indus medical college hospital tando muhammad khan

1

INDUS MEDICAL COLLEGE HOSPITAL

TANDO MUHAMMAD KHAN

Students guide book

THIRD PROFESSIONAL

MBBS 5TH & 6TH SEMESTER

Academic session 2018-2019

Batch 2016-2017

2

CONTENTS

S.NO TITLE PAGE#

1 MESSAGE 3

2 ACADEMIC CALENDAR 4

3 WEEKLY TIME TABLE 5

4 HOSPITAL POSTING SCHEDULE 6

5 TEACHING HOURS 8

6 DEPARTMENTS(FACULTY+TEACHING SCHEDULE) 9

I PATHOLOGY 10

A GENERAL PATHOLOGY 10

B MICROBIOLOGY 11

II PHARMACOLOGY 18

III FORENSIC MEDICINE 26

IV SURGICAL SKILLS 38

7 INSTRUCTIONS 38

8 TABLE OF SPECIFICATION 39

9 BOOKS RECOMMENDED 40

3

MESSAGE

It is a great pleasure and honor for me to write this message for the 5th and 6th Semester students of Indus Medical College Tando Muhammad Khan. To run an institution of this magnitude is itself a tribute to the founding members, professionals, investors and citizens of Tando Muhammad Khan. The credit goes to the vision of Professor Jan Muhammad Memon CEO of Indus Medical College who is a visionary Medical Educationist. This institution has opened the doors of quality medical education for the bright youngsters of the area to become doctors and serve the community but has become a hub of patient care of the poor, disadvantaged and rural community of the area in a short span of time.

IMC faculty stands committed with the vision statement of the institution: “To prepare competent graduate doctors in the field of medicine who are able to serve

the population locally & globally using evidence based practices with utmost

professionalism”

Remember dear students today’s medical education is imparted as an active learning process where teacher is guide by side who ignites a flame of light in the learners to not only seek the knowledge, learn the skills but become a life long learner demonstrating a humane and professional behavior to the teachers, colleagues and ailing community. I wish the upcoming doctors a warm welcome and assure them the endeavors of faculty to impart them quality medical education to become a seven star doctor to serve the community.

Prof M Akbar Nizamani Professor Pediatrics Principal Indus Medical College Tando Muhammad Khan

4

ACADEMIC CALENDER

BATCH: 2016-17

THIRD PROFESSIONAL MBBS

FIFTH SEMESTER

Classes will start from 10th December 2018

Classes will End on 30th March 2019

Preparation leaves 01st to 14th April 2019

Theory + OSPE Examination 15th April to 11th May 2019

Summer Vacation + Eid-ul-Fiter 12th May to 16th June 2019

SIXTH SEMESTER

Classes will start from 17th June 2019

Classes will End on 05th October 2019

Preparation leaves 6th to 20th October 2019

Theory + OSPE Examination 21st October to 23rd November 2019

Semester Break 24th November to 8th December 2019

THE SEVENTH SEMESTER CLASSES WILL START FROM: 9THDECEMBER2019

5

WEEKLY TIME TABLE

THIRD PROFESSIONAL MBBS BATCH:

FIFTH & SIXTH SEMESTER

VENUE: LECTURE HALL (LEVEL 3)

TIME MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

08:30am

To

10:00am

HOSPITAL

POSTING

HOSPITAL

POSTING

HOSPITAL

POSTING

HOSPITAL

POSTING

LECTURE

Surgery & Allied

10:00am To

11:00am

PHARMACOL

OGY

Prof. Manzoor A. Unar

PATHOLOGY

Prof. Rasool Bux

Shaikh

PHARMACOLO

GY

Prof. Ali Nawaz Bhurgri

PHARMACOLOGY

Prof. Ali Nawaz

Bhurgri

PATHOLOGY

Prof. Rasool Bux

Shaikh

11:00am

To

12:00pm

FORENSIC

MEDICINE

Prof. Afzal

Memon

PHARMACOLOG

Y

Prof. Manzoor A.

Unar

FORENSIC

MEDICINE

Dr. Tufail Soomro

FORENSIC

MEDICINE

PRACTICAL

Dr. Adil / Dr. Muneeb

/Dr. Faiza / Dr. Haya

FORENSIC

MEDICINE

PRACTICAL

Dr. Adil / Dr.

Muneeb /Dr. Faiza / Dr. Haya 12:00pm

To

01:00pm

PATHOLOGY

Prof. Ghulam

Mustafa Memon

FORENSIC

MEDICINE

Prof. Afzal Memon

PATHOLOGY

Prof. Ghulam

Mustafa Memon

1.00 To 2.00

JUMA PRAYER

01:00pm To

03:00pm

PHARMACY P.

DYNAMICS

PATHOLOGY MICROBIOLOGY 2.00 To 3.00

PHARMACOLO

GY DISCUSSION

Dr. Rafique / Dr. Saeed / Dr. Karam

P. DYNAMICS PHARMAC

Y

MICROBIOLO

GY

PATHOLOGY

PATHOLOGY MICROBIO

LOGY

PHARMACY P. DYNAMICS

MICROBIOLOGY PATHOLOG

Y

P. DYNAMICS MICROBIOLOGY

6

SCHEDULE OF HOSPITAL POSTING BATCH:2016-17

5TH SEMESTER MBBS

Date Medicine

Medicine& Allied Neurology/ Chest

Medicine / Nuclear Medicine

Surgery Orthopedics /

Surgical Skill Lab

10 December to 23 December 2018 A B C D

24 December to 6 January 2019 B C D A

7 January to 20 January 2019 C D A B

21 January to 03 February 2019 D A B C

4 Feb 2019 to 17 Feb 2019 A B C D

18 Feb 2019 to 28 Feb 2019 B C D A

4 March 2019 to 17 March 2019 C D A B

18 March 2019 to 31 March 2019 D A B C

7

Medicine & Allied, Neurology, Chest Medicine & Nuclear Medicine

SCHEDULE OF HOSPITAL POSTING BATCH:2016-17

6TH SEMESTER MBBS

Date Medicine

Medicine& Allied Neurology/ Chest

Medicine / Nuclear Medicine

Surgery Orthopedics / Surgical Skill

Lab

10 June to 20 June 19 A B C D

24 June to 04 July 19 B C D A

08 July to 18 July 19 C D A B

22 July to 01 August 2019 D A B C

05 August to 15 August 2019 A B C D

19 August to 29 August 2019 B C D A

02 Sept to 12 Sept 19 C D A B

16 Sept to 26 Sept 19

D A B C

8

Medicine & Allied, Neurology, Chest Medicine & Nuclear Medicine

TEACHING HOURS

PATHOLOGY AND MICROBIOLOGY

LECTURES (GEN PATHOLOGY) 2 1 hour/week 16 weeks= 32 Hours

LECTURES (MICROBIOLOGY) 2 1 hour/week 16 weeks= 32 Hours PRACTICALS (GEN PATHOLOGY) 1 2 hour/week 16 weeks= 32 Hours

