BPT FIFTH SEMESTER CARDIO PULMONARY MEDICINE & SURGERY BPT-301 Course | Title Total |Hours/ {Credit [IN [SE | Total No, Hour | week Mark _|Vlark_| Mark BPT CARDIO li00 [6 4 20 T [30T | 100 301 PULMONARY | gp 7 + |e MEDICINE & | zoe [por SURGERY 20P) COURSE DESCRIPTION - Following the basic science and clinical science course, this course introduces the student in pulmo-thoracie conditions which commonly cause disability COURSE OBJECTIVE-The objective of this course is that after lectures and demonstrations in addition to clinics the student will be able to demonstrate an understanding of pulmo-thoracic conditions causing disability and their management Particular effort is made in this course to avoid burdening the student with any detail pertaining to diagnosis which will not contribute to their understanding of the limitations imposed by cardiovascular pathology on the functioning ofthe individual COURSE OUTCOMES- COL: Interpretation of different invasive and noninvasive diagnostic :nvestigation to ‘make proper assessment in various respiratory and cardiovascular dysfunction COR: Develops the skills to execute different Physiotherapy techniques used in treatment of Cardio-respiratory dysfunctions. COS: To select strategies for cure, care & prevention; adopt restorative & rehabilitative measures for maximum possible functional independence of a patient at home, work place & in community COk: Be able to execute the effective Physiotherapeutic measures with appropriate clinical reasoning to improve pulmonary function, COS: To design & execute effective tailored cardiopulmonary rehabilitation programme. 1. Anatomy and Physiology a. Respiratory system: Upper respiratory tract, Lower respiratory tract — Trachea, Bronchial tree, Bronchopulmonary segments, Respiratory unit, hilum of lung, Muscles of respiration, Pleura, intrapleural space, intrapleura pressure, sutfactant, Mechanics of respiration ~ Chest wall movements, lung & chest wall compliance, ViQ relationship, oy ~ EE wyairway resistance, Respiratory centre, Neural & chemical regulation of respiration, Lung volumes and lung capacities, Spirometer, lung function test, Pulmonary circulation, Lung sounds, cough reflex b. Cardiovascular systems: Chambers of east, semilunar and atrioventricular valves, Coronary circulation, conductive system of heart, Cardiac cycle, ECG, Heart sounds, Blood pressure, pulse, cardiac output 2.CardioVascular system diseases: a, Define, etiology, pathogenesis, clinical features, complications, ‘Conservative and surgical management of the folowing conditions i Ischemic heart disease ii, Myocardial infarction ii, Hear failure iv. Cardiac arrest v. Rheumatic fever vi Hypertension vii, Infective endocarditis sili, Myocarditis & cardiomyopathy Examination ofthe Cardiovascular System Investigations: ECG, Bxercise Suess Testing, Radiology; Clinical manifestations of Cardiovascular disease; Definition, Etiology, Clinical features, signs and symptoms, complications, management and treatment of following diseases and disorders of the heart: Pericarditis, Myocarditis, Endocartis, Rheumatic Fever ~ resulting in valve disorders, Ischemic Heart Disease, Coronary Valve Disease, Congenital disorders of the Heart, Cardiac Arrest, Fximination and Investigations of diseases of arteries and veins; Hypertension: Definition, causes, classification, types, assessment, investigations and management. c. Disorders of the Heart ~ Definition, Clinical features, diagnosis and choice of management for the following disorders : Congenital Hear diseases — Acyanotic congenital heart disease & Cyanotic congenital heart disease: Patent Ductus Arteriosus, Coarctation of Aorta, Atrial Septal Defect, Ventricular Septal Defect, Tetralogy of Fallot, Transposition of Great Vessels; Acquired Heart Disease ~ Mitral Stenosis & Insufficiency, Aortic Stenosis and Insufficiency, Ischemic Heart Disease ~ Coronary Artery Disease, Cardiac tumors. 