heart transplantation. f. Pacemaker.

f.        Coronary Angioplasty.

Vascular Surgery (Outline surgery of Artery and veins).

2.      Thoracic Surgeries

·         Lobectomy

·         Pneumonectomy

·         Segmentectomy

·         Pleura pneumonectomy

·         Thoracoplasty

·         Decortication

a.       Tracheostomy Clinical features and management of the following: Fracture of ribs, Flail chest, stove-in chest, Pneumothorax, Lung Contusion and Laceration and injury to Vessels, Haemothorax, and Pulmonary embolism

b.      Clinical features and management of following-Fracture ribs,flailchest,pneumothorax,lungcontusion,laceration and injury to vessels,hemothorax and pulmonary embolism

c.       Describe in detail the following procedures: Endotracheal tubing, Tracheal suction, weaning the patient from ventilator, Extubation and Post-extubation care.

Describe the principles of Cardio-pulmonary Resuscitation, Cardiac massage, Artificial Respiration, Defibrillators and their uses.

 

Lecture

discussion

 

Visit to IPD and OPD for case discussion

10 hrs
9 ABDOMINAL SURGERY

 

 

Describe the Abdominal surgery

 

To cover

Abdominal surgical incisions and their  uses.

Indications, incisions, drainage and complications and their management of various surgeries(LAPROSCOIPC AND OPEN SURGERIES)

Lecture

Discussion

 

Visit to IPD and OPD for case discussion

8 hrs
10 NEURO SURGERY

 

Describe the NEURO SURGERY

 

To cover

A.    indications, incisions, drainage & complications and their Management about various surgeries of:

1.      Surgeries of cranium, scalp &brain

2.      Surgeries of vertebral column &spinal cord. 3. Surgeries of peripheral nerves.

 

B.Surgical interventions in hydrocephalus, Head injury, Benign & malignant tumors of brain and other congenital anomalies of brain

Lecture

discussion

Visit to IPD and OPD for case discussion

 

10 hrs
11 BURNS & PLASTIC SURGERY

 

Describe the

BURNS & PLASTIC SURGERY

 

To cover

a.       Classification of burns by depth and surface area, calculation of burns, surface area causes, early & late complications and their management.

b.      List the potential deformities due to burns, methods of prevention and precautions, Mentions cosmetics and functional treatment

c.       Outline the plastic surgery procedures and management in burns, including common deformities and prevention of burns contractures.

d.      Skin grafting & other procedures.

e.        Principles of tendon transplant, cosmetic surgeries, types of grafts & surgeries of hands.

 

Lecture

discussion

Visit to IPD and OPD for case discussion

 

12 hrs
12 BREAST SURGERY

 

Describe the BREAST surgeries and its management   To cover

Indications, Different incisions & post operative  management of breast surgeries

Lecture

discussion

Visit to IPD and OPD for case discussion

 

10 hrs
13 SMALL AND LARGE INTESTINE Describe the incision and surgical procedures of small and large intestine  To cover

Indications

All type of incision and surgical procedures

Lecture

discussion

Visit to IPD and OPD for case discussion

 

8 hrs
14 Rectum and Anal canal  surgeries

 

Describe anal fissure,fistula,hemorrhoids,carcinoma and rectal prolapse To cover

Anal fissure, fistula,hemorrhoids,carcinoma rectal prolapse

Lecture

discussion

 

4hrs
15 Urogenital system Describe renal calculi with complications,urinary obstruction To cover

Renal calculi with complication

hematuria, urinary obstruction

Lecture

discussion

 

4hrs

 

Practical-Teaching hrs-80

  • Evaluation & presentation of cases each in burns, wound & ulcer, Head Injury,peripheral vascular condition, post Radical mastectomy, post thoracic surgery,post abdominal surgery
  • Auscultation of chest & its interpretation, Reading & interpretation of the X-ray chest.

Case Presentation-40

Viva voce-40

 

 

BOOK REFERENCE:-

  1. Bailey &Love
  2. Surgery by Nan
  • General surgery operations by R.M Kirk & R.C.N Williston

4.Standard surgrical techniques- Shriram Bhatt

5.Manipal Manual Surgery- K. Rajgopal Shenoy

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