Surgery Curriculum

The Curriculum Outline of Surgery
For Nepalese Medical Students
Department of Surgery
Weifang Medical University

Pre fac e
Surgery is one of the main subjects of the clinical medicine.
It’s a subject referring some diseases which doctors usually
treat with operations or manure procedures. It’s characterized
with remarkable practicality and also has a profuse theory-
system.
The teaching Objective is that medical students could master
the etiology, pathogenesis, clinical manifestations, diagnoses
and treatments of the surgery diseases. Thereby they can make a
foundation for surgical work.
The procedure of surgery teaching includes class lectures,
experiences, practices and intern practices. Ability training
should be emphasized as well as the combination of theory with
practice.
In teaching methods, teachers should pay attention to the
correlation of surgery with other medical subjects, take
advantages of self-learning and teacher-student interflow, put
stress on the gradualness, and bring the initiative of students
into full play.

The Teaching Period (class hours) of Each Part of the
Subject
［1 class hour(Chr) = 40 minutes］
chapte Contents theor experiments practice
r y
1. Introduction 2
2. Molecular biology in surgery 2
3. Asepsis 2 2
4. The disturbance of humoral 6
fluids in surgical patients
5. Surgical shock 4 2
6. MODS 3 2
7. Surgical infection 4 2
8. Trauma and military injury 4 2 4
9. Tumor 4 4
10. Transplantation 4 2
11. Increased intracranial 4 4
pressure
12. Craniocerebral trauma 4 4
13. Intracranial and intraspinal 4 4
tumors
14. The disease in the neck 4 4
15. The chest diseases 4 4
16. The thoracic injury 4 4
17. The pulmonary diseases 4 4
18. The esophagus disease 4 4
19. The heart disease 8 8
20. The abdominal hernia 4 4
21. The abdominal injury 4 4
22. Stomach and duodenum 8 8
diseases
23. Small intestine diseases 4 4
24. Appendix disease 4 4
25. Colon, rectum and anal canal 6 4
disease
26. liver diseases 4 4
27. The portal hypertension 4 4
28 Bile duct diseases 8 8
29 Pancreas diseases 4 4
30 Peripheral blood vessel and 4 4
lymphatic diseases
31 Genitourinary Congenital 4 4
Anisotropy
32. Urinary Injury 4 4
33. Genitourinary Infection 4 4
34. Genitourinary Tuberculosis 3 4
35. Urinary Obstruction 4 4
36. Urinary Calculus 4 4
37. Genitourinary Tumor 4 4
38. Surgical therapy of diseases 4 4
of adrenal gland
39. Male sexual dysfunction and 4 4
male infertility
40. Fracture Synopsis 8 8
41. The injury of the bones and 6 6
joints of upper limbs
42. Hand injury and replantation 4 4
of amputated limbs and
fingers.
43. The injury of the bones and 6 6
joints of lower limbs
44. Fracture of the spine and 4 4
pelvis
45. The chronic injury of 4 4

locomotor system
46. Pains in Back-leg and neck- 4 4
shoulder
47. The pyogenic infection of 4 4
bone and joints
48. Bone and joint tuberculosis 4 4
49. Bone tumor 4 4
50. Synopsis of plastic surgery 4 4
51. Principles of operative 16
surgery
tota 216 20 196
CHAPTER 1 INTRODUCTION
⒈ Objectives
⑴ To understand the category of surgery.
⑵ To set up the correct view point for surgery studying.
⒉ Teaching contents
The category of surgery; how to study surgery.
⒊ Homework
⑴ How can we study well surgery?
⑵ What’s the relationship between surgery and internal

medicine?
CHAPTER 2 MOLECULAR BIOLOGY IN SURGERY
⒈ Objectives
⑴ The important role of molecular biology in modern surgery .
⑵ To master the main principles of gene diagnosis.
⑶ To understand the usage of the gene diagnosis and biological
therapy in surgical practice.
The structure and function of gene, molecular diagnosis and
their clinical usages.
⒊ homework
What’s the main principles of gene diagnosis?
CHAPTER 3 ASEPSIS
1. Objectives
(1) To create aseptic concept. To master the aseptic principles
during operation.
(2) To know well the commonly used ways of asepsis and
sterilization.
(3) To master the announcements of washing hands and wearing
sterile gown and gloves.

(4) To know well the way of sterilization of the operation region
and paving the sterile towels.
2. Contents
(1) The definition of asepsis .
(2) The commonly used ways of asepsis and sterilization of
surgical instruments, surgical articles, surgical dressings.
(3) Aseptic principles during the operation .
3. Contents of practice
(1) Commonly used ways of asepsis and sterilization .
(2) The procedures of washing hands ,wearing sterile gown and
gloves.
(3) The preparation, sterilization of the surgical region and
paving the sterile towels.
4. Emphasis
The concept of asepsis . Aseptic principles during operation.
5. Homework
(1) What are the Aseptic principles during operation?
(2) How to wash your hands and wear sterile gown and gloves?
CHAPTER 4 THE HUMORAL DISTURBANCE OF SURGICAL PATIENTS
1. Objectives
(1) To master the etiology and treatment of the metabolic
disturbance of water and sodium.

(2) To know well the clinical manifestation and diagnosis of
various types of
dehydration.
(3) To master the etiology and treatment of the metabolic
disturbance of potassium.
(4) To know well the clinical manifestation and diagnosis of the
metabolic disturbance of potassium.
(5) To master the etiology,pathophysiology, clinical manifestation
and treatment of metabolic acidosis and alkalosis.
(6) To understand the etiology of respiratory acidosis and
respiratory alkalosis.
(7) To understand the physiologic regulation of water
,electrolyte,and acid-base balance.
2.Contents of teaching
(1) the etiology, clinical manifestation, treatment of isotonic,
hypertonic and hypotonic dehydration.
(2) the etiology, clinical manifestation, treatment of hypocalemia
and hypercalemia.
(3) the etiology, clinical manifestation, treatment of metabolic
acidosis and alkalosis.
(4) the etiology, clinical manifestation, treatment of respiratory
acidosis and alkalosis.

3.Emphasis
The diagnosis , prophylaxis, treatment of the disturbance of
water , electrolyte, and acid-base balance.
4. Time distribution for theory teaching
Total 6 class hours including 4 class hour(Chr) lecturing and
2 Chr discussion .
5.homework
(1) To retell the clinical manifestation, diagnosis, treatment of
various types of dehydration, metabolic disturbance of
potassium.
(2) To retell the etiology, pathophysiology, clinical
manifestation and treatment of metabolic acidosis and
alkalosis.
CHAPTER 5 SURGICAL SHOCK
1. Objectives
(1) To master the etiology, cardial pathologic changes of surgical
shock
(2) To master the clinical manifestations, diagnosis and
therapeutic
principles of surgical shock.
(3) To know well the principles of therapy for surgical shock..
2. Contents of teaching
The etiology, pathophysiology, clinical manifestation, diagnosis
and treatment of surgical shock.
3.Emphasis
The pathophysiology, diagnosis and treatment of surgical shock.
Total 4 Chrs including 3 Chr lecturing and 1 Chr discussion .
5. Homework
(1) The etiology , pathophysiology of surgical shock.
(2) The clinical manifestation diagnosis and treatment of surgical
shock.
CHAPTER 6 MODS
1. Objectives
(1) To understand the definition, etiology ,clinical
manifestation, diagnosis and treatment of MODS.
(2) To master the etiology, clinical manifestation,diagnosis and
therapeutic principles s of acute renal failure.
(3) To know well the clinical manifestations of acute respiratory
distress syndrome.
(1) the etiology, clinical manifestation,diagnosis of MODS.
(2) the etiological classification, clinical
manifestation,diagnosis and the therapeutic principles of acute

