Course Specification of Internal Medicine University: Assiut Faculty: Medicine Course specifications: Internal Medicine Programme(s) on which the course is given: M. B. B. ch Departments offering the course



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b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Ask about evidences of other diseases which cause hair disorders.

  • Perform clinical examination.

  • Detect characteristic signs of each type.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis.

  • Interpret results of investigations.

  • Select appropriate treatment of each type of alopecia.



d. Transferable skills:

Student must be able to:


13. Disorders of Color
a. Knowledge and understanding

Student must be able to:

  • Describe the melanocyte, its structure and distribution.

  • Define vitiligo.

  • Mention the etiology, pathogenesis, clinical pictures, differential diagnosis and management of vitiligo.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate treatment of acne and post acne scar.



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis of the disease.

  • Counsel patient about treatment efficacy, duration, method of application, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.


14.Connective Tissue Diseases
a. Knowledge and understanding

Student must be able to:

  • List the connective tissue diseases.

  • Define lupus erythematosus.

  • Mention types of lupus erythematosus.

  • Mention the pathogenesis, clinical pictures, laboratory findings and management of discoid and systemic lupus erythematosus.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect characteristic signs of each types and its especial distribution.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis.

  • Interpret results of investigations.

  • Select appropriate treatment of each type of lupus erythematosus.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis and complications of the disease.

  • Counsel patient about treatment efficacy, duration, method of application, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.


B.Venerology

1. Anatomy of the male genital organs
a. Knowledge and understanding

Student must be able to:

  • List the external and internal genital organs.

  • Mention the anatomical structure of each organ.

  • Mention the functions of each organ.


b. Clinical skills:

Student must be able to:

  • Perform clinical examination of both external and internal genital organs.

  • Detect the presence or absence of any organs.

  • Describe the shape, size and consistency of each organ.

  • Detect the presence of any congenital anomalies present.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical data.

  • Select appropriate investigations to help diagnosis of any congenital anomalies.

  • Interpret results of investigations.



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis and complications of any congenital anomalies.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.



2. Gonorrhoea
a. Knowledge and understanding

Student must be able to:

  • Define gonorrhoea.

  • Mention the etiology, incubation period, mode of transmission, clinical pictures (in both male and female), special types, complications.

  • List the laboratory tests for diagnosis of gonorrhoea.

  • List drugs used in treatment of gonorrhoea, its dose and duration.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect characteristic signs of each type.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis (gram stain, culture and serologic tests).

  • Interpret results of investigations.

  • Select appropriate treatment of each type of gonorrhoea.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his or her partner about etiology, prognosis, and mode of transmission, complications and prevention of gonorrhoea.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.


3. Non- Gonococcal Urethritis
a. Knowledge and understanding

Student must be able to:

  • Define non- gonococcal urethritis.

  • Mention the etiology, incubation period, mode of transmission, clinical pictures (in both male and female), and management of each types.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect characteristic signs of each type.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis.

  • Interpret results of investigations.

  • Select appropriate treatment of each type.


d. Transferable skills:

Student must be able to:

  • Counsel patient about etiology, prognosis, and mode of transmission, complications and prevention of the disease.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.

4. Prostatitis
a. Knowledge and understanding

Student must be able to:

  • Define prostatitis.

  • List the causative organisms.

  • Mention the etiology, mode of infection, clinical pictures (both acute and chronic), diagnosis and management of each type.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis.

  • Interpret results of investigations.

  • Select appropriate treatment of each type.



d. Transferable skills:

Student must be able to:

  • Counsel patient about etiology, prognosis, and mode of infection, complications and prevention of the disease.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.


5. Syphilis
a. Knowledge and understanding

Student must be able to:

  • Define syphilis.

  • Mention classification of syphilis.

  • List the diagnostic tests of each type.

  • Mention the etiology, mode of infection, clinical pictures, characteristic lesions and differential diagnosis of each type.

  • Mention the management of each type.

  • Describe the types of reactions occurs with treatment and its management.



b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect characteristic signs of each type.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis(dark ground test, serological tests, CSF examination and biopsy)

  • Interpret results of investigations.

  • Select appropriate treatment of each type.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis, and mode of infection, complications and prevention of the disease.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.


6. Acquired Immunodeficiency Syndrome (AIDS)
a. Knowledge and understanding

Student must be able to:

  • Define AIDS.

  • List groups at high risk of HIV infection.

  • Describe the indicators of the disease.

  • Mention the etiology, pathogenesis, mode of transmission, and clinical pictures of the disease.

  • List the tests for HIV detection.

  • Mention the method of prevention and management of the disease.


Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect indicators of the disease.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis

  • Interpret results of investigations.

  • Select appropriate treatment.



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis, and mode of infection, complications and prevention of the disease.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.



C.Andrology

1. Male infertility
a. Knowledge and understanding

Student must be able to:

  • Describe the anatomy of the testis.

  • Mention the functions of the testis.

  • Define infertility.

  • Mention types of infertility.

  • List the causes of male infertility.

  • List the tests for diagnosis of male infertility.

  • Mention definitions of semen abnormalities.

  • Mention the method of prevention and management of male infertility.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect any congenital anomalies or signs of other diseases can cause male infertility.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis

  • Interpret results of investigations.

  • Select appropriate treatment.



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis of the cause of infertility.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.



