Outcome of the undergraduate Curriculum



Otorhinolaryngology

Head & Neck Surgery

Study Guide

Table of Contents

|Topic | |Page |

|ICONS | |4 |

|THE OUTCOMES OF THE UNDERGRADUATE CURRICULUM | |5 |

|CURRICULUM MAP | |6 |

|PHASE 2 | |6 |

|COURSE SPECIFICATION | |6 |

|INTRODUCTION | |12 |

|TEACHING STAFF | |13 |

|TOPIC OUTLINES | |14 |

| | | |

| | |

|No. Lectures | |

|1 | |Anatomy of the Ear & Diseases of external ear | |

|2 | |Otitis media: Classification & complications | |

|3 | |Hearing loss and its management | |

|4 | |Diseases of inner ear (Balance) | |

|5 | |Anatomy & physiology of the nose & sinuses | |

| | |Rhinosinusitis and its complications | |

|6 | |Allergic rhinitis and nasal polyposis + ESS | |

|7 | |Epistaxis and its management | |

|8 | |Anatomy and physiology of the pharynx + adenotonsillitis | |

|9 | |Pharyngeal diseases & sleep apnea | |

|10 | |Anatomy and physiology of the larynx + laryngitis | |

|11 | |Diseases of the airway and their management | |

|12 | |Anatomy of the neck & ORL oncology | |

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| No. Practical | |

| | |9 Clinics and 13 Tutorials | |

| | |Clinics: | |

| | |1. Prof. Tarek Jamal - General Otolaryngologist | |

| | |2. Dr. Khaled Al-Noury - Neuro-otology-skull base | |

| | |3. Dr. Saad Al-Muhayawi - Head & Neck Surgical Oncologist | |

| | |4. Dr. Khalil Sendi - Pediatric Otolaryngologist | |

| | |5. Dr. Abdulaziz Jifrey - General Otolaryngologist | |

| | |6. Dr. Mohieddin Mandura - General Otolaryngologist | |

| | |7. Dr. Khalid Al-Ghamdi - Facialplastic & General Otolaryngologist | |

| | |8. Dr. Hisham Alem - General Otolaryngologist | |

| | |9. Dr. Afaf Bamanie - Audiologist | |

| | |10. Dr. Abeer Al-Radadi - Otolaryngic allergy | |

| | | | |

| | |Tutorials: | |

| | |1. Instruments, History & Examination 8. Radiology | |

| | |2. Nasal Obstruction 9. Neck Masses | |

| | |3. Sorethroat & Odynophagia 10. ORL Trauma | |

| | |4. Ear Discharge 11. Revision | |

| | |5. Epistaxis 12. Students Prepared Topic | |

| | |6. Horarseness / Tracheostomy 13. Audiology | |

| | |7. Otalgia | |

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| | |Problem Solving Sessions | |

| | |1. Ear discharge and Otalgia | |

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Icons

The following icons have been used to help you identify the various experiences you will be exposed to.

[pic] Learning objectives

[pic] Content of the lecture

[pic] Independent learning from textbooks

[pic] Independent learning from the CD-ROM.

The computer cluster is in the 2nd floor of the medical library, building No. 7.

[pic] Independent learning from the Internet

[pic]

[pic] Problem-Based Learning

[pic] Self- Assessment (the answer to self-assessment exercises will be discussed in tutorial sessions)

[pic] The main concepts

|Undergraduate Program Learning Outcomes |

|Code |Learning Outcomes | |

| |Knowledge | |

| |By the end of the program the graduate will be able to: | |

|A1 |Describe normal human development across the life-span and how these affect normal structure and function. | |

|A2 |Describe normal structure and function of the major systems and how they interrelate. | |

|A3 |Describe the molecular, biochemical and cellular basis essential for maintaining homoestasis. | |

|A4 |Demonstrate knowledge of the basic medical sciences that explain causes and mechanisms of disease. | |

|A5 |Describe the alterations in structure and function of major body systems as a result of illness or injury. | |

|A6 |Demonstrate knowledge and understanding of the pharmacological principles of treatment using drugs, their | |

| |efficacy in the management and symptomatic relief of diseases, as well as their side effects. | |

|A7 |Discuss the implications of basic ethical principles, including confidentiality, informed consent, truth | |

| |telling, and justice, for the care of patients. | |

|A8 |recognize the legal background of medical practice | |

|A9 |Explain the causes and mechanisms of intoxication. | |

|A10 |Describe the role of family, community, and culture as factors influencing patient presentations, | |

| |interpretations of illness episodes and adherence to treatment episodes. | |

|A11 |Demonstrate knowledge and understanding of the natural history of disease and relationships with risk factors | |

| |and disease prevention. | |

|A12 |Recognize and discuss the principles of disease surveillance and screening, disease prevention, communicable | |

| |disease control, health promotion, and health needs assessment. | |

|A13 |Describe strategies to support life-long learning via print and electronic sources to assist in making | |

| |diagnostic and treatment decisions and to remain current with advances in medical knowledge and practice. | |

|A14 |Demonstrate knowledge of how to use the basic medical sciences and clinical skills for clinical decision making | |

| |and problem solving in the care of patients. | |

|A15 |Recognize the scientific basis of health, disease, and medicine in the management of common and high impact | |

| |conditions in the society. | |

|A16 |Demonstrate knowledge of the functional approach to managing chronic conditions, including knowledge of the | |

| |impact of chronic illness on function. | |

|A17 |demonstrate basic knowledge of the global health care delivery system in the community including physicians, | |

| |hospitals, outpatient centres, health agencies and the role of community agencies in that system. | |

|A18 |Recognize the management of common emergencies and  the initial and the life saving  management steps for other | |

| |emergencies. | |

|A19 |Identify the "Red flags" indicating seriousness in the different clinical presentations. | |

