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Pediatrics

Undergraduate Syllabus



The course includes systematic instructions in growth and development, nutritional needs of a child, immunization schedules and management of common diseases of infancy and childhood including scope for Social Paediatrics and counseling.

i) Goal :

The broad goal of the teaching of undergraduate students in Paediatrics to acquire adequate knowledge and appropriate skills for optimally dealing with major health problems of children to ensure their optimal growth and development.

ii) OBJECTIVES:

a) Knowledge :
At the end of course, the student shall be able to :
- Describe the normal growth and development during foetal life, neonatal period, childhood and adolescene and outline deviations thereof;
- Describe the common paediatric disorders and emergencies in terms of Epidemiology, aetiopathogenesis, clinical manirestations, diagnosis, rational
  therapy and rehabilitation;
- Age related requirements of calories, nutrients, fluids, drugs etc, in health and disease.
- Describe preventive strategies for common infectious disorders, malnutrition, genetic and metabolic disorders, poisonings, accidents and child
  abuse
- Outline national programmes relating to child health including immunization programmes.

b) Skills :
At the end of course, the student shall be able to :
- Take a detailed paediatric history, conduct an appropriate physical examination of children including neonates, make clinical diagnosis, conduct
  common bedside investigative procedures, interpret common laboratory investigation results and plan and institute therapy.
- Take anthropometric measurements, resuscitate newborn infants at birth, prepare oral rehydration solution, perform tuberculin test, administer vaccines
  available under current national programmes, perform venesection, start an intravenous saline and provide nasogastric feeding;
- Conduct diagnostic procedures such as a lumbar puncture, liver and kidney biopsy, bone marrow aspiration, pleural tap and ascitic tap;
- Distinguish between normal newborn babies and those requiring special care and institute early care 0 all new born babies including care of preterm and
  low birth weight babies, provide correct gruidance and counseling in breast feeding;
- Provide ambulatory care to all sick children, identify indications for specialized/ inpatient care and ensure timely referral to those who require hospitalization;

C) Integration :
The training in paediatrics should prepare the student to deliver preventive, promotive, curative and rehabilitative services for care of children both in the community and at hospital as part of team in an integrated form with other disciplines, e.g. Anatomy, Physiology, Forensic Medicine, community medicine and physical medicine and rehabilitation.

LIST OF LECTURE /SEMINARS
Lectures : 3rd / 4th semester :
1) Introduction of paediatrics
2) History taking in children
3) Examination of children
4) Normal growth
5) Normal development
6) Introduction to newborn and normal newborn baby
7) Temperature regulation in newborn
8) Breast feeding and lactation management
9) Infant and child feeding (include complimentary feeding)
10) Normal fluid and electrolyte balance in children
11) Immunization

Lectures : 7th / 8th 9th semester :
1) Birth Asphyxia
2) Low birth weight babies
3) Neonatal respiratory distress
4) Jaundice in newborn
5) Neonatal infections
6) Neonatal convulsions
7) PEM and its management
8) Vitamin and micronutrient deficiencies
9) Nutritional anaemia in infancy and childhood
10) Acute diarrhoea
11) Hypothyroidism in children
12) Congestive heart failure - diagnosis and management
13) Congenital heart disease
14) Rheumatic heart disease
15) Hypertension in children
16) Acute respiratory infections
17) Bronchial asthma
18) Nephrotic syndrome
19) Acute glomerulonephritis and hematuria
20) Abdominal pain in children
21) Chronic liver disease including ICC
22) Haemolytic anaemia including thalassemia
23) Leukaemias
24) Bleeding and coagulation disorders
25) Seizure disorders
26) Cerebral palsy
27) Common exanthematous illness
28) Childhood tuberculosis

Other lectures to be covered :
1) Fluid and electrolyte balance -pathophysiology and principles of management
2) Acid-base disturbances -pathophysiology and principles of management
3) Adolescent growth and disorders of puberty
4) Congenital heart disease
5) Acute respiratory infections, measles, mumps, chicken pox
6) Other childhood malignancies
7) Coagulation disorders -Haemophilia
8) Mental retardation
9) Approach to a handicapped child
10) Acute flaccid paralysis
11) Behaviour disorders
12) Meningitis
13) Diphtheria, pertussis and tetanus
14) Childhood tuberculosis
15) HIV infection
16) Malaria
17) Neurocysticercosis
18) Enteric fever
19) Immunization
20) Paediatric prescribing
21) Common childhood poisonings
22) Haemolytic anaemia including thalassemia
23) Leukaemias
24) Bleeding and coagulation disorders
25) Seizure disorders
26) Cerebral palsy
27) Common exanthematous illness
28) Childhood tuberculosis

Integrated seminar topics :
Convulsions, Coma, PUO, Jaudice, Portal hypertension, Respiratory failure, Shock, Rheumatic Heart Disease, Hypertension, Diabetes mellitus, Hypothyroidism, Anemia, Bleeding, Renal failure, Tuberculosis, Malaria, HIV infection, Neurocysticercosis, Perinatal asphyxia (with obstetrics), intrauterine growth retardation (with obstetrics).









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