3 3.Respiratory System 44. Respiratory Disease: Examination of the Respiratory System ~ Investigations: Chest Radiographs, Pulmonary Function Testing, Arterial Blood Gas Analysis; Clinical manifestations of Lung disease; Patterns of lung disease ~ Chronic Obstructive Lung Disease and Restrictive Lung Disease; Definition, Etiology, Clinical feures, signs and symptoms, complications, management and treatment of following lung diseases Chronic Bronchitis, Emphysema, Asthma, Bronchiectasis, Cystic Fibrosis, Upper Respiratory Tract Infections, Pneumonia, Tuberculosis, Fungal Disesses, Interstitial Lung Diseases, Diseases of the pleura, diaphragm and chest wall; Respiratory failure ~ Definition, types, causes, clinical features, diagnosis and management, b. Chest wall disorders - Definition, Clinical features, diagnosis and choice of wey UE y‘management for the following disorders — chest wall deformities, chest wall tumors, Spontaneous Pneumothorax, Pleural Effusion, Empyema Thoracis, Lung abscess, Hemathorax, Cardiac Tampanade, Cardiac and Pulmonary Contusions, Bronchiectasis, ‘Tuberculosis, Bronchogenic Carcinoma, Bronchial Adenomas, Metastatic tumors of the Lung, tracheal Stenosis, Congenital tracheomalacia, Neoplasms of the trachea, Lesions of the Mediastinum, Carcinoma ofthe female breast 4.Thoracie surgeries ~ Thoracotomy ~ Definition, Types of Incisions with emphasis to the site of incision, muscles eut and complications, Lung surgeries: Paeumanectomy, Lobectomy, segmentectomy ~ Indications, Physiological changes and Complications; ‘Thoracoplasty, Pleurectomy, Pleurodesis| and Decomtication of the Lung, Cardiac surgeries ~ An overview of the Cardio-Pulmonary Bypass Machine ~ Extra cardiac Operations, Closed Heart surgery, Open Heart surgery, Transplant Surgery - Heart, Lung Indications, Physiological changes and Complications Congenital Heart Surgeries GENERAL SURGERY BPT-302, Course | Title ‘Total [Hours) [Credit [1A [SE | Total No. Hour | week | Mark | Mark _| Mark ‘BPT302 |GENERAL| 190 [4 4 20 T |soT | 100 SURGERY (gg + (sor + + 20P | gop 20P) COURSE DESRCIPTION: Kt covers iclevant aspects of General Surgery and surgical conditions in which Physiotherapy play a significant role. This course is designed to develop the basic knowledge of surgery and to understand a surgical paint, its special neds in relation to physical therapy which will help them provide good rehabilitation COURSE OBJECTIVE- The objective ofthis course is thatthe student will be able t0 demonstrate a general understanding of the surgeries that therapists would encounter in their practice. They should have a brief idea of the etiology and pathology, what the patien’s symptoms and the resultant fmctional disability, This would help the candidates to understand the limitation imposed by the diseases on any therapy that may be preseribed, COURSE OUTCOMES- COI: To understand fluid and electrolyte changes in surgical patient CO2: To understand changes in respiratory and cardiovascular parameters in surgical patients. COB: To understand the complications of surgery. COA: To understand investigations and management of common surgical conditions. soy E CUE WyCOS: The student will be able to differentiate surgical eases and handling the cases will ‘become easier as they can relate theoretical knowledge with practical learting Fluid, Electrolyte and Acid-Base disturbances ~ diagnosis and management; ‘Nutrition in the surgical patient; Wound healing -basic process involved in ‘wound repair, basic phases in the healing process, clinical management of wounds, factors affecting wound healing, Scars — types and treatment, Hemostasis~ components, hemostatic disonders, factors affecting bleeding uring surgery, Transfusion therapy in surgery ~ blood components, complications of transfusion; Surgical Infections; General Post-Operative ‘Complications and its management. ‘Reasons for Surgery; Types of anesthesia and its effects onthe patient; Types of Incision; Clips Ligatures and Sutures; General Thoracic Procedures Radiologie Diagnostic procedures, Endoscopy — types, Biopsy —uses and types, Overview and Drainage systems and tubes used in Surgery, Definition, Indication, Incision, Physiological changes and Complications following Common operations like