PRACTICALS (MICROBIOLOGY) 1 2 hour/week 16 weeks= 32 Hours

TOTAL= 128 HOURS

PHARMACOLOGY

LECTURES 4 1hour/week 16 weeks= 64 Hours

PRACTICALS 2 2hour/week 16 weeks= 64 Hours

DISCUSSIONS 1 1hour/week 16 weeks= 16 Hours

TOTAL= 144 Hours

FORENSIC MEDICINE

LECTURES 3 1hour/week 16 weeks= 48 Hours


TOTAL= 112 Hours

HOSPITAL POSTING AND SURGICAL SKILL LAB


GRAND TOTAL= 496 Hours

Self Directed Learning/ Assignments 15 hours/ Subject/ Per Semester = 45 Hours

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DEPARTEMENT OF PATHOLOGY

S.NO TEACHING FACULTY

PROFESSOR

1. Prof. Manzoor Ahmed Memon

2. Prof. Dr. Ghulam Mustafa Memon

3. Prof. Dr. Rasool Bux Shaikh

4. Prof. Dr. Naseer Ahmed Shaikh

ASSOCIATE PROFESSOR 5. Dr. Inayatullah Memon

ASSISTANT PROFESSOR 6. Dr. Umair Ali Soomro

7. Dr. Shomail Saeed

LECTURERS 8. Dr. Ghulam Abbas Soomro

9. Dr. Aakash Bhatti

10. Dr. Mehnaz Shaikh

11. Dr. Huma Majeed

12. Dr. Shahzad Ali

13. Dr. Qandeel Abbas

14. Dr. Huma Abbasi

15. Dr. Syeda Ibadat Jawaid Shah

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FIFTH SEMESTER

SUBJECT : GENERAL PATHOLOGY (TWO LECTURES/WEEK)

LEC# TOPICS

UNIT-1

CELL INJURY , ADAPTATION & CELL DEATH

1 Introduction, Causes, Definitions & Adaptation

2 Adaptation& Mechanisms of injury-I

3 Mechanisms of injury-II

4 Cell swelling, Fatty change

5 Cell Death: Necrosis

6 Cell Death: Apoptosis-I

7 Cell Death: Apoptosis-II

8 Cell Death: Intracellular accumulation of glycogen & Proteins

9 Pigmentation exogenous

10 Endogenous pigments / Calcification, Hyaline Change

INFLAMMATION & REPAIR

11 General features of inflammation & Vascular changes

12 Cellular events Chemotaxis, Phagocytosis

13 Mechanism of Exudate

14 Chemical mediators of inflammation-I

15 Chemical Mediators of inflammation-II

UNIT-II

INFLAMMATION & REPAIR (Continue)

16 Chemical Mediators of inflammation-III

17 Outcome of inflammation + Chronic inflammation

18 Chronic granulomatous inflammation

19 Repair, definitions, Types of cells

20 Cell cycle: Cyclins & CDK

21 Healing

HAEMODYNAMIC DISORDERS

22 Edema

23 Congestion & Hemorrhages

24 Thrombosis, introduction & Pathogenesis

25 Thrombosis, Morphology & Fate

26 Embolism

27 Infarction

28 Shock-I

29 Shock-II

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SUBJECT: MICROBIOLOGY (TWO LECTURES / WEEK)

TOPICS

UNIT-II

GENERAL BACTERIOLOGY

1 Introduction to microbiology

2 Bacterial cell / prokaryotes & eukaryotes

3 Bacterial Structures

4 Bacterial growth & genetics

5 Classification of medically important bacteria

6 Host defenses

7 Pathogenesis

8 Laboratory diagnosis of bacteria

9 Sterilization.

10 Bacterial & host relation.

PARASITOLGY

11 Introduction to Parasitology & classification

12 Intestinal Protozoa (E.histolytica,G.lamblia)

13 Plasmodium Species-I

14 Plasmodium Species-II & Toxoplasma gondii

15 Hemoflagellates (Leishmania & Trynosoma)

UNIT-II

PARASITOLOGY

16 Cestode-I

17 Cestodes-II

18 Trematodes (Schistosomes)-I

19 Trematodes-II

20 Nematodes-Introduction, (A.lumbriccoides)

21 Nematodes- (Hook worm)

22 Nematodes- (T.trichuria, E. Vermicularis)

23 Nematodes- (T.. Spiralis, S. stercoralis)

24 Nematodes- (W.bancrofti)

25 Nematodes- (Loa loa, O. valvulus etc)

GENERAL VIROLOGY

26 Introduction & Structure of virus

27 Replication of virus.

28 Classification of medically important viruses

29 Pathogenesis

30 Laboratory diagnosis

31 viral Growth & Vaccine

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HISTOPATHOLOGY PRACTICAL SCHEDULE (IN GROUPS) SUBJECT: GENERAL PATHOLOGY

WEEK

TOPICS

UNIT I

CELL INJURY , ADAPTATION & CELL DEATH

1 Introduction of Histopathology

2 Cellular Adaptation (Atrophy, Hyperplasia, Hypertrophy

and Metaplasia)

