DaVinci medical academy

No 55/2, New Avadi Road, Alagappa Nagar, Kilpauk. Chennai

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 1 Candidates should be able to:-

  • describe the normal development of the fetus, and factors that affect fetal growth.
  • Identify common congenital abnormalities and their causes and consequences.
  • explain the principles of infant nutrition including breast feeding, weaning and recommended diets for infants specifying food items
  • Compare human and cow milk and the advantages of human milk
  • recognise the normal pattern of growth and causes and management of abnormalities – such as failure to thrive, obesity, short and tall stature.
  • describe the normal development of the infant and preschooler and recognize deviations from the normal
  • take a good Paediatric clinical history, identify important information in the patients history and be able verify whether information is correct. Interpretation of investigation results according to the clinical situation, and familarity with common invasive and non invasive diagnostic investigations.
  • describe the epidemiology of common communicable diseases seen among children in Sri Lanka and explain their  pathophysiology, clinical features, management and prevent ion.
  • e.g. acute gastro-enteritis, respiratory tract infections, hepatitis, meningitis, encephalitis, typhoid, tuberculosis, leptospirosis, whooping cough, measles, rubella, and mumps.
  • describe common and important congenital heart diseases and acquired heart diseases eg , rheumatic fever and Kawasaki disease – including their aetiology, clinical presentation and management
  • recognize and manage acute respiratory infections including bronchiolitis bacterial pneumonia, stridor and upper respiratory infections. Describe and recognize X ray changes seen in common respiratory conditions of children. With reagard to bronchial asthma – describe its triggers, prevention, assessment of severity and treatment options.
  • describe lung function tests and their practical use.
  • with regard to non communicable diseases in the paediatric age group in Sri Lanka _ Identify common conditions such as acute post streptococcal glomerular nephritis, nephrotic syndrome, malnutrition, bronchial asthma, urinary tract infections, thalassaemia haemophilia, acute flaccid paralysis, cerebral palsy, mental retardation, and epilepsy.- and be able to diagnose, treat, prevent and advice on prognosis of such conditions.
  • Identify the common nutritional problems in Sri Lanka.e.g. protein energy malnutrition, iron deficiency, iodine deficiency, Vitamin A deficiency & other micro nutrient deficiencies, know their predisposing causes, presentations, andmanagement, including available food supplements and principles of nutrition therapy and rehabilitation.
  • explain the pathophysiology, identify clinical features and complications, describe the management and prevention of neonatal problems common in Sri Lanka e.g. low birth weight, preterm births, respiratory distress, jaundice,  sepsis including umbilical sepsis, meningitis and septicaemia, hypothermia, hypoglycaemia, hypocalcaemia, seizures and surgical problems.
  • describe the Principles and practical aspects of resuscitation of an asphyxiated newborn
  • describe common renal, endocrine and metabolic disorders including hypothyroidism, diabetes mellitus and inborn errors of metabolism. .
  • describe common haematological conditions especially deficiency anaemias, haemolyitic anemia ( especially Thalassaemia) , immune thrombocytopenic purpura, haemophilia, aplastic anaemias and haematological malignancies.
  • diagnose and manage common dermatological conditions in childhood e.g. eczema, scabies, impetigo, dematophytes, and head lice.
  • diagnose common psychiatric disorders in childhood.e.g. autism, ADHD, enuresis, tantrums, enuresis and other paediatric psychiatric disturbances.
  • describe and diagnose common childhood malignancies – especially leukaemias and common solid tumours
  • diagnose and manage burns and common surgical problems of infants and children including hyoertrophic pyloric stenosis, intususseption and volvulus:
  • describe and recognize genetically acquired diseases and chromosomal abnormalities, including inheritance patterns, show familiarity with pedigree charts, and assessment of risks of affection. Also, describe the clinical features of common genetic diseases, prevention and treatment modalities available for such diseases.
  • describe the current morbidity and mortality patterns in paediatrics in Sri Lanka including changes and improvements as well as the underlying causes and interventions.
  • Describe the x-panded program of immunization( EPI) in Sri Lanka, the sites and routes of administration of vaccines, and adverse effects which may follow immunization. Also, describe vaccines and their storage for both EPI  and important non EPI vaccines.
  • define Issues relating to child rights and child protection, and presentations of child abuse including physical, emotional and sexual abuse.
  • counsel parents in the event of a child’s death or when a child has a serious illness or disability and break bad news to them.
  • Show familiarity with cultural habits, misbeliefs, and alternative healing methods practised by Sri Lankan people, and how to plan treatment options taking into consideration buying capacity of patients when possible.

 

  • calculate perinatal mortality rate, infant mortality rate and child mortality rate and be able to describe the trends shown in the recent past in Sri Lanka, and how these figures are important in policy planning. Describe other important demographic data in Sri Lanka such as birth rate, immunization coverage pertaining to child health.
  • Show awareness of Importance of road traffic and home accidents and poisonings- both accidental and intentional, especially paracetamol poisoning. Animal bites including dog bite and snake bite, complications and management.
  • Show awareness of environmental hazards such as air pollution and mosquito borne diseases and their impact on child health, diseases caused and their prevention and control.
  • show familiarity with and describe the management of common paediatric emergencies such as stridor, anaphylaxis, sever dehydration and hypovolaemic shock, dengue shock syndrome, cardiac failure, status epilepticus,status asthma and diabetic ketoacidosis.

 

  1. Recommended Reading for Paediatrics :

 

  • Hospital Paediatrics (3rd ed) by Anthony D Milner & David Hull, 1998
  • Illustrated Paediatrics – (3rd ed) by Tom Lissauer, Graham Clayden
  • A Neonatal Vade Mecum (3rd ed), B Spiedel (ed), 1998
  • A Paediatric Vade Mecum (14th ed) TG Barrett, AD Lander, V Diwakar, 2003
  • A manual of neonatal intensive care (4th ed) JM Rennie and NRC Robertson, 2002
  • Nelson’s Textbook of Paediatrics (18th ed) RM Kliegman et al, 2007
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