Cholecystectomy, Colostomy, Heostomy, Gastrectomy, Herias, Appendicectomy, Mastectomy, Nephrectomy, Prostatectomy. Bum: Definition, Classification, Causes, Prevention, Pathological changes, Complications, Clinical Features and Management, Skin Grafts — Types, Grafting Procedures, Survival of Skin Graft; Flaps ~ Types and uses of Flaps. ENT: Common problems of ear, otitis media, Otoscleross, functional achonia and deafness, management facial palsy classification, medical and surgical management of lower motor neuron type of facial palsy Ophthalmology: Ophthalmologic surgical conditions, refraction’, conjunctivitis, glaucoma, corneal ulcer, ists, cataract, retinitis, detachment of retina, defects of extra-ocular muscles ~ surgical management, Surgical Oncology ~ Cancer — definition, types, clinical manifestations of cancer, Staging of Cancer, surgical procedures involved in the management of Obstetrics and Gynecology: Highrisk pregnancy, prenatal end postnatal common complications, investigation and management. Prolapse of uterus and vagina. Principle of common gynaecological operations: hysterectomy, D&C, D&E, Pap smear, pelvic repair, cacsarian section, nephrectomy, Hysterosalphyngography, Dilatation and Curettage, Laproscopy, Colposopy, Hysterectomy. Carcinoma of female reproductive organs ~ surgical management in brief: Mastectomy ~ Simple, radical, Hysterectomy. Incontinence ~ Types, Causes, Assessment and Management, Diseases ofthe Arteries and Veins: Definition, Etiology, Clinical features, signs ‘and symptoms, complications, management and treatment of following diseases: Arterioscerosis, Atherosclerosis, Aneurysm, Buerger's disease, eon aeRaynaud's Disease, Thrombophlebitis, Deep Vein Thrombosis, Pulmonary Embolism, Varicose Veins GENERAL ORTHOPEDICS AND TRAUMATOLOGY pr-303 Couse [ie Tout [Hours [Grit ia |S Tom S Hee_|wo | Mark wr [owen [img @|* me [me fi ontnorenics | or ‘nb Traumatovocy | COURSE DESCRIPTION - This subject follows the basic scieroe subjects to provide the knowledge about orthopedic conditions the therapist would encounter in their pact COURSE OBJECTIVE-The objective ofthis course is that after completion of the Jectures and discussion the student will be able to demonstrate an understanding of orthopedic conditions causing disability, list the etiology, clinical features and ‘methods of investigations and management COURSE OUTCOMES- COL: To understand the traumatology of upper and lower limb fractures with their ‘management. CO2: To understand the pathophysiology of various musculoskeletal conditions, congenital and acquired anomalies with its treatment protocol (COS: Demonstrate an understanding of orthopaedic conditions causing disability, ist the aetiology, clinical features and methods of investigations and managemen: (CO4: To understand the management of various orthopaedic surgeries. (COS: To understand various injuries, factures and deformities of musculoskeletal system ‘with its treatment Protocol 1. Introduction: Introduction to orthopedics, Clinical examination in an orthopedic Patient, Common investigative procedures, Radiological and Imaging techniques in Orthopedics, Inflammation and repair, Soft tissue healing. 2, ‘Traumatology: Fracture: definition, types, signs and symptoms, Fracture healing Complications of fractures, Conservative and surgical approaches, Principles of management — reduction —(openiclosed, immobilization etc), Subluxation/dislocations ~ definition, signs and symptoms, management a UE Ww(conservative and operative), Fractures and Dislocations of Upper Limb: Fracture of Spine Fractures and Dislocations of Lower Limb Fracture of Pelvis and Lower Limb Soft Tissue Injuries such as sprains, strains, contusion, tendinitis, rupture, tenosynovitis, tendinosis, and bursitis. Mechanism of injury of each, clinical features, managements ~conservative and surgical Hand Injuries 9. Peripheral Nerve Injuries, Classification of Nerve Injuries, Clinical features and ‘management, including reconstructive surgery for Radial, metian and ulnar nerve lesions, femoral nerve, Sciatic and lateral popliteal lesions. Brachial Plexus injuries including Feb’, Klumpke's and Crutch Palsy. 