3 Cell Swelling and Fatty Change

4 Necrosis

5 Intracellular accumulation

i Carbon ii Melanin

iii Hemosidern iv Bilirubin

6 Pathological Calcification

UNIT II

INFLAMMATION & REPAIR

7 Acute Inflammation cellular changes

8 Morphological patterns of Acute

Inflammation – Exudates

9 Chronic inflammation

10 Ch.Granulomatous inflammation

11 Repair, i, Granulation tissue, ii Fibrosis

HAEMODYNAMIC DISORDERS

12 Thrombosis

13 Infarction

14 PBL

13

MICROBIOLOGY PRACTICAL SCHEDULE (IN GROUPS) SUBJECT: GENERAL BACTERIOLOGY

WEEK

TOPICS

UNIT I

GENERAL BACTERIOLOGY

1 Introduction

2 Microscope

3 Simple Staining

4 Gram’s Staining

5 Z.N. Staining

6 Sterilization

UNIT II

7 Culture Media –I

8 Culture Media-II

9 Isolation of Micro Organism

10 Parasites (Worms)

11 Malarial Parasites

12 PBL

14

SUBJECT : GENERAL PATHOLOGY (TWO LECTURES/WEEK)

SUBJECT: MICROBIOLOGY SIXTH SEMESTER

(TWO LECTURES / WEEK)

TOPICS

GENETIC DISEASES + DISEASES OF CHILD HOOD

TEACHER: Prof. Dr. Naseer Ahmed Shaikh

Classification of Genetic Diseases (1 Lecture)

Mutations & their mechanisms (1 Lecture)

Chromosomal disorders (3 Lectures)

Mandelian disorders (3 Lectures)

Diagnosis of Genetic diseases (1 Lecture)

Congenital anomalies, birth infections (1 Lecture)

Neonatal Respiratory Distress Syndrome (1 Lecture)

Fetal Hydrops (1 Lecture)

Inborn errors of Metabolic disorders (1 Lecture)

Tumours of infancy and childhood (1 Lecture)

IMMUNITY / IMMUNOPATHOLOGY

TEACHER: Prof. Dr. Ghulam Mustafa Memon

Introduction & Innate Immunity (1 Lecture)

Adaptive Immunity (1 Lecture)

Cells of immunity-I (1 Lecture)

Cells of immunity-II (1 Lecture)

Structure and Functions of IG (1 Lecture)

MHC (1 Lecture)

Hyper sensitivity reactions – I (1 Lecture)

Hyper sensitivity reactions – II (1 Lecture)

Grafts and Rejection (1 Lecture)

Tolerance and Autoimmunity (1 Lecture)

Tumor immunity (1 Lecture)

Immunodeficiency (1 Lecture)

NEOPLASIA

TEACHER: Prof. Dr. Manzoor Ahmed Memon

15

Introduction & Nomenclature (1 Lecture)

Characteristic of benign & Malignant tumor (1 Lecture)

Spread of malignant tumor (1 Lecture)

Epidemiology of cancer (1 Lecture)

Molecular basis of cancer, Principles (1 Lecture)

Molecular Basis of cancer-II. (1 Lecture)

Etiology of cancer, Chemical carcinogenesis (1 Lecture)

Etiology of cancer, radiation carcinogenesis (1 Lecture)

Etiology of cancer, viral carcinogenesis (1 Lecture)

Clinical features of neoplasia (1 Lecture)

Grading and staging of cancer (1 Lecture)

Lab Diagnosis of Neoplasia (1 Lecture)

SUBJECT: MICROBIOLOGY (TWO LECTURES / WEEK)

TOPICS

SPECIAL BACTERIOLOGY

TEACHERS: Prof. Dr. Rasool Bux Shaikh

Gram-positive cocci o Staphylococci (1 Lecture) o Streptococi and S.pneumoniae (1 Lecture)

Gram negative cocci o Niesseriae (1 Lecture)

Gram positive bacilli (non spore forming) o Diphtheria (1 Lecture) o Listeria &Actinomyces (1 Lecture)

Gram positive bacilli ( spore forming) o Bacillus Species + Clostridium tetani (1 Lecture) o Clostridium botulinum + Perf: , difficle (1 Lecture)

Mycobacteria o M. tuberculoses (1 Lecture) o M. Leprae (1 Lecture)

Gram negative bacilli o Salmonella + Shigella (1 Lecture) o Compylobacter, H. pylori + Vibrio (1 Lecture) o E. coli + Klebsiella&Aerobacter (1 Lecture) o Enteriobacter&Serratia group (1 Lecture) o Proteus&Providencia + Pseudomonas (1 Lecture) o H. infleuza, B. pertussis (1 Lecture)

Spirochaetes (1 Lecture)

Rickettsia + Chlamydia + Mycoplasma (1 Lecture)

MYCOLOGY (2 Lectures)

TEACHER: Dr. Ghulam Abbas Soomro

16

Basic mycology

Cutaneous & subcutaneous mycoses

Systemic mycoses

Opportunistic mycoses

SPECIAL VIROLOGY

TEACHER: Dr. Ghulam Abbas Soomro

Tumor viruses (1 Lecture)

Human immunodefincy virus (1 Lecture)

Hepatitis viruses (1 Lecture)

Polio virus & Dengue Virus (1 Lecture)

ENVIRONMENTAL & NUTRITIONAL PATHOLOGY

TEACHER: Dr. Shomail Saeed

Environment and Disease (1 Lecture)

Common environmental and occupational exposures (2 Lectures)

Nutrition and disease (2 Lectures)

HISTOPATHOLOGY PRACTICAL SCHEDULE (IN GROUPS)

SUBJECT: GENERAL PATHOLOGY

WEEK

NAME OF TEACHER

1 Neoplasia (Introduction) Nomenclature,

characteristic of benign and malignant tumors DR.MEHNAZ

2

Benign epithelial tumors

(Papillomas including squamous cell papilloma &

Duct cell papilloma, Adenomas )

DR.HUMA ABBASI

3 Benign connective tissue tumors

Fibroma Lipoma Osteoma DR.HUMA ABBASI

4 Problem Based Learning (PBL) ALL CONCERNED TEACHERS

5 Clinical features, grading and staging of neoplasia DR.HUMA ABBASI

6 Laboratory diagnosis of neoplasia DR.MEHNAZ

7 Diagnosis of genetic disease DR.HUMA ABBASI


9 Malignant surface epithelial tumors DR.MEHNAZ

17

-Squamous cell carcinoma , -Basal carcinoma

10 Mixed tumours and teratoma DR.MEHNAZ

11 Metastatic tumors DR.MEHNAZ


13 Immunoessay techniques DR.MEHNAZ

14 Molecular Techniques DR.HUMA ABBASI


16 Revision ALL CONCERNED TEACHERS

MICROBIOLOGY PRACTICAL SCHEDULE (IN GROUPS)

