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MINISTRY OF HEALTH OF UKRAINE

BUKOVINIAN STATE MEDICAL UNIVERSITY


“Approved “

Pro-rector on the educational work

             Professor__________M.Y.Kolomoyets

“___”___________2008

Guide for student

Subject - Dermatovenerology

(structure, objectives, content of the subject, principles of the                                  estimating, control questions)


Guide for students is composed according educational program and curriculum (educational subject „Dermatovenerology”) for students of institution of higher medical education (MH of Ukraine, K., 2007) of the III – IV levels of accreditation currently in force and approved by vice-minister of health of Ukraine.


Approved at the Meeting of Skin and

Venereal diseases and Tuberculosis

Department on Methods of Teaching

“______”_____________2008

(protocol № _____)


Head of the Department O.I.Denysenko, docent


Approved at the Meeting of Subject Methodical Commission

Of therapeutic disciplines

“______”_____________2008

(protocol № _____)


Head of the Commission V.K.Tashchuk, professor


Chernivtsi – 2008

^ Education subject

Dermatovenerology”

1. Introduction.

Dermatovenerology as an educational discipline - is based on the Management of the learning process is realized according to Bologna credits and modular system.

Dermatovenerology. This is the medical specialty, that studies etiology, pathogenesis, epidemiology, clinical manifestations, diagnosis, modern treatment and prophylaxis of the skin diseases and, particularly, sexually transmitted diseases.

Dermatology (from Greec. dermato = skin; logos = study).

Dermatovenerology as an educational discipline:

а) it is based on the previous study anatomy, histology, normal and pathologic physiology, medical biology, microbiology and other morphologic subjects by the students and integrated with these subjects;

б) it is important component for following study of the clinical subjects by the students, and forms practical skills from dermatovenerology in further professional activity;

в) it is foundation for healthy life-style and prevention of the venereal diseases.

Number of the educational hours 90 (3 credits ECTS):

- lectures – 20 hours

- practical lessons – 50 hours

- self-training work of the students – 20 hours.

Discipline " Dermatovenerology " includes 1 module, which in its turn are divided into 13 thematic modules.

^ 2. Structure of subject „Dermatovenerology” and grades for the current educational activity (conversion of the traditional marks in the grades; estimating of the individual work - in grades)

Number of the module, number of the educational hours/ number of the Credits ECTS

Number of the thematic modules

Number of the practical lessons

Conversion of the traditional marks in grades

Minimal number of the grades *

Traditional marks

Grades for the individual work

„5”

„4”

„3”

„2”


Module 1

90 /3,0


13


22


5


4


3


0


7


70

* Minimum number of grades which student able to achieve in current module for taking final modular control .


^ 3. Final objectives of the study of the educational subject according to educational, professional program (EPP):

● To detect etiological and pathogenic agents of the most distributed skin and     venereal diseases.

● To diagnose previously skin and venereal diseases based on clinical pictures and      anamnesis.

● To prescribe laboratory or instrumental examination; to make differential     diagnosis of these diseases.

● To define medical actions for patients and to use principles of prevention of the     most distributed skin and venereal diseases.

● To use moral and ethical principles in conversation with dermatologic and     venereal patients.


^ 4. Module 1 - “Dermatovenerology”


4.1. List of lecture topics.



TOPIC

Hours

1

History of dermatovenerology. Dermatologic schools. Characteristics of the psychological reaction of the dermatologic patients. Deontological aspects of the work of the dermatologist. General questions of the etiology and pathogenesis of skin diseases. Morphology of primary and secondary skin lesions. Principles of the general and topical treatment of skin diseases.

2

2

Pyodermas. Parasites diseases of the skin.

2

3

Allergic dermatoses.

2

4

Neurodermatoses. Atopic dermatitis.

2

5

Dermatomycosis. Mycotic lesions of mucous membranes.

2

6

Viral and bullous dermatoses. Diffuse diseases of connective tissue.

2

7

Tuberculosis cutis. HIV-infection . Dermatological aspects of HIV-infection.

2

8

Sexually transmitted diseases, social diseases, venereal diseases – classification. Etiology and general course of syphilis, laboratory diagnostics. Primary and secondary syphilis.

2

9

Tertiary syphilis. Congenital syphilis. Principles of the treatment and prophylaxis of the syphilis.

2

10

Gonorrhea, trichomonas urethritis, chlamydia   urethritis, candidiasis.

2




TOTAL

20



^ 4.2. List of practical lessons.



ТOPIC

К-сть годин

1.

Topic 1. Anatomy, histology and physiology of the human skin. Methods of examination of the patients with skin pathology. Skin lesions and their clinical significance.

3


2.

Topic 2. Pyodermas. Clinical manifestations of staphylodermatoses and streptodermatoses.

2

Topic 3. Parasites diseases of the skin: scabies, pediculosis, demodicosis. Clinical course. Treatment. Prevention.

2

Topic 4. Psoriasis. Lichen rubber planus. Diagnosis, clinical course, treatment.

3

3.

Topic 5. Dermatitis, toxicodermas. Diagnosis, clinical manifestations and treatment.