10, Amputations - Definition, levels of amputation of lower and upper limbs, indications, complications. 11, Traumatic Spinal Cond Injuries - Clinical features, complications, medical and surgical management of Paraplegia and Quadriplegia 12 Deformities ~ Congenital and Acquired deformities. 13. Bone Tumors: classification, clinical features, management - medical and surgical of the following tumors: Osteoma, Osteosarcoma, Osteachondroma, Enchondroma, Ewing's sarcoma, Giant cell tumor, Multple myeloma, ‘Metastatic tumors. Perthes disease, Slipped Capital Femoral Epiphysis and Avaseular Necross, 14.Inflammatory and Degenerative Conditions: Osteoarthritis, Rheumatoid arthritis, Ankylosing spondylitis, Gouty arthritis, Psoriatic ants, hemophilic arthritis, Still's disease (juvenile rheumatoid arthritis), Charcot’ joints. 15. Connective Tissue Disorders ~ Systemic Lupus Erythematosus, Scleroderma, Dermatomyositis, Poliomyelitis, Mixed connective tissue Disease (MCTD), 16, Neuromuscular Disorders: Cerebralpalsy, Poliomyelitis, Spinal Dysraphism, Leprosy. 17. Orthopedic Surgeries: Arthrodesis, Arthroplasty (partial and total replacement), Osteotomy, External fixators, Spinal stabilization surgeries (Harrington's, Luque’s, Sef plating) etc. Limb reattachment. GENERAL MEDICINE BPT-304 Course [Tite [Total |Hours! [Credit [IA [SE | Total {No | Hour _| week Mark_| Mark | Mark BPT304 |GENERAL|10 64 [20+ [sor [100 MEDICINE 60 T aor lor S207) a eT OeCOURSE DESCRIPTION. This subject follows the basic science subjects to provide the knowledge about relevant aspects of general medicine. The student will have a ‘general understanding of the diseases the therapist would encounter in their practice. COURSE OBJECTIVE- The objective ofthis course is that the student will be able to list the etiology, pathology, clinical features and treatment methods for various medical conditions. Infection: Fifects of Infection on the body — Pathology source and spread of infection - vaccinations — generalized infections — rashes and infection — food poisoning and gastroenteritis» Sexually transmitted diseases ~ HIV infections and Aids COURSE OUTCOMES- COL: To understand pathophysiotogical changes in infectious and metabolic disorders with their treatment CO2: To understand pathophysiological changes in respiratory and skin disorders with their treatment COS: To understand pathophysiological changes in cardiovascular and haematological disorders with thei treatment CO#: To understand clinical features, investigations and management of psychiatric disorders COS: The student will be able to differentiate paediatric cases and handling the cases will ‘become easier as they can relate theoretical knowledge with practical learning, |. Poisoning: Clinical features - general management - common agents in poisoning ~ pharmaceutical agents ~ drugs of misuse ~ chemical pesticides - Envenomation. 2 Food and Nutrition; Assessment — Nutritional and Energy requirements; Deficiency diseases — clinical features and treatment; Protein — Energy Malnutrition: Clinical features and treatment, Obesity and its rated disorders: Causes ~ Complications ~ benefits of weight loss ~ management of Obesity — diet, exercise and medications 5. Endocrine diseases: Common presenting symptoms of endocrine disease ~ common classical disease presentations, clinical features and ils management; Diabetes Mellitus: Ftiology and pathogenesis of diabetes — clinical manifestations of the disease ~ management of the disease ~ Complications of diabetes 4, Diseases of the blood: Examinations of blood disorders — Clinical ‘manifestations of blood disease; Anemia — signs and symptoms — types and management; Hemophilia - Cause ~ clinical features severity of disease ~ ‘management ~ complications due to repeated hemorrhages complications due to therapy. 