SUBJECT: GENERAL BACTEROLOGY

WEEK NAME OF TEACHER

1 Staphylococcus DR.QANDEEL SOOMRO

2 Streptococcus DR.HUMA MAJEED

3 Pnemococcus DR.QANDEEL SOOMRO

4 Nesseria DR.HUMA MAJEED

5 Mycobacteria DR.HUMA MAJEED

6 Coryne bacteria DR.QANDEEL SOOMRO


8 Anaerobic bacteria DR.HUMA MAJEED

9 Salmoneela / Shigella DR.QANDEEL SOORO

10 E. Coli / Klebiella DR.HUMA MAJEED

11 Proteus / Pseudomonas DR.QANDEEL SOORO

12 H. Pylori / Compylobacter DR.HUMA MAJEED

13 Candidia DR.QANDEEL SOOMRO


18

DEPARTMENT OF PHARMACOLOGY

TEACHING FACULTY

PROFESSOR:

1. Prof. Dr. Manzoor Ahmed Unar

2. Prof. Dr. Ali Nawaz Bhurgri

ASSISTANT PROFESSOR

3. Dr. NasreenJunejo

LECTURERS

4. Dr. Muhammad Saeed Memon

5. Dr. Karam Ali Shah

6. Dr. Rafique Ahmed Memon

7. Dr. Fajjar- ul- Zehra

8. Dr. DurdanaAsif

19

FIFTH SEMESTER (FOUR LECTURES/WEEK)

