Comprehensive List of Topics

General Practice & Emergency

(Corrected 2010)

(F)

SIS(VII Semester)
27.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.

Introduction to General Practice and patient

centred care
Consulting skills Whose agenda directs
the consultation?
Approach to making a diagnosis
Rational approach to management
investigations and treatment
Approach to a patient presenting with
jaundice
Approach to a patient with pallor
Approach to a patient with chronic
abdominal pain
Introduction to emergency and triaging
Approach to a patient with acute abdominal
pain
Approach to a patient with diarrrhoea and
vomiting - WHO plans A,B,C
Fluid balance management how to order,
what and why.
Shock
Acute pain management
Major Trauma 1 primary and secondary
survey
Major Trauma 2 head injury and raised
ICP
Major trauma 3 - spinal injury and spinal
shock
Major trauma 4 - suspecting and managing
hidden injuries
Major trauma 5 - bone, joint, tendon and
neurovascular injury
Triaging sick children
Serious illnesses in children what not to
miss
Approach to a patient with acute chest pain
Making sense of ECGs
ACS
Approach to a patient with fits, faints and
funny turns- dizziness
Approach to a patient with altered
consciousness
Approach to seizure presentations

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28.
29.
30.
31.
32.
33.

Approach to a patient presenting with

headaches
Approach to a patient with fever
Haematemesis and haemoptysis
Management of snakebite
Management of patients with poisoning , or
overdose
Management of patients with electrocution
injury, drowning
Exam preparation

SIS: (VIII Semester)

1. Approach to antenatal assessment
2. Approach to postnatal care and breastfeeding
3. Sorting out breast problems
4. Sorting out PV discharge and bleeding
5. Sorting out pelvic pain lower abdominal pain
in women
6. Well women issues
7. Approach to the management of a patient after
sexual assault
8. Assessing infertility primary care approach
9. Ethical issues related to reproductive health (in
cooperation with O&G)
10. Mens health issues
11. Male urogenital conditions 1
12. Sorting out bone and joint problems
13. Common musculoskeletal problems
presentations in family practice
14. Low back pain
15. Upper respiratory tract presentations
16. Allergy and anaphylaxis
17. Approach to a patient with cough and SOB
18. COPD
19. Asthma
20. Hypertension
21. Managing NIDDM in primary care
22. Managing cardiovascular risk & chronic disease
concepts
23. Care of older people
24. Recognising and managing disability

SIS(VIII Semester)
25. Approach to the acutely disturbed patient
26. Common psychiatric presentations 1
Anxiety
27. Common psychiatric presentations 2
Depression
28. Mental health and adolescence
29. Assessing growth and development in
children
30. Review IMCI and childhood presentations
31. Review and exam preparation
CBL Semester VII
Tutorial Topics in GP - Weeks 1&2
1 Introduction to the programme
2. Abdominal pain (non-acute)
3. Fever
4. Cough
5. Headache
6. Breast lumps
7. PV bleeding
8. Back Pain
9. Jumjum laaghyo nasa ko rog
10. Review and logbooks
Tutorial Topics in Emergency Weeks 1&2
1. Introduction to the programme and to triage
2. Primary survey in trauma
3. Secondary survey in trauma
4. Shock diagnosis and management
5. Acute pain management
6. Unconscious patients
7. Assessing and managing dehydration in
adults
8. Acute abdominal pain
9. Chest pain and ECGs (ischaemia)
10. Review and logbooks
11. Disasters
12. . Of wound management
13. Cardio pulmonary resuscitation.
Weeks 3&4
Students group choice according to the
curriculum needs and interest

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VIII Semester, CBL topics

1. Intro & Recognising airway problems and resp
failure
2. Chest pain and ECGs - arrythmias
3. Hypertensive urgency and emergency
4. CVA
5. Cases
6. Neonates in emergency
7. Respiratory problems in children
8. Unconscious child/ seizures/meningitis
9. BLS & ALS
10. Cases
11. Burns
12 Snakebite
13. Poisoning
14. Acutely disturbed patient
15. Cases
16. Endocrine emergencies
17. Acute SOB in adults
18. Sepsis
19. Anaphylaxis
20 Cases
SGD
VII Semester
1. Sterile technique and Standard precautions 2. Coordination of care and consultation
techniques in
3. Consultation techniques in tough situations
4. Motivational counseling
5. Critical thinking 1- reading the literature
6. Critical thinking 2- weighing the evidence
7. Emergency case scenarios
8. Ethical considerations and duty of care
SGD
VIII Semester
1.
Fluid management review with case
scenarios
2.
Putting yourself in anothers shoescrosscultural consulting and world views
3.
Primary and secondary survey stations
4.
Medical emergency case scenarios

SEMINAR
(VII & VIII Semester)
1. Snake bite(Fam Med, Anaesthesiology,
CM, M, P)
Epidemiological aspects
Classification of snakes and their
venom types
Clinical manifestations of snake bite
Management first aid and in
hospital
Community education
2. Acute gastroenteritis(Fam Med, M, CM,
P, Microbiology)
Aetiopathogenesis and prevention
Clinical manifestations
Investigations
Managing dehydration
Rational treatment including the place of
antimicrobials
3. Teamwork and Disaster Management
(Fam Med, S, Anaesthesiology, Ortho, CM,
OG)
Disasters definition and
classifications
Preparation for disaster response
Disaster triage
Management of disasters
Possible disaster scenario in Dharan
4. Patient Centred Care and Family(PCC)
Practice(Family Medicine)
Overview of principles of PCC
Integrating the patient and doctor
agendas
Communication skills (including
consultation skills)
Integrated care and continuity of
care
Advocacy, referrals and
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coordination of

care

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