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Name of PaperDifferential Diagnosis in Western Medicine 1CodeBCM2351AStatusCore MajorCredit Units3LevelBachelor of Science (Hons)Chinese Medicine Semester & year to be taughtSemester 5 , Year 3Prerequisite (if any)Human Physiology 2,General Pathology Head and Visceral AnatomyMedical BiochemistryMode of Delivery Lectures Workshops Practicals Assessment and Marking PercentageContinuous Assessment: 40% Group Case Analysis Report 20 % Case Presentation 20%End of semester Examinations: (1 hrs) 60% 20MCQ 30% Problem Case 30% Students must pass both components to pass the entire courseThe Teachers Associate Professor Dato Dr Shong Hing Kok Professor Dato Kew San Tong Dr Lim Wei Min Dr Zuriah AbdullahObjective of the module Objective of the module On completion of the course, the student is expected to have basic knowledgeExpected knowledge1. of western medical diseases and they diagnostic procedures, tests (Laboratory pathology and image study focusing especially on clinically related knowledge 2. to apply western medical terminologies in practice3. to apply western medicine principles and diagnosis skills in diagnosis of disease,.4. to refer to other practitioners, particularly medical practitioners, when appropriate in a timely manner, 5. to communicate effectively with patients, other health professionals, regulatory bodies, acupuncture instrument suppliers and the general publicSkills1. able to use western medicine diagnostic tools2. able to recognize limitations and make appropriate referrals to western doctorsExpected attitudes1. recognise the importance of le long learning2. has developed caring and responsible attitude3. Is always professional and considers the patient interest during the formulation of a treatment planLearning OutcomesObjective of the module Upon completion of this Course, students shall be able to: 1. Recognise the clinical presentation of important visceral disorders by integrating physical and historical data and identifying the pathophysiological processes responsible for the patients complaint; 2. Know aetiology and clinical aspects of common diseases; 3. Understand the pathogenesis of common diseases including the disturbances in anatomy, physiology and biochemistry; 4. Provide a differential diagnosis and final diagnosis of the organ system involved and disease(s) involved; 5. Describe the treatment principles, Chinese medicine treatment and self-care of common diseases and indications for referral; 6. Acquire the ability to appreciate diagnosis, prognosis and prevention; 7. Be aware of: a. treatment as a potential cause of illness and disease b. limitation of treatmentc. the effect of disease on social, occupational, environmental and recreational activities of individual patients. 8. Implement safety guidelines in the care of patients with viscera complaints by: a. being aware of personal and professional limitations; b. evaluating diagnostic data to determine indications and c. contraindications to care; d. using the presumptive diagnosis as a basis for making e. management/referral decisions; f. recognising situations in which the working diagnosis suggests that: responsibility for the health problems identified in a specific patient should be accepted concurrent consultation and/or participation with other health providers is preferable referral for further evaluation and/or care is required.A Synopsis of the paperA Synopsis of the paperDifferential Diagnosis in Western Medicine 1 introduces basic knowledge in Western Internal medicine. It also provides basic knowledge of diseases in western medicine and the diagnostic procedures, tests (laboratory pathology and imaging studies) Most of the study will focus on clinically related knowledge and facilitate further study in common clinical conditions. Since there is terminology peculiar to western medicine, western medicine terminology included in the course will contribute to achievement of communication capabilities that will be important in the work force, for example, practitioner communication with patients, their families, other health professionals, regulatory bodies, herbal / acupuncture instrument suppliers and the general public effectively. The course will be delivered via lectures and workshops,. The lectures will assist you in comprehending basic knowledge of western medical diseases, the diagnostic procedures and tests (laboratory pathology). Most of the lectures will focus on principles and practice of diagnosis in western medicine, especially the aetiology, pathogenesis, clinical aspects, diagnosis and non-drug self-care of the organ systems and diseases including indications