PATHOLOGY: Practical Syllabus & Skills

I. Haematology:
Hb indices, PCV, ESR, Peripheral Blood Smears, Blood Grouping.
Anaemias, Leukaemias, Haematology Charts.
II. Clinical Pathology: Urine Examination, Charts for discussion & Interpretation.
III. Histopathology: Minimum number of slides to be shown.
1. Acute Inflammation: 2
2. Chronic Inflammation: 6
3. Intracellular Accumulation: 4
4. Circulatory Disturbances: 4
a) CVC- Spleen.
b) CVC- Liver.
c) CVC- Lung.
d) Organisation of thrombus.
5. Neoplasia:
a) Benign Epithelial tumour: 2
b) Malignant epithelial tumours: 3
c) Benign mesenchymal tumours: 4
d) Malignant Mesenchymal tumours: 2
6. Systemic Pathology:
a) CVS:
*Atherosclerosis: 3
*Monckeberg’s sclerosis
*Myocardial Infarction.
*RHD
b) Resp System: 4
c) Renal Systm: 3
d) GIT: 4
e) Liver: 2
f) Reproductive system & Breast: 10.
g) Lymph nodes: 3
h) Endocrine System: 4
i) Musculoskelatal System: 4
j) CNS & PNS: 4
Corresponding specimens to be included for demonstration.

Skills:
Practical lab work in Pathology includes:
*Clinical Pathology
*Haematology
*Histopathology
*Morbid anatomy
1. Student must be conversant with the organisation & functioning of the labs & aware of the safety precautions to be taken in the labs.
2. Conversant with the use of compound microscope.
3. Conversant & able to perform & interpret the routine lab investigations.
4. Aware of the common methods of collection of samples for haematological & bio-chemical investigations & anticoagulants to be used. They should be conversant with the methods of collection of body fluids & for cytological exams & the preservatives to be used.
5. The clinico-pathological exercises include the physical & chemical exams of urine including the microscopy & the aplication of the tests in diagnosis of diseases.
6. The haematology exercises include the Hb estimation, ESR, Peripheral smear study, PCV & cell counts(RBC, WBC, Eosinophil) & haematological indices, TLC, DLC, reticulocyte count, blood grouping, techniques & interpretation of BM preparations to be demonstrated.
7. Conversant with the method of collection & transportation of biopsy specimens to the lab including the preservatives used. Knowledge of method of processing of samples & common histological techniques including H & E stain & a few special stains like PAS, Verhoff’s stain, Perl’s Prussian stain, MTS & Papanicolaou etc.
8. Knowledge of application of frozen section.
9. Able to identify as spotters the common histopathological, haematological & cytological slides & specimens & charts 7 their interpretations.
10. Able to correlate the history & identify the common histopathological & haematological slides & specimens & discuss the relevant diagnosis.
11. Knowledge of rapid diagnostic methods & principle & use of Auto Analysers.
12. Maintain practical record book & keep it up-to-date & submit on time for valuation.
———————————–
List of Haematology Slides & Instruments recommended for Spotters:
a. Slides(Minimum 10):
1. Microcytic Hypochromic anemia.
2. Macrocytic anemia.
3. Dimorphic anemia.
4. Hemolytic anemia.
5. Normocytic Hypochromic anemia.
6. Eosinophilia.
7. Reticulocytes.
8. AML
9. CML
10. ALL
11. CLL
12. Multiple myeloma: BM
13. Microfilaria
14. Malaria parasite.

b. Instruments(Min 10) with following aspects:
*Parts of instrument.
*Markings on it.
*Indications for use
*Advantages & disadvantages of it to be used for a particular procedure.
*Diseases in which this particular instrument is used for diagnosis.
1. LP needle.
2. Liver biopsy needle
3. BM aspiration needle.
4. Wintrobe’s/Hematocrit/PCV Tube with stand
5. Westergren’s ESR Tube & Stand.
6. Urinometer
7. RBC Pipette
8. WBC Pipette
9. Sahli’s Hbmeter.
10. Sahli’s Hbmeter-central diluting tube.
11. Sahli’s Hbmeter/Hb pipette.
12. Albuminomater.
13. Neubauer’s counting Chamber.

——————————-
List of Histopathology Slides & Specimen:
For exam- a min of 40 slides & 50 specimens be available for spotters, discussion & viva-voce.
1. Acute appendicitis.
2. Lobar Pneumonia.
3. TB Lung.
4. TB Lymph node.
5. Sequestrum.
6. Fatty Liver.
7. CVC Liver.
8. Lipoma.
9. SCC- foot.
10. Malignant Melanoma.
11. Cavernous Haemangioma- Liver.
12. Chondroma.
13. Madura Mycosis.
14. Gastric ulcer
15. Adenocarcinoma-Colon
16. TB -Intestine
17. Polyp-Intestine.
18. Typhiod Ulcer – Intestine.
19. Intussusception.
20. Amoebic ulcer-intestine.
21. Gall stones.
22. Portal cirrhosis
23. Bronchiectasis
24. Emphysema
25. Secondaries in lung
26. Bronchogenic carcinoma.
27. Rheumatic endocarditis.
28. Rheumatic pericarditis
29. MS & AS.
30. Atheroma-aorta.
31. CGN
32. Hydronephrosis
33. Vesical Calculus.
34. Wilm’s tumour.
35. Carcinoma- kidney.
36. Carcinoma- Penis.
37. Seminoma- testis.
38. Mucinous cystadenoma.
39. Dermoid cyst-ovary.
40. Leiomyoma-Uterus.
41. Osteoclastoma
43. Osteosarcoma.
44. Fubroadenoma Breast
45. Carcinoma breast
46. MNG
47. Micro & macro nodular cirrhoses
48. Meningitis
49. Amoebic liver abscess.
50. Gangrene foot/hand
51. Infarction-heart
52. Infarction-spleen
53. Infarction- lung
54. Carcinoma of cervix
55. Carcinoma of stomach
56. CPN
57. Amyloid spleen
———————————–
List of Charts for Discussion & Spotters:
1. TB Meningitis.
2. Viral meningitis.
3. Pyogenic meningitis.
4. Nephrotic syndrome.
5. ALL
6. AML
7. CLL
8. CML
9. Microcytic hypochromic anemia
10. Multiple myeloma.
11. Spherocytic anemia with hemolytic jaundice.
12. Obstructive jaundice.
13. Juvenile Diabetic Ketoacidosis.
14. vaginal Smear- Carcinoma cervix.
15. FNAC- Fibro Adenoma Breast.
16. FNAC- Infiltrating Duct carcinoma breast.

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2 Comments

  1. 4, November , 2006 at 6:41 pm

    […] 1. Question Bank with theory Syllabus (Chapterwise) 2. Question Papers 3. Practical Spotters & Specimen 4. Practical syllabus & skills 5. Goal & Objectives […]

  2. 14, December , 2006 at 1:42 pm

    […] 1. Practical syllabus & skills 2. Topicwise marks in RGUHS exam 3. Goal & Objectives 4. Recommended books by RGUHS Posted by Nandish.B […]


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