2. Impotence (Erectile dysfunction)

a. Knowledge and understanding

Student must be able to:

  • Describe the anatomy of the penis.

  • Mention the physiology of erection.

  • Define impotence.

  • List the causes of impotence.

  • List the tests for diagnosis of impotence.

  • Mention the management of different types of impotence.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination (general, penile and testicular).

  • Detect any congenital anomalies or signs of other diseases can cause impotence.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis (hormonal assay, ICI, color Doppler).

  • Interpret results of investigations.

  • Select appropriate treatment (medical or surgical).



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about etiology, prognosis of the cause of impotence.

  • Counsel patient about treatment efficacy, duration, side effects and coast.

  • Retrieve evidence based guidelines for diagnosis and treatment.


Unit: Chest:

  1. Overall aims of the course:


At the end of this course, the students should be able to:

  • Demonstrate a thorough knowledge of the etiology, pathogenesis, clinical features, complications, principles of prevention and management of different pulmonary diseases and disorders.

  • Demonstrate the ability to obtain an accurate medical history that covers all essential aspects, including issues related to age, gender, socioeconomic and occupation-related diseases.

  • Demonstrate an ability to perform careful general and local chest examination and be oriented with their interrelation.

  • Demonstrate the ability to correlate history with clinical examination to reach a provisional diagnosis.

  • Demonstrate the ability to conduct appropriate management strategies “both diagnostic and therapeutic” for chest diseased patients especially common acute and chronic disorders as well as the indications of surgical interference and pulmonary rehabilitation.

  • Recognize and outline a proper initial treatment course for critically ill chest diseased patient till referral to a specialized center.

  • Communicate effectively with patients, their families and community through proper verbal and written means, respecting their beliefs and level of education.

  • Proper and early reporting of different infectious chest diseases, especially tuberculosis, to the local health authorities for proper infection control in community.

  1. Intended Learning Outcomes of Course




  1. Bronchogenic Carcinoma and Mediastinal Disorders:

At the end of this course, the students should be able to:
1- Knowledge and understanding:

  • Enumerate the different risk factors for bronchial cancer and describe their relationship to histopathological types.

  • State the different clinical presentations of bronchial cancer including their systemic manifestations.

  • Enumerate different modalities for biopsy taking and the indications of each.

  • Demonstrate the ability to stage lung cancer and state the possible palliative and curative treatment modalities.

  • Demonstrate clinical picture of mediastinal syndrome and Enumerate different mediastinal space occupying lesions according to their frequency and site of appearance and demonstrate possible treatment modalities.

2- Practical skills:

  • Elicit clinical signs properly both on the general and local levels of lung cancer with its different clinical presentations.

  • Elicit clinical signs of Mediastinal syndrome in general and local examinations.

3- Intellectual skills:

  • Integrate the link between history and clinical examination of the chest to reach a provisional diagnosis.

  • Suggest indicated investigations and start with the most economic and specific for diagnosis.

4- Transferable skills:

  • Communicate effectively with the patient and his family to describe the nature of the disease and council them in different treatment modalities and their success rate.

  • Retrieve evidence based guidelines for diagnosis, treatment and prognosis of lung cancer and different mediastinal diseases.




  1. Tuberculosis:

At the end of this course, the students should be able to:

1- Knowledge and understanding:

  • Mention the pathogenesis of pulmonary tuberculosis including the specifications of tubercle bacillus, mode of transmission and its prevention.

  • Describe the different clinical presentations of tuberculosis and list the most appropriate investigation to assure bacteriological diagnosis.

  • Enumerate the indications of BCG vaccination and Tuberculin skin testing, their technique, value and complications.

  • Describe different types of Antimycobacterial drug regimens including type of drugs, doses, common side effects and duration of therapy as well as method of follow up till cue putting into consideration the application of Directly Observed Therapy (DOTs).

2- Practical skills:

  • Elicit local clinical signs of different clinical presentations of TB.

  • Interpret the result of Tuberculin skin test.

3- Intellectual skills:

  • Implement appropriate course of treatment regarding type of drugs and their duration.

4- Transferable skills:

  • Explain to the patient and his family the nature of the disease and that complete cure is achievable when medications are taken regularly for the recommended dose and duration.

  1. Chronic obstructive pulmonary diseases and Pulmonary function tests.

1- Knowledge and understanding:

  • Mention the epidemiology, risk factors, pathogenesis, clinical features, different investigations including pulmonary function tests characteristics, and different therapeutic options.

  • Mention the indications of Oxygen therapy and appropriate methods of administration in COPD patients and that of ICU admission.

  • Define and enumerate different causes of obstructive and restrictive pulmonary disorders and their characteristics in PFTs stressing on common disorders.

2- Practical skills:

  • Elicit signs of hypoxic and hypercapnic respiratory failure. Respiratory distress, Emphysema, and cor-pulmonale.

3- Intellectual skills:

  • Evaluate the patient's need for hospitalization.

4- Transferable skills:

  • Write a report with the complete diagnosis and precautions to be taken into consideration during work loads.




  1. Suppurative lung diseases

1- Knowledge and understanding:

  • Enumerate different diseases of Suppurative syndrome and the etiology of different condition, its pathogenesis, clinical features, investigations, complications and possible treatment options of each, putting into consideration the commonest colonizing organisms that must be considered during antibiotic treatment.
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