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Numrul total de ore (pe semestru) din

planul de nvmnt
(164)

FIA DISCIPLINEI

Denumirea disciplinei
Anul de studiu

GENERAL SURGERY
IV

II Tipul de evaluare final (E / V / C)

Semestrul *

Regimul disciplinei (Ob obligatorie, Op opional, F - facultativ)

Ob

Total ore din planul de nvmnt

100

164

Total ore de studiu individual

Numrul de
credite
Total ore pe
semestru

Titularul disciplinei
* Dac disciplina are mai multe semestre de studiu, se completeaz cte o fi pentru
fiecare semestru
Facultatea

Medicina
Total

Departament
Profilul
Specializarea

C**

60

104

Chirurgie
Medicina

164

Medicina
** C curs, L activiti de laborator, P proiect
sau lucrri practice

Obiectivele disciplinei
1. understanding notions of surgical pathology and principles of surgical therapy.
2. patients examination
3. interpretation of laboratory data and functional evaluations
4. interpretation of medical imaging (ultrasound scan, standard radiology, MRI, CT scan)
5. recognition of major signs and symptoms for surgical diseases, building up a syndrome,
formulation of a diagnostic, diferential diagnostic.
Coninutul cursului-Programa analitica 60 ORE

E2
12
164

1. Surgical pathology of the breast: benign pathology (acute and chronic inflammation of the breast,
displastic disorders, and tumors); malignant diseases of the breast (breast cancer: diagnostic,
staging, place of surgery in the multimodal therapy).
2. Surgical diseases of thyroid and parathyroid glands.
3.Abdominal trauma acute traumatic abdomen
4. Digestive bleeding upper and lower digestive bleeding, etiology, diagnostic and treatment.
5.Surgical diseases of the esophagus: gastro esophageal reflux disease, motility disorders,
diverticuli, trauma, benign and malignant tumors
6.Diseases of the mediastinum (the mediastinal syndrome, mediastinitis, tumors)
7.Surgical pathology of the stomach complicated gastro duodenal ulcer, acute and chronic
complications, indications and surgical treatment options; postoperative ulcer, surgical aspects
related to the pathology associated with gastric resections, tumors of the stomach (benign and
malignant).
8. Surgical pathology of the liver- abscesses, hidatyd cyst, benign and malignant tumors.
9. Portal hypertension: etiology, pathogeny, diagnostic, therapy.
10. Surgical pathology of extrahepatic bile ducts - congenital diseases, billiary stones (gallbladder
and common bile duct stones), surgical aspects of gallbladder motility disorders, nonlithiasis
colecystitis, sclerosing cholangitis, benign and malignant tumors; etiologic diagnostic and treatment
of obstructed jaundice.
11. Surgical pathology of the pancreas pancreatic trauma, acute and chronic pancreatitis,
pancreatic pseudocysts, benign and malignant tumors of the pancreas.
12. Surgical pathology of the spleen: trauma, torsion, aneurisms, abscesses, tumors, hypersplenism,
indications for splenectomy.
13. Surgical pathology of small bowel and mesentery: Meckel diverticulum, benign and malignant
tumors, Crohn disease, ileo-cecal tuberculosis, necrotizing enteritis.
14. Surgical pathology of the colon: megacolon, dolicocolon, volvulus, ulcerative colitis, diverticuli,
colonic polyps, benign and malignant tumors.
15. Surgical pathology of the apendix acute and chronic appendicitis, appendicle tumors.
16. Surgical pathology of the rectum: rectal prolaps, bening and malignant tumors
17. Surgical pathology of the anum: hemorrhoids, fissures, supurative disorders, pilonidal fistula,
bening and malignant tumors
18. Non-traumatic acute abdomen: acute peritonitis, intestinal obstructions, mesenteric infarction.
Compartment syndrome. Diseases of the peritoneum: postoperative adhesions; tumors of the
peritoneum
19. Surgical pathology of the retroperitoneal space: retroperitoneal tumors, surgical pathology of
adrenal glands.
20. Surgical aspects of metabolic diseases: morbid obesity. Iatrogeny in surgery: incidence,
prevention, diagnostic and treatment.
21. Organ transplantation: general notions, stage of development and perspectives
Coninutul seminarului / laboratorului 104 ORE

According to lectures :
- Examination of the surgical patient
- Interpretation of paraclinical data
- Construction of positive and differential diagnostic
- Principle of surgical treatment
- Case presentations
Bibliografie
Doherty GM - Current surgical diagnosis and treatment in surgery-13th edition, McGraw Hill Ed,
Lange Medical Publishing 2010
Brunicardi F Schwartzs Principles of Surgery 9th edition, Mc Graw-Hill Co., 2009
Sabiston D.C. Textbook of Surgery, 19th edition, B.W. Saunders Co., Ed, Philadelphia, 2012
Competene
1. Diagnostic and therapeuticl decision in a patient with a abdominal pathology benefitiing
from surgical therapy (peritonitis, intestinal obstruction, hemoperitoneum, acuet pancreatitis,
enteric infarction, abdominal trauma) --2. Diagnostic workup and therapeutic strategy in patients with malignant tumors of the
digestive tract --3. Diagnostic workup and therapeutic strategy in patients with simple and complicated billiary
lithiasis --4. Diagnostic workup and therapeutic strategy in patients with goiter, hyperthyroidism and
thyroid cancer--5. Rectal touch in early diagnotic for rectal cancer and its importance in acute abdomen--6. Diagnostic workup and therapeutic strategy in patients with supurative disorders of the
anorectum and perianal space--7. Diagnostic workup and therapeutic strategy in patients with complicated ulcer disease--8. Home assistance of an operated patient : care for the wound, stomas, postoperative
monitorization--9. Major signs recognition in early diagnostic in malignancies: thyroid cancer, esophageal
cancer, gastric cancer, small bowel cancer, pamcreatic cancer, colo-rectal cancer, hepatic
cancer)--10. Clinica examination, diagnostic, first aid and orientation of surgical emergencies (peritonitis,
intestinal obstruction, gastrointestinal bleeding, intraperitoneal bleeding, abdominal and
thoracic trauma, organ torsion)--11. Diagnostic and management od surgical problems of the liver, extrahepatic biliary tract,
pancreas, spleen, diaphragm, esophagus, stoimach, bowel, thyroid and parathyroid gland,
adrenal glands-La stabilirea notei finale se iau n considerare
- rspunsurile la examen / colocviu (evaluarea final):
- scris
- ex.practic- caz clinic

Ponderea n notare exprimat n


procente
(Total = 100%)

50%
40%

- rspunsurile finale la lucrrile practice de laborator


- testarea periodic prin lucrri de control
- testarea continu pe parcursul semestrului

10%

- activitile gen teme / referate / eseuri / traduceri /


proiecte etc.
- alte activiti (PRECIZAI) :
Descriei modalitatea practic de evaluare final E/V (de exemplu: lucrare scris (descriptiv i
/ sau test gril i / sau probleme etc.), examinare oral, colocviu individual ori n grup, proiect,
etc.)
- teste pe parcurs i examinare final, toate pe calculator

Estimai timpul total (ore pe semestru) al activitilor de studiu individual pretinse


studentului
(completai cu 0 activitile care nu sunt cerute)
8
1. Descifrarea i studiul notielor de
8. Pregtire prezentri orale
curs
15
2. Studiu dup manual, suport de curs
9. Pregtire examinare final
3. Studiul bibliografiei minimale
indicate
4. Documentare suplimentar n
bibliotec
5. Activitate specific de pregtire
SEMINAR i / sau LABORATOR
6. Realizare teme, referate, eseuri,
traduceri, etc.
7. Pregtire lucrri de control

20

15

10. Consultaii

10

11. Documentare pe teren

12. Documentare pe Internet

13. Alte activiti ....

14. Alte activiti ....

TOTAL ore studiu individual (pe


semestru) = 100
Data completrii: 2012

10

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