LEC # TOPICS

GENERAL PHARMACOLOGY

A. Pharmacokinetics

1. Introduction to Pharmacology Prof: Manzoor Ahmed Unar

2. Terminology Prof: Manzoor Ahmed Unar

3. Routes of Drug Administration - I

Prof: Ali Nawaz Bhurgri

4. Routes of Drug Administration - II


5. Absorption : Process of drug Absorption

Prof: Manzoor Ahmed Unar

6. Absorption : Factors Modifying drug Absorption Prof: Manzoor Ahmed Unar

7. Drug Distribution & Reservoirs Prof: Ali Nawaz Bhurgri

8. Bioavailability & Half life of drug Prof: Ali Nawaz Bhurgri

9. Biotransformation of drug –I

B. Pharmacodynamics


10. Biotransformation of drug –II Prof: Manzoor Ahmed Unar

11. Steady State Concentration of drug & Therapeutic Index Prof: Ali Nawaz Bhurgri

12. Drug Excretion –I Prof: Manzoor Ahmed Unar

13. Drug Excretion- II Prof: Manzoor Ahmed Unar

B. Pharmacodynamics

14. Introduction to Pharmacodynamics Prof: Ali Nawaz Bhurgri

15. Principles of drug action –I Prof: Manzoor Ahmed Unar

16 Principles of drug action –II Prof: Manzoor Ahmed Unar

17. Factors Modifying drug action-I Prof: Ali Nawaz Bhurgri

18. Drug - Drug Interactions Prof: Manzoor Ahmed Unar

19. Teratogenic & other Adverse effects of drugs Prof: Ali Nawaz Bhurgri

1ST PERIODICAL TEST

AUTONOMIC NERVOUS SYSTEM (ANS) DRUGS

DRUGS ACTING ON THE AUTONOMIC NERVOUS SYSTEM

20. Introduction to Autonomic Nervous System (ANS) Prof: Manzoor Ahmed Unar

21. Cholinomimetic : Directly acting Prof: Ali Nawaz Bhurgri

22. Cholinomimetic : Indirectly acting Prof: Ali Nawaz Bhurgri

23. Antimuscarinics Prof: Manzoor Ahmed Unar

24. Antinicotinics: (Ganglion Blockers) Prof: Ali Nawaz Bhurgri

25. Neuromuscular Blockers: I Prof: Manzoor Ahmed Unar

26. Neuromuscular Blockers: II Prof: Manzoor Ahmed Unar

27. Sympathomimetics: I (Directly acting) Prof: Ali Nawaz Bhurgri

20

28. Sympathomimetics: II (Indirectly acting) Prof: Ali Nawaz Bhurgri

29. Sympatholytics: I (Alpha blockers) Prof: Manzoor Ahmed Unar

30. Sympatholytics: II (Beta blockers) Prof: Manzoor Ahmed Unar

31. Sympatholytics: III (Adrenergic Neuron blockers) Prof: Ali Nawaz Bhurgri

32. Drug Treatment of Glaucoma Prof: Ali Nawaz Bhurgri

ASSIGNMENT

DRUGS ACTING ON THE CARDIO VASCULAR SYSTEM

33. Antihypertensives: I (Centrally acting agents) Prof: Ali Nawaz Bhurgri

34. Antihypertensives: II (Alpha blocker, Beta blocker, & Diuretics) Prof: Ali Nawaz Bhurgri

35. Antihypertensives: III (Calcium channel blockers) Prof: Manzoor Ahmed Unar

36. Antihypertensives: IV (Angiotensin system blockers) Prof: Manzoor Ahmed Unar

37. Antihypertensives: V (Directly acting Vasodilators) Prof: Ali Nawaz Bhurgri

38. Drug Treatment of Angina Pectoris Prof: Ali Nawaz Bhurgri

39. Drug Treatment of Congestive Cardiac Failure (CCF)-I Prof: Manzoor Ahmed Unar

40. Drug Treatment of Congestive Cardiac Failure (CCF)-II Prof: Manzoor Ahmed Unar

41. Antiarrythmic drugs Prof: Ali Nawaz Bhurgri

42. Lipid lowering drugs Prof: Ali Nawaz Bhurgri

2ND PERIODICAL TEST

DRUGS ACTING ON KIDNEY

43. Diuretics: I (Loop Diuretics & Thiazides) Prof: Manzoor Ahmed Unar

44. Diuretics: II (K+ Sparing Diuretics) Prof: Manzoor Ahmed Unar

45. Diuretics: III (Carbonic Anhydrase Inhibitors, Osmotic Diuretics) Prof: Ali Nawaz Bhurgri

DRUGS ACTING ON THE BLOOD

46. Drug Treatment of Anemia

eatment of Anemia


47. Drugs used in Coagulation disorders –I Prof: Manzoor Ahmed Unar

48. Drugs used in Coagulation disorders –II Prof: Manzoor Ahmed Unar

AUTACOIDS

49. Prostagl&ins Prof: Ali Nawaz Bhurgri

50. H1- Agonist & Antagonists Prof: Ali Nawaz Bhurgri

51. Non Steroidal Anti Inflammatory Drugs (NSAIDs)


52. NSAIDs + Acetaminophen Prof: Manzoor Ahmed Unar

53. Disease Modifying Antirheumatic Drugs (DMARD) Prof: Ali Nawaz Bhurgri

54. Drug Treatment of Gout Prof: Manzoor Ahmed Unar

55. Drug Treatment of Migraine Prof: Ali Nawaz Bhurgri

3rd PERIODICAL TEST

Discussion Class

Quiz Program

21

PHARMACOLOGY DEMONSTRATIONS

S. No: TOPICS TEACHER’NAME

Experiments Related To Pharmacy

1. Introduction to Pharmacology & its Various Branches

Dr. Rafique Memon

2. Weight & Measurement

Dr. Fajjar ul Zehra

3. Abbreviations Dr. Rafique Memon

4. Pharmaceutical Preparation (Oral, Rectal) Dr. Fajjar ul Zehra

5. Pharmaceutical Preparation (Parenteral) Dr. Rafique Memon

6. To prepare &dispense the Carminative Mixture

Dr. Fajjar ul Zehra

7. To prepare & dispense the Kaolin Suspension

Dr. Rafique Memon

8. To prepare &dispense the Castor Oil Emulsion

Dr. Fajjar ul Zehra

9. To prepare & dispense the Normal Saline

Dr. Rafique Memon

10. To prepare &dispense the Potassium per Magnate Solution

LOsolution

Dr. Fajjar ul Zehra

11. To prepare &dispense the Turpentine Oil Liniment

Dr. Rafique Memon

12. To prepare &dispense the Sulphur Ointment

Dr. Fajjar ul Zehra

13. To prepare & dispense the Phenobarbitone Powder

Dr. Rafique Memon

14. CBS (Case Based Studies)

COMPREHENSIVE TEST, 5th SEMESTER

Experiments Related To Pharmacodynamic

15. Introduction to Biostatics

Dr. M. Saeed Memon

22

SIXTH SEMESTER (FOUR LECTURES /WEEK)

LEC # TOPICS TEACHER’S NAME

DRUGS ACTING ON THE G.I.T

1. Drug Treatment of Peptic Ulcer –I Prof: Manzoor Ahmed Unar

2. Drug Treatment of Peptic Ulcer-II Prof: Manzoor Ahmed Unar

3. Emetics & Antiemetics Prof: Ali Nawaz Bhurgri

4. Laxatives, Purgatives & Anti-Diarrheal agents Prof: Ali Nawaz Bhurgri

DRUGS ACTING ON THE RESPIRETORY SYSTEM

5. Drug Treatment of Bronchial Asthma –I Prof: Manzoor Ahmed Unar

6. Drug Treatment of Bronchial Asthma-II Prof: Manzoor Ahmed Unar

7. Antitussives Prof: Ali Nawaz Bhurgri

1st PERIODICAL TEST

DRUGS ACTING ON THE ENDOCRINE SYSTEM

8. Drug Treatment of Diabetes Mellitus-I (Insulin) Prof: Manzoor Ahmed Unar

9. Drug Treatment of Diabetes Mellitus-II (Oral Hypoglymic agnets) Prof: Manzoor Ahmed Unar

10. Thyroid & Anti Thyroid-I Drugs Prof: Ali Nawaz Bhurgri

11. Thyroid & Anti Thyroid-II Drugs Prof: Ali Nawaz Bhurgri

16. Describe grouped clinical data of systolic blood pressure of

students

Dr. M. Saeed Memon

17. To study the effects of Coffee & Ovaltine on Pulse rate

Dr. M. Saeed Memon

18. To study the effects of Cola drinks on Pulse rate

Dr. M. Saeed Memon

19. Calculate time of absorption & excretion of Potassium Iodide

in human being

Dr. Karam Ali Shah

20. Observation of normal reflexes of Rabbit’s eye

Dr. M. Saeed Memon

21. Effects of Adrenaline on Rabbit’s eye

Dr. Karam Ali Shah

22. Effects of Xylocaine on Rabbit’s eye

Dr. Karam Ali Shah

23. Effects of Pilocarpine on Rabbit’s eye

Dr. Karam Ali Shah

24. Effects of Atropine on Rabbit’s eye

Dr. Karam Ali Shah

25. Identify given unknown drug by observing effects on Rabbit’s

eye

Dr. Karam Ali Shah


23

12. Corticosteroids-I Prof: Manzoor Ahmed Unar

13. Corticosteroids-II Prof: Manzoor Ahmed Unar

14. Drugs acting on Uterine Muscles Prof: Manzoor Ahmed Unar

15. Hormonal Contraceptives Prof: Manzoor Ahmed Unar

DRUGS ACTING ON THE CENTRAL NERVOUS SYSTEM (CNS)

