神經(jīng)病學(xué) 教學(xué)大綱

NeurologyofOutline

(For8-yearProgramMedicalStudent)

DepartmentofNeurology,XiangyaHospital

CentralSouthUniversity

May2012

Content

Intruuction...................................................................................................................1

ChapterlIntrudaction................................................................................................6

Chapter!CommonSymptomsofDiseasesoftheNerveSystem............................6

Chapter5theDiagnositicPrincipleofNervousSystemDisease........................8

Chapter6Peripheralneuropathy.........................................................................8

Chapter7DiseasesofSpinalCord.......................................................................12

Chapter8Cerebrovasculardisease.....................................................................15

Chapter9theinfectionsoftheCentralNervousSystem....................................20

Chapter10DemyelinatingDiseaseinCentralNervousSystem...........................22

Chapter11MovementDisorders............................................................................23

Chapter12Epilepsy................................................................................................24

Chapter17MyoneuralJunctionDiseaseandMuscleDiseases........................25

tableoftheexaminationoutline.............................................................................29

NeurologySyllabus

Coursecode:22010261

Credit:2.5credits

Totalhours:66hours

TheoryDuration:33hours

Studenthours:33hours

Thecourserequirements:

neuroanatomy,neurophysiology,diagnostics

Adaptationprofessional:

clinicalmedicalstudentsineightgradedepartment

Referencematerials:

1Neurology,WuJiangeditor-in-chief,secondedition,People'sHealthPress,2010

2ClinicalNeurology,5thed,2002

ItheCoursesStatusObjectiveandTasksinTraining

Neurologywhichaclinicalcategoriesstudyoncentralnervoussystem,peripheral

nervoussystemandskeletalmusclepathogenesisofthediseaseetiology,pathology,

clinicalmanifestations,diagnosis,treatmentandtheprevention.Thenervoussystem

dysfunctioncanaffectthebodysystemsandorgansandavarietyillnessesofthe

wholebodycanaffectthenervoussystemfunctionandstructuralsincethenervous

systemcanregulateothersystemsofthebodyorgansandotherorgansystemsand

diseasesalsohasregulatingroleofinterferencefunctiononthenervoussystem.

Thereforeneuralscienceandotherclinicaldisciplinesarecloselylinkedandmutual

infiltration,particularlytherecentdevelopednewtechnologiessuchasMRI,CT,

nervebiochemical,neurologicalgeneticimmunesuchasneuralgreatlypromotthe

developmentofneuralscience.Afterlearningthisdiscipline,studentsmasterthe

systemofNeurology*sbasictheoryandbasicknowledge(thecommondiseasesofthe

nervoussystemclinicalmanifestations,diagnosisandtreatment)andbasicskills(the

basicmethodsofworkandmethodofoperationofneuropathy).Studentshouldbe

abletogeneralinvolvedinthepreventionofthenervoussystemdiseasesandthe

handlingoftheproblemofthefutureinhealthcare,havingasoundfoundationofa

comprehensiveknowledgeonmedical,teachingandresearchwork.

IItheBasicCurriculumRequirements

1,thebasictheoryandbasicknowledgeof:

(1)Understandtheobjectofstudyintheirscopeandthestatusofclinicaldisciplines

andlearningmethodsofclinicalneurology,Familiarwiththebasicanatomyofthe

nervoussystemstructureandcerebrospinalfluidcirculation.

(2)Graspthemainsymptomsandsignsofdamagetothenervoussystem,and

familiarwithdiagnosisandlocalizationprinciplesofthenervoussystem

(3)Grasptheetiology,pathogenesis,clinicalmanifestations,diagnosisandtreatment

ofthefollowingnervoussystemdisease:cerebralvasculardiseases,viralencephalitis

(acuteherpessimplexvirusencephalitis),multiplesclerosis,Parkinson*sdisease,

migraine,epilepsy,acuteinflammatorydemyelinatingpolyneuropathy,primary

trigeminalneuralgia,idiopathicfacialparalysis,acutemyelitis,myastheniagravisand

periodicparalysis.

(4)Familiarwiththeetiology,pathogenesis,diagnosisandtreatmentofclinical

manifestationsofthemainpointsofthefollowingdiseasesofthenervoussystem:

tuberculousmeningitis,thenewcryptococcalmeningitis,smallspectrum,liver

degeneration,spinalcordcompression,andMusculardystrophy,polymyositis.

2BasicSkills

(1)GraspthehistoryofAcquisitionmethodofthenervoussystemdiseases

(2)Familiarwiththemethodsofthenervoussystemofmedicalexaminationand

lumbarpunctureoperation.

(3)Commonunderstandingofthesupplementaryexamination:CTMRIDSAEEG

EMG,etc.

AllocationofSchoolCurriculum

SectionContentsTotalSchoolSchoolofSchoolofFootnote

theoryexperiment(Trainee)

1—5General16.08.08.0

6PeripheralNerve3.51.52.0

Disease

7SpineDisease3.51.52.0

8Cerebrovascular15.07.08.0

Disease

9CentralNerveSystem6.03.03.0

Infection

10CentralNerveSystem4.53.01.5

Demyelinating

Didease

11MovementDisorders4.53.01.5

13Epilepsy4.53.01.5

17Nerve-MuscleJunction4.53.01.5

andMuscleDisease

Examination

1.Typesofexamination:TheoryExamination(Written),SkillExamination

2.ConstructionofResults:ResultsinNormalTime15%,SkillExamination15%,

TheoryExamination70%

ContentsofCurriculum

Chapter1Introduction

Requests

Makethestudentsknowtheresearchingobjects,methodsandscopeofneurology,and

itsstatusinallclinicaldepartments.

LectureTime:1hour

ContentforTeaching

1.Theresearchingobjects,developinghistoryandactualityofneurology

2.Therelationshipbetweenneurologyandotherbasicsubjects,anditsstatusinall

clinicaldepartments.

3.Objects,attitudesandmethodsinlearningneurology

Teachingmethods

Bylectures:theoreticallectures

Meansofteaching

multimediaandbilingualteaching

Chapter2CommonSymptomsofDiseasesoftheNerveSystem

ObjectsandRequirements

Masteringcommonclinicalsymptomsofthenervesystem

LectureