MED 352 · الجهاز البولي والتناسلي
السنة 3 · 48 محاضرة · 8 ساعات معتمدة
العناوين والأهداف منقولة من خطة كلية الطب الرسمية.
موقعها في الخطة الاسترشادية 2023: السنة الثالثة، الفصل الأول
وصف المساق (من الجامعة)
This is an interdisciplinary integrated module of the urinary and reproductive system. Basic sciences of anatomy, physiology, biochemistry, pathology, and pharmacology of the urinary and reproductive system are correlated with a set of clinical disorders of the system. The goal of this integrated course is to provide medical students with comprehensive knowledge about components of the urinary and reproductive system related to clinical manifestations of diseases. The teaching methods include lectures, laboratories, as well as small group discussions of clinically oriented problems to enhance self-directed learning. This knowledge is supported by skills-developing laboratory activities and clinically oriented activities. Research ideas with specific embedded objectives are also included to emphasize social responsibility, evidence-based medicine, community service, and innovatiae thinking. During the course and whenever relevant the students are exposed to clinical problems to emphasize the explanations of symptoms, signs, investigations and forms of treatments. Practical sessions are planned to be stations around tables to give students the opportunity to expose their knowledge for discussion and confirm concepts learned in lectures. Small group discussions of clinical cases are planned at the end of the course were students are divided into small groups and with the help of an instructor they analyze and discuss the problem .
كيف تُحسب علامة المساق في الجامعة
مساقات الأجهزة في السنتين الثانية والثالثة، للطلبة المقبولين من 2018/2019
- ٦٠٪الجزء النظري
- ٣٠٪الجزء العملي والسريري
- ٥٪الأبحاث والأعمال الريادية
- ٥٪الانضباط والسلوك والمواظبة
ماذا يقيس المساق، ووزن كل جزء
- 20%Describe the anatomical and physiological basis for the Urino-Genital system
- 20%Understand the pathogenesis of various diseases of the Urino-Genital System
- 30%Able to explain symptoms, signs, investigations, and forms of treatments for urinogenital system anomalies
- 20%Describe the gross morphology of different organs forming the Urino-Genital system including the vasculature, lymphatic drainage, and innervation of different parts of the Urino-Genital System.
- 10%Describe the gross morphology of different organs forming the Urino-Genital system including the vasculature, lymphatic drainage, and innervation of different parts of the Urino-Genital System.
الكتاب المقرر
- Clinical Anatomy for Medical Students, R.S. Snell (30th Edition)
الخطة التفصيلية للمساق على موقع الجامعة · صادرة الفصل الأول 2023/2024
مواد ذات صلة في السنة الثالثة
هذه الوحدة في جامعتك
المحاضرات وأهدافها
1. Introductory case presentation for URS
Multidisciplinary
- Understand the general outline of the module.
- Be familiar with the teaching modalities.
- Be familiar with the grading system and passing requirements.
- Understand the current status of urogenital diseases in Jordan.
2. Gross morphology of the kidney
Anatomy
- Describe the outer morphology and location of each kidney.
- Recognize the fascial layers covering the kidney and their clinical relevance.
- Understand the organ relations of each kidney and their surgical importance.
- Recognize the internal structure of the kidney and differentiate its parts.
- Understand the blood supply to each part of the kidney.
3. Histology of the kidney
Anatomy
- Understand cortex and medulla and the microscopic structures in each.
- Differentiate the structural and functional units of the kidney.
- Understand the histology of the nephron and its components.
- Understand the renal corpuscle and the layers of its filtration barrier; identify proximal tubule cells.
- Recognize the loop of Henle and its cells.
- Identify distal tubule cells.
- Understand the juxtaglomerular apparatus, its cell types, and its role in blood pressure regulation.
- Recognize the parts of the collecting tubules.
- Recognize the histology of the ureter and urinary bladder.
4. Glomerular filtration and renal blood flow
Physiology
- Review the functions of the nephron.
- Understand renal blood flow and glomerular filtration.
- Understand the glomerular membrane and filtration dynamics.
- List the factors affecting GFR.
- Understand autoregulation and tubuloglomerular feedback.
- Understand the juxtaglomerular apparatus and the renin-angiotensin system.
- Understand glomerulotubular balance.
- Understand the mechanisms regulating renal blood flow.
5. Development of the urinary system
Anatomy
- Understand the three developmental stages of the kidneys and their changes in position and blood supply.
- Describe the development of the nephron and collecting system.
- Describe the development of the urinary passages.
- Understand the congenital anomalies of the kidney and urinary passages.
6. Regulation of tubular reabsorption
Physiology
- Discuss the renal tubular transport maximum.
- Define filtered load and excretion.
- Understand the glucose and PAH titration curves.
- Understand renal clearance and its applications.
- Describe inulin, creatinine, and PAH clearance.
7. Gross anatomy of the ureter, urinary bladder, and urethra
Anatomy
- Recognize the relations of the ureter along its abdominopelvic route.
- Identify the constriction sites of the ureter and their clinical relevance.
- Describe the external anatomy and location of the bladder.
- Recognize the internal structure of the bladder.
8. Anatomy of the pelvic wall
Anatomy
- Recognize the anatomical and clinical terms of the pelvis.
- Describe the pelvic girdle, true and false pelvis, greater and lesser pelvis, and pelvic brim.
- Describe the pelvic inlet and outlet.
- Differentiate male and female pelvis and the types of pelvis.
- Identify the components of the pelvic wall (bone, muscle, fascia).
- Understand the pelvic girdle and its surface landmarks.
- Describe the pelvic diaphragm.
9. Congenital and cystic diseases of the kidney
Pathology
- Define the main congenital diseases of the kidney.
- Understand the types, pathogenesis, morphology, and presentation of cystic kidney diseases.
10. Reabsorption and secretion
Physiology
- Understand transport and the pathways of reabsorption.
- Discuss the reabsorption of water and electrolytes.
- Discuss the reabsorption of glucose, urea, creatinine, and protein.
11. Glomerulonephritis
Pathology
- Discuss the pathogenesis of glomerulonephritis.
- Recognize the basic reactions of the glomerulus to injury.
- List the renal syndromes associated with renal pathology.
12. Pelvic cavity I (male organs)
Anatomy
- Describe the peritoneal folds on the male pelvic viscera.
- Describe the male genital organs.
- Describe their relations, blood supply, innervation, and lymph drainage.
13. Nephritic and nephrotic syndromes
Pathology
- Discuss the manifestations and mechanisms of nephritic syndrome.
- List the types of glomerulonephritis associated with nephritic syndrome.
- Discuss the etiology, pathogenesis, morphology, and clinical features of the common nephritic glomerulonephritides.
- List the components of nephrotic syndrome.
- Discuss the pathogenesis of nephrotic syndrome.
- List the main causes of nephrotic syndrome.
- Discuss the common nephrotic glomerulonephritides.
14. Pelvic cavity II (female organs)
Anatomy
- Understand the peritoneal folds on the female pelvic viscera.
- Recognize the anatomy of the female reproductive organs.
- Identify their relations, blood supply, innervation, and lymph drainage.
15. Glomerular pathology in systemic diseases
Pathology
- Discuss the glomerular lesions of diabetes mellitus, SLE, Henoch-Schönlein purpura, multiple myeloma, gout, and endocarditis.
16. The perineum
Anatomy
- Identify the perineum and its boundaries.
- Identify the urogenital triangle.
- Identify the anal triangle including the anal canal, levator ani, and anal sphincters.
- Understand the components of the ischioanal fossa.
17. Renal concentration and dilution of urine
Physiology
- Understand the mechanisms of dilution and concentration: countercurrent multipliers and exchangers.
- Discuss the role of urea.
18. Tubulointerstitial nephritis and urinary tract infection
Pathology
- Define the features and general morphology of tubulointerstitial nephritis.