| |Cognitive Skills | |

| |By the end of the program the graduate will be able to: | |

|B1 |Recognize, define and prioritize problems. | |

|B2 |Demonstrate the ability to acquire new information and data. | |

|B3 |Critically appraise validity and applicability of acquired information to one’s professional decisions. | |

|B4 |Organize, record, research, present, critique, and manage clinical information. | |

|B5 |Recognize the limitations of knowledge in medicine and the importance of triangulation of evidence before | |

| |reaching a decision. | |

|B6 |Evaluate the patient’s medical problems. | |

|B7 |Formulate accurate hypotheses to serve as the basis for making diagnostic and treatment decisions. | |

|B8 |Reflect on one’s thinking process and decisions and apply rational processes. | |

|B9 |Use appropriate intellectual strategies to deal with uncertainties when they arise. | |

|B10 |Demonstrate an understanding of research methodology. | |

|B11 |Formulate research questions. | |

|B12 |Draw research hypotheses. | |

|B13 |Choose appropriate research methodologies and designs. | |

|B14 |Select appropriate methods of data collection. | |

|B15 |Analyse and interpret collected data. | |

| |Interpersonal Skills & Responsibility | |

| |By the end of the program the graduate will be able to: | |

|C1 |Display the personal attributes of compassion, honesty, and integrity in relationships with patients, families, | |

| |communities and the medical profession. | |

|C2 |Exhibit appropriate value for the sensitive nature of the doctor/patient relationship and the importance of | |

| |active listening, with attention to the patient’s familial, cultural, and spiritual circumstances. | |

|C3 |Demonstrate professionalism and high ethical standards in all aspects of medical practice, specifically | |

| |competence, honesty, integrity, respect for others, professional responsibility and social responsibility. | |

|C4 |Exhibit a capacity for self-evaluation, moral reflection and ethical reasoning to form the basis for a | |

| |self-directed, lifelong engagement in the responsible, committed, compassionate practice of medicine. | |

|C5 |Apply the four principles of ethical and legal knowledge, namely respect for autonomy, beneficience, | |

| |non-maleficience and justice. | |

|C6 |Demonstrate awareness and understanding of the legal and professional responsibilities; and report inappropriate| |

| |medical practice. | |

| |Communication, Information Technology & Numerical Skills | |

| |By the end of the program the graduate will be able to: | |

|D1 |work effectively as part of a health care team | |

|D2 |communicate effectively with patients, their families and colleagues, both verbally and in writing | |

|D3 |retrieve information by all means including electronically | |

|D4 |present information clearly in written, electronic and oral forms | |

|D5 |work within a changing, multi-task environment | |

| |Psychomotor Skills | |

| |By the end of the program the graduate will be able to: | |

|E1 |Elicit accurate comprehensive and focused medical history by employing techniques that facilitate the patient’s | |

| |sharing of information. | |

|E2 |Conduct a both effective and accurate comprehensive and focused physical examination. | |

|E3 |Formulate a differential diagnosis. | |

|E4 |Select the appropriate laboratory tests and radiographic studies and interpret their results and use them in | |

| |making diagnostic and treatment decisions. | |

|E5 |Formulate and implement a plan of care for both the prevention and treatment of disease. | |

|E6 |Educate patients about their health problems and to motivate them to adopt health promoting behaviors. | |

|E7 |Use pharmacotherapeutic agents and other therapeutic modalities effectively. | |

|E8 |Demonstrate appropriate technique for performing Basic Life Support and Advanced Life Support. | |

|E9 |Undertake tasks to initiate and be involved in the care of acutely ill patients. | |

Curriculum Map

YOU Are Here…

|Year 1 |Year 2 |Year 3 |Year 4 |Year 5 |Internship |

|Phase I |Phase II |

Course Specification

For Guidance on the completion of this template, please refer to of Handbook 2 Internal Quality Assurance Arrangements

|Institution King Abdulaziz University Hospital - Jeddah |

|College/Department: Faculty of medicine, ORL Head & Neck Department |

A Course Identification and General Information

|1. Course title and code: Otorhinolaryngology and Head & Neck (ENT 501) |

|2. Credit hours: 3 hours |

|3. Program(s) in which the course is offered. |

|MBBS (Bachelor of Medicine & Surgery) |

|4. Name of faculty member responsible for the course |

|Chairman of the Department (Prof. Tarek S. Jamal) |

|5. Level/year at which this course is offered 4th Year |

|6. Pre-requisites for this course (if any) N/A |

|7. Co-requisites for this course (if any) N/A |

|8. Location if not on main campus |

B Objectives

|1. Summary of the main learning outcomes for students enrolled in the course. |

|To posses and apply a rational ORL examination and sound theoretical knowledge, this comes through a condensed theoretical & clinical|

|exposure to common ORL disease. |

|2. Briefly describe any plans for developing and improving the course that are being implemented. (eg increased use of IT or web |

|based reference material, changes in content as a result of new research in the field) |

|1. Availability of lectures on KAU website. |

|2. Future plan for interactive web teaching. |

|3. Update on new changes in lecture contents. |

|4. Audiovisual aid utilization. |

|5. Encouragement of operating room attendance. |

C. Course Description (Note: General description in the form to be used for the Bulletin or Handbook should be attached)

| TOPICS to be COVERED | |Contact Hours |

| |No. of weeks | |

|1. Anatomy of the Ear & Diseases of external ear | |1 |

|2. Otitis media: Classification & complications | |1 |

|3. Hearing loss and its management | |1 |

|4. Diseases of inner ear (Balance) | |1 |

|5. Anatomy & physiology of the nose & sinuses | | |

|Rhinosinusitis and its complications | |1 |

|6. Allergic rhinitis and nasal polyposis + ESS | |1 |

|7. Epistaxis and its management | |1 |

|8. Anatomy and physiology of the pharynx + | | |

|adenotonsillitis | |1 |

|9. Pharyngeal diseases & sleep apnea | |1 |

|10. Anatomy and physiology of the larynx + | | |

|laryngitis | |1 |

|11. Diseases of the airway and their management | |1 |

|12. Anatomy of the neck & ORL oncology | |1 |

|2 Course components (total contact hours per semester): |

|Lecture: |Tutorial: 7 hrs |Laboratory: |Practical/Fieldwork/ |Other: |

|12 |Three in every clinic |10 |Internship: Audiovisual |Operating room attendance |