2

4.

Topic 6. Eczema. Diagnosis, clinical picture and treatment.

1

5.

Topic 7. Neurodermatoses. Atopic dermatitis. Diagnosis, clinical picture and treatment.

2

6.

Topic 8. Trichomycoses; microsporia, trichophytosis, fafus. Clinical manifestations. Diagnosis. Treatment and prophylaxis.

2

Topic 9. Keratomycoses. Candidiases. Tinea pedis.

2

7.

Topic 10. Diseases caused by viruses. Clinical manifestations. Treatment.

1

Topic 11. Bullous dermatoses. Preparing for the description of the skin lesions.

2

8.

Topic 12. Practical skills for writing of medical history. Clinical examination of a patient, №1. Diffuse diseases of connective tissue.

3

Topic 13. Practical skills for writing of medical history of dermatologic patient. Clinical examination of a patient, №2. Tuberculosis cutis.

2

Topic 14. Defence of the final patient’s history.

3

9.

Topic 15. Modern epidemiology and classification of sexually transmitted diseases. General course of primary syphilis. Serologic diagnosis. Immunity.

2

10.

Topic 16. Secondary stage of syphilis, differential diagnosis of it.

2

11.

Topic 17. Tertiary syphilis.

1

Topic 18. Congenital syphilis. Diagnosis. Clinical manifestations.

2

Topic 19. Diagnosis and treatment of the syphilis.

3

12.

Topic 20. Gonorrhea, peculiarities of it, principles of the treatment and prevention.

2

Topic 21. Nongonococcal urethrites: trichomonas urethritis, chlamydia   urethritis, candidiasis. Principles of the therapy and prophylaxis.

3

13.

Topic 22. Dermatological aspects of HIV-infection. Modern principles of the therapy and prophylaxis.

2




Final modular control

3




practical reading




theoretical reading




TOTAL

50



^ 4.3. Self-training individual work for the students.




Topic

Hours

1

2

3

1

Preparation for a practical lessons theoretical preparation and training for practical skills ( thematic tests and clinical tasks)

10

2

Self-training of the topics (they are absent in the plan of the auditorium lessons):







1

History of the development of dermatology in the ХІХ –ХХ century. Dermatovenerological schools.

The skin - as an immunity organ of the organism.

Assessment of the quality of the life of dermatologic patients. Seborrhoea. Acne vulgar.

Precancerous diseases of the skin.

Candidiasis.

Lepra.

Principles of the cosmetic care of the skin.

2

1

2

3

3

Individual work: examination of the thematic patient and preparing of the scientific literature according to topic (pyodermas, parasites diseases of the skin, psoriasis, lichen rubber planus, allergic dermatoses, neurodermatoses, dermatomycoses, viral and bullous diseases of the skin).

4

4

Preparation for a final control of mastering of module.

3




TOTAL

20


5. Estimating of the educational activity of the student.


Methods of the control.

Method of the control and system of estimating act according to demands of the subjects program and instruction about system of estimating of educational activity of the students according to credit modular system of the educational process, approved by Ministry of Health of Ukraine (2005).


Mark for module equivalent to the sum of marks of current educational activity and marks of the final module. It defined during estimating of theoretic knowledge and practical skills according to program of the subject.

Maximal grades after each module ( final credit ) – 200, among which 120 (60%) for current educational activity and 80 (40%) for result of the final module.

Current control used on each practical lesson according to specific objectives from each topic. Standardized methods of control should be prefer in estimating of educational activity of the students. These methods are: tests, structural written tasks, structural practical skills, close to real conditions, clinical examination of the thematic patients.


^ Estimating of the current educational activity.

Mark defined by number of topics of the module.

Mark of the subject of “Dermatovenerology” is rating. It contains current educational activity of the students and marks of mastering specified by the modules program. Current estimating of the students for thematic topics is done according to 4-grade system (excellent, good, satisfactory, unsatisfactory) which changes gradually in to grade system.

Mark “excellent” – student knows theme of the lesson and material of the lecture fully, can shows different examples for his answer, can give full exact, clear and correct answers without any helping, leading questions, without mistakes, can solve tasks and perform practical skills on different levels of difficulty.

Mark “good” – student knows theme of the lesson and has good understanding of it, gives correct systematic answers for questions, but not complete. Student can answers for additional questions without mistakes, can solve all tests and practical tasks and has difficulties only at the highest levels.

^ Mark “satisfactory” – student has knowledge and understanding of all topics on acceptable level. He can solve some tasks (easier ones) with help of leading questions, he has difficulties to solve tasks and to use practical skills in simple occasions. Student can answer correctly direct questions but not able give systematic answers by himself.

^ Mark “unsatisfactory” – knowledge and abilities of the student are lower than acceptable.

Student is estimated according to 4 – grade traditional system for his study which later converts in to grades depend on number of topics in module. System shows below and illustrates this conversion of tradition system in to grades:



^ Traditional mark

Conversion in to grades

„5”

5

„4”

4

„3”

3

„2”

0

Maximum number which student able to achieve for module equal to 120 grades (number of grades equaled to mark “5” multiplied by number of topics in module with addition of grades for individual work).