renal failure.
(3) the clinical manifestation,diagnosis and the therapeutic
principles of acute respiratory distress syndrome.
3.Emphasis
(1) The definition of MODS.
(2) The etiology, treatment of ARF.
CHAPTER 7 SURGICAL INFECTION
1. Objectives
(1) To master the etiology and the principles of therapy for
surgical infection.
(2) To master the diagnosis and principles of therapy for sepsis.
(3) To master the clinical manifestation, diagnosis and treatment
of tetanus.
(4) To know well the clinical manifestation and suppurative
infection of superficial tissues.
(5) To understand the clinical manifestation and treatment of the
acute suppurative infection of hands, the using
principles of antibiotics.
(1) The definition, classification, etiology, diagnosis, treatment
of surgical infection.
(2) The definition, etiology, diagnosis, treatment of general
surgical infection.
(3) The pathogenic mechanism, clinical features ,diagnosis,
treatment, prophylaxis of tetanus.
3. Emphasis
(1) The etiology of surgical infection.
(2) The diagnosis and the treatment of sepsis.
(3) The diagnosis and the treatment of tetanus.
4. homework
(1) To tell the common etiology of surgical infection.
(2) To tell the clinical manifestation, diagnosis and treatment of
tetanus.
(3) What are the diagnostic and therapeutic principles of sepsis?
CHAPTER 8 TRAUMA AND MILITARY INJURY
1. Objectives
(1) To master the classification, diagnosis and therapeutic
principles of trauma.
(2) To master the debridement for soft tissues injuries.
(3) To understand the pathologic changes of trauma.
(1) The definition and classification of trauma.
(2) The pathology of trauma.
(3) The diagnosis of trauma.
(4) The principles of therapy for trauma.
3. Contents of practice
Debridement.
5．homework
The principles of debridement of soft tissues .
CHAPTER 9 TUMOR
1. Objectives
(1) To master the principles of classification and nominating for
tumors.
(2) To master principles of the diagnosis and treatment of tumors.
(3) To understand the diagnosis and treatment of the common benign
tumors of the superficial tissues.
(1) The classification and nomination for tumors.
(2) The common etiology of tumors.
(3) The pathology of tumors.
(4) The clinical manifestation of tumors.

(5) The diagnosis of tumors.
(6) The treatment of tumors.
3. Emphasis
The pathology, the diagnosis ,the principles of therapy for
tumors.
5. homework
The diagnostic procedures, the principles of therapy for tumors.
CHAPTER 10 TRANSPLANTATION
1. Objectives
(1) To understand the basic definition of transplantation.
(2) To know well the pretransplantation preparation works.
(3) To master the clinical manifestation of various types of
rejection, and the prophylaxis, treatment of acute rejection.
(1) The definition and classification of transplantation.
(2) Clinical immune reaction of transplantation.
Transplant antigens.
The activating of the immunoreaction.
(3)rejection:
Hyperacute rejection ,
Acute rejection,
Chronic rejection.
(4) The treatment of acute rejection
(5) The acquiring of transplantation organs.
Selection of organs
The obtaining and storage of the organs.
(6)the indications for renal transplantation
3. Emphasis
(1) Transplantation immunology.
(2) The diagnosis of rejection
5. homework
The preoperative preparation for transplantation.
CHAPTER 11 INCREASED INTRACRANIAL PRESSURE
1. Objectives
(1) To understand the definition of increased intracranial
pressure.
(2) To know well the etiology, pathology, pathophysiology of
increased intracranial pressure.
(3) To master the clinical manifestation of increased intracranial
pressure.
(4) To master the indication and contraindication of lumber
vertebral canal puncture.
(5) To know well the clinical manifestation of acute brain hernia.
(6) To understand the special examination, diagnosis and treatment
of increased intracranial pressure.
(7) To master the treatment of increased intracranial pressure and
the therapy of decreasing intracranial pressure.
(1) Increased intracranial pressure: the definition, pathology,
pathophysiology, clinical manifestation, mechanism.
(2) Tentorium cerebelli hernia : the clinical manifestation ,
diagnosis and treatment
(3) Increased intracranial pressure: new development.
3. Emphasis
The etiology, pathology, pathophysiology, diagnosis and treatment
of increased intracranial pressure.
5. Homework
(1)The clinical manifestation of increased intracranial pressure.
(2) The treatment of increased intracranial pressure. ,and the
therapeutic methods of decreasing intracranial pressure.

CHAPTER 12 CRANIOCEREBRAL TRAUMA
1. Objectives
(1) To know well the principles of therapy for scalp injury .
(2) To know well the diagnosis of linear fracture of skull and the
surgery indication of the depressed fracture.
(3) To master the clinical manifestation and treatment of fracture
of skull base.
(4) To master the diagnosis and treatment of cerebral concussion.
The clinical features of diffused axonal injury. .
The clinical manifestation of cerebral concussion and
laceration and primary cerebral stem injury .
(5) To understand the differentiation of primary brain injury and
secondary brain injury.
(6) To master the clinical manifestations of epidural hematoma and
subdural hematoma.
(7) To know well the diagnosis of chronic subdural hematoma.
The presentation of CT, MRI of intracranial hematoma.
The surgery indications for intracranial hematoma.
(8) To know well the GLASCOW evaluation and traditional evaluation
for coma.
(1) Skull fracture : the classification, diagnosis, treatment

(2) Primary brain injury: pathogenesis ,clinical manifestation and
treatment
(3) Intracranial hematoma: diagnosis and treatment
(4) Opened brain injury: treatment
(5) Chronic subdural hematoma: diagnosis
(6) Intracranial hematoma: the presentation CT ,MRI
(7)The surgery indication for intracranial hematoma.
(8) The GLASCOW evaluation and traditional evaluation for coma
3. Emphasis
(1) Fracture of skull base : clinical manifestation and treatment
(2) Epidural hematoma and subdural hematoma: clinical
manifestation.
(3) Cerebral concussion: the diagnosis and treatment.
5. Homework
(1) To tell the clinical manifestation of epidural hematoma and
subdural hematoma.
(2) To tell the diagnosis and treatment of cerebral concussion.
CHAPTER 13 INTRACRANIAL AND INTRASPINAL TUMORS
1. Objectives
(1) To know well the classification of intracranial tumors.

(2) To understand the clinical manifestation, diagnosis and
differential diagnosis of intracranial tumors.
To understand the treatment of intracranial tumors.
(3) To master the classification and clinical manifestation of
intracranial tumors.
(4) To master the differential diagnosis of intramedullary and
extramedullary lesions.
(1) Intracranial tumors: clinical manifestation, the
classification, diagnosis and differential diagnosis and
treatment.
(2) Intraspinal tumors: clinical manifestation, classification,
diagnosis and differential diagnosis and treatment.
3.Homework
(1) To tell the common clinical manifestation of intracranial
tumors.
(2) To tell the differential diagnosis of intramedullary and
extramedullary lesions.
CHAPTER 14 THE DISEASES IN THE NECK

1. Objectives and demands
(1) To understand anatomy and physiology of thyroid gland.
To understand physiology of parathyroid gland.
(2) To know well surgical classifications and features of
hyperthyroidism;
(3) To know well indications for surgical treatment, preoperative
preparation, postoperative complications and therapy.
(4) To know well etiology and principles of therapy for simple
goiter.
(5) To know well pathological types and clinical features of
thyroid carcinoma.
(6) To master clinical manifestations of thyroid carcinoma ;
To master differential diagnosis and treatment of thyroid
masses.
(7) To understand the features of tumors in different part of the
neck.
2. The teaching contents:
(1) The outline of Anatomy and physiology of thyroid.
(2) The etiology, clinical manifestations and treatment of simple
goiter.
(3) Surgical classification, clinical manifestations, diagnosis,
indications for surgery of hyperthyroidism.