| |2 ½ hrs. per tutorial |Clinics |1 hr. / clinic |3 hrs. / OR |

| | |3 hrs. | |4 OR / week |

|3. Additional private study/learning hours expected for students per week. (This should be an average :for the semester not a |

|specific requirement in each week) |

|Student self learning |

|4. Development of Learning Outcomes in Domains of Learning |

|For each of the domains of learning shown below indicate: |

|The course is intended to develop a brief summary of the knowledge and skill; |

|To cite theoretical and practical knowledge in ORL |

|A description of the teaching strategies to be used in the course to develop that knowledge or skill; |

|Lectures 3. Clinical postings |

|Tutorials 4. Revision on end of posting |

|The methods of student assessment to be used in the course to evaluate learning outcomes in the domain concerned. |

|OSCE and MCQ's in final |

|a. Knowledge |

|(i) Description of the knowledge to be acquired |

|- Recall of basic science knowledge in ORL. |

|- Recognize common ORL diseases and management. |

|- Transfer early referral to ORL of complicated cases. |

|- Exposure to clinical cases. |

|- Foundation of future postgraduate study in ORL. |

|(ii) Teaching strategies to be used to develop that knowledge |

|a)Lectures d) Audiovisual tapes |

|b) Tutorials e) Websites |

|c) Clinical postings |

|(iii) Methods of assessment of knowledge acquired |

|OSCE at the end of posting |

|b) MCQ's at the end of the year |

|b. Cognitive Skills |

|(i) Cognitive skills to be developed |

|1. Solve common ORL diseases. |

|2. Identify the complications when present. |

|3. Refer complicated and urgent cases |

|(ii) Teaching strategies to be used to develop these cognitive skills |

|Clinical teaching |

|Tutorial |

|Bedside teaching |

|(iii) Methods of assessment of students cognitive skills |

|a) Clinical cases |

|b) MCQ's at the end of the year |

|c) OSCE |

| |

|c. Interpersonal Skills and Responsibility |

|(i) Description of the interpersonal skills and capacity to carry responsibility to be developed |

|1. Respect the assigned ORL teaching hours. |

|2. Pursuit further ORL career |

| |

|(ii) Teaching strategies to be used to develop these skills and abilities |

|Demonstration during clinical postings. |

|Application of ORL examination process between the students. |

|Employment of audiovisual tapes for basic ORL skills. |

|Employment of dummies for examination. |

| |

|(iii) Methods of assessment of students interpersonal skills and capacity to carry responsibility |

|Observation of students to generate a safe ORL examination. |

| |

|d. Communication, Information Technology and Numerical Skills |

|(i) Description of the skills to be developed in this domain. |

|1. Communicate with other health care provider |

|2. Acquire the skills of information technology |

|3. Provide an evidence based medical management |

|(ii) Teaching strategies to be used to develop these skills |

|- Problem solving seminars |

|- Clinical cases |

|(iii) Methods of assessment of students numerical and communication skills |

|Through observation at the assigned teaching sessions. |

|e. Psychomotor Skills (if applicable) |

|(i) Description of the psychomotor skills to be developed and the level of performance required |

|1. Apply the theoretical knowledge into the ORL cases. |

|2. Construct a recognized scheme of differential diagnosis and investigate for the provided cases. |

|3. Perform a sound treatment for the common cases. |

|4. Separate the common from the uncommon ORL problems. |

|5. Detect and manage common ORL problems |

|6. Discover and diagnose those conditions that need more special ORL care. |

|(ii) Teaching strategies to be used to develop these skills |

|Real patient's examination in the clinics. |

|Real scenarios during mini-seminars. |

|Peer clinical examination |

|(iii) Methods of assessment of students psychomotor skills |

|Staff observation during patient examination. |

|Review tutorials. |

|OSCE at end of postings. |

| |

|5. Schedule of Assessment Tasks for Students During the Semester |

|Assessment |Assessment task (eg. essay, test, group project, examination etc.) |Week due |Proportion of |

| | | |Final Assessment |

|1 | | | |

| |OSCE at the end of clerkship | |40% |

|2 | | | |

| |Final written MCQ's at the end of the rotation | |60% |

|3 | | | |

|4 | | | |

|5 | | | |

|6 | | | |

|7 | | | |

|8 | | | |

|9 | | | |

D. Student Support

|1. Arrangements for availability of faculty for individual student consultations and academic advice. (include amount of time |

|faculty are available each week) |

|Each staff assures his presence in his office during the designated office hours. (3 hrs. / week) |

|Attendance of the ORL clinics as each staff runs a clinic on specific time and date of the week. |

|Each staff conducts a tutorial during specific date of the week. |

E Learning Resources

|1. Required Text(s) |

|- Lecture note on ENT by Bull |

|- Otorhinolaryngology head & Neck Surgery by Prof. Tarek S. Jamal |

|2. Essential References |

| |

|New short Textbook of Otolaryngology – latest edition |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie – latest edition |

|3- Recommended Books and Reference Material (Journals, Reports, etc) (Attach List) |

|Lecture Note on ENT by Bull. – latest edition |

|Oto-Rhino-Larngology, Head & Neck Surgery by Prof. Tarek S. Jamal – latest edition |

|A New Short Textbook of Otolaryngology by M.S. McCormick, WJ Primrose and JJ MacKenzie. |

|- latest edition |

|An Illustrated Color Text: ENT and Head & Neck Surgery by R.S. Dhillon, C.A. East. – latest edition |

|Clinical ENT: An Illustrated Textbook by Gerald M. O'Donoghue, Grant J. Bates and Anthony A. Narula. -- latest edition |