for referral. Western medical treatment principles and Chinese medicine treatment for some commonly seen clinical conditions are also included. The Workshop classes will give the opportunity to consolidate the information given by the lecturer. You will be introduced to and expected to read the prescribed textbook. Written assessment tasks require you to learn how to think in a practical way about principles and practice of diagnosis in western medicine, especially the aetiology, pathogenesis, clinical aspects, diagnosis and non-drug self-care of the organ systems and diseases including indications for referral. Active and constructive participation in practical classes is expected in addition to weekly lectures, Workshops, reading and careful planning of assessment tasks. You are also expected to do a case study and topic presentation. Name of Paper and Contact HoursName of Paper and Contact HoursName of Paper and Contact HoursDifferential Diagnosis in Western MedicineTeaching schedule1. Introduction and Infectious Disease (Lecture 2hrs)a. Introduction to the module and assessmentb. Introduction to Infectious Diseases2. Infectious Disease, Full blood count (white blood cell (WBC) and erythrocyte sedimentation rate (ESR)(Lecture 2hrs) a. Incidence and Typesb. Inverstigations (Physical examination, Laboratory tests, Imaging tests)3. Heart Disease (Lecture 2hrs) Epidemiology, clinical features, pathophysiology of heart diseases4. Heart Disease, cardiac enzymes (Lecture 2hrs) Biochemical changes in Heart Disease5. Workshop and case studies (Lectures 1hr, Workshop 1hr) Students to work on and discuss problems related to topics covered6. Heart Disease (Lecture 2hrs) a. Managementb. Risk factors, prevention, treatment, patient education counseling c. Case Discussion 7. Chest Disease (Lecture 2hrs) Epidemiology, clinical features, pathophysiology of cheast Infections8.Workshop and case studies (Lectures 1hr, Workshop 1hr) Students to work on and discuss problems related to topics covered9.Chest Disease (Lectures 2hrs) a. Epidemiology, clinical features, pathophysiology of : obstructive airway diseases b. Malignancies c. Occupational chest diseases 10. Chest Disease (Lectures 2hrs) a. Managementb. Risk factors, prevention, treatment, patient education and counseling of chest diseases c. Case discussion 11. Workshop and case studies (Lectures 1hr, Workshop 1hr) Students to work on and discuss problems related to topics covered 12. Gastrointestinal Disease (Lectures 2hrs) Epidemioloy, clinical features, pathophysiology of :a. Upper and lower GIT bleedingb. Malignancies (stomach, colorectal cancer)c. Infections of the GIT (cholera,typhoid, etc)13. Gastrointestinal Disease (Lectures 2hrs) Risk factors, Prevention, treatment, patient education and counseling 14. Workshop and case studies (Lectures 1hr, Workshop 1hr) Students to work on and discuss problems related to topics covered15. Liver, and Biliary tract diseases (Lectures 2hrs) a. Epidemiology, clinical features, pathophysiology of hepatitis, liver malignancies, gall stones b. Liver function tests 16. Pancreatic disease (Lectures 1hr) a. Epidemiology, clinical features, pathophysiology b. Laboratory investigations 17. Workshop and Case studies (Lectures 1hr, Workshop 1hr) Studnts to work on and discuss topics covered in lectures on liver, biliary tract and pancreatic diseases 18. Renal disease (Lectures 2hrs) a. Epidemiology, Clinical Features, pathophysiology of renal diseaseb. Glomerulonephropathiesc. Renal calculi d. Malignacy of the kidney and the bladder 19. Renal disease and urine tests (Lectures 2hrs) a. Infections in the renal systemb. Urinalysisc. Management 20. Workshop and Case studies (Lectures 1hr, Workshop 1hr) Review of Topics covered in lectures and Case Studies 21. Renal disease, renal function tests (Lectures 2hrs) a. Acute and Chronic Renal Failureb. Management of Acute and Chronic Renal Failure c. Patient Education and Counseling 22. Revision Workshop (Workshop 1hr) Total Contact Hours 42Total learning hours Lectures35 Workshops 7 SDL 547Total Credit Units 3 3Main References 1. Lecture notes 2. Axford, J. S. and OCallaghan, C. A. (2004) Medicine, Blackwell Pub., Malden, Mass. 3. Jamison, J. R. (1999) Differential diagnosis for primary practice, Churchill Livingstone, New York; Edinburgh. 4. Friedman, H. H. (Ed.) (1991) Problem-oriented medical diagnosis, Little, Brown, Boston. 5. Higgins, C. (2000) Understanding laboratory investigations: A text for nurses and healthcare professionals, Blackwell Science, Malden, MA. 6. The Merck & Co. (2006) The Merck manual of diagnosis and therapy, Merck, Rah

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