(4) Preparation before surgery and main complications of partial
excision of thyroid.
(5) The pathologic types, clinical features, differential
diagnosis and treatment of thyrophyma and thyroid carcinoma.
3. The emphasis and difficulty:
Clinical manifestations and principles of therapy for
hyperthyroidism and thyroid carcinoma.
5. homework
(1) What are the clinical manifestations of thyroid carcinoma?
(2) To describe the differential diagnosis and principles of
therapy for thyroid nodes.
CHAPTER 15 THE BREAST DISEASES
(1)To know well the main contents and the meaning of the
visualization of the breast;
To know well the methods of the palpation of the breast.
To know well the groups of axillary lymph nodes.
To know well the common methods of the special exam about the
breast diseases.
(2)To know well the etiology, clinical manifestations and

principles of the therapy for acute mastitis.
(3) To know well the clinical features and treatment of the
mastopathy and fibroadenoma.
(4) To master clinical manifestations, clinical stages and
treatment of the breast cancer.
(1) The main contents and meaning of the vision inspection of the
breast.
(2) The methods of the palpation of the breast.
(3) The groups of the axillary lymph nodes and the common special
exam methods of the breast exam.
(4) The etiology, clinical manifestations, diagnosis, prevention
and cure of acute mastitis.
(5) The diagnosis and treatment of mastopathy.
(6) The clinical features and treatment of the breast
fibroadenoma.
(7) The etiology, pathology, clinical stages, clinical
manifestations, differential diagnosis and therapeutic
principles of the breast cancer.
3. The emphasis and difficulty
The clinical manifestations, clinical stages, main points of
the differential diagnosis and principles of the therapy.

5.The homework :
⑴ What are the manifestations of the breast cancer?
⑵ To describe the clinical stages and the treatment of the
breast cancer.
CHAPTER 16 THE CHEST INJURY
(1) To understand the anatomical features of the ribs.
(2) To master the pathophysiology of the fracture of multiple
ribs (chest softening); the clinical manifestations and
treatment of the rib fracture.
(3) To master the treatment of the closed pneumothorox.
(4) To master the pathophysiology and the emergent treatment of
the open pneumothorox.
(5) To master the clinical manifestations and the treatment of
tension pneumothorox.
(6) To know well the pathophysiology of the hemothorax;the
judgment of the advance hemothorax;the clinical
manifestations and signs of the pericardium congestion.
(7) To know well the methods about the close drainage of thoracic
cavity.
(8) To understand the diagnosis and the principles of the therapy
for the injured suffocation, the lung injured for explosion,
the combined injury of the breast and belly.
(1) Introduction about the injury of the breast.
(2) The etiology, pathophysiology, clinical manifestations,
diagnosis and treatment of the rib fracture, pneumothorax and
hemothorax.
(3) The clinical manifestations and signs of the pericardium
congestion.
3. The emphasis and difficulty:
The pathophysiology, clinical manifestations, diagnosis and
treatment of the multiple ribs fracture, tension pneumothorax
and advance hemothorax.
4. The homework:
(1) The pathophysiology of the chest softening.
(2) The emergent treatment of all kinds of pneumothrorax.
CHAPTER 17 THE PULMONARY DISEASES
(1) To master the pathology, clinical manifestations, diagnostic

procedure, differential diagnosis and treatment of the lung
cancer.
(2) To understand the main point of the diagnosis and treatment
about adenoma of the bronchus and lung benign tumors.
(3) To understand surgical treatment of the bronchiectasis and
pulmonary tuberculosis (TB).
(1) Etiology, pathology, clinical manifestations, diagnosis,
differential diagnosis and surgical principles of the
therapy for lung cancer.
(2) The international TNM staging of the lung cancer.
The clinical manifestations, diagnostic procedure and
differential diagnosis of the lung cancer.
4. The homework
(1) What are the pathologic types of the lung cancer?
(2) Differential diagnosis of lung cancer.
CHAPTER 18 THE ESOPHAGUS DISEASE
1.Objectives and demands

(1) To master the pathology, clinical manifestations, diagnosis
and differential diagnosis of the esophageal carcinoma.
(2) To understand the prevention and treatment of the esophageal
carcinoma.
(3) To understand the diagnosis and principles of the therapy for
cardiospasm, esophageal leiomyoma and diverticulum of the
esophagus.
2.The teaching contents
(1) The epidemiology, etiology, pathology, clinical
manifestations, diagnostic procedure, differential diagnosis,
prevention and treatment of the esophageal carcinoma.
(2) International TNM staging of the esophageal carcinoma.
3.The emphasis and difficulty
The pathology, early clinical manifestations, diagnostic
procedure and differential diagnosis of the esophageal carcinoma.
4. Homework
How to diagnose the early esophageal carcinoma?
CHAPTER 19 THE HEART DISEASE

(1) To master the fundamental conception of the extracorporeal
circulation and the cardiac muscle protection.
(2) To understand the fundamental knowledge of the open heart
surgery.
(3) To master surgical principles of the therapy for common
congenital heart disease.
(4) To master the operative indications of the mitral stenosis and
the aortocoronary bypass.
2. The teaching contents
(1) The basic measure of the heart disease: a. basic equipment of
the extracorporeal circulation. b. Implementation of the
extracorporeal circulation. c. heart muscle protection.
(2)Congenital heart disease:
The pathology, pathophysiology, clinical manifestations and
principles of therapy for patent ductus arteriosus, pulmonary
stenosis, atrial septal defect, ventricular srptal defect and
tetralogy of Fallot.
(3) The acquired heart disease
The pathology, pathophysiology, clinical manifestations and
principles of the therapy for rheumatic mitral
stenosis,atherosclerotic coronary artery disease.

Surgical principles of the therapy for congenital heart
disease and acquired heart disease.
4. Homework
(1) Term explanation extracorporeal circulation, heart muscle
protection, tetralogy of Fallot.
(2) What are the operative indications of patent ductus
arteriosus, ateial septal defect, ventricular septal defect?
(3) How To master operative indications for aortocoronary bypass?
(4) What are the operative indications for aortocoronary bypass?
CHAPTER 20 THE ABDOMINAL HERNIA
(1).To know well dissection of inguinal tunnel, inguina area and
femoral tunnel.
(2) To master pathogenesis, clinical types of indirect inguinal
hernia.
To master differential diagnosis of indirect inguinal hernia
and direct inguinal hernia.
(3) To know well surgical treatment of indirect inguinal hernia.
To know well the treatment of incarcerated hernia and

strangulated hernia.
(4) To know well main point of diagnosis and treatment of femoral
hernia.
(5) To understand clinical manifestations and treatment of the
other abdominal hernia.
(1)Introduction: conception, etiology, pathodissection and
clinical type of abdominal hernia.
(2)Inguinal hernia: partial dissection of inquina area; clinical
manifestations and differential diagnosis of indirect inquinal
hernia and direct inquinal hernia; surgical basic principles and
indications of all methods about inquinal hernia; principles of
the therapy for incarcerated hernia and strangulated hernia.
(3)Femoral hernia
Anatomy outline of inquinal tunnel; clinical manifestations,
differential diagnosis and surgical treatment of femoral
hernia.
3. Emphasis and difficulty:
Constitution, clinical manifestations, diagnosis, differential
diagnosis and treatment of inquinal hernia.

5. Homework
(1)To describe pathogenesis of indirect inguinal hernia.
(2)How to identify indirect hernia and direct hernia?
CHAPTER 21 THE ABDOMINAL INJURY
(1) To know well clinical manifestations, diagnostic steps and
diagnostic methods of closed abdominal injury.
(2) To master principles of the therapy for closed abdominal
injury and indication of emergent surgery exploration.
(3) To know well clinical feature of injury in spleen, liver,
pancreas;
To know well clinical feature of injury about small
intestine, colon and rectum.
(1) Etiology, clinical manifestations, diagnostic steps and
methods of closed abdominal injury;
(2) Treatment, indication of surgical exploration, surgical time
chosen and basic principles of surgical treatment;
(3) Clinical feature, diagnosis and treatment of rupture about
liver, spleen, pancreas and intestine.
(4)Clinical manifestations and treatment of retroperitoneal

hematoma.
Clinical manifestations, early diagnostic methods and principles
of the therapy for closed abdominal injury.
4. Homework
⑴ principles for the therapy for closed abdominal injury
⑵ Indication of emergent surgery exploration about abdominal
injury.
CHAPTER 22 STOMACH AND DUODENUM DISEASES
⑴ To understand anatomy of stomach and duodenum
⑵ To master surgical indications for gastroduodenal ulcer; To
know well operative Objectives, methods and surgical
complications .
⑶ To know well clinical manifestations, diagnoses and
principles of the therapy for acute perforation of gastroduodenal
ulcer, massive hemorrhage and pyloric obstruction.
⑷ To master diagnoses and principles of therapy for carcinoma
of stomach.
⑸ To understand clinical manifestations and surgical features of
congenital hypertrophic pylorostenoses.
⑴ Anatomy and physiology of stomach; Anatomy of duodenum.
⑵ Principles of therapy for gastroduodenal ulcer; indications of
surgical treatment of gastroduodenal ulcer and its surgical
principles and methods; clinical manifestations, diagnosis,
differential diagnosis and therapy for acute perforation of
gastroduodenal ulcer ,massive hemorrhage and pyloric obstruction;
surgical complications of gaastroduodenal ulcer.
⑶ Pathology ,clinical manifestations, early diagnosis and
therapy for carcinoma of stomach.
⑷Pathology, clinical manifestations, diagnostic, differential
diagnosis and therapy for congenital hypertrophic pylorostenosis.
3.Emphasis and difficulty:
Surgical indication for gastroduodenal ulcer; surgical
principles and theoretical base for common operative methods;
clinical manifestations and treatment methods of complications
for gastroduodenal ulcer; clinical manifestations, early
diagnosis and therapy for carcinoma of stomach.
4.Homework
⑴What are the indications of surgical therapy for gastric ulcer

and duodenum ulcer?
⑵How many complications are there after operation of
gastroduodenal ulcer?
⑶What is the theoretical base of surgical therapy for
gastroduodenal ulcer?
⑷To describe clinical manifestations ,early diagnosis and
therapy for carcinoma of stomach.
CHAPTER 23 DISEASE OF SMALL INTESTINE
(1) To master etiology, classification, pathophysiology,
diagnosis and treatment of intestinal obstruction.
(2) To master identification of simple intestinal obstruction and
strangulated intestinal obstruction, mechanical intestinal
obstruction and paralytic ileus, high intestinal obstruction and
low intestinal obstruction.
(3) To know well treatment of all kinds of intestinal
obstruction.
(4) To understand surgical indications for nonspecial intestinal
disease.
(5) To understand clinical manifestations and treatment of small
intestine tumor.
(1) The clinical manifestations, diagnosis and treatment of
tuberculosis of intestine; clinical manifestations, diagnosis and
treatment of Crohn’s disease.
(2) Etiology, classification, pathophysiology, clinical
manifestations, diagnosis and treatment of intestinal
obstruction; identification of simple intestinal obstruction and
strangulated intestinal obstruction.
(3) Clinical manifestations, diagnosis and treatment of common
small intestine tumors.
3. Emphasis and difficulty
Etiology, classifications, pathophysiology of intestinal
obstruction; pathophysiology, clinical manifestations of
strangulated intestinal obstruction; diagnosis and treatment of
simple intestinal obstruction and strangulated intestinal
obstruction.
4. Homework
(1)What is the common etiology of intestinal obstruction?
How to classify the different intestinal obstructions?
(2)What are the clinical manifestations of intestinal

obstruction?
(3)How to distinguish simple intestinal obstruction and
strangulated intestinal obstruction?
CHAPTER 24 APPENDIX DISEASE
(1) To know well etiology and pathology of acute appendicitis.
(2) To master clinical manifestations, diagnosis, differential
diagnosis, treatment and surgical complications of acute
appendicitis.
(3) To know well feature and principles of the therapy for special
appendicitis.
(4) To understand diagnosis and treatment of chronic appendicitis.
2. Teaching contents:
Outline of pathophysiology of appendix ;etiology, pathology,
clinical manifestations, diagnosis and differential diagnosis of
acute appendicitis; surgical treatment indication and
complications of acute appendicitis; clinical feature and
treatment methods of acute appendicitis of newborn infant, acute
appendicitis of children ,acute appendicitis in gestational
period and acute appendicitis of old man; etiology, pathology,
diagnosis and treatment of chronic appendicitis.

Clinical manifestations, diagnosis and differential diagnosis
of acute appendicitis.
4. Homework
(1) The differential diagnosis of the appendicitis.
(2) What are the surgical complications of the acute appendicitis?
CHAPTER 25 COLON, RECTUM AND ANAL CANAL DISEASE
(1) To know well meaning of rectum digital examinations, body
position and special examinations.
(2) To master clinical manifestations, diagnosis, principles of
the therapy for carcinoma of rectum; To know well its surgical
methods and indications.
(3) To understand clinical feature and principles of the therapy
for congenital ano-rectal malformation and congenital
megacolon.
(4) To know well differential diagnosis, clinical manifestations
and treatment of perianorectal abscess
(5) To master clinical manifestations, diagnosis and principles
of the therapy for carcinoma of colon; To know well its

pathology types and surgical methods.
(1)Pathophysiology and clinical common exam methods of rectum and
anal canal.
(2) Body position and meaning of rectal examinations.
(3) Differential diagnosis, pathology, classification, diagnosis
and treatment of congenital ano-rectal malformation.
(4) Pathology, clinical manifestation, diagnosis and treatment of
congenital megacolon.
(5) Differential diagnosis, clinical manifestations and treatment
of perianorectal abscess.
(6) Pathology, clinical manifestations, diagnosis and treatment of
carcinoma of rectum.
(7) Pathology, stage, clinical manifestations, early diagnosis and
principles of the therapy for carcinoma of colon.
Anatomy and exam methods of rectum and anal canal; diagnosis and
treatment of carcinoma of rectum; early diagnosis and
principles of the therapy for carcinoma of colon.
4. Homework
(1)What is the clinical manifestation of carcinoma of rectum?
(2) To describe surgical treatment indications of carcinoma of

rectum.
(3) Clinical manifestations of carcinoma of colon.
(4) Which are the feature of clinical manifestations about
carcinoma of left-half colon and right-half colon?
CHAPTER 26 THE LIVER DISEASE
(1) To know well anatomicophysiology of liver.
(2) To know well differential diagnosis and surgical treatment of
bacterial liver abscess.
(3) To master clinical manifestations, diagnosis, differential
diagnosis and surgical indication of primary liver cancer.
(4) To understand progress of the treatment of liver cancer.
(1) Anatomicophysiology of liver; etiology, pathology, clinical
manifestations, diagnosis, differential diagnosis and treatment
of bacterial liver abscess.
(2) Etiology, pathology, clinical manifestation, diagnosis,
differential diagnosis and treatment of primary liver cancer.
(3) Supplement modern treatment progress of liver cancer.

Etiology, pathology, clinical manifestations, differential
diagnosis and treatment of liver abscess; Etiology, pathology,
clinical manifestation, differential diagnosis and treatment of
primary liver cancer.
4.Homework
How to diagnose early primary liver cancer?
CHAPTER 27 THE PORTAL HYPERTENSION
(1) To understand anatomy of portal system and physiological
meaning of blood from portal system pouring into liver.
(2) To know well etiology, pathophysiology and clinical
manifestation of portal hypertension.
(3) To know well the purpose and variety of surgical treatment of
portal hypertension.
(1) Anatomy and physiology of portal system.
(2) Pathophysiology, clinical manifestation, diagnosis,
differential diagnosis and treatment of portal hypertension.

(3) The use of tricavity and bicapsular tuble; endoscopic
treatment of varication.
(4) Application of medicine contracting vessel as massive
bleeding.
(5) The purpose of surgical treatment.
(6) Conceptions of extensive devascularization around the cardia
and shunt.
(1) Anatomic feature of portal system.
(2) Surgical principles of the therapy for portal hypertension.
4. Homework
(1)What is the common etiology of portal pertension?
(2)Surgical principles of the therapy for rupture of esophagus-
gastric varices.
CHAPTER 28 THE BILE DUCT DISEASE
(1) To understand anatomy and physiology of bile ducts.
(2) To know well the common special exam methods of bile duct
disease.
(3) To know well clinical manifestations, main point of diagnosis
and surgical indication of cholelithiasis and bile duct
infection.
(4) To master etiology, clinical manifestations and treatment of
AOSC(acute obstructive supporative cholangitis).
(5) To understand clinical manifestations and treatment of
carcinoma of gallbladder and carcinoma of bile duct.
(1)Anatomy and physiological function of bile duct disease,
especially common special exam methods of bile duct disease.
(2) Clinical manifestations, diagnosis, differential diagnosis
and treatment of cholelithiasis.
(3) Etiology, pathology, clinical manifestations, diagnosis and
treatment of acute cholecystitis, AOSC and primary sclerosing
cholangitis.
(4) Etiology, pathology, diagnosis and treatment of bile duct
tumor.
(5) Complications and its prevention and treatment of bile duct
disease.
(6) Surgical indications of biliary ascariasis.
(1) Common special examinations of bile duct disease.

differential diagnosis and treatment of cholecystolithiasis and
cholangiolithiasis.
4. Homework
(1)What are surgical exporative indications of common bile duct
during gallbladderectomy?
(2)What are clinical manifestations of extrahepatic bile duct
stone?
(3)What are the therapeutic principles s of intrahepatic bile
duct stone and extrahepatic bile duct stone?
(4) Principles of the therapy for AOSC.
CHAPTER 29 THE PANCREAS DISEASE
(1) To know well the clinical manifestation , diagnosis, local
complications and indication of surgical therapy.
(2) To know well the clinical manifestations of cancer of the
head of the pancreas and periampullary adenocarcinoma.
(3) To understand the clinical manifestations and diagnosis of
insulinoma.
(1) Anatomicophysiology of pancreas.
treatment and complications of acute pancreatitis.
(3) Clinical manifestations, diagnosis and treatment of cancer of
the head of the pancreas and periampullary adenocarcinoma.
(1) Etiology, pathology, clinical manifestations, diagnosis and
treatment of acute hemorrhagic necrotic pancreatitis.
(2) Clinical manifestations, diagnosis and treatment of cancer of
the head of the pancreas and periampullary adenocarcinoma.
4. Homework
(1) What are the clinical manifestations of acute pancreatitis?
(2) Local complications of acute pancreatitis?
CHAPTER 30 THE PERIPHERAL BLOOD VESSEL AND LYMPHATIC
DISEASE
(1) To know well etiology, pathology, clinical manifestations,
stages, diagnosis and treatment of thromboangitis obliterans

(Buerger disease).
(2) To know well diagnosis and treatment of arterial aneurysm.
(3) To know well anatomy, physiology of lower extremity vein.
To know well diagnosis and treatment of primary lower
extremity deep vein valve insufficiency.
2. The teaching contents :
(1)Etiology, pathology, clinical manifestations, stages,
diagnosis, differential diagnosis and treatment of
thromboangitis obliterans and arteriosclerosis obliterans
(ASO).
(2) Anatomy of lower extremity vein; Clinical manifestations,
diagnosis and treatment of chronic lower extremity vein
insufficiency and deep venous thrombosis.
(3) Diagnosis and treatment of arteriovenous fistula.
Diagnosis and treatment of arteriosclerosis obliterans (ASO),
chronic lower extremity insufficiency and deep venous thrombosis.
4. Homework
Diagnostic methods of primary lower extremity varicose veins?

CHAPTER 31 GENITOURINARY CONGENITAL ANISOTROPY
1. Objectives
(1) To master the clinical manifestations and principles of
therapy for polycystic kidney.
(2) To master the etiology, diagnosis and therapy of
cryptorchidism.
(3) To know well the etiology, pathology, diagnosis and therapy of
hypospadias.
(4) To understand clinical manifestations and therapy principles
of therapy for obstruction of pyeloureteral junction.
(1) The etiology, clinical manifestations, diagnosis and therapy
of polycystic kidney.
(2) The clinical manifestations, diagnosis and therapy of
obstruction of pyeloureteral junction.
(3) The etiology clinical manifestations, diagnosis and therapy
of crytorchidism
(4) The pathology, diagnosis and therapy of hypospadias.
3. Emphasis
polycystic kidney.
(2) The etiology , pathology, diagnosis and therapy of

crytorchidism
4. Homework
(1)Tell the clinical manifestations of polycystic kidney.
(2) How many type does hypospadias has?
(3) Tell the principles of therapy for crytorchidism.
CHAPTER 32 URINARY INJURY
1. Objectives
(1) To master the pathology, clinical manifestations, diagnosis,
conservative treatment and operative indications for renal
injury.
(2) To master the etiology, clinical manifestations, diagnosis and
therapy of bulb of penis injury.
(3) To master the etiology, pathology, clinical manifestations,
diagnosis and principles of therapy for post urethral injury.
(4) To know well the etiology, diagnosis and therapy of bladder
injury.
(5) To understand ordinary etiology and principles of therapy for
ureteral injury.
The etiology, pathology, clinical manifestations, diagnosis
and therapy of renal injury, bladder injury and urethral injury.
3. Emphasis
(1) The clinical manifestations, diagnosis, specific measure of
conservative therapy of renal injury.
of bulb of penis injury.
of post urethral injury.
4. Homework
(1) Tell the specific measure of conservative therapy of renal
injury.
(2) Tell the clinical manifestations and principles of therapy for
bulb of penis injury.
CHAPTER 33 GENITOURINARY INFECTION
1. Objectives
(1) To master the etiology, common pathogenic bacteria route of
infection and principles of the application of antibacterial