|Handouts on Audiology by Dr. Afaf Bamanie |

|4-.Electronic Materials, Web Sites etc |

|Lectures on ENT at KAU website |

|5- Other learning material such as computer-based programs/CD, professional standards/regulations |

| |

|Active electronic learning on KAU website (on development) |

| |

F. Facilities Required

|Indicate requirements for the course including size of classrooms and laboratories (ie number of seats in classrooms and |

|laboratories, extent of computer access etc.) |

|1. Accommodation (Lecture rooms, laboratories, etc.) |

| |

|Main auditorium for general ORL lectures |

|ORL clinics (9 rooms, 10 clinics / week) |

|Conference room attached to the clinic module. |

|Conference room in the ORL department |

|Conference room on the 6th floor at the hospital (available on demand) |

|The libraries (hospital and faculty) |

|2. Computing resources |

|Internet |

|3. Other resources (specify --eg. If specific laboratory equipment is required, list requirements or attach |

|list) |

G Course Evaluation and Improvement Processes

|1 Strategies for Obtaining Student Feedback on Effectiveness of Teaching |

| |

|a) Confidential completion of standard course evaluation questionnaire. |

|b) Residents in ORL feedback. |

| |

|2 Other Strategies for Evaluation of Teaching by the Instructor or by the Department |

| |

|Focused group discussion |

|Staff feedback |

|3 Processes for Improvement of Teaching |

| |

|Workshop attendance e.g.: PBL, evidence based medicine |

| |

|4. Processes for Verifying Standards of Student Achievement (eg. check marking by an independent |

|faculty member of a sample of student work, periodic exchange and remarking of a sample of |

|assignments with a faculty member in another institution) |

| |

|Not available |

| |

|5. Describe the planning arrangements for periodically reviewing course effectiveness and planning for |

|improvement. |

| |

|The presence of a course evaluation task force within the ORL department where meeting are held twice a year to evaluate and |

|validate the contents and methods of teaching strategies. |

|The presence of an educational committee task force within the faculty where there is a continuous monitoring of the teaching |

|process among the different departments and sensing the standards set by the faculty. |

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|Teachers Contacts |

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|Name |

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|Department |

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|E-mail |

| |

| |

|Office Extension No. |

| |

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|Prof. Tarek S. Jamal |

| |

|ENT |

| |

|tarek1jamal@ |

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|18282 |

| |

| |

|Dr. Khaled I. Al-Noury |

| |

| |

|ENT |

| |

|kalnoury@ |

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|18286 |

| |

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|Dr. Saad Al-Muhayawi |

| |

| |

|ENT |

| |

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|18299 |

| |

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|Dr. Khalil S. Sendi |

| |

| |

|ENT |

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|khalilsendi@ |

| |

|18284 |

| |

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|Dr. Abdulaziz A. Jifrey |

| |

| |

|ENT |

| |

|ajifrey@ |

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|20231 |

| |

| |

|Dr. Mohieddin M Mandura |

| |

| |

|ENT |

| |

|mmandura@ |

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|18285 |

| |

| |

|Dr. Khalid B. AlGhamdi |

| |

| |

|ENT |

| |

|khaled@ |

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|18296 |

| |

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|Dr. Hisham B. Alem |

| |

| |

|ENT |

| |

|hishamalem@ |

| |

|18289 |

| |

| |

|Dr. Afaf Bamanie |

| |

| |

|ENT |

| |

|draudiology@ |

| |

|18093 |

| |

| |

|Dr. Abeer Al-Radadi |

| |

| |

|ENT |

| |

|aradadi@ |

| |

|- |

| |

Topic Outlines

Otolaryngology Head & Neck Surgery

|Lecture 1: Anatomy and Physiology of the Ear and Disease of External Ear |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Prof. Tarek S. Jamal | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the ears | |

|Describe the main functions of the ears | |

|Describe the pathophysiological changes in the external ear | |

|Describe the main treatment modality of external ear diseases | |

| | |

| | |

| | |

|Topic: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common external ear diseases | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

| | |

|[pic] Self-assessment | |

| | |

|Briefly answer the following short question: | |

|Otitis externa is a common ORL problem. Enumerate the etiological factors that| |

|lead to its development and propagation. | |

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|Lecture 2: Otitis Media: classification & complications |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Abdulaziz Jifrey | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the tympanic membrane and middle ear | |

|Describe the main functions of the ear | |

|Describe the pathophysiological changes of acute/chronic/otitis media with | |

|effusion. | |

|Describe the main treatment modality during otitis media. | |

| | |

|Topics: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common Otitis media | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|What are the classification and complications of otitis media? | |

| | |

|Lecture 3: Hearing impairment (loss) and management |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Afaf Bamanie | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the auditory system | |

|Describe the mechanism of hearing | |

|Know the major aetiologies of pathologic ear and the central auditory system | |

|Describe the main treatment modality during of the hearing loss | |

| | |

|Topics: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of different types of hearing loss | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|Hearing loss is one of most frequent complain in the practice of otology, what| |

|are the types of hearing loss based on the anatomical portions of the auditory| |

|system and enumerate the causes of hearing loss in each type | |

| | |

|Lecture 4: Diseases of the Inner Ear (Balance) |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Khaled Al-Noury | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the inner ear | |

|Describe the main functions of the ear | |

|Describe the pathophysiological changes of balance disorder | |

|Describe the main treatment modality during vertigo | |

| | |

|Topics: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common vertigo | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|What are the clinical features and treatment of Mineire's disease, BPPV and | |

|vestibular neuronitis. | |

| | |

| | |

|Lecture 5: Anatomy and Physiology of the Nose & Rhinitis |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Khalid Al-Ghamdi | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the nose and paranasal sinus | |

|Describe the main functions of the nose and sinuses | |

|Describe the pathophysiological changes during rhinitis | |

|Describe the main treatment modality during upper respiratory tract infection.| |