16. Introduction to CNS-Neurotransmitters Prof: Ali Nawaz Bhurgri

17. Opioids Agonists & Antagonists Prof: Ali Nawaz Bhurgri

18. Sedatives & Hypnotics-I Prof: Manzoor Ahmed Unar

19. Sedatives & Hypnotics-II Prof: Manzoor Ahmed Unar

20. Alcohol Prof: Ali Nawaz Bhurgri

21. Antipsychotics-I Prof: Ali Nawaz Bhurgri

22. Antipsychotics-II Prof: Ali Nawaz Bhurgri

23. Antidepressants-I Prof: Manzoor Ahmed Unar

24. Antidepressants-II Prof: Manzoor Ahmed Unar

25. Drug Treatment of Epilepsy-I Prof: Manzoor Ahmed Unar

26. Drug Treatment of Epilepsy-II Prof: Manzoor Ahmed Unar

27. Drug Treatment of Parkinsonism Prof: Manzoor Ahmed Unar

28. General Anesthetics-I Prof: Ali Nawaz Bhurgri

29. General Anesthetics-II Prof: Ali Nawaz Bhurgri

30. Local Anesthetics Prof: Ali Nawaz Bhurgri

31. Skeletal Muscle Relaxants Prof: Manzoor Ahmed Unar

2nd PERIODICAL TEST

ANTIMICROBIALS

32. Introduction to Antimicrobials Prof: Manzoor Ahmed Unar

33. Penicillins Prof: Manzoor Ahmed Unar

34. Cephalosporins Prof: Ali Nawaz Bhurgri

35. Aminoglycosides & Tetracycline Prof: Manzoor Ahmed Unar

36. Chloramphenicol & Macrolides Prof: Ali Nawaz Bhurgri

37. Fluoroquinolones Prof: Ali Nawaz Bhurgri

38. Sulfonamides Prof: Ali Nawaz Bhurgri

THERAPEUTICS

39. Drug Treatment of Malaria Prof: Manzoor Ahmed Unar

40. Drug Treatment of Amoebiasis Prof: Ali Nawaz Bhurgri

41. Drug Treatment of Tuberculosis –I Prof: Manzoor Ahmed Unar

42. Drug Treatment of Tuberculosis –II Prof: Manzoor Ahmed Unar

24

PHARMACOLOGY DEMONSTRATION

S. No: Topics TEACHER’S NAME

Experiments Related To Pharmacodynamics

1. Normal movements of isolated piece of Rabbit’s intestine on Power lab Dr. M. Saeed Memon

2. Effects of Pilocarpine on isolated piece of Rabbit’s intestine

Dr. M. Saeed Memon

3. Effects of Atropine on isolated piece of Rabbit’s intestine Dr. M. Saeed Memon

4. Effects of Histamine on isolated piece of Rabbit’s intestine Dr. Karam Ali Shah

5. Effects of Anti-Histamine on isolated piece of Rabbit’s intestine Dr. Karam Ali Shah

6. Effects of Barium Chloride on isolated piece of Rabbit’s intestine Dr. Karam Ali Shah

7. Effects of Chloral Hydrate on isolated piece of Rabbit’s intestine Dr. Karam Ali Shah

8. Identify given unknown drug by observing its effects on isolated piece

of Rabbit’s intestine

Dr. M. Saeed Memon

9. To Calculate BMI of 3rd year MBBS students Dr. M. Saeed Memon


43. Drug Treatment of Leprosy Prof: Ali Nawaz Bhurgri

44. Anti-Fungal drugs Prof: Manzoor Ahmed Unar

45. Anti-Helminthic drugs Prof: Ali Nawaz Bhurgri

46. Anti-Viral drugs Prof: Manzoor Ahmed Unar

47. Anti Cancer drugs –I Prof: Ali Nawaz Bhurgri

48. Anti Cancer drugs -II Prof: Ali Nawaz Bhurgri

49. Antiseptics & Disinfectants-I Prof: Manzoor Ahmed Unar

50. Antiseptics & Disinfectants-II Prof: Manzoor Ahmed Unar

3rd PERIODICAL TEST

Presentations

Quiz Program

COMPREHENSIVE 6TH SEMESTER TEST

25

Experiments Related To Pharmacy

11. Introduction to Prescription writing Dr. Rafique Memon

12. Prescription writing of Parkinsonism Dr. Fajjar ul Zehra

13. Prescription writing of Peptic Ulcer Dr. Rafique Memon

14. Prescription writing of Bacillary Dysentery

Dr. Fajjar ul Zehra

15. Prescription writing of Amoebic Dysentery Dr. Rafique Memon

16. Prescription writing of Typhoid Fever Dr. Fajjar ul Zehra

17. Prescription writing of Pulmonary Tuberculosis

Dr. Rafique Memon

18. Prescription writing of Malaria Dr. Fajjar ul Zehra


26

DEPARTMENT OF FORENSIC MEDICINE

S.NO TEACHING FACULTY

1 PROFESSOR & HEAD OF DEPARTMENT. PROF. DR. AFZAL MEMON

2 ASSOCIATE PROFESSOR. DR. TUFAIL AHMED SOOMRO

LECTURERS

3 Dr. Muhammad Adil

4 Dr. Faiza Aftab

5 Dr. Haya Afzal

27

FIFTH SEMESTER (THREE LECTURES/WEEK)

