Тематический план
Announcements
This is e-course for Dentistry Students studying Phthisiology in English.We will have 3 lectures at 17 February, 03 March, 17 March 09:50-11:25.Connect via link: https://my.mts-link.ru/j/92014727/1899585054 Password - ftiziatria
Practical Classes will be organized at TB dispensary 12:25 - 16:25. (Дербышки, Прибольничная 1). 4 floor. White gowns, masks, indoor shoes required.Course objectives:
The purpose of «Phthisiology» mastering is to get the knowledge and practical skills which is necessary for the diagnosis, treatment and prevention of Tuberculosis (TB). Students will master the theoretical basis of etiology, pathogenesis, ways of transmission of TB, the methods of prevention, diagnosis and treatment of this disease. You will learn the ideas about the role, aims and tasks as a physician in the system of struggle against TB, carrying out anti-tuberculosis activities, medical, social and other types of help.
Tasks of the discipline:
- to gain knowledge about the role of general physician in the control and prevention of TB;
- to teach students to use modern clinical, laboratory and instrumental method of detection and diagnosis of pulmonary TB;
- to teach students how to provide primary care in case of emergency (pulmonary hemorrhage, spontaneous pneumothorax) of TB patients;
- to teach students how to prevent of TB, to restore and improvement patient’s quality of life;
- to master the basis of prevention and early identification of high risk groups for TB
- to gain knowledge about the role of general physician in the control and prevention of TB;
Class 1. Diagnostics
Diagnostics of respiratory TB in a polyclinic, other general medical institutions and in anti-TB facilities. Clinical diagnosis of TB. Methods of chest X-ray examination of respiratory TB and TB with other localizations. Chest X-ray, plane tomography, indications for different types of radiography and tomography. Computed tomography in the diagnosis of Tb and other lung diseases, mediastinum and pleura.
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10 Questions and 15 minutes.
Class 2. Primary infection
The concept of primary infection, infection in past, LTBI, reinfection. Connection to age and morbidity in different countries. Immunodiagnostics methods. Mantoux test, Diaskintest, IGRA (Gamma Interferon release assay) tests: role in early diagnosis of TB, procedure performance, indications, contraindications, interpretation of the results. The concept of conversion of TST, LTBI, post-vaccination allergy, paraallergy: criteria for diagnosis and differential diagnosis. Tactics for detection, dispensary observation and examination of individuals with suspected LTBI and for the purpose of early diagnosis of TB. Pathogenesis of primary TB in children and adolescents. TB of intrathoracic lymph nodes (TITLN). Primary tuberculosis complex (PTC). Pathomorphology and pathogenesis of PTC.
10 Questions and 15 minutes.
Class 3. Post-primary TB.
Post-primary TB. Disseminatred, Infiltrative TB, Focal TB, Caseous pneumonia, Tuberculomas of lung, TB Pleurisy, Cavitary (cavernous) TB of lung. Pathogenesis, clinical presentation, differential diagnostics. Chest X-ray forms, clinical features, clinical course. Treatment and outcomes. Prognosis. Differential diagnostics Complications of pulmonary Tb; clinical features, diagnostics.
Lectures
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The Lecture provides a comprehensive overview of tuberculosis (TB) epidemiology up to 2025, highlighting its global impact and specific regional data. It discusses the worldwide burden of TB. The Lecture emphasizes the persistent challenges posed by TB, including drug resistance, HIV co-infection, and socioeconomic factors that increase vulnerability. It outlines the global strategic goals and the End TB Strategy. An information on TB transmission modes, pathogenesis, risk groups, and the impact of COVID-19 on TB control presented.
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16 Questions and 20 minutes.
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Diagnostics microbiology for tuberculosis (TB) involves identifying Mycobacterium tuberculosis using sputum smear microscopy (Ziehl-Neelsen or fluorescence), liquid or solid cultures (gold standard), and rapid molecular tests like NAAT/GeneXpert for drug resistance. These methods are critical for detecting active infection and guiding treatment.
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16 Questions and 20 minutes.