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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Facilities required for teaching and learning


    1. Computer and data show.

    2. Computer lab

Course coordinator : Dr. Alaa El-Deen Mohamed Darweesh

Head of Department : Prof. Mohammed Ahmed Eissa

Date: 2/9/2006

Unit: Dermatology, Venerology and Andrology.

1. Overall aims of course

  • Students must understand the etiology, the pathogenesis, the clinical manifestations, the complications, and the principles of management and the prevention of common dermatological, venerology and andrology in our locality.

  • Students must be able to obtain from the patient an accurate medical history and perform in a highly skill manner; genital, mucous membrane, hair and nails examination.

  • They must be able to interpret properly information from laboratory and radiology studies that relate to the patient’s condition.

  • They must understand the scientific basis and evidence of effectiveness for each therapeutic option.

  • They must be able to communicate effectively with the patients and their families through verbal, written, or other means regarding patient’s health and well being.


ILOS

Unit:dermatology:

A. Dermatology
1. Introduction:

a. Knowledge and understanding

Student must be able to:

  • Describe the normal structure of the skin.

  • Mention the functions of the skin.

  • List the basic lesions of the skin.

  • Define the common dermatological terms.


b. Clinical skills:

Student should be able to:

  • Perform clinical examination of the skin, mucous membrane, hair and nail.

  • Detect the presence of 1ry or 2ry skin lesions.


2. Bacterial infections:

a. Knowledge and understanding

Student must be able to:

  • List the common bacterial types that cause skin infections.

  • Mention types of dermatological diseases caused by bacterial infections (Impetigo, Ecthyma, Frunculosis, Folliculitis, Cellulitis and Erysipelas, Erythrasma)

  • Define each type of the dermatological diseases caused by bacterial infections.

  • Mention the clinical manifestations, and diagnostic criteria of each type.

  • List the predisposing factors of each type.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect the presence of 1ry or 2ry skin lesions.

  • Detect the presence of LN enlargement.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis.

  • Select appropriate treatment for each disease.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about methods of transmission, prognosis and prevention of different causes of bacterial infections of the skin.

  • Retrieve evidence based guidelines for diagnosis and treatment of bacterial skin diseases.


3. Mycobacterial Infections
3.1 Tuberculosis of the skin
a. Knowledge and understanding

Student must be able to:

  • Define TB of the skin.

  • Mention classification of skin TB.

  • Describe the clinical manifestation and diagnostic criteria of each type.

  • List complications of each type.

  • List investigations help the diagnosis of each type.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect the characteristic skin lesions of each type of TB of the skin.

  • Detect the presence of enlarged LN and its criteria.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations and the diagnostic test for each type.

  • Interpret results of investigations.

  • Integrate clinical findings and investigations’ data to diagnose the type of tuberculosis.

  • Select appropriate treatment.



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about methods of transmission, prognosis and prevention of different causes of TB of the skin.

  • Counsel the patient and family about vaccination against TB.

  • Retrieve evidence based guidelines for diagnosis and treatment of tuberculosis of skin.


3.2 Leprosy

a. Knowledge and understanding

Student must be able to:

  • Define leprosy.

  • Mention the etiology, epidemiology, and pathogenesis, and incubation period, mode of infection, classification, nerve involvement and complications of the disease.

  • Describe the clinical pictures and the characteristic criteria of each type.

  • Mention investigations, prevention and prognosis of the disease.

  • Mention types of reactions in leprosy.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Detect signs of different types of leprosy.

  • Perform nerve examination.

  • Detect signs of complications and deformities caused by leprosy and its reactions.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations and the diagnostic test for each type.

  • Interpret results of investigations.

  • Select appropriate treatment for each type.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about methods of transmission, prognosis and prevention of different causes of leprosy.

  • Counsel the patient and family about vaccination against leprosy.

  • Retrieve evidence based guidelines for diagnosis and treatment of leprosy and its reactions.


4. Viral infections
a. Knowledge and understanding

Student must be able to:

  • Define viral disease of the skin.

  • Mention the main viral diseases of the skin (Herpes simplex, Herpes zoster, Warts and Molluscum contagiosum).

  • Mention the etiology, pathogenesis, clinical manifestations, diagnostic criteria, clinical types, triggering factors, complications, investigations, prevention and management of viral diseases of the skin.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect criteria signs of viral diseases.

  • Detection of serious complications of viral diseases.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations and the diagnostic test for each type.

  • Interpret results of investigations.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about methods of transmission, prognosis and prevention of different types of viral diseases.

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

  • Retrieve evidence based guidelines for diagnosis and treatment of viral infections and its complications.


5. Fungal Infections
a. Knowledge and understanding

Student must be able to:

  • Define fungal disease of the skin.

  • List the causative organisms of the fungal infections.

  • Mention the main fungal diseases of the skin which are caused by dermatophytes and yeasts.

  • Mention the source of infections of fungal diseases.

  • Mention the etiology, pathogenesis, clinical manifestations, diagnostic criteria, and clinical types, mode of infections, complications, differential diagnosis, investigations, prevention and management of fungal diseases of the skin.



b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect criteria signs of fungal diseases.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations.

  • Interpret results of investigations.



d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about methods of transmission, prognosis and prevention of different types of fungal diseases.

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

  • Retrieve evidence based guidelines for diagnosis and treatment of fungal infections and its complications.


