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Course Detail

Course Name Advanced Pathophysiology and Clinical Biochemistry
Course Code MND 102
Program Master of Nutrition and Dietetics (M.ND)
Semester 1
Credits 4
Campus Kochi

Syllabus

Unit 1

Credit hours

30

THEORY

Disorders of the Cardiovascular system: Disorders of rhythm — Brady arrhythmias – Dysfunction of the SA and AV nodes — Tachyarrhythmias

Disorders of the heart — Congestive heart failure — Ischemic Heart disease (MI, Angina, Sudden cardiac death).— Valvular heart disease –Rheumatic Heart Diseases — Myocardial heart disease, Primary (essential) and secondary hypertension — pathogenesis and risk factors — effects of Hypertension on the heart, kidney, and brain.

Introduction to other heart diseases: cardiomyopathies and congenital HD Atherosclerosis and other forms of Arteriosclerosis — pathogenesis and risk factors

Disorders of lipoprotein metabolism Cardiac Function tests Disorders of the respiratory system:

General characteristics of respiratory disorders Classification of respiratory disorders

Upper and lower respiratory tract infections: common cold, influenza, pneumonia Obstructive respiratory disorders: Bronchial asthma, bronchitis, emphysema Restrictive respiratory disorders: Pneumothorax, Atelectasis

COPD, ARDS

Respiratory failure

Bronchiectasis — Cystic Fibrosis — Disorders of the pleura and the diaphragm Pulmonary Function Tests

Neoplasia:

Definition — Tumors — Benign and Malignant — Characteristics

Molecular basis of Cancers — Oncogenes — Activation — Tumor Suppressor Genes

Chemical carcinogenesis – stages

Radiation carcinogenesis Viral carcinogenesis Clinical features of cancers Host cell defenses

Grading of tumors

Diagnosis of cancers — histologic and molecular methods — Tumor markers

Unit 2

Credit hours

30

THEORY

Disorders of the Kidney and the urinary tract Clinical Manifestations of renal diseases (overview) Types, pathogenesis and clinical manifestations of

Glomerular diseases: glomerulonephritis, nephrosis, nephritic syndrome Diseases affecting the tubules and interstitium —Pyelonephritis Diseases of the blood vessels — Nephrosclerosis

Urolithiasis

Acute and chronic renal failure

Voiding dysfunction, Incontinence, fluid-electrolyte balance, Renal function test

Disorders of the GI tract:

Pathogenesis and clinical manifestations of GERD and bile reflux- H. hernia Esophagitis

Gastritis- peptic ulcer

Vascular disease- Ischemic Bowel disease, haemorrhoids Enterocolitis- diarrhoea, dysentery

Constipation

Malabsorption syndromes-celiac sprue, Bacterial overgrowth syndrome and IIBD Colonic diverticulosis

Gastric Function tests Liver disorders:

Jaundice- abnormalities of bilirubin metabolism

Morphology and patterns of hepatic Injury- Necrosis, degeneration and Inflammation, regeneration and fibrosis

Inflammatory disease- viral hepatitis

Cirrhosis- etiology, alcohol and organ damage, Portal hypertension, ascites, splenomegaly, Hepatic failure

Hepatic encephalopathy pathogenesis and features

Cholelithiasis- pathogenesis and manifestations of cholesterol and pigment stones Cholestasis- Cholecystitis

Pancreatitis- chronic and acute Liver function tests.

F). Disorders of the Endocrine system:

Diseases of the thyroid —hypo and hyperthyroidism –diagnostic tests

Diabetes Mellitus- types, pathogenesis- metabolic derangements and metabolic alterations.

Complications of DM- Micro and macroangiopathy, neuropathy, nephropathy, retinopathy, diabetic foot

Diagnostic tests

G) . Disorders of Reproductive system:

Etiology, Pathogenesis, clinical manifestations, diagnosis and treatment of – Endometriosis, PCOS and STDs

Introduction

CL

CP

L

P

4

0

60

0

Course Description

It is a course that integrates the advanced concepts of the pathophysiology of disease with clinical biochemistry.

Objectives and Outcomes

  • To comprehend Normal Biochemistry, Disease Pathogenesis, Etiology, Clinical Signs & Symptoms, Diagnostic Tests, and Complications of the healthy & diseased conditions.

  • To identify and understand the importance and use of diagnostic tests in the prognosis of disease processes.

Prerequisites

Bachelor of Nutrition and Dietetics (Honors) (4-year program)

Text Books / References

  1. Baynes, J., and Dominiczak. M. (2002). Medical Biochemistry. London : Mosby
  2. Thabrew, I. and Ayling. R.M. (2001). Biochemistry for Clinical Medicine. New Delhi: Replika Press Pvt Ltd.
  3. Guyton, A.C., and Hall. J.E. (1996). Textbook of Medical Physiology (9thed.). Bangalore: Prism Books Pvt. Ltd.
  4. Cotran, R.S., Kumar, V., Robbins, S.L., and Schoen.F.J. (Ed.). (1994). Robbins Pathologic Basis of Disease (5thed.). Bangalore: Prism Books Pvt Ltd. 
  5. Devlin, T.M. (2002). (Ed.). Textbook of Biochemistry with Clinical Correlations.(5thed.). New York: Wiley-Liss.

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