- Define drug-induced tubulointerstitial nephritis: pathogenesis, morphology, clinical features.
- Define acute and chronic pyelonephritis.
- Define obstructive uropathy and the common sites of ureteric obstruction.
- Discuss the pathogenesis, clinical features, and types of urinary stones.
- Discuss the predisposing factors, causes, and pathology of cystitis.
19. Diseases of blood vessels; renal failure
Pathology
- Define the causes, pathogenesis, pathology, and presentation of renal vascular diseases.
- Contrast acute and chronic renal failure: pathogenesis, causes, morphology, clinical course.
20. Urinary tract infection
Microbiology
- Understand the role of E. coli, other gram-negative bacteria, and gram-positive organisms in UTI, their laboratory diagnosis, and antibiotic susceptibility.
21. Renal tumors; pathology of the ureter and urinary bladder
Pathology
- Discuss angiomyolipoma and oncocytoma (benign renal neoplasms).
- Discuss the risk factors, morphology, and clinical features of renal cell carcinoma.
- List the main features of urothelial carcinoma of the renal pelvis.
- Discuss nephroblastoma: risk factors, morphology, clinical features.
- Describe bladder cancer: epidemiology, types, grading, staging, prognosis.
22. Schistosomiasis
Microbiology
- Describe Schistosoma haematobium: pathogenesis, immune response, epidemiology, life cycle, clinical manifestations.
- Describe laboratory diagnosis, treatment, prevention, and control.
23. Diuretic agents
Pharmacology
- List the major diuretic classes and relate them to their sites and mechanisms of action.
- Overview the pharmacokinetics and pharmacodynamics of thiazides, loop diuretics, and potassium-sparing diuretics.
- Understand their major clinical applications.
24. Introduction to the reproductive part of the module
Multidisciplinary
- Understand the general outline of the genital-system part.
- Be familiar with the teaching modalities.
- Acknowledge the relation between normal and abnormal structure and function.
- Appreciate the importance of basic sciences in clinical practice.
25. Diseases of the penis, scrotum, and testis
Pathology
- Identify condyloma acuminatum, giant condyloma, Bowen's disease, bowenoid papulosis, and erythroplasia of Queyrat.
- Identify the etiology, pathology, and complications of cryptorchidism.
- Classify testicular tumors with emphasis on the tumor markers of seminoma, embryonal carcinoma, teratoma, yolk sac tumor, and choriocarcinoma.
26. Gonorrhoea
Microbiology
- Understand Neisseria gonorrhoeae as the commonest cause of sexually transmitted disease.
- Describe its laboratory diagnosis, pathogenesis, antibiotic susceptibility, and epidemiology.
27. Role of the kidney in acid-base balance
Biochemistry
- Understand the kidney's role in acid-base balance.
- Quantify renal acid-base excretion.
- Understand the kidney's correction of acidosis and alkalosis.
- Understand the factors regulating tubular hydrogen ion secretion.
- Differentiate respiratory and metabolic acid-base disorders.
28. Histology of the male reproductive system
Anatomy
- Understand the histology of the testis, epididymis, vas deferens, seminal vesicles, prostate, ejaculatory duct, and urethra.
29. Male reproductive physiology
Physiology
- Discuss the endocrine regulation of male reproduction.
- Understand the functions of the male reproductive organs and glands.
- Discuss spermatogenesis.
- Discuss male reproductive dysfunction.
30. Androgens and androgen antagonists
Pharmacology
- Classify androgens and androgen antagonists and understand their mechanisms of action.
- Discuss the therapeutic uses of androgens and their abuse potential.
- Understand the clinical applications of anti-androgens.
31. Diseases of the prostate
Pathology
- Identify acute, chronic, and chronic non-bacterial prostatitis.
- Discuss the incidence, hormonal effects, and pathology of nodular hyperplasia.
- Recognize the incidence, hormonal effects, pathology, spread, staging, and tumor markers of prostatic carcinoma.
32. Histology of the female reproductive system
Anatomy
- Understand the histology of the ovaries, uterine tubes, uterus, and vagina.