^ Criteria of estimating of patient’s history in module 1:


3 grades – written methodically correctly, without any remarks;

2 grades - written methodically correctly, but some parts of it need to be more    detailed;

1 grade – there are some correct remarks, relevant to detailing and sequence of    description of the parts of patient’s history;

0 grades – plan and rules of the writing are not followed (in this case student    should rewrite patient’s history with consideration of remarks of the teacher).

Minimum number of grades which student able to achieve for module equals: number of grades of mark “3” multiplied by number of the topics of module and equal to 70 grades.


Estimating of the individual, self work of the student (individual tasks)


Number of grades for different types of the individual work of the student depends on it’s importance and can be 5-7 grades (but not more). These grades add to sum of the grades for current educational activity.


Estimating of the self work of the student


Estimating of the self work of the students is done during current control of the topic on the lesson. Understanding of the themes for self work of the student is estimated during final modular control.


^ Final modular control


At the end of all themes is final modular control (at the last lesson).

For final module students should finish learning all topics of the program and achieve certain number of grades (minimum 70).

Final module must be according to standardized plan and includes control of the theoretic and practical work.

Final modular control consist of test control (number of the questions 40), demonstration of the practical skill ( according to list of the practical skills) and clinical task solution.

Maximum number of grades of the final modular control equals 80. 40 – maximal mark for the test control, 20 – for the clinical task solution, 20 – for the demonstration of the performance of the practical skill.

Minimum number of grades which student able to achieve for module equals: number of grades of mark “3” multiplied by number of the topics of module and equal to 70 grades.

Student gets “pass” for his final modular control if he received 50 grades or above (30 – minimum mark for the test control, 10 – for the clinical task solution, 10 – for the demonstration of the performance of the practical skill).


Criteria of estimating of the clinical task solution in module 1:

20 grades – exact clinical diagnosis in a patient, correct plan of the examination      and treatment of this patient;

15 grades - exact clinical diagnosis in a patient, but some parts of the plan of the      treatment and examination of the patient need to be more detailed;

10 grade – there are some difficulties in diagnosis, plan of the treatment and      examination of the patient. It need corrected with consideration of remarks of      the teacher;

0 grades – answers are absent

Criteria of estimating of the performance of the practical skill in module 1:

20 grades – practical skill is performed without any mistakes;

15 grades – practical skill is performed with inessential inexactness, and was           corrected by student;

10 grades – practical skill is performed by the student with inexactness and             mistakes and was corrected by the teacher;

0 grades – practical skill is not performed.


Estimating of the subject

All modules should be completed.

Mark of the subject equals average mark for all module.

Additional grades can be added for scientific publications, top prizes in competition from relevant subject only according to decision of the Academic council.

There are statistical methods used for objectivity of the students (coefficient of the correlation between current progress and results of the final modular control.

^ Conversion of grades number of the subject in marks

of ESTS and traditional 4 – grade system:


According to ЕСТS scale

According to national scale

^ According to scale of BSMU

                   (grades)

А (excellent)

excellent

180-200

В (very good)

good

165-179

С (good)

150-164

D (good)

satisfactory

135-149

E (faintly)

120-134

FX

unsatisfactory

with chance to pass final   module for the second time

70-119

F

unsatisfactory

with obligatory repeated               course

1-69

^ Number of grades from subject convert in 4 grade system, so:


Mark according to ECTS

Mark according to 4 – grade scale

А

„5”

В, С

„4”

D, Е

„3”

FX,

„2”


Students, which failed one or more modules at the end of the learning of the subject estimated FX, F (“2”).

FX (“2”) – get student that achieved minimum number of grades for current educational activity, but failed final modular control. These students allowed to pass final module for the second time, but no more then twice, according to program, approved by rector of the university.

Students with mark “F” (number of grades lower then minimum) should repeat course of study from relevant module.

Direction of the university taken a decision according to normative papers approved in standard practice.


^ Assessment of the grades


Thematic module, №

Module1.

Current educational activity

Maximal number of the grades

1.

Topic  1.

5

2.

Topic 2.

5

Topic 3.

5

Topic 4.

5

3.

Topic  5.

5

4.

Topic 6.

5

5.

Topic 7.

5

6.

Topic 8.

5

Topic 9.

5

7.

Topic 10.

5

Topic 11.

5

8.

Topic 12.

5

Topic 13.

5

Topic 14.

5

9.

Topic 15.

5

10.

Topic 16.

5

11.

Topic 17.

5

Topic 18.

5

Topic 19.

5

12.

Topic 20.

5

Topic 21.

5

13.

Topic 22.

5




Take a final patient’s history

3




^ Individual work of the student

7




Total (thematic modules)

120




Final modular control

80




TOTAL score

200



^ 6. List of the theoretical questions for a final modular control of the mastering     of the module 1 - “Dermatovenerology”


1. History of the dermatology. Basic world schools of the dermatology. Modern        ways and progress of it.

2. Anatomy and histology of the skin (epidermis, its structure and

functions).