Lec. # TOPICS

Forensic Medicine

TEACHER: PROF. DR. AFZAL MEMON

Introduction of Forensic Medicine


CHAPTER: TRAUMATOLOGY

1. Introduction

2. Classification of Mechanical injury

3. Types of wound their diagnostic criteria/ difference between Ante mortem and post

mortem wound

4. Abrasion (Types, Age & medico-legal aspect)

5. Bruise (Types, Age & medico-legal aspect)

6. Laceration (Types, Age & medico-legal aspect)

7. Penetrating wounds (Classification & their medico-legal aspect)

8. Intracranial Hemorrhages and their medico-legal significance

9. Non accidental trauma

10. Manner of injuries and their medico-legal implications (defense and fabricated wounds)

11. ML aspects of road Traffic Accidents and Issuance of driving license according to prevailing laws 1965

12. Introduction

13. Classification of Mechanical injury

14. Types of wound their diagnostic criteria/ difference between Ante mortem and post

mortem wound

15. Abrasion (Types, Age & medico-legal aspect)

16. Bruise (Types, Age & medico-legal aspect)

17. Laceration (Types, Age & medico-legal aspect)

18. Penetrating wounds (Classification & their medico-legal aspect)

19. Intracranial Hemorrhages and their medico-legal significance

20. Non accidental trauma

21. Manner of injuries and their medico-legal implications (defense and fabricated wounds)

22. ML aspects of road Traffic Accidents and Issuance of driving license according to

prevailing laws 1965


CHAPTER: INTRODUCTION

23. Introduction to Forensic Medicine


CHAPTER: LAW IN RELATION TO MEDICAL MEN

24. Medical Ethics

28

25. PMDC functions & role

26. Professional misconduct under section 29-30 of PMDC

27. Medical negligence and its medico-legal implication

28. Relevant laws regarding wounds (Qisas & Diyat ordinance 1991)

29. Professional Secrecy

30. Consent in medical practice


GENERAL TOXICOLOGY

31. Definition, Classification of Poisons

32. Diagnosis of Poisoning, Acute or chronic in living & Dead

33. General principal of management of an overdosed patient

34. Duties of Medical; practitioner in case of poisoning

UNIT-I TEST

UNIT-II


CHAPTER: TRAUMATOLOGY

35. Histological, Histo chemical and bio-chemical methods of determination of age of wound

36. Burns and their medico-legal importance

37. Electro caution and its medico-legal importance


CHAPTER: FIRE MAN INJURIES

38. Introduction and types of ballistics

39. Firearm injuries & their medico-legal significance

40. ML significance of firearm distance / angle


CHAPTER: BLOOD SEROLOGY

41. ML aspects of blood stains / spatter pattern

42. Seminal stains and its ML aspects

43. Trace evidence

44. ML aspects of saliva

CHAPTER: PERSONAL IDENTITY


45. Personal identity (Introduction)

46. Age determination

47. Sex determination

48. Race determination

49. Dactylography


CHAPTER: FORENSIC PSYCHIATRY

50. Forensic psychiatry and related terms used in psychiatry & Medical Health ordinance

51. Criminal responsibility and their legal test


CHAPTER: SPECIAL TOXICOLOGY

29

52. Alcohol & Alcoholism

53. Drinking & Driving

54. Non-Narcotic drug abuse

55. Narcotic drug abuse

56. Organo-phosphate positioning

57. Aluminum phosphide positioning

SIXTH SEMESTER (THREE LECTURES/WEEK)

Lec. # UNIT: I TOPICS

Forensic Medicine


CHAPTER: THANATOLOGY

1 Introduction

2 Medico-legal investigation

3 Diagnosis of death mode, manner, mechanism and cause of death

4 Changes after death I

5 Changes after death II

6 Changes after death III

7 Estimation of time since death

8 Death certification (WHO format)

9 Euthanasia

TEACHER: DR. TUFAIL AHMED SOOMRO

CHAPTER: POSTMORTEM EXAMINATION (AUTOPSY)

10 Autopsy protocol

11 Types of autopsy

12 External & internal examination and specimen collection

13 Exhumation related laws, precautions and procedure


CHAPTER: LEGAL PROCEDURE

14 Introduction

15 Law, law courts and legal terminology

16 Evidence types and recording

17 Witness and their types

18 Documents prepared by medical men


CHAPTER: FORENSIC PAEDIATRICS

19 Sudden infant death syndrome

20 Infanticide

21 Battered baby syndrome


30

CHAPTER: FORENSIC GYNAE AND OBS

22 Abortion (types, related laws)

23 Collection preservation and Dispatch of biological specimen for toxicological analysis I

24 Collection preservation and Dispatch of biological specimen for toxicological analysis


CHAPTER: SEXUAL JURISPRUDENCE

25 Examination of female victim in case of sexual assault

26 Documentation & interpretation

27 Interpreting forensic science evidence

(tradional enzyme studies / DNA typing)

UNIT-I TEST

UNIT-II TOPICS

LEC.

#


CHAPTER: ASPHYXIAL DEATHS

28 Asphyxia (introduction, types and classification)

29 Patho physiology of asphyxia

30 Suffocation (types, Medico-legal aspects)

31 Hanging (types, Medico-legal aspects & autopsy findings)

32 Strangulation (types, Medico-legal aspects & autopsy findings)

33 Manual strangulation (throttling)

34 Traumatic, sexual asphyxia

35 Drowning (introduction, mechanism and types)

36 Post mortem finding and medico-legal aspect in case of drowning


CHAPTER: SEXUAL JURISPRUDENCE

37 Sexual jurisprudence (introduction)

38 Marriage (Muslim marriage laws)

39 Hudood ordinance 1979 and women protection bill 2006

40 Natural & un-natural sexual offenses

41 Impotence, sterility and legitimacy


CHAPTER: GENERAL & SPECIAL TOXICOLOGY

42 Negative autopsy

43 Collection preservation and dispatch of biological specimen for histopathology and

DNA analysis

44 Drug addiction and drug dependence / drug abuse

45 Snake bite poisoning

46 Carbon monoxide poisoning

47 Hallucinogens

UNIT-II TEST

31

5TH SEMESTER PRACTICALS ALL GROUPS

Teacher Dr. Adil Dr. Muneeb

Topic

Aspirin Toxicity

Paracetomol

Poisoning Week Day

03 Thursday

Friday B A

Teacher Dr. Faiza Dr. Hifza

Week Day Arsenic poisoning Dhatura poisoning

04 Thursday A B

Friday B A


Topic

Pesticide Poisoning

Sex Determination

Week Day

05 Thursday A B

Friday B A


Week Day Naphathline Toxicity

Barbiturate Poisoning

06 Thursday A B

Friday B A


Topic Definition &

Classification of

poison

Age Determination

Cases Week Day

01 Thursday A B

Friday B A


Week Day Definition &

Classification of

poison

Paracetomol

Poisoning

02 Thursday A B

Friday B A

32


Topic

DNA Identification

Legal, Moral and

Ethical Issue

Hydrogen Sulphide

Week Day

07 Thursday A B

Friday B A


Week Day

Alcohol Poisoning

Race Determination

08 Thursday A B

Friday B A


Topic

Thermal Injuries

Fumigants Week Day

09 Thursday A B

Friday B A


Week Day

Volatile Substance

Abuse

Fuel Poisoning

(kerosene and Petrol)

10 Thursday A B

Friday B A

33


Topic

Lead Poisoning

Finger Printing

Week Day

11 Thursday A B

Friday B A


Week Day

Food Poisoning

Phosphorus

Poisoning

12 Thursday A B

Friday B A


Topic

Forensic Serology

Nicotine Poisoning Week Day

13 Thursday A B

Friday B A


Week Day Asphyxia

(introduction, types,

& classification)

Patho physiology of

asphyxia

14 Thursday A B

Friday B A


Topic Suffocation / hanging

(types, M/L &

autopsy finding

Strangulation, manual

strangulation

(throttling) Week Day

15 Thursday A B

Friday B A


Week Day Traumatic, sexual

asphyxia

Drowning

(introduction,

mechanism and

types)

16 Thursday A B

Friday B A

34


Topic Forensic pediatrics

sudden infant death

syndrome

Infanticide battered

baby syndrome Week Day

17 Thursday A B

Friday B A


Week Day Forensic gynae / obs

abortion (types,

related laws)

Collection

preservation and

dispatch of biological

specimen for

toxicological analysis

18 Thursday A B

Friday B A


Topic M/L aspects of blood

stains

M/L aspects of saliva

Week Day

19 Thursday A B

Friday B A


Week Day Forensic psychiatry Criminal

responsibility

20 Thursday A B

Friday B A


Topic Annual presentation Annual presentation

Week Day

21 Thursday A B

Friday B A

35

6TH SEMESTER PRACTICALS ALL GROUPS


Topic CHANGES AFTER

DEATH

CORROSIVES

Week Day

03 Thursday A B

Friday B A

Teacher Dr. Faiza Dr. Haya Afzal

Week Day CARBON

MONOXIDE

POISONING

HALLUCINOGENS

AGENTS (LSD)

04 Thursday A B

Friday B A


Topic PREGNANCY &

DELIVERY

(MEDICO LEGAL

TYPES OF

AUTOPSY Week Day


Topic CANNABIS

INDICA

SNAKE BITE

Week Day

01 Thursday A B

Friday B A


Week Day VIRGINITY & ITS

MEDICO LEGAL

ASPECTS

AUTOPSY

PROTOCOL

02 Thursday A B

Friday B A

36

ASPECTS)

05 Thursday A B

Friday B A


Week Day FORENSIC

MEDICAL

EXAMINATION

POISONING

CARDIAC

06 Thursday A B

Friday B A


Topic HYDROCYANIC AMPHETIMINE

POISONING Week Day

07 Thursday A B

Friday B A


Week Day ABORTION ITS

TYPES AND

RELATED LAWS

HAZARDS OF

AUTOPSY

08 Thursday A B

Friday B A


Topic ESTIMATION OF

TIME SINCE

DEATH

CHLORINATED

COMPOUNDS

(DDT) Week Day

09 Thursday A B

Friday B A


Week Day COCAINE

POISONING

ACONITE

POISONING

10 Thursday A B

Friday B A


Topic EXAMINATION OF

SEXUAL ASSAULT

NEGATIVE

AUTOPSY Week Day

11 Thursday A B

Friday B A


Week Day ALUMINUM

PHOSPHIDE

MERCURY

POISONING

37

12 Thursday A B

Friday B A

Week Day

13

(OSPE TEST BY CONCERNED TEACHER)

SUBJECT: SURGICAL SKILL LAB

THIRD YEAR (5TH & 6TH SEMESTERS) MBBS

INCHARGE: DR AMMARA MAHESAR

T

O

P

I

C

S

1 URINARY CATHERIZATION MALE

2 URINARY CATHERIZATION FEMALE

3 CARDIAC EXAMINATION

4 SPIROMETERY

5 LARYNGOSCOPY

6 ENDO TRACHEAL INTUBATION

7 EVALUTION

38

INSTRUCTIONS

75% ATTENDANCE IS MEDATORY FOR ELIGIBILITY OF EXAMINATION

FORM

IN CASE OF LECTURE IS NOT DELIVERED DUE TO ANY REASON ON THE

SCHEDULED DATE,IT WILL BE COMPONSATED IN EXTRA TIME

ALL THE GROUPS WILL BE TAUGHT THE SAME TOPICS BY SEPARATE

GROUP TEACHER

AFTER EIGHT WEEKS THERE WILL BE A UNIT TEST IN ALL THREE

SUBJECTS SEPARATELY COMPRISING OF A THEORY PAPER BCQ’s AND SHORT ESSAY

OSPE EXAMINATION

AFTER COMPLETING THE SEMESTER COURSE (SIXTEEN WEEKS), THERE

WILL BE TWO WEEKS PREPARATION LEAVE FOR EXAMINATION

TABLE OF SPECIFICATION FOR EACH SEMESTER

PHARMACOLOGY

THEORY QUESTION MARKS

BCQ’s 35 70

SHORT ESSAY 6/8 30

TOTAL MARKS 100

PATHOLOGY


BCQ’s 35 70

SHORT ESSAY 6/8 30

TOTAL MARKS 100

FORENSIC

MEDICINE


BCQ’s 35 35

SHORT ESSAY 6/8 15

TOTAL MARKS 50

39

PRACTICAL EXAMINATION

Practical examination would be on OSPE pattern.

Marks distribution in each subject will be as below.

PHARMACOLOGY

DESCRIPTION MARKS

Attendance 10

Internal Evaluation 10

Clinical Evaluation in Surgical wards 10

OSPE 70

TOTAL MARKS 100

PATHOLOGY

Attendance 10

Internal Evaluation 10

Clinical Evaluation in Surgical wards 10

OSPE 70

TOTAL MARKS 100

FORENSIC MEDICINE Attendance 10

OSPE 40

TOTAL MARKS 50

BOOKS RECOMMENDED

PHARMACOLOGY:

Text book of Pharmacology by Katzung Latest Edition

Review of Katzung

Illustrated Review of Pharmacology by Lippincott Latest Edition

GENERAL PATHOLOGY:

40

Basic of Pathology Latest Edition(Robbins)

Basis of Disease of Pathology Latest Edition(Robbins)

MICROBIOLOGY:

Text book by Levenson

Text book by Jawetz

PARASITOLOGY:

Text book by Chatterje

Text book by Black Lock

FORENSIC MEDICNE:

Textbook by C.K Parikh

Text book by Prof. Naseem Aiwan