33. Diseases of the vulva and vagina
Pathology
- Recognize lichen sclerosus, squamous hyperplasia, vulvar dystrophy, leukoplakia, extramammary Paget's disease, condyloma acuminatum, condyloma lata, and VIN I-III.
- Describe squamous cell carcinoma of the vulva and vagina and its sites of metastasis.
34. HIV and AIDS
Microbiology
- Describe the virus, its life cycle, and the pathogenesis and immunopathology of AIDS with its epidemiology.
- Describe the laboratory measures for screening, confirmation, and treatment follow-up.
- Highlight treatment regimens and preventive measures.
35. Female reproductive physiology
Physiology
- List the hormones of female reproduction and their functions.
- List the functions of the female reproductive system.
- Describe the pituitary-ovary axis and the ovarian changes across the ovarian cycle.
36. Diseases of the uterus and cervix
Pathology
- Distinguish endometriosis, adenomyosis, and endosalpingiosis.
- Distinguish the types of endometrial hyperplasia.
- Understand leiomyoma and leiomyosarcoma of the uterus.
- Identify the age incidence, predisposing factors, hormonal influence, pathology, and metastatic sites of endometrial carcinoma.
- Describe cervical intraepithelial neoplasia and its association with HPV.
- Discuss squamous cell carcinoma of the cervix.
37. Herpes, cytomegalovirus, human papillomavirus, and molluscum contagiosum
Microbiology
- Describe the structure, replication cycle, serotypes, and epidemiology of each virus.
- Describe their pathogenesis and role in cervical cancer.
- Describe cell culture and serology, and the role of antivirals.
38. Physiology of pregnancy
Physiology
- Describe fertilization, transport, and implantation of the ovum.
- Describe the function of the placenta.
- Describe the maternal response to pregnancy.
- Describe the fetal circulation.
39. Gestational diseases
Pathology
- Describe complete and partial hydatidiform mole, invasive mole, and gestational choriocarcinoma.
40. Development of the male and female genital system
Anatomy
- Describe the development of the gonads, genital ducts, and external genitalia.
- Describe the descent of the testes and ovaries.
- Understand the congenital anomalies of the genital system.
41. Diseases of the ovaries and fallopian tubes
Pathology
- Classify ovarian tumors: serous, mucinous, endometrioid, epithelial, and germ cell tumors.
- Describe the age incidence, predisposing factors, pathology, and metastatic sites of epithelial and germ cell tumors.
42. Parturition and lactation
Physiology
- Discuss the factors initiating parturition.
- Discuss the hormonal requirements for mammary development and lactation.
- Describe the composition of milk.
43. Diseases of the breast
Pathology
- Understand the diagnostic approach to palpable and non-palpable breast lesions.
- Describe non-neoplastic disorders and benign tumors: mastitis, fat necrosis, fibrocystic change, fibroadenoma, phyllodes tumor, intraduct papilloma.
- List breast cancer risk factors.
44. Candidiasis, trichomoniasis, and ectoparasites
Microbiology
- Describe Candida albicans, its pathogenesis, and the immune system's relation to fungal infection.
- Describe the clinical presentation and the vaginal discharge.
- Describe laboratory diagnosis and treatment.
- Describe Trichomonas vaginalis and other sexually transmitted ectoparasites.
- Describe their clinical presentation and treatment.
45. Drugs acting on the uterus
Pharmacology
- Understand the molecular regulators of uterine smooth muscle and relate them to drug mechanisms.
- Describe uterine stimulants and relaxants, their uses and adverse effects.
46. Community awareness
Public Health
- Describe methods to promote community awareness of menses, menstrual changes, and fertility.
47. Genito-urinary tract infections
Public Health
- Identify the risk factors for genito-urinary infections and disease.
48. Female sex steroids and contraceptive agents
Pharmacology
- Describe the nature, mechanisms, and adverse effects of female sex steroids and contraceptive agents.
- Indicate their therapeutic applications.
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