3. Anatomy and histology of the skin (structure of the dermis and

hypodermis).

4. Additions of the skin.

5. Blood and lymphatic vessels of the skin. Nervous-receptive

mechanism of it.

6. Characteristics of the structure and physiology of the skin in children

and elderly.

7. Functions of the skin: secretory, protective; action in thermoregulation and        resorption. Role of the skin in water, mineral, protein and other metabolisms.

8. Histopathologic changes of inflammatory processes of the skin

(acanthosis, granulosis, papillomatosis, parakeratosis, hyperkeratosis).

9. Spongiosis, alteration cavitare, ballooning, reticular

Degeneration, acantholysis.

10. Method of examination of the patients with skin and venereal diseases.

11. Special dermatologic researches: palpation, scraping, diascopy,

dermographism, skin tests.

12. Special dermatologic researches: iodine test, Nikolsky’s signs,

isomorphous reaction (Kobner’s phenomenon), fluorescent

diagnosis, biopsy of the skin.

13. Primary morphologic elements of skin lesion. Macula, its characteristic.

14. Primary morphologic elements (papules, tubercles, nodules).

15. Cavity elements, peculiarity of them.

16. Secondary elements of skin lesion. Classification.

17. Scheme for the writing of the medical history of dermatologic patient.

18. Significance of exogenous, endogenous and social factors for appearance

and development of dermatoses.

19. Sensibilisation, allergy and immunopathology in the dermatology.


20.  Dermatological pathology – as medical-psychological problem. General types        of the psychological reaction of the dermatologic patients.

21. Main principles of the treatment of skin diseases. General therapy of skin        diseases in adults and children.

22. Principles of the topical treatment of the dermatoses in adults and children.

23. Medications for topical treatment of the dermatoses (wet-dressing, powders,

emulsions, pastes, ointments, dermatologic compresses).

24. General principles of the cosmetic care of the skin.

25. Physical treatment in the dermatology and venerology.

26. Sanatorium-and-spa treatment. Indications and contra-indications.

27. Principles of reqular clinical examination of the patients in the        dermatovenerology.

28. Deontological questions in dermatovenerological practice.

29. Pyodermas. Distribution. Etiology. Pathogenesis. Classification.

Treatment (prescription for erythromycin).

30. Ostiofolliculitis. Folliculitis. Sycosis coccogenic. Clinical               picture.Treatment (prescription for fucorcin).

31. Pyococcus lesions of the additions of the skin (furuncle, carbuncle,        hidradenitis, acne vulgar). Etiology. Pathogenesis. Clinical picture. Treatment.        (prescription for methylene blue (2% spirit solution ))

32. Impetigo contagious, its forms. Etiology. Pathogenesis. Clinical        manifastations.  Treatment. Prophylaxis (prescription for sol. methylene

       blue 2%).

33. Ecthyma vulgar. Etiology. Pathogenesis. Clinical picture. Treatment        (prescription for yellow mercurial ointment).

34. Atypical chronic pyodermas. Pathogenesis. Clinical manifastations.        Treatment (prescription for sol. methylene blue 2%).

35. Scabies. Etiology. Pathogenesis. Clinical course. Diagnosis. Differential        diagnosis. Treatment (prescription for sulfur ointment).

36. Demodecosis. Leishmaniasis. Etiology. Pathogenesis. Clinical        manifestations. Diagnosis. Differential diagnosis. Treatment (prescription for        20% benzyl- benzoate emulsion).

37. Pediculosis. Etiology. Pathogenesis. Clinical manifestations. Treatment        (prescription for 20% benzyl-benzoate emulsion).

38. Psoriasis. Pathogenesis. Clinical picture. Clinical forms. Differential               diagnosis. Treatment (prescription for vitamin A, naphtalan ointment).

39. Lichen rubber planus. Pathogenesis. Clinical picture. Differential        diagnosis. Treatment (prescription for diasoline).

40. Dermatitis. Pathogenesis. Classification. Clinical picture. Treatment

(prescription for suprastin, emulsion).

41. Toxicodermas. Pathogenesis. Lyell’s syndrome. Clinical course.        Treatment (prescription for prednizolon, sol. Sodium thiosulfate 30%).

42. Eczema. Pathogenesis. Classification. Clinical picture. Treatment

(prescription for calcium chloride, sol. Resorcinol 1%).

43. Skin itch – as symptom and as disease. Etiology. Pathogenesis. Clinical        picture. Plan of the examination of these patients. Treatment (prescription for        yellow mercurial ointment).

44. Urticaria (nettle-rash). Quincke’s angioedema. Etiopathogenesis. Clinical        ppeculiarities. Treatment (prescription for pipolphen,emulsion).

45. Prurigo adultorum and prurigo acuta infantum. Etiopathogenesis. Clinical        characteristics. Treatment (prescription for diazolin).

46. Neurodermitis. Etiology. Pathogenesis. Clinical picture.  Treatment        (prescription for seduxen).

47. Atopia. Atopic dermatitis. Clinical manifastations. Treatment (prescription for        prednizolon ointment).

48. Dermatomycoses. Classification. Pityriasis versicolor. Erythrasmas.

Clinical manifestations. Treatment (prescription for 5% erythromycin        ointment, 2%  salicylic spirit).