drugs of urinary infection.
(2) To understand clinical manifestations, diagnosis and
principles of therapy for pyonephrosis and perinephrosis.
(3) To know well the etiology and principles of therapy for
bacterial cystitis.
(4) To know well the etiology, diagnosis, and principles of
therapy for gonorrheal urethritis and nongonococcal
urethritis.
(5) To know well the etiology, diagnosis, and principles of
therapy for chronic bacterial prostatitis.
(1) The pathogenic bacteria, causative factors of infection, route
of infection and principles of therapy for genitourinary
infection.
(2) The clinical manifestations and principles of therapy for
pyonephrosis and perinephrosis.
of gonorrheal urethritis and nongonococcal urethritis.
(4) The clinical manifestations, diagnosis and therapy of chronic
bacterial prostatitis.
(5) The etiology, clinical manifestations, diagnosis and
principles of therapy for acute bacterial cystitis and chronic

bacterial cystitis.
3. Emphasis
(1)The causative factors of the urinary infection.
(2) The clinical manifestations, diagnosis and therapy of chronic
prostatitis.
(3) The diagnosis and therapy of gonorrheal urethritis and
nongonococcal urethritis.
4. Homework
(1) What are the causative factors of the urinary infection?
(2) Tell the clinical manifestations, diagnosis and therapy of
chronic prostatitis.
CHAPTER 34 GENITOURINARY TUBERCULOSIS
1. Objectives
(1) To master the etiology, pathology, diagnosis, differential
diagnosis and therapy of renal tuberculosis.
(2) To know well the application and announcements of common
antibuberculosis drugs.
(3) To know well the principles and indications for operation.

(1)The route of infection of male genitourinary tuberculosis.
(2) The pathological morphology, clinical manifestations,
diagnosis and therapy of renal tuberculosis.
3. Emphasis
(1) The pathology, clinical manifestations, diagnosis,
differential diagnosis and therapy of renal tuberculosis.
4. Homework
(1)Tell the pathology, clinical manifestations of renal
tuberculosis.
(2)What are other diseases from which renal tuberculosis
distinguish?
CHAPTER 35 URINARY OBSTRUCTION
1. Objectives
(1) To understand etiology and pathophysiology of urinary
obstruction.
(2) To master the clinical manifestations, diagnosis and therapy
of hydro- nephrosis.
(3) To master the pathology, clinical manifestations, diagnosis,
differential diagnosis,therapeutic method and operative

indications for benign prostatic hyperplasia.
(4) To understand etiology and therapy acute retention of urine.
(1) Etiology, pathophysiology of urinary obstruction.
hyperplasia.
(3) The etiology, pathology, clinical manifestations, diagnosis
differential diagnosis and therapy of benign prostatic
hyperplasia.
3. Emphasis
(1) The clinical manifestations, diagnosis, differential diagnosis
and therapy of benign prostatic hyperplasia.
4. Homework
(1) What are the clinical manifestations of benign prostatic
hyperplasia?
(2) What are the diseases from which the benign prostatic
hyperplasia should be distinguished?
CHAPTER 36 URINARY CALCULUS
1. Objectives
(1) To understand pathogenesis influential factors,
athophysiology, calculary constit and calculary property of
urolithiasis.
(2) To master the clinical manifestations, diagnosis, differential
diagnosis and therapy of upper urolithiasis.
(3) To know well the etiology, clinical manifestations, diagnosis,
and therapy of vesical calculi.
(1) The etiology and pathophysiology of urinary calculus.
(2)The clinical manifestations, diagnosis therapy and prevention
of upper urolithiasis.
(3) The clinical manifestations, diagnosis and therapy of vesical
calculi.
3. Emphasis
(1) The clinical manifestations, diagnosis and therapy of upper
urolithiasis.
4. Homework
(1)Tell the clinical manifestations of upper urolithiasis.
(2) Tell the principles of therapy for upper urolithiasis.

CHAPTER 37 GENITOURINARY TUMOR
1. Objectives
(1) To understand pathology of various renal tumors.
To master the clinical manifestations, diagnosis and therapy
of various renal tumors.
(2) To master the pathology, the clinical manifestations,
diagnosis and therapy of tumor of urinary bladder.
(3) To know well the clinical manifestations, diagnosis and
principles of therapy for carcinoma of prostate.
(4) To understand pathology, the clinical manifestations,
diagnosis and principles of therapy for tumor of testis.
2. Teaching contents
(1) The pathology, the clinical manifestations, diagnosis and
therapy of renal carcinoma, tumor of renal pelvis and
nephroblastoma.
(2) The etiology, pathology, the clinical manifestations,
carcinoma of prostate and tumor of testis.
3. Emphasis
(1) The pathological features, clinical manifestations,

4. Homework
(1) Tell the pathological features of tumor of urinary
bladder.
(3) Tell the operative principles of therapy for tumor of urinary
bladder.
CHAPTER38 SURGICAL THERAPY OF DISEASES OF ADRENAL GLAND
1. Objectives
principles of therapy for Cushing’s syndrome, primary
hyperaldosternism and disease of catecholomine.
(2) To understand preoperative preparation and operative
points of adrenocortical ademoma, primary hyperaldosternism
and pheochromocytoma.
(1) The clinical manifestations, diagnosis and principles of
therapy for Cushing’s syndrome, primary
hyperaldosternism and disease of catecholomine.
(2) The preoperative preparation and therapy of
adrenocortical ademoma, primary hyperaldosternism and

pheochromocytoma.
CHAPTER 39 MALE SEXUAL DISTURBANCE, INFERTILITY AND
CONTRACEPTION
1. Objectives
(1) To understand anatomical and physiological feature of
male genital system.
(2) To understand type and therapy of male sexual
disturbance.
(3) To know well the etiology and diagnostic steps of male
infertility.
(4) To understand common methods of male contraception.
(1) The basic conception of male genital physiology.
(2) The diagnosis and therapy of male sexual disturbance.
(3) The etiology, diagnosis and therapy of male infertility.
(4) The measure and indications of male contraception.
3. Emphasis
(1) The etiology and diagnostic steps of male infertility.
4. Homework
(1) Tell the etiology of male infertility.
CHAPTER 40 FRACTURE SYNOPSIS
1. Objectives
(1) To master the conception, classification, clinical
manifestations, early and advanced complications of
fracture.
(2) To know well the course and influential factors of the
healing of fracture.
(3) To know well the emergency treatment, principles of
therapy, criterion of reduction of fracture and
therapeutic methods for open fracture.
(4) To understand essential requirements of manipulate
reduction.
(5) To understand indications and common measure of external
fixation of open induction.
(1) The conception, etiology, classification and mechanism of
replacement fracture of fracture.
(2) The clinical manifestations and diagnosis of fracture.

(3) The multi-injury, early and advanced complications of
fracture.
(4) The course of healing and influential factors of healing
of fracture.
(5) The preventive principles of late healed, disunion and
malunion of fracture.
(6) The emergency treatment and principles of therapy for
fracture.
(7) The principles of therapy for open fracture.
3. Emphasis
(1) The conception, the clinical manifestations, early and
late complications of fracture.
(2) The emergency treatment and principles of therapy for
fracture.
(3) The criterion of reposition of fracture and therapy of
open fracture.
4. Homework
(1) The classification of fracture.
(2) The early and late complications of fracture.
(3) The healing criterion of fracture.