| | |

|Topics: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common rhinologic diseases | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|Allergic rhinitis is a common on ORL problem. Enumerate the etiological | |

|factors that lead its development. | |

| | |

|Lecture 6: Allergic Rhinitis and Nasal Polyposis + ESS |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Khalid Al-Ghamdi | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the nose and paranasal sinus | |

|Describe the main functions of the nose and sinuses | |

|Describe the pathophysiological changes during allergic rhinitis and chronis | |

|sinusitis | |

|Describe the main treatment modality during an attack on allergic rhinitis | |

| | |

|Topics: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common rhinologic diseases | |

| | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|Chronic rhinosinusitis can be a devastating disease if left untreated. List | |

|four major complications of this disease. | |

| | |

|Lecture 7: Epistaxis and its Management |

| |

|Department: ENT |

|Lecturer: Dr. Hisham Alem |

| |

| |

|At the end of the lecture you should be able to: |

| |

|Describe the blood supply to nose |

|Describe nasal physiology |

|Describe the pathophysiological of epistaxis |

|Describe the main treatment modality of epistaxis |

| |

|Topics: |

|Anatomy |

|Physiology |

|Etiological factors |

|Clinical presentation |

|Investigations |

|Treatment of common rhinologic diseases |

| |

| |

| |

|Independent learning |

|from ENT textbooks |

| |

|- Lecture note on ENT by Bull |

|- Otorhinolaryngology head & Neck Surgery |

|by Prof. Tarek S. Jamal |

|- New short Textbook of Otolaryngology – latest edition |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie |

|- An Illustrated Color Text: ENT and Head & Neck |

|Surgery by R.S. Dhillon, C.A. East. – latest edition |

|- Clinical ENT: An Illustrated Textbook . - latest edition |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony |

|A. Narula |

|- Handouts on Audiology by Dr. Afaf Bamanie |

|[pic] Self-assessment |

|Briefly answer the following short question: |

|Epistaxis is a common ORL problem. Enumerate the etiological factors that |

|lead to its development and propagation. |

| |

|Lecture 8: Anatomy and Physiology of the Pharynx + Adenotonsillitis |

| |

|Department: ENT |

|Lecturer: Dr. Hisham Alem |

| |

| |

|At the end of the lecture you should be able to: |

| |

|Describe anatomy of the pharynx and adenoids |

|Describe physiology of adenotonsillitis |

|Describe the main treatment modality of adenotonsillitis |

| |

|Topics: |

|Anatomy |

|Physiology |

|Etiological factors |

|Clinical presentation |

|Investigations |

|Treatment of common pharyngeal diseases |

| |

| |

| |

|Independent learning |

|from ENT textbooks |

| |

|- Lecture note on ENT by Bull |

|- Otorhinolaryngology head & Neck Surgery |

|by Prof. Tarek S. Jamal |

|- New short Textbook of Otolaryngology – latest edition |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie |

|- An Illustrated Color Text: ENT and Head & Neck |

|Surgery by R.S. Dhillon, C.A. East. – latest edition |

|- Clinical ENT: An Illustrated Textbook . - latest edition |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony |

|A. Narula |

|- Handouts on Audiology by Dr. Afaf Bamanie |

|[pic] Self-assessment |

|Briefly answer the following short question: |

|Adenotonsillitis is the commonest ORL problem. Enumerate the etiological |

|factors that lead to its development and propagation. |

| |

| |

| |

|Lecture 9: Pharyngeal Diseases and Sleep Apnea |

| |

|Department: ENT |

|Lecturer: Dr. Khaled Al-Noury |

| |

| |

|At the end of the lecture you should be able to: |

| |

|Describe the anatomy of the nasopharynx, oropharynx and hypopharynx |

|Describe main functions of the pharynx. |

|Describe the pathophysiological changes of pharyngitis and sleep apnea. |

|Overview of common causes, clinical manifestation, clinical presentation, |

|diagnosis and treatment of pharyngeal disease and sleep apnea. |

|Complications of pharyngeal diseases and sleep apnea. |

| |

|Topics: |

|Anatomy |

|Physiology |

|Etiological factors |

|Clinical presentation |

|Investigations |

|Treatment of common pharyngeal diseases |

| |

| |

| |

|Independent learning |

|from ENT textbooks |

| |

|- Lecture note on ENT by Bull |

|- Otorhinolaryngology head & Neck Surgery |

|by Prof. Tarek S. Jamal |

|- New short Textbook of Otolaryngology – latest edition |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie |

|- An Illustrated Color Text: ENT and Head & Neck |

|Surgery by R.S. Dhillon, C.A. East. – latest edition |

|- Clinical ENT: An Illustrated Textbook . - latest edition |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony |

|A. Narula |

|- Handouts on Audiology by Dr. Afaf Bamanie |

|[pic] Self-assessment |

|Briefly answer the following short question: |

|Tonsillitis one of the most common disease entities and sleep apnea is a |

|serious condition. Enumerate the etiological factors that lead to its |

|development and propagation. |

| |

|Lecture 10: Anatomy and Physiology of the Larynx and Lalyngitis |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Mohieddin Mandura | |

| | |

| | |

| | |

|At the end of the lecture you should be able to: | |

|Describe the anatomy of the larynx | |

|Describe the main functions of the lalynx | |

|Describe the pathophysiological changes during laryngitis | |

|Describe the main treatment modality during | |

|laryngitis | |

|laryngeal diseases | |

|due to vocal abuse | |

|Topic: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common laryngeal diseases | |

| | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

| | |

| | |

|[pic] Self-assessment | |

| | |

|Briefly answer the following short question: | |

|Hoarseness is a common ORL problems. | |

|Enumerate the etiological factors | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

|Lecture 11: Diseases of Airway and Management |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Khalil Sendi | |

| | |

| | |

| | |

|At the end of the lecture you should be able to: | |

|Describe the anatomy of the airway | |

|Difference between pediatric and adult airway | |

|Differentiate between the multiple etiological cause of airway disease, | |

|congenital acquired, infectious and traumatic | |

|Differentiate between various modalities of management according to the | |

|situation and diagnosis | |

| | |

| | |

|Topic: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of airway diseases | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

| | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|What is the common cause of stridor in a one month old girl? | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

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| | |

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| | |

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| | |

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| | |

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| | |

| | |

|Lecture 12: Anatomy of the Neck & ORL Oncology |

| | Student Notes: . |

|Department: ENT | |

|Lecturer: Dr. Saad Al-Muhayawi | |

| | |

| | |

|At the end of the lecture you should be able to: | |

| | |

|Describe the anatomy of the neck | |

|Describe the main functions of the lymphatic system | |

|Describe the pathophysiological changes in head & neck mass | |

|Describe the main treatment modality discuss in this lecture | |

| | |

|Topics: | |

|Anatomy | |

|Physiology | |

|Etiological factors | |

|Clinical presentation | |

|Investigations | |

|Treatment of common pathology | |

| | |

| | |

| | |

|Independent learning | |

|from ENT textbooks | |

| | |

|- Lecture note on ENT by Bull | |

|- Otorhinolaryngology head & Neck Surgery | |

|by Prof. Tarek S. Jamal | |

|- New short Textbook of Otolaryngology – latest edition | |

|by M.S. McCormick, WJ Primorse and JJ MacKenzie | |

|- An Illustrated Color Text: ENT and Head & Neck | |

|Surgery by R.S. Dhillon, C.A. East. – latest edition | |

|- Clinical ENT: An Illustrated Textbook . - latest edition | |

|by Gerald M. O'Donoghue, Grant J. Bates and Anthony | |

|A. Narula | |

|- Handouts on Audiology by Dr. Afaf Bamanie | |

|[pic] Self-assessment | |

|Briefly answer the following short question: | |

|What are the lymphatic groups in head and neck areas? | |

|What is the radiological for head and neck mass. | |

TUTORIAL

Tutorial 1: Instruments, History and Examination

TUTORS: Dr. Mohieddin Mandura Department: ORL

Dr. Saad Al-Muhayawi

Dr. Khaled Al-Noury

Prof. Tarek Jamal

SUMMARY:

In student volunteers, students will perform history and examination on volunteer.

The students should be able to identify the different ENT instruments and the technique of examination.

OBJECTIVES:

• To know the different ENT instruments and how to use them.

• To know how to perform examination of different ENT areas.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 2: Nasal Obstruction

TUTORS: Dr. Khalid Al-Ghamdi Department: ORL

Dr. Hisham Alem

Prof. Tarek Jamal

Dr. Khaled Al-Noury

SUMMARY:

In student volunteers, students will perform nasal examination on volunteer.

The students should be able to identify the anatomical areas of the nose, paranasal sinuses and the nasopharynx.

OBJECTIVES:

• To perform nasal examination

• To interpolate the findings

• To organize if there is abnormalities seen during the examination.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 3: Sorethroat & Odynophagia

TUTORS: Dr. Abdulaziz Jifrey Department: ORL

Dr. Khalil Sendi

Dr. Mohieddin Mandura

SUMMARY:

In student volunteers, students will perform nasal examination on volunteer.

The students should be able to identify the anatomical areas of the mouth cavity, oropharynx and hypopharynx.

OBJECTIVES:

• To perform examination of these areas and to palpate them. Palpate the neck and differentiate between tonsillitis and pharyngitis.

• To interpolate the findings

• To organize if there is abnormalities seen during the examination.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 4: Otorrhea

TUTORS: Dr. Abeer Al-Radadi Department: ORL

Dr. Khalid Al-Ghamdi

Dr. Hisham Alem

Dr. Abdulaziz Jifrey

SUMMARY:

In student volunteers, students will perform A, B, C, examination on a volunteer supposed to have otorrhea.

The students should be able to identify the proper approach to a patient with otorrhea and examination to otorrhea.

OBJECTIVES:

• To perform examination on patient who has otorrhea

• To interpolate the findings

• To organize if there is abnormalities seen during the examination.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 5: Epistaxis

TUTORS: Dr. Hisham Alem Department: ORL

Dr. Khalid Al-Ghamdi

Dr. Saad AL-Muhayawi

Dr. Abdulaziz Jifrey

Dr. Abeer Al-Radadi

SUMMARY:

In student volunteers, students will perform nasal examination on volunteer.

The students should be able to identify the anatomical areas of the nose, paranasal sinuses and the nasopharynx

OBJECTIVES:

• To perform the basic epistaxis history and examination

• To perform basic epistaxis examination

• Interpret the findings of the investigations

• To organize further management in ENT

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 6: Hoarseness

TUTORS: Dr. Khalil Sendi Department: ORL

Prof. Tarek Jamal

Dr. Abeer Al-Radadi

SUMMARY:

In student volunteers, students will observe the different modalities of examination of the larynx, different instruments, mirror, scope, flexible nasopharyngoscopy and differentiate between the normal anatomy, vocal cord modality - any abnormality.

OBJECTIVES:

• Observe the examination

• Know the normal structure

• See if any abnormality

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 7: Otalgia

TUTORS: Dr. Khaled Al-Noury Department: ORL

Prof. Tarek Jamal

Dr. Saad Al-Muhayawi

SUMMARY:

In student volunteers, students will perform ear examination on volunteer.

The students should be able to identify the anatomical areas of the ear.

OBJECTIVES:

• To perform ear examination

• To interpolate the findings

• To organize if there is abnormalities seen during the examination.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 8: Radiology

TUTORS: Dr. Hisham Alem Department: ORL

Dr. Khaled Al-Noury

Prof. Tarek Jamal

SUMMARY:

The students should be able to identify the anatomical areas of head & neck.