49. Microsporosis. Classification. Clinical picture. Treatment (prescription        for        griseofulvin, ointment of Ariyevich).

50. Trichophytosis. Pathogenesis. Classification. Clinical peculiarities. Treatment

       (prescription for sulfur-tar ointment).

51. Favus. Epidemiology. Clinical picture. Treatment (prescription for        griseofulvin).

52. Epidermophytosis. Pathogenesis. Classification. Clinical picture.        Treatment. Prophylaxis (prescription for 5% sulfur-tar ointment).

53. Rubromycosis. Etiopathogenesis. Epidemiology. Classification.

Clinical picture. Principles of the treatment (prescription for nisoral).

54. Candidiasis of the skin and mucous membranes. Clinical manifestations.        Diagnosis. Treatment (prescription for iodine solution 2%).

55. Viral diseases of the skin. Herpes simplex. Etiopathogenesis. Clinical        picture. Treatment (prescription for 5% salicylic ointment).

56. Zoster. Etiology. Pathogenesis. Clinical manifastations. Treatment        (prescription for bonafton, 2% oxoliny ointment).

57. Warts. Molluscum contagiosum. Etiology. Pathogenesis. Clinical        manifastations. Diagnosis. Treatment (prescription for sol. gentian violet 2%).

58. Classification of bullous dermatoses. Pemphigus. Nonacantholytic

bullous dermatoses. Pathogenesis. Clinical forms. Treatment

(prescription for prednizolon).

59. Duhring-Brocq disease. Pathogenesis. Clinical picture. Treatment        (prescription for sol. methylene blue 2%, fucorcin).

60. Seborrhoea. Acne vulgar. Etiopathogenesis. Classification. Clinical picture.        Diagnosis. Treatment (prescription for doxiciclin).

61. Precancerous diseases of the skin. Clinical variations. Tactic and deontology        of the doctor in these cases.

62. Lupus erythematosus. Pathogenesis. Classification. Clinical peculiarities.

Treatment (prescription for prednizolon, delagil).

63. Sclerodermas. Pathogenesis. Clinical course. Differential diagnosis.

Treatment (prescription for lydase, plasmoly).

64. Tuberculosis cutis: pathogen, pathogenesis. Classification.Tuberculosis cutis        colliquativa (scrofuloderma). Clinical characteristics. Diagnosis. Treatment       (prescription for        ryphampicin).

65. Tuberculosis cutis luposa. Clinical picture. Diagnosis. Treatment (prescription

for phthivazid).

66. Tuberculosis cutis papulonecrotica. Etiology. Pathogenesis. Clinical picture.         Treatment (prescription for streptomycin).

67. Tuberculosis verrucosa cutis. Clinical picture. Diagnosis. Treatment        (prescription for        ryphampicin).

68. Tuberculosis cutis miliaris disseminate. Etiology.Pathogenesis. Clinical         picture.  Treatment (prescription for streptomycin).

69. Lepra. Etiology. Epidemiology. Pathogenesis. Clinical manifastations.        Treatment. Prevention (prescription for prednizolon).

70. Modern classification of the sexually transmitted diseases.

71. Ways and conditions of venereal transmition. Source of the infection. Role of         the social factors in distribution of the venereal diseases (alcoholism, drug

addiction, prostitution, homosexuality and etc.).

72. Etiology of syphilis. Treponema pallidum, its morphologic and

biologic characteristics. Methods of the detection of treponema pallidum.

73. Ways and conditions of syphilitic transmittion. Source of syphilitic infection

and contacts between infected people.

74. Immunity in syphilis. Reinfection. Superinfection.

75. General course, stages of syphilis. Classification. Incubation period in

syphilis, its duration.

76. Primary stage of syphilitic infection. Duration. Clinical symptoms.

77. Atypical forms of chancres.Complications of chancres.

78. General course of secondary stage of syphilis. Characteristics of skin

lesions in secondary syphilis.

79. Macular syphilids (roseola), kinds. Differential diagnosis.

80. Papular syphilids, kinds. Differential diagnosis.

81. Pustular syphilids, kinds. Differential diagnosis.

82. Leukoderma  syphiliticum. Syphilitic alopecia.

83. General course and characteristic of tertiary stage of syphilis.

84. Skin lesions and mucosal symptoms in tertiary syphilis.

85. Tuberculoid syphilids and gummata, kinds. Differential diagnosis.

86. Damages of the internal organs in syphilis III.

87. Ways of the transmittion of syphilitic infection from mother to fetus.         Classification of congenital syphilis. Syphilis of placenta and fetus.

88. Early congenital syphilis.

89. Clinical presentation of late congenital syphilis.

90. Diagnosis of syphilis. Serological methods of blood researches. Serological        reactions, analysis of them in the different stages of syphilis.

91. Clinical significance of serologic reactions in syphilis. Pseudopositive

serologic reactions.

92. General principles of the treatment of syphilis. Preventive and

prophylactic treatment of syphilis (prescription for penicillin).

93. Treatment of syphilis - antibioticotherapy. Nonspecific therapy

of syphilis.

94. Clinical and serological control after undergo a course of medical treatment          for syphilis. Criteria of the recovery of syphilitic patients.

95. Classification of gonorrhea. Extragenital gonorrhea.

96. Clinical manifestations and diagnosis of gonorrhea in men.

97. Complications of gonorrheal urethritis in men.

98. Main principles of the treatment of acute and chronic gonorrhea.

99. Criteria of the recovery of gonorrheal patients.

100. Nongonorrheal sexually transmitted diseases of the genital organs and         urinary tract. Chlamydia urethritis. Etiology, pathogenesis, Clinical picture.         Diagnosis.Treatment. Prevention.

101. Urogenital trichomonas urethritis. Etiology, pathogenesis, Clinical picture.         Diagnosis. Treatment. Prevention.

102. Urogenital mycoplasmal urethritis. Etiology, pathogenesis, Clinical picture.         Diagnosis. Treatment. Prevention.

103. Urogenital candidiasis. Etiology, pathogenesis, Clinical picture. Diagnosis.          Treatment. Prevention.

104. AIDS. Etiology, ways of transmission, skin lesions and mucosal          symptoms.      

105. General clinical course of the HIV-infection and AIDS.

106. Principles of the diagnosis and treatment of the HIV-infection and AIDS.          Prophylaxis of AIDS in medical practice and between groups with higher risk          of transmission.

107. Prevention of the sexually-transmitted diseases (STD). Significance of the          sexual education and  educative activities in fight against venereal morbidity.


^ 7. List of practical skills for a final control of mastering of

module 1 “Dermatovenerology”

1. To inspect the skin and mucous membranes in dermatologic patient.

2. To inspect elements of the skin lesions in side lighting.

     3. Assessment of dermographism, characteristic of it.

4. Method of the palpation of the skin and lesions.

5. Diascopy of the skin rash, method of it.

6. Method of the craping of the skin rash.

7. To definite tactile sensation of the lesion.

8. To definite pain sensation of the lesion.

9. To definite temperature sensitivity of the skin lesion.

10. Taking of the material of the pustules for detection of pyococci and definition of the sensitivity of them to antibiotics.

11. Taking of the material (pustules, scabious burrows) for detection of the itch mite.

12. Taking of the material of the pustules for detection of demodicosis in a patient.

13. Microscopic analysis of the scales, hair and nails for detection of the fungi.

14. Iodine test (Balcer’s test) in pityriasis versicolor.

15. Fluorescent diagnosis (examination with Wood’s lamp).

16. Detection of the psoriatic phenomena (triad).

 17. Method of the definition of the “honeycomb” symptom in suppurative  trichophytosis.

 18. Detection of the Kebner’s phenomenon in psoriasis.

 19. Method of the definition of the symptom of Asboe-Hanzan in bullous   dermatoses.

      20. Method of the definition of the Nikolsky’s signs in bullous dermatoses.

      21. Method of the definition of the Yadason’s test in Duhring-Brocq disease.

 22. Taking of a smear- imprint for detection of the acantholitic cells (Tscank’s  cells).

 23. Methods and assessment of the skin allergic tests.

 24. Methods of the destruction of the watrs and molluscum contagiosum.

 25. Taking of the material of the blisters for detection of the number of      eosinophils   in bullous dermatoses.

      26. Method of the detection of the “net of Uitchem” in lichen rubber planus.

 27. Method of the definition of the symptom of Pospelov in scleroderma.

 28. To show and assess phenomenon “apple jelly” in tuberculosis cutis.

 29. Method of the detection of the symptom of Benye-Meshcherskyy in lupus   erythematous.

 30. Method and analysis of two-glass Thompson’s test in the patients with   urethritis.

 31. Blood sampling for serological researches for the diagnosis of syphilis.

 32. To assess results of the serological reactions in syphilis (Wassermann   reaction…).

      33. Method of the definition of the Yadason’s test in secondary stage of             syphilis.

 34. Taking of the material of the skin rash for the detection of the treponema   pallidum.

 35. Dark field examination for distinguish of the treponema pallidum.

 36. To show methods of the double-stage intramuscular injection of the a/b-   bycillinum.

 37. Taking of the material for researches for the detection of gonococci,   chlamydia, mycoplasma and candida.

 38. General methods of the detection of treponema pallidum and gonococci.

 39.To fill out the disease prevention and an emergency report for patients with  venereal diseases.

 40.To fill out an emergency report for patients with infectious dermatoses.

 41. Methods of the application of the topical medicines: wet- dressing, pastes,

  ointments, powders…

 42. Write out of the basic dermatological prescriptions.


^ 8. List of educational-methodical literature

І. Principal:

  1. Скрипкин Ю.К. и соавт. Кожные и венерические болезни. М.:Медицина, 1995.

  2. Павлов С.Т. и соавт. Кожные и венерические болезни.- М.:Медицина, 1985.

  3. Владимиров В.В., Зудин Б.И. Кожные и венерические болезни (атлас). - М.: Медицина, 1980.

  4. Коляденко В.Г., Бухарович А.М., Федоренко О.Є. Методичні вказівки по підготовці до лекцій з курсу шкірних та венеричних захворювань.- Київ, Чернівці, 1992.

  5. Бухарович А.М. и соавт. Методические рекомендации по овладению практическими навыками по дерматовенерологии.- Полтава, 1985.

  6. Дудченко М.О., Соловйова Н.М., Денисенко О.І., Трутяк Л.М., Трефаненко С.П., Семісюк А.М., Перепічка М.П., Гаєвська М.Ю., Кекух В.М. Російсько - українсько - латинсько - німецький словник дермато-венерологічних термінів.- Чернівці: Прут, 1998. - 139 с.

  7. Наказ МОЗ України № 14 від 17.01.2002 р. “Про заходи щодо профілактики випадків раннього вродженого сифілісу”.

  8. Наказ МОЗ та Держкомстату України № 112/139 від 25.03.2002 р. “Про затвердження форми первинного обліку № 089/о “Повідомлення про хворого з уперше в житті встановленим діагнозом активного туберкульозу або його рецидиву” та інструкції щодо її заповнення”.

  9. Наказ МОЗ України № 38 від 28.03.1994 р. “Про організацію та проведення заходів по боротьбі з педикульозом”.

  10. Наказ МОЗ України № 401 від 05.11.2002 р. “Про затвердження форми первинного обліку № 089-2/о “Повідомлення про хворого з вперше в житті встановленим діагнозом трихофітії, мікроспорії, фавуса, корости” та інструкції щодо її заповнення”.

  11. Наказ МОЗ України № 110 від 16.03.2001 р. “Про затвердження статуту Українського центру профілактики і боротьби зі СНІДом Міністерства охорони здоров’я України (зі змінами, внесеними згідно Наказу МОЗ України № 246 від 14.05.2004 р.)”.

  12. Наказ МОЗ та АМН України № 345/51 від 07.07.2004 р. “Про затверджен-ня спільного плану заходів МОЗ та АМН України щодо виконання Національної програми забезпечення профілактики ВІЛ-інфекції, допомоги та лікування ВІЛ-інфікованих і хворих на СНІД на 2004-2008 роки”.

ІІ. Additional:

  1. Айзятулов Р.Ф. Клиническая дерматология (этиология, патогенез, клиника, диагностика, лечение): иллюстрированное руков. – Донецк: Донеччина, 2002.

  2. Айзятулов Р.Ф. Кожные болезни в практике врача (этиология, патогенез, клиника, диагностика, лечение). – Донецк: Каштан, 2006.

  3. Айзятулов Р.Ф. Сексуально-трансмиссивные заболевания (этиология, патогенез, клиника, диагностика, лечение). – Донецк: Каштан, 2004.

  4. Атопический дерматит: Руков. для врачей / Под ред. Т.В.Проценко. – Донецк: Мединфо, 1998.

  5. Бабаянц Р.С. Кожные и венерические болезни жарких стран. – М.: Медицина, 1984.

  6. Венерические болезни / Под ред. О.К.Шапошникова. – М.: Медицина, 1991.

  7. Гирин В.Н., Липкан Г.Н., Порохницкий Н.Г. Синдром приобретенного иммунодефицита. – К.: Здоровье, 1991.

  8. Глухенький Б.Т., Грандо С.А. Иммунозависимые дерматозы: экзема, атопический дерматит, истинная пузырчатка, пемфигоиды. – Киев: Здоровья, 1990.

  9. Глухенький Б.Т. и соавт. Гнойничковые болезни кожи. – Киев: Здоровье, 1983.

  10. Грибковые болезни и их осложнения (клиника, диагностика, лечения): Руков. для врачей. – Луганс:Элтон-2, 2006.

  11. Дифференциальная диагностика кожных болезней: Руководство для врачей // Под ред. Б.А.Беренбейна и А.А.Студницина. – М.: Медицина, 1989.

  12. Дмитриев Г.А. Лабораторная диагностика бактериальных урогенитальных инфекций. – М.: Издательство НГМА, 2004.

  13. Каламкарян А.А., Бухарович А.М. Хроническая стафилококковая инфекция кожи. – Киев: Здоров’я, 1990.

  14. Калюжная Л.Д. Болезни волос. – Киев: Здоровья, 1991.

  15. Каруна Б.И. Экзема. – Киев: Здоровья, 1989.

  16. Касимов Н.К., Каламкарян А.А., Персина И.С. Мастоцитоз (клиника, морфология, лечение). – Душанбе: Ирфон, 1991.

  17. Кожные и венерические болезни / Под ред. О.Л.Иванова. – М.: Медицина, 1997.

  18. Кожные и венерические болезни: Руководство для врачей / Под ред. Ю.К.Скрипкина. В 4-х томах. – М.: Медицина, 1995.

  19. Коляденко В.Г., Головченко Д.Я. Клиника, лечение и профилактика венерических болезней: Учебн.пособие. – Киев: Вища школа, 1990.