CHAPTER 41 THE INJURY OF BONES OF UPPER LIMB AND JOINT
1. Objectives
(1) To master the features of replacement, clinical
manifestations, complications and diagnosis of fracture
of shaft of humerus, humeral supracondylar fracture and
fracture of the distal radius. To understand therapy of
them.
(2) To know well the features of replacement, diagnosis and
principles of therapy for fracture of the calvicle and
antebrachial double fracture.
(3) To know well the clinical manifestations, diagnosis,
differential diagnosis and measure of manipute reduction
of dislocation of the shoulder joint.
(4) To know well the classification, clinical manifestations
and principles of therapy for dislocation of the elbow.
(5) To know well the nosogenic age, pathogenosis, clinical
manifestations, diagnosis and therapy of sub luxation of
capitulum radii.
(1) The etiology, classification, clinical manifestations,
diagnosis and therapy of fracture of the calvicle.

dislocation of the shoulder joint, dislocate of the elbow
and sub luxation of capitulum radii.
(3) The anatomical synopsis, etiology, classification,
features of replacement, clinical manifestations,
complications, principles of therapy for fracture of
shaft of humerus.
(4) The anatomical synopsis of fracture of shaft of humerus.
The etiology, classification, features of replacement,
clinical manifestations, complications, principles of
therapy for various fracture of shaft of humerus.
(5) The anatomical synopsis, etiology, classification,
features of replacement, clinical manifestations,
complications, principles of therapy for double fracture
of forearm.
(6) The anatomical synopsis, etiology and classification of
fracture of the distal radius. The clinical
manifestations, diagnosis and principles of therapy for
rectate fracture of the distal radius.
3. Emphasis
(1) The features of replacement, clinical manifestations,
complications and diagnosis of fracture of shaft of

humerus, humeral supracondylar fracture and fracture of
the distal radius.
(2) The clinical manifestations, diagnosis, differential
diagnosis and manipulative reduction of dislocation of
the shoulder.
4. Homework
(1) The features of replacement of fracture of shaft of
humerus, humeral supracondylar fracture and fracture of
the distal radius.
(2) The classification of dislocation of the shoulder joint
.The measure of manipulative reduction of it.
(3) The complications of humeral supracondylar fracture.
CHAPTER 42 HAND INJURY AND REPLANTATION OF LIMB AND
AMPUTATED FINGER.
1. Objectives
(1) To know well the principles of therapy for hand injury.
(2) To know well the indications and operative principles of
replantation of limb and amputated finger.
(3) To understand time limited in common temperature of

replantation.
(1) The anatomical features of the hand, the functional
position, rest position, protectant position of the hand.
(2) The exam and diagnosis of hand injury.
(3) The field first aid and principles of therapy for hand
injury.
(4) The replantation of the limb and amputated limb and
finger:
a. The emergency treatment of amputated limb and finger.
b. The indications of replantation of limb and amputated
limb and finger.
c. The operative principles and steps of the replantation of
limb and amputated finger.
d. The treatment after operation of replantation of limb.
3. Emphasis
(1) The principles of therapy for hand injury.
4. Homework
(1) Tell the principles of therapy for hand injury.
(2) Tell the indications of replantaion of limb.

CHAPTER 43 THE INJURY OF THE BONES AND JOINTS OF LOWER LIMBS
1. Objectives
(1) To know well the classification, the clinical manifestations,
diagnosis and therapy of metra-dislocation of the hip joint.
(2) To master the classification, the clinical manifestations and
therapy of fracture of the femoral neck.
(3) To know well the etiology, classification and therapy of the
fracture of femoral shaft.
(4) To know well the etiology, classification, classification and
therapy of fracture of the tibia and fibula and fracture of
the ankle.
(5) To know well the pathogenesis, clinical manifestations and
therapy of meniscus of knee joint injury.
(6) To understand etiology, classification and therapy of
intertrochanteric fracture, fracture of tibibal plateau and
fracture of patella.
(1) The classification, clinical manifestations, manipulative
reduction of dislocation of the hip joint, the classification
of metra-dislocation of the hip joint.
(2) The anatomic synopsis, etiology, classification, the clinical

manifestations, diagnosis and therapy of fracture of the
shaft of the femur and intertrochanteric fracture.
(3) The anatomic synopsis, etiology, classification, the clinical
manifestations, diagnosis and therapy of fracture of the
shaft of fracture of the patella.
(4) The anatomic synopsis, pathogenesis, pathology, clinical
manifestations, the exam of imageology and arthroscopic exam
and therapy of meniscus of knee joint injury.
(5) The anatomic synopsis, etiology, classification therapy of
fracture of tibial plateau and fracture of the tibia and
fibia.
(6) The anatomic synopsis, etiology, classification, clinical
manifestations diagnosis and therapy of fracture of the ankle
and bones of foot injury.
3. Emphasis
(1) The classification, clinical manifestations and therapy of
fracture of the femoral neck.
(2) The classification and clinical manifestations of dislocation
of the hip joint.
4. Homework
(1) Tell the classification of fracture of the femoral neck.
(2) Tell the classification and measure of manipulative reduction

of dislocation of the hip joint.
CHAPTER 44 FRACTURE OF THE SPINE AND PELVIS
1. Objectives
(1) To master the classification, the clinical manifestations,
exam, diagnosis carrying for first aid and principles of
therapy for fracture of lumbar vertebra and thoracic
bertebral fracture.
(2) To know well the classification, the clinical
manifestations, exam, diagnosis and principles of therapy for
cervical spine fracture.
(3) To know well the classification, the clinical manifestation,
principles of therapy and prevention of complications of
spinal cord injury.
(4) To know well the classification, clinical manifestation,
diagnosis and principles of therapy for fracture of the
pelvis.
(1) The etiology, classification, the clinical manifestations,
exam, diagnosis, carrying for first aid and principles of

therapy for fracture of the spine.
(2) The pathology, clinical manifestations, complications and
principles of therapy for spinal cord injury.
(3) The constit of pelvic ring and classification clinical
manifestations, complications, diagnostic steps and therapy
of fracture of the pelvis.
3. Emphasis
(1) The classification, clinical manifestations, exam, diagnosis
and principles of therapy for thoracic vertebral fracture and
fracture of lumbar vertebra.
(2) The clinical manifestation, complications and therapy of
fracture of the pelvis.
4. Homework
(1) Tell the classification of fracture of lumber vertebra and
thoracic vertevra.
(2) Tell the classification of fracture of the pelvis.
(3) Tell the complications of fracture of the pelvis.
CHAPTER 45 THE CHRONIC INJURY OF LOCOMOTOR SYSTEM
1. Objectives
(1) To master the diagnosis and principles of therapy for
periarthritis of shoulder, radiohumeral epicondylitis,
tenosynovitis osteochondrosis of the tuberosity of tibia and
chondromalacia of patella.
(2) To understand etiology, pathology of periarthritis of
shoulder and tenosynovitis stenosans.
(3) To understand etiology, classification, pathology and result
of caput femoris necrosis.
(4) To know well the prevention and principles of therapy for
caput femoris necrosis.
(1) The classification, the clinical manifestations, principles
of therapys and prevention of chronic injury of locomotor
system.
(2) The anatomic synopsis, etiology, clinical manifestations and
therapy of periarthritis of shoulder, radiohumeral
epicondylitis, tenosynovitis osteochondrosis of the
tuberosity of tibia and chondromalacia of patella.
3. Emphasis
(1) The diagnosis and therapy of periarthritis of shoulder,
radiohumeral epicondylitis,tenosynovitis osteochondrosis of
the tuberosity of tibia and chondromalacia of patella.