6. Parasitic Diseases
a. Knowledge and understanding

Student must be able to:

  • Define parasitic disease of the skin.

  • List the causative organisms of the parasitic infections.

  • Mention the main parasitic diseases of the skin (Scabies and Pediculosis)

  • Mention the source of infections of parasitic diseases.

  • Mention the etiology, clinical pictures and clinical varieties, mode of infections, complications, and methods of diagnosis, differential diagnosis, investigations, prevention and management of parasitic diseases of the skin.



b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect criteria signs of parasitic diseases.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate treatment of each type.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about methods of transmission, prognosis and prevention of different types of parasitic diseases.

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

  • Retrieve evidence based guidelines for diagnosis and treatment of parasitic infections.


8. Erythematosquamous Diseases
8.1 Psoriasis
a. Knowledge and understanding

Student must be able to:

  • Define psoriasis.

  • Mention the epidemiology, pathogenesis, histopathology, clinical pictures and clinical type, and differential diagnosis, investigations, and management of psoriasis.

  • Define Koebner phenomenon.

  • Describe and explain the Auspitz sign.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect criteria signs of different variants of the disease.

  • Perform Auspitz test.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis.

  • Interpret results of investigations (radiological, skin biopsy, etc.).

  • Select appropriate treatment of each type.



d. Transferable skills:

Student must be able to:

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

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

  • Retrieve evidence based guidelines for diagnosis and treatment of psoriasis.


8.2 Lichen Planus
a. Knowledge and understanding

Student must be able to:

  • Define lichen planus.

  • Mention the etiology, clinical pictures and clinical type, and management of lichen plauns.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect criteria signs of different variants of the disease.



c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate treatment of each type.


d. Transferable skills:

Student must be able to:

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

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

  • Retrieve evidence based guidelines for diagnosis and treatment of lichen plan

8.3 Pytriasis rosea
a. Knowledge and understanding

Student must be able to:

  • Define pytriasis rosea.

  • Mention the etiology, clinical pictures and atypical varieties, and management of pytriasis rosea.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

Detect criteria signs of different variants of the disease.

c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate treatment of each type.


d. Transferable skills:

Student must be able to:

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

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

  • Retrieve evidence based guidelines for diagnosis and treatment of pytriasis rosea.


8.4 Pytriasis rubra pilaris
a. Knowledge and understanding

Student must be able to:

  • Define pytriasis rubra pilaris.

  • Mention the etiology, clinical pictures and management of lichen pytriasis rubra pilaris.

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 each type.


d. Transferable skills:

Student must be able to:

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

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

  • Retrieve evidence based guidelines for diagnosis and treatment of pytriasis rubra pilaris.


9. Allergic Skin Diseases
a. Knowledge and understanding

Student must be able to:

  • Mention different allergic diseases of the skin (Eczema, Urticaria, Prurigo of hebra, Erythema multiforme, Erythema nodosum, Drug eruptions).

  • Define each type of the allergic diseases.

  • List the varieties of eczema/dermatitis.

  • Mention the common allergens (sensitizers).

  • Mention the etiology, clinical pictures and varieties, management of different type of allergic diseases.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Ask about risk factors and exposure to common allergens.

  • Detect characteristic signs of different allergic diseases.


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 and his family about prognosis, triggering factors of the disease.

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

  • Retrieve evidence based guidelines for diagnosis and treatment.


10.Disorders of Sebaceous Glands
a. Knowledge and understanding

Student must be able to:

  • Describe the structure, distribution, control and functions of sebaceous glands.

  • Define acne vulgaris.

  • Mention the pathogenesis, etiology, clinical pictures, complications and management acne vulgaris.

  • List the factors which aggravate acne.



b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect characteristic signs of acne vulgaris.

  • Detect the presence of post acne scars.


c. Intellectual skills:

Student must be able to:

  • Analyze clinical manifestations.

  • Select appropriate investigations to help diagnosis (androgen level).

  • Interpret results of investigations.

  • Select appropriate treatment of acne and post acne scar.


d. Transferable skills:

Student must be able to:

  • Counsel patient and his family about pathogenesis, prognosis, factors that aggravate the disease.

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

  • Retrieve evidence based guidelines for diagnosis and treatment of acne and post acne scar.


11. Disorders of Sweat Glands
a. Knowledge and understanding

Student must be able to:

  • Describe the types, structure, distribution, control and functions of sweat glands.

  • Mention skin diseases caused by disorder of sweat glands (Milliaria, Hyperhidrosis).

  • Define both milliaria and hyperhidrosis.

  • Mention the pathogenesis, clinical pictures, clinical varieties and management of milliaria and hyperhidrosis.


b. Clinical skills:

Student must be able to:

  • Obtain medical history.

  • Perform clinical examination.

  • Detect characteristic signs of both milliaria and hyperhiderosis.


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 pathogenesis, prognosis, factors that aggravate the disease.

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

  • Retrieve evidence based guidelines for diagnosis and treatment.


12. Disorders of Hair
a. Knowledge and understanding

Student must be able to:

  • Describe the types of hair.

  • Mention the hormonal control of hair growth.

  • Describe the hair cycle and its stages.

  • List the skin diseases due to disorders of hair.

  • Define Alopecias.

  • Mention the pathogenesis, clinical types, causes, clinical pictures and management of alopecias.

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