SYLLABUS 4 JNTU BME - BASIC CLINICAL SCIENCES-I

BASIC CLINICAL SCIENCES-I

UNIT-I
NEPHROLOGY: Principles of dialysis; Haemodialysis, Acetate dialysis, Bicarbonate dialysis. Peritonial dialysis, Chronic ambulatory peritoneal dialysis, Haemoperfusion, Sequential ultra filtration. Haemofiltration, Adequacy of dialysis, Clearance, dialysance,

UNIT-II
Components of dialysing system, Dialysate, composition of dialysate, Types of dialysers, controls and monitoring devices for dialysers. Clinical significance. Renal transplantation: Basic principles.

UNIT-III
NEUROLOGY: Diseases of nervous system, spinal cord lesions, motor nervous disease, Prolapsed intravertebral disc, Neuropathies, Myasthenia gravis, Diseases of muscle.

UNIT-IV
DIAGNOSTIC INVESTIGATIONS IN NEUROLOGY. Electro encephalography.Computerized axial tomography, Angiography, Pneumoencephalography, neuromuscular stimulation, Electromyography. Clinical applications. Clinical significance, Diseases of muscle, Motor neuron disorders, The electrical study of reflexes. The silent period. The F response, The H reflex, The axion reflexes. Disorders of neuromuscular transmission

UNIT-V
CARDIOLOGY: Heart structure and function, Cardiac cycle, various valves and their function, Cardio vascular measurements. Prosthetic devices. Monitors. Heart lung machine applications and clinical significance. CVP and SWAN catheters. Electro cardiography: Source of ECG potentials: Dipole theory, conduction system, Normal and abnormal ECG’s. Diagnostic applications, interpretation of ECG. Cardiacpacing. Diagnostic indications. Criteria for selection. Therapeutic indications. Complications.
Temporary pacing. Permanent pacing.

UNIT-VI
CARDIAC ASSIST DEVICES: Arterial and Ventricular fibrillation, application of cardiac assist devices. Cardiac catheterisation. Echocardiography, Cine angiography, Treadmill and Ergometer Applications and Clinical significance. Diagnostic usage of ultrasound scanners. Doppler ultrasound measurement. Clinical significance. Open heart surgery grafts, bypass surgery. Instrumentation used for open-heart surgery, Organization of I.C.C.U Clinical aspects.

UNIT-VII
GENERAL SURGERY: Surgical patient. Clinically significant investigations, Pre operative preparation. Study and operation of surgical equipment. laproscopy and its use in various surgeries

UNIT-VIII
GASTROENTROLOGY: Anatomy and physiology of G.I.T. clinically significant symptoms, signs and diseases. Nutritional support and parenteral therapy. Height and weight estimations according to age. Intravenous cannulae, I. V Sets, Infusion pumps, stomach wash tubes. Various endoscopic procedures, liver biopsy etc.

TEXT BOOKS:
1. Strauss, Maurice B. &Louis G.Welt. Diseases of kidney, vol. 1&2 Little Brown.1997
2. James G. Mcleod, Physiological Approach to Clinical Neurology, Butterworth-Heinemann Ltd, 3rd edition.

REFERENCES:
1. D.Goldstein, mehmet Oz, Cardiac Assist Devices, Blackwell Future,2002.
2. Robert F Rushmer , Cardio vascular Dynamics.WB Saunders, 1976.
3. T.L Dent. W.E. Stodel, J.G.turcotte, Surgical Endoscopy, year book Medical pub,1985.
4. Jones DB,Wu JS, Soper NJ, Laproscopic surgery: Principles and Procedures2nd ed, Marcel Dekker, 2004.