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Phthisiatry. Textbook

Кошечкин В.А.


In the textbook "Phthisiatry" basic information is presented on etiology, clinical picture, diagnostics, methods of treatment, prevention of TB in accordance with the tuberculosis program of the medical schools adopted by the Federal state educational standard of higher professional education (specialty 060101). Special attention is devoted to current important issues of TB: drug-resistance and tuberculosis/HIV coinfection.

The textbook assembled in Russian and English in separate editions. Exposition of the basic materials in two languages has diff erent goals. For foreign students who are learning phthisiatry in English to help to obtain the material in Russian language. For foreign students studying phthisiatry in Russian to give the opportunity to understand material more deeply. For Russian students to give the opportunity for perfection of their English, which is the language for professional communication in international medical forums. The textbook is designed for medical students.

Chapter 1. A Brief History of Tuberculosis
1.1. The development of the study of tuberculosis before the discovery
of Mycobacterium Tuberculosis by R. Koch
1.2. The importance of the discovery by R. Koch tuberculosis bacteria
1.3. The history of the development of the principles of tuberculosis chemotherapy
1.4. Tuberculosis sanatorium, tuberculosis dispensary
1.5. The activities of international organizations in the fi ght against tuberculosis
1.6. Tuberculosis in Russia
1.7. Modern methods for the provision of medical care to tuberculosis patients
Chapter 2. The etiology and pathogenesis of tuberculosis
2.1. Characteristics of the Mycobacterium tuberculosis
2.2. Ways and means of tuberculosis infection
2.3. Immunopatogenesis of TB infl ammation in immunocompetent individuals
2.4. Pathomorphological characteristics of tuberculous infl ammation
in immunocompetent individuals
Chapter 3. Tuberculosis diagnostic standards
3.1. Setting questions
3.2. Symptoms of tuberculosis
3.3. Laboratory diagnosis of Mycobacterium tuberculosis
3.4. Morphological diagnosis of tuberculosis
3.5. Blood and urine analysis
3.6. Nonspecifi c abnormalities associated with pulmonary tuberculosis
3.7. Instrumental methods of diagnosing tuberculosis
Chapter 4. Clinical classifi cation of tuberculosis
4.1. Clinical classifi cation of lung tuberculosis
4.2. Non-pulmonary tuberculosis
(tuberculosis of other organs and systems)
Chapter 5. Treatment of tuberculosis
5.1. Current principles and methods of tuberculous patients treatment
5.2. Anti-tuberculosis drugs
5.3. Examination of the tuberculous patients during chemotherapy
5.4. The standard chemotherapy regimens
5.5. Organization chemotherapy of tuberculosis
5.6. Principles of the drug choice at drug resistant tuberculosis
5.7. Management of adverse eff ects to anti-tuberculosis drugs
5.8. The surgical treatment of tuberculosis
Chapter 6. Tuberculosis and HIV-infection
6.1. Structure and properties of HIV
6.2. The pathogenesis of HIV-infection
6.3. Clinical progression of HIV-infection
6.4. Classifi cation of HIV-infection
6.5. Clinical manifestations of TB at diff erent stages of HIV-infection
6.6. The main clinical forms of TB in patients with HIV-infection
6.7. Diagnosing TB in HIV-infected patients
6.8. Considerations for TB treatment of patients with HIV coinfection
Chapter 7. Tuberculosis and concomitant diseases
7.1. Lung tuberculosis and diabetes mellitus
7.2. Tuberculosis and chronic nonspecifi c lung diseases
7.3. Tuberculosis and alcoholism
7.4. Tuberculosis and cardiovascular diseases
7.5. Tuberculosis and lung cancer
7.6. Tuberculosis and liver diseases
7.7. Tuberculosis and stomach and duodenal ulcer
7.8. Neuropsychic disorders at tuberculosis
Chapter 8. General procedure for the provision of medical care
for tuberculosis patients in the Russian Federation
8.1. Rules of rendering of medical care to TB patients in medical institutions
8.2. The anti-tuberculosis dispensaries
8.3. Specifi c prophylactics for tuberculosis. Vaccination, chemoprophylaxis
8.4. Social and sanitary prevention of tuberculosis
Chapter 9. The structure of an educational and methodical complex
9.1. Aims and objectives of the course “phthisiatry”
9.2. The layout of “phthisiatry” course in the structure
of the general education program “medical care”
9.3. Requirements to the results of the discipline’s acquisition
9.4. Time capacity of the course and types of study
9.5. Content of the discipline
9.6. Approximate educational and thematic plan of classes on tuberculosis
9.7. Final assessment
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