4. Homework
(1) Tell the rang of periarthritis of shoulder.
(2) Tell clinical manifestations, tenosynovitis stenosans.
(3) Tell the pathological course of osteochondrosis of capitular
epiphysis of femur.
CHAPTER 46 PAINS IN BACK-LEG AND NECK-SHOULDER
1. Objectives
(1) To understand etiology, the property of backleg pain, neck
pain and shoulder pain.
(2) To master the clinical manifestations, diagnosis and
differential diagnosis of hernia of intervertebral discs.
(3) To master the classification, clinical manifestations,
diagnosis and differential diagnosis of cervical spondylosis.
(4) To know well the classification, pathology and therapy of
hernia of intervertebral discs.
(5) To know well the therapy of cervical spondylosis.
(1) The anatomic synopsis, etiology, classification, property of
pain and pressure pain point of backleg pain.

(2) The etiology, classification, pathology, clinical
manifestations, diagnosis differential diagnosis and therapy
of hernia of inervertebral discs.
(3) The anatomic synopsis, etiology and classification of neck
pain and shoulder pain.
(4) The etiology, classification, clinical manifestations,
diagnosis differential diagnosis and therapy of cervical
spondylosis.
3. Emphasis
(1) The clinical manifestations, diagnosis differential diagnosis
of hernia of intervertebral discs.
(2) The classification, clinical manifestations, diagnosis and
differential diagnosis of cervical spondylosis.
4. Homework
(1) Tell the clinical manifestations of hernia intervertebral
discs.
(2) Tell the classification and clinical manifestations of
cervical spondylosis.
CHAPTER 47 THE PYOGENIC INFECTION OF BONE AND JOINT

1. Objectives
(1) To master the etiology, pathology, early diagnosis and
principles of therapy for acute hematogenic osteomyelitis.
(2) To understand etiology, diagnosis and principles of therapy
for chronic suppurative osteomyelitis.
(3) To understand pathology, clinical exams and principles of
therapy for suppurative arthritis.
(4) To know well the etiology, clinical manifestations , diagnosis
and differential diagnosis of suppurative arthritis.
(1)The route of infection of suppurative osteomyelitis.
(2) The etiology, pathology, clinical manifestations, early
diagnosis and principles of therapy for acute hematogenic
osteomyelitis.
(3) The etiology, diagnosis principles of therapys and selection
of operative measure of chronic hematogenic osteomyelitis.
(4) The etiology, pathology, early diagnosis and principles of
therapy for suppurative arthritis.
3. Emphasis
(1) The etiology, pathology, early diagnosis and principles of
therapy for acute hematogenic osteomyelitis and suppurative
arthritis.
4. Homework
(1)How to diagnose the acute hematogenic osteomyelitis early?
(2)What is the aim of the operative for acute hematogenic
osteomyelitis?
CHAPTER 48 BONE AND JOINT TUBERCULOSIS
1. Objectives
(1) To know well the pathology, clinical manifestations, early
diagnosis and principles of therapy for bone and joint
tuberculosis.
(2) To master the clinical manifestations and principles of
therapy for spinal tuberculosis.
(3) To know well the clinical manifestations and principles of
therapy for coxalgia.
(1) The etiology, pathology, clinical manifestations, exams of
imageology, systematic and local therapy of bone and joint
tuberculosis.
(2) The pathology, clinical manifestations, exams of
imageology, diagnosis, differential diagnosis and therapy

of spinal tuberculosis.
(3) The pathogenesis, clinical manifestations, diagnosis,
antidiagstole and therapy of spinal tuberculosis with
paraplegina.
(4) The pathology, clinical manifestations, exams of
imageology, diagnosis, differential diagnosis and therapy
of coxalgia.
3. Emphasis
(1) The pathology, clinical manifestations, early diagnosis and
principles of therapy for bone and joint tuberculosis.
4. Homework
(1)Tell the course of pathology of bone and joint tuberculosis.
(2) Tell the operative principles of bone and joint tuberculosis.
3 Tell the features of imageology of spinal tuberculosis.
CHAPTER 49 BONE TUMOR
1. Objectives
(1) To know well the classification, the distinguishing between
benign and malignant bone tumor, differential diagnosis and
principles of therapy for bone tumor.

(2) To master the features of X-rays, clinical manifestations, and
principles of therapy for osteochondrome.
principles of therapy for osteochondrome, giant cell tumor.
(1) The classification, the features of benign and malignant bone
tumor, clinical manifestations, diagnosis surgical staging and
principles of therapy for bone tumor.
(2) The clinical manifestations, features of X-rays, diagnosis and
principles of therapy for benign bone tumor.
(3) The clinical manifestations, features of X-rays, and
principles of therapy for giant cell tumor.
(4) The clinical manifestations, features of X-rays, diagnosis and
principles of therapy for osteosarcoma, Ewing’s sarcoma and
myeloma.
3. Emphasis
(1) The features of X-rays, clinical manifestations and principles
of therapy for osteosarcoma.
4. Homework
(1) Tell the features of X-rays of osteosarcoma.
(2) Tell the things by which to diagnose bone tumor.
(3) Tell the principles of therapy for osteosarcoma.

Chapter 50 Synopsis of plastic surgery
⒈ Teaching contents
introduction of plastic surgery
Chapter 51 Principles of Operative Surgery
⒈ Objectives
To master the principles of operative surgery.
⑴ Antisepsis principle and technique;
⑵ Knotting; Sutures ; Exposure; Drains ;
⑶ Debridement and suture;
⑷ Experimental intestinal anastomosis;
⒊ Teaching methods
Experiments following teachers

Surgery Curriculum

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The Curriculum Outline of Surgery

For Nepalese Medical Students

Weifang Medical University

Surgery is one of the main subjects of the clinical medicine.

It’s a subject referring some diseases which doctors usually

treat with operations or manure procedures. It’s characterized

with remarkable practicality and also has a profuse theory-

The teaching Objective is that medical students could master

the etiology, pathogenesis, clinical manifestations, diagnoses

and treatments of the surgery diseases. Thereby they can make a

foundation for surgical work.

The procedure of surgery teaching includes class lectures,

experiences, practices and intern practices. Ability training

should be emphasized as well as the combination of theory with

In teaching methods, teachers should pay attention to the

correlation of surgery with other medical subjects, take

advantages of self-learning and teacher-student interflow, put

stress on the gradualness, and bring the initiative of students

into full play.

［1 class hour(Chr) = 40 minutes］

chapte Contents theor experiments practice

2. Molecular biology in surgery 2

4. The disturbance of humoral 6

fluids in surgical patients

8. Trauma and military injury 4 2 4

11. Increased intracranial 4 4

13. Intracranial and intraspinal 4 4

14. The disease in the neck 4 4

15. The chest diseases 4 4

16. The thoracic injury 4 4

17. The pulmonary diseases 4 4

18. The esophagus disease 4 4

19. The heart disease 8 8

20. The abdominal hernia 4 4

21. The abdominal injury 4 4

22. Stomach and duodenum 8 8

23. Small intestine diseases 4 4

24. Appendix disease 4 4

25. Colon, rectum and anal canal 6 4

26. liver diseases 4 4

27. The portal hypertension 4 4

28 Bile duct diseases 8 8

30 Peripheral blood vessel and 4 4

32. Urinary Injury 4 4

33. Genitourinary Infection 4 4

34. Genitourinary Tuberculosis 3 4

35. Urinary Obstruction 4 4

36. Urinary Calculus 4 4

37. Genitourinary Tumor 4 4

38. Surgical therapy of diseases 4 4

39. Male sexual dysfunction and 4 4

40. Fracture Synopsis 8 8

41. The injury of the bones and 6 6

joints of upper limbs

42. Hand injury and replantation 4 4

of amputated limbs and

43. The injury of the bones and 6 6

joints of lower limbs

44. Fracture of the spine and 4 4

45. The chronic injury of 4 4

46. Pains in Back-leg and neck- 4 4

47. The pyogenic infection of 4 4