  20. Коляденко В.Г., Федоренко А.Е., Головченко Д.Я. Медицинская деонтология в дерматологии и венерологии. – Киев: Здоровье, 1989.

  21. Контактные инфекции, передающиеся половым путем / Под. ред. И.И.Маврова. – Киев: Здоров’я, 1989.

  22. Кормейн Р.Х., Асгар С.С. Иммунология и болезни кожи: Пер. с англ. – М.: Медицина, 1983.

  23. Кулага В.В., Романенко И.М. Лечение болезней кожи. – Луганск, 1996.

  24. Мавров И.И., Каруна Б.И. Микроциркуляция при дерматозах. – К.: Здоровья, 1985.

  25. Милич М.В. Эволюция сифилиса. – М.: Медицина, 1987.

  26. Мордовцев В.Н., Мушет Г.В., Альбанова В.И. Псориаз (патогенез, клиника, лечение). – Кишинев:Штиинца, 1991.

  27. Носатенко В.Е, Гуцу Н.В. Цветной атлас кожных болезней. – Харьков, 2002.

  28. Носатенко В., Гуцу Н., Носатенко А. Путеводитель в онкологическую дерматологию. – Харьков, 2005.

  29. Патоморфология болезней кожи: руководство для врачей / Г.М. Цветкова, В.В.Мордовцева, А.М.Вавилов, В.Н.Мордовцев. – М.: Медицина, 2003.

  30. Покровский В.В. СПИД - синдром приобретенного иммунодефицита. – М., 1987.

  31. Потоцкий И.И. Гиперкератозы. – К.: Здоров’я.

  32. Савичева А.М., Соколовский Е.В., Домейка М. Краткое руководство по микроскопической диагностике инфекций, передаваемых половым путем. – Санкт-Петербург: Фолиант, 2004.

  33. Сан Э.Е. Дерматология. – Москва, Санкт-Петербург, 2001.

  34. Суворова К.Н., Антоньев А.А., Гребенников В.А. Генетически обусловленная патология кожи. – Ростов-на-Дону: Изд-во Ростовского ун-та, 1990.

  35. Торсуев Н.А., Бухарович М.Н. Сифилис. – Киев: Здоров’я, 1975.

  36. Туберкульоз кожи / П.П. Рижко, А.В. Руденко, К.Е. Ищейкин и др. – Харьков: Фолио, 2005.

  37. Урогенитальный трихомониаз / Д.К.Ермоленко, В.А.Исаков, С.Б.Рыбалкин и др. – Санкт-Петербург – Великий Новгород, 2007.

  38. Федоровская Р.Ф., Бухарович А.М., Патратий В.К. Гнойничковые заболевания кожи. – М.: Знание, 1989.

  39. Федотов В.П., Быбалкин С.Б., Романцов М.Г. Очерки по иммунокоррекции в дерматовенерологии: Пособие для врачей. – Днепропетровск – Санкт-Петербург, 2007.

  40. Фришман М.П. Ошибки в диагностике сифилиса. – Киев: Здоров’я, 1983.

  41. Чириковер Я.А., Децин Ю.И., Халиманчук И.М. Диффузные болезни соединительной ткани в дерматологической практике. – Киев: Здоров’я, 1988.

  42. Широбоков В.П. СПИД – синдром приобретенного иммунодефицита. – Киев: Здоров’я, 1988.

  43. Цыркунов Л.П. Контактные дерматозы. – Киев: Здоров’я, 1987.

  44. Экзема и нейродермит у детей / Н.П. Торопова, О.А. Синявская, В.М.Христюк, В.Я.Бахтилин. – Иркутск: Изд-во Иркутского ун-та, 1986.

  45. Atlas of dermatology and venerology / B. Hratch, A.Samir, D. Anwar et al., – Acadimic Year, 1998-1999.

  46. Lawrence C.M., Cox N.H. Physical signs in dermatology. Color atlas and text. – Mosby – Year Book Europe Limited, 1993.

  47. Hratch B., A.Samir A., Anwar D., Mustafa J., Silva I. Atlas of dermatology and venerology. – Acadimic Year, 1998-1999.

  48. Lawrence C.M., Cox N.H. Physical signs in dermatology. Color atlas and text (part 2 of 4). – Mosby – Year Book Europe Limited, 1993.

  49. Lawrence C.M., Cox N.H. Physical signs in dermatology. Color atlas and text (part 3 of 4). – Mosby – Year Book Europe Limited, 1993.

  50. Nossatenko V., Gutzu N., Nossatenko A. Guide into onkologic dermatology. – Kharkov, 2005.

  51. Pasricha J.S., Ramji Gupta. Illustrated textbook of dermatology. – Medical Pablishers, 1999.

  52. Schaller K.F. Color Atlas of Tropical Dermatology and Venerology. – Springer-Verlag, 1994.

  53. Wolff K., Johnson R.A., Suurmond D. Fitzpatrick’s. Color atlas & Synopsis of Clinical Dermatology. - McGraw-Hill, 2005.







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