Annapoorna Medical College & Hospital, Salem

Department of CHEST AND TUBERCULOSIS - UG CBME Curriculum

TOPIC NO

LECTURE NO COMPETENCY NO TITLES:Topic,Competency,Lesson

TEACHING METHODOLOGY

TB Epidemiology , morphology of TB bacilli , PATHOGENEISIS , IMPACT OF

TUBERCULOSIS

COINFECTION WITH HIV AND CO-MORBID CONDITIONS.

Describe and discuss the epidemiology of the Tuberculosis and its impact

on the work life and economy of india

CT 1.1

OBJECTIVES

1.Epidemiology of TB

2.Impact and economy of india

Describe and discuss the Microbiology of Tubercle bacillus ,mode of

transmission pathogenesis,clinical evolution and natural history of pulmonary and extra

CT 1.2

pulmonary forms(including Lymphnode, bone and CNS)

lecture class

OBJECTIVES

integrated teaching

1.Morphology of TB bacilli

2.Mode of transmission

3.Pathogenesis

4.clinical evaluation

community medicine and

5.History of PT and Extra PT

microbiology

Describe and discuss the Impact of co-infection with HIV and co morbid

CT1.3

Conditions like diabetes on natural history of Tuberculosis

OBJECTIVES

1.TB impact co infection with HIV

2.Comorbid conditions of diabetes

Epidemiology , history , risk factor and clinical examination of respiratory system

Describe the epidemiology, the predisposing factors and microbial and

CT1.4

theraputic factors that determine resistant to drugs

OBJECTIVES

1.epidemiology

2.Predisposing factors

3.microbial and theraputic factors that determine drug resisance of TB

Elicit,document and present an appropriate medical history that includes risk

CT 1.5

factor,contacts,symptoms including cough and fever CNS and manifestations

lecture

OBJECTIVES

small group discussion

1.clinical history

2.Risk factor

3.Contact symptoms of Extra PT

integrated teaching

Demonstrate and perform a systematic examination that establishes the

diagnosis bases on the clinical presentation that includes a.General

examination,b.Examination of chest and lung including loss of volume,mediastinal

shift,percussion and auscultation (including DOAP session of lung sound and added

sounds) c.examination of lymphatic system and d.Relevant CNS examination

pharmacology and

CT 1.6

microbiology

OBJECTIVES

1.clinical demonstration and examination of Respiratory system

2.Mediastenal shift

3.Percussion,auscultation of breath sounds

4.Relevant CNS / Other system examination

PPD ,CLINICAL HISTORY OF TB , INTERPRETATION OF TB WITH CLINICAL CORRELATION

AND AFB STAINING .

Perform and interpret a PPD (mantoux) and describe and discuss indications and pitfalls

CT1.7

of the test

OBJECTIVES

1.Indication,Interpretation how to perform PPD

2.Pitfalls test

Generate a differential diagnosis based on the clinical history and evolution of the

CT 1.8

disease that prioritises the most likely diagnosis

OBJECTIVES

1.Differential diagnosis based on clinical history

Order and interpret diagnostic test based on the clinical presentation including

CBC,Chest Xray PA view ,montaux,sputum culture and sensitivity,pleural fluid

CT 1.9

examination and culture,HIV testing

OBJECTIVES

1.Investigations and interpretation of respiratory diseases

2.CBC,Chest Xray PA view ,montaux,sputum culture and sensitivity,pleural fluid

examination and culture,HIV testing

lecture

CT 1.10

Perform and interpret and AFB stain.

small group discussion

integrated teaching

OBJECTIVES

microbiology

1.Perform and interpret and AFB staining methodology

PLEURAL FUID ASPIRATION AND ANALYSIS , BCG VACCINATION . SPUTUM CULTURE

AND SENSITIVITY , PCR

Assist in the performance,outline the correct test that require to be performed and

CT 1.11

interpret the results of Pleural fluid aspiration

OBJECTIVES

1.Pleural fluid aspiration

2.Technique, analysis, interpretation, result

Enumerate the Indications for test including Serology, special cultures and polymerase

CT 1.12

chain reaction and sensitivity testing

OBJECTIVES

1.Indications for test including Serology, special cultures and polymerase chain reaction

and sensitivity testing

lecture

Describe and Discuss the origin,indication,techniques of administration efficacy and

CT 1.13

complications of the BCG vaccine .

small group discussion

integrated teaching

OBJECTIVES

microbiology

1.BCG vaccination

2.indication,techniques of administration

3.efficacy and complication