5, Diseases of the digestive system : Clinical manifestations of gastrointestinal disease ~ Ftiology, clinical features, diagnosis, complications aud treatment of the following conditions: Reflux Oesophagitis, Achlasia Cardia, Carcinoma of ap FOesophagus, GI bleeding, Peptic Ulcer disease, Carcinoma of Stomach, Pancreatitis, Malabsorption Syndrome, Ulcerative Colts, Peritonitis, Infections of Alimentary Tract; Clinical manifestations of liver diseases - Aetiology, clinical features, diagnosis, complications and treatment of the following conditions: Viral Hepatitis, Wilson's disease, Alpha I-antitrypsin deficiency, ‘Tumors ofthe Liver, Gallstones, Cholecystitis 6, Diseases of the Skin: Examination and clinical manifestations of skin diseases; Causes, clinical features and management of the following skin conditions Leprosy, Psoriasis, and Pigmentary Anomalies, Vasomotor disorders, Dermatitis, Coccal and Fungal Parasitic and Viral infections. 7. Pediatrics : Problems and management of LBW infants, Perinatal problems tnd management, Congenital abnormalities and management, Respiratory conditions of childhood, Cerebral Palsy - causes, complications, clinical ‘manifestations, treatment ; Spina Bifida - management and teatwent, Epilepsies = types, diagnosis and treatment; Recognizing developmental delay, common causes’ of delay ; Orthopedic and Neuromuscular disorders in childhood, clinical features and management; Sensory disorders - problems resulting from loss of vision and hearing ; Leaming and behavioral problems - Hyperactivity, Autism, Challenging behaviors, Educational delay, The Clumsy Child. & Psychiatric Disorders: Classifications, Causes, Clinical. manifestations and lueatment methods used in Psychiatry, Modalities of psychiatric treatment, Psychiatric illness and physiotherapy, Brief description of lin-pathogenesis, manifestations, and management of psychiatric illnesses ~ Anxiety neurosis, Depression, Obsessive compulsive neurosis, Psychosis, Maniac-depressive psychosis, Post-traumatic stress disorder, Psychosomatic reactions: Stress and Health, theories of Stress - ness Ftio-pathogenesis, manifestations, and management of psychiatric illness a. Drug dependence and alcoholism, +, Somato form and Dissociative Disorders ~ convetsion reactions, Somatization, Dissociative Amnesia, and Dissociative Fugue, ©. Personality disorders 4. Child psychiatry - manifestations, and managemen: of childhood disorders ~ attention deficit syndrome and behavioral disorders © Geriatric psychiatry, INTRODUCTION TO NATIONAL HEALTH CARE DELIVERY SYSTEM IN INDIA BPT-305 ‘Students’ basic insight into the main features of the Indian healthcare delivery system and how it compares with the oer systems ofthe world. Topics to be covered under the subject areas follow: 1. Introduction to health care delivery system: Health care delivery system in ee i yyIndia at primary, secondary and tertiary care, Community participation in health care delivery system, Health system in developed countries. Private Sector, ‘National Health Mission, National Health Policy, Issues in Healia Care Delivery System in India 2 National Health Programme - Background objectives, ation plan, targets, ‘operations, achievements and constraints in various National Heath Programme. 3. Introduction to AYUSH system of medicine: Introduction to Ayurved, ‘Naturopathy, Unani, Siddha, Homeopathy £ Need for integration of various system of medicine 4. Health scenario of India - past, present and future 5. Demography &Vital Statisties- Demography — its concept, Vital events of life & its impact on demography, Significance and recording of vital statistics, Census & its impact on health policy. CLINICAL EDUCATION BPT-306 Students will be posted in rotation in the following areas/wards. The students will be clinically trained to provide physiotherapy care for the patents under supervision, They ‘will be trained on bed side approach, patient assessment, performing special tests, identifying indications for treatment, ruling out contraindications, decision on treatment parameters, dosage and use relevant outcome measures under superv'sion. Evidence based practice will be part of training 1. Physiotherapy OPD_ 2. Neurology, Neurosurgery & Neuro ICU 3. Community-PHC 4. Orthopedics 5. General Medicine & MICU 6. General Surgery & CTS ICU oy CO VY