OBJECTIVES:

• To interpret the radiology findings in ENT for adenoid and sinus

• To organize the modality of radiology according to clinical

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 9: Neck Masses

TUTORS: Dr. Saad Al-Muhayawi Department: ORL

Dr. Khalil Sendi

Dr. Mohieddin Manadura

Dr. Abdulaziz Jifrey

SUMMARY:

In student volunteers, students will perform ENT examination on volunteer.

The students should be able to identify the anatomical areas of the head & neck.

OBJECTIVES:

• To perform complete ENT examinations

• To interpolate the findings

• To organize if there is abnormalities seen during the examination.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 10: ORL Trauma

TUTORSS: Dr. Mohieddin Mandura Department: ORL

Dr. Khalid Al-Ghamdi

Dr. Hisham Alem

Dr. Abdulaziz Jifrey

SUMMARY:

In student volunteers, students will perform A, B, C examination on a volunteer supposed to have a major trauma.

The students should be able to identify the proper approach to a patient with a major trauma and examination to identify ORL trauma

OBJECTIVES:

• To perform examination on patient who has ORL trauma

• To interpolate the findings

• To organize if there is abnormalities seen during the examination.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 11: Revision

TUTORS: Prof. Tarek Jamal Department: ORL

Dr. Khalid Al-Ghamdi

Dr. Saad Al-Muhayawi

Dr. Abdulaziz Jifrey

Dr. Abeer Al-Radadi

SUMMARY:

The students will review most of the practice topic given in ENT practical

The students should be able to know the most common diseases in ENT practice

OBJECTIVES:

• To perform ENT examination

• To interpolate the findings

• To organize if there is abnormalities seen during the examination and how to manage them

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 12: Students' Prepared Topic

TUTOR: Prof. Tarek Jamal Department: ORL

SUMMARY:

Each group will prepare a topic of their choice which were discuss during the tutorial and given in ENT practical.

The students should be able to know the most common diseases in ENT practice

OBJECTIVES:

• To demonstrate their grasp of the knowledge of the theoretical and practical knowledge they obtained.

• To show the application of the theoretical background to the clinical situations.

• To prepare them how to present their information.

READING:

Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

Video cassettes available at our clinic and at ORL secretary

Tutorial 13: Clinical Audiology

TUTOR: Dr Afaf Bamanie Department: ORL/Audiology unit

SUMMARY:

In the clinical sessions, the students learn how to perform otoscopy (ear examination by the otoscope) and how to perform the tunning fork tests and interpret the different scenarios. They observe the procedure of tympanometry and audiometry that is carried by an experienced staff member on another volunteer staff or student. They learn to interpret different models of tympanograms and audiograms. The students learn the clinical application of the different audiological procedures that used to identify the site of lesion. Lastly hearing aid types introduced to them that used for aural rehabilitation

OBJECTIVES:

• To perform ear examination

• To interpolate the findings

• To identify any abnormalities seen during the examination.

• To know the clinical application of the profession of audiology including hearing screening

• To make sure that they are well informed in the mechanism of hearing

• To interpret the tunning fork findings

• To interpret a tympanogram

• To interpret an audiogram

• To know the clinical values of tympanometry, audiometry, otoacoustic emissions, and auditory brainstem response test

• To know the different hearing aid types

READING:

Hand outs and lecture materials that are given

By Dr Afaf Bamanie

Self Directed Learning

“Independent learning is a very essential skill for tomorrow’s doctors. We will train you to gain this important skill by asking you to read independently about specific topics in ORL and Head & Neck Surgery”

[pic]

Study Anatomical variation of the Ear

Radiologically and Embriologically.

You may use the following objectives as guidelines:

• describe the anatomical structure of different parts of the ear

• relate the congenital malformation to the specific physiological alteration of the ear function

- Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal (pp. 71 – 88)

- American Academy websites

I would recommend you to use the key word – otology

[pic]

Study Anatomical variation of the Nose and Paranasal Sinuses

Radiologically and Embriologically.

You may use the following objectives as guidelines:

• describe the anatomical structure of different nasal compartments

• relate the congenital malformation to the specific physiological alteration of the nose and paranasal sinuses function

•

- Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal (pp. 71 – 88)

- American Academy websites

I would recommend you to use the key word – nose and paranasal sinuses

[pic]

Study Anatomy of the neck and different pathological diseases

You may use the following objectives as guidelines:

• describe the anatomical structure of different parts of the neck.

• relate the pathological disease to the specific age and anatomical site of the neck mass.

- Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal (pp. 71 – 88)

- American Academy websites

I would recommend you to use the key word – neck mass

[pic]

Study Anatomical variation of the Larynx Embriologically.

You may use the following objectives as guidelines:

• describe the anatomical structure of different laryngeal compartments

• relate the congenital malformation to the specific physiological alteration of the laryngeal function

•

- Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

- American Academy websites

I would recommend you to use the key word – nose and paranasal sinuses

[pic]

Make a brief summary on the anatomy of the peripheral and central portions of the auditory system as well as on mechanism of hearing.

Enumerate the causes of hearing loss and the different types of treatment to restore hearing.

You may use the following objectives as guidelines:

• Describe the anatomical structure of different parts of the auditory system

• Describe the contribution of each part of the auditory system to hearing mechanism.

• Based on the anatomical parts of the auditory system enumerate the causes of hearing loss

• Names of the different audiological procedures that might used to assess the auditory system to reach to the diagnosis

• Mention the different modality of aural rehabilitation that can be used to restore hearing and improve comunications

Reading

- Handouts and lecture notes

by Dr Afaf Bamanie

- American Academy of audiology and ASHA .org websites

I would recommend you to use the key word – hearing loss, causes, treatment, and Hearing aid

PSL

❖ PSL process

• The clinical scenario

• Key information

• Explore the problem

• What you know

• What you need to know

• Identify learning issues

• Self/group study

• Share the knowledge

• Solve the problem

• Give feedback & reflect

❖ Aims of the PSL sessions

• Provide differential diagnosis of ear discharge

• Describe the principles of management of acute myocardial infarction

• Describe the principles of management of otalgia according to the etiology

• Describe the principles of ear development at birth

• Prerequisite

• You should be able to describe the gross anatomy of the ear

• You should be able to take a full ORL history including a risk factor profile

• Learning opportunity

- Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

- Clinical ENT: An Illustrated Textbook . - latest edition

by Gerald M. O'Donoghue, Grant J. Bates and Anthony A. Narula

Try to access CD-ROM series about the ORL. The computer cluster is in the 2nd floor of the medical library, building No. 7.

I would recommend you to use the key words – ear discharge & case study –in the search engine google (). The aim is to recognize the rich resources in the web.

o .

PSL Case 1

A 13 year old boy was brought to your clinic by his parents with a history of bilateral ear discharge for 3 months

His parents noticed lately that he frequently wakes up at night for few minutes and then returns to sleep and this is getting more and more as time passes by. Meanwhile, his snoring which was for many years prior to his presentation is getting worst and he constantly opens his mouth at night while sleeping.

On further history taking, his parents stated that he has a hyperactive personality and frequent history of upper respiratory tract infection in addition to early morning sneezing, itching and frequent sorethroat.

Examination findings:

- ears: bilateral wet central perforation

- nose: pale, blue nasal mucosa

: large inferior turbinates

: watery – mucoid nasal secretions

- Throat: hypertrophied unhealthy tonsils

- neck: jugulodigastric lymphadenopathy

Questions:

1. What is the differential diagnosis?

2. Mention 3 relevant investigations.

3. Mention the main treatment modality in such case.

PSL Case 2

A 13 year old boy was brought to your clinic by his parents with a history of progressive bilateral nasal obstruction for 3 years.

His parents noticed lately that he frequently wakes up at night for few minutes and then returns to sleep and this is getting more and more as time passes by. Meanwhile, his snoring which was for many years prior to his presentation is getting worst and he constantly opens his mouth at night while sleeping.

On further history taking, his parents stated that he has a hyperactive personality and frequent history of upper respiratory tract infection in addition to early morning sneezing and itching.

His parents are first degree relatives and his mother has had bronchial asthma at childhood.

Examination findings:

- transverse skin crease across his nasal dorsum

- pale – blue nasal mucosa

- large inferior turbinates

- watery – mucoid nasal secretions

- mild S – shape septal deviation

- hypertrophied tonsils

- the rest of head & neck – unremarkable

Questions:

1. What is the differential diagnosis?

2. Mention 3 relevant investigations.

3. Mention the main treatment modality in such case.

PSL Case 3

A 20-year-old patient presented with midline neck swelling for 3 years moving on protruding the tongue outside not increasing the size and no other associated neck masses.

Questions:

1. What is your differential diagnosis?

2. What are the important points in the history?

3. What are the important points in the clinical examination?

4. How you will manage the patient?

PSL Case 4

A 7-year-old boy had an episode of common cold 1 week ago. Since yesterday, he developed right ear ache and fever. Today, the pain is severe and irritable. His nose is still blocked.

On examination:

Ears: external auditory canals, normal not tender

T.M.S: Left: severely retracted, not congested

Right: bulged, red color, no anatomic detail can be seen.

Nose: airflow reduced bilateral

- large congested turbinates

- mucopus

Throat: congested granular post., pharyngeal wall and mucopus

Questions:

1. What is the differential diagnosis?

2. Mention 2 relevant investigations.

3. Mention the 3 main treatment modalities in such case.

PSL Case 5

A 20 year old male involved in a road traffic accident brought to emergency room. He was not using seatbelt. He was conscious with epistaxis, nasal obstruction, hoarseness and mild stridor.

On examination:

- vital signs: within normal limit

- airway patent apart from hoarseness and mild stridor

- moderate epistaxis, nasal edema and deformity

- neck examination: no injury to cervical spine, ecchymosis anterior part of the neck. Tenderness over thyroid cartilage

- direct laryngoscoy: laryngeal mucosal tear, mild edema but normal vocal cord mobility.

- Rest of head and neck, rest of the body: unremarkable

Questions:

4. What is the differential diagnosis?

5. Mention 3 relevant investigations.

6. Mention the main treatment modality in such case.

PSL Case 6

A 35 year old female who came to your OPD clinic and has complained of hard of hearing since 10 years. She reported progressive deterioration of hearing particularly after each pregnancy. Recently, she reported a lot of domestic problems with her husband because of her poor discrimination of speech that she becomes withdrawn and likes to stay alone by her self. There is no h/o ear infection, trauma or trauma. There is no h/o drug exposure or noise exposure. There is a family h/o hearing loss (her mother at age 30)

Examination findings:

- Intact and normal appearance of both auricles

- Intact external ear canal in both ears

- Intact tympanic membrane in both ears

- Nasal and throat examination revealed no abnormalities

- Renné test are negative in both ears

Questions:

1. What are the differential diagnoses?

2. Mention 3 relevant investigations.

3. Mention the different options of treatment modality in such case.

• A Learning issues

At the end of the first session you will be able identify the learning issues which related to the above clinical problem. Try to summarize these learning issues in the table below. We recommend you to learn about these issues. This will help you to solve the problem in the next session.

|Learning issues |Notes |

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• Further

Reading

- Lecture note on ENT by Bull

- Otorhinolaryngology head & Neck Surgery

by Prof. Tarek S. Jamal

- New short Textbook of Otolaryngology – latest edition

by M.S. McCormick, WJ Primorse and JJ MacKenzie

- An Illustrated Color Text: ENT and Head & Neck

Surgery by R.S. Dhillon, C.A. East. – latest edition

- Clinical ENT: An Illustrated Textbook . - latest edition

by Gerald M. O'Donoghue, Grant J. Bates and Anthony

A. Narula

- Handsout on Audiology by Dr. Afaf Bamanie

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King Abdul Aziz

University

The Faculty of Medicine and Allied Sciences

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Faculty of Medicine

King Abdulaziz University

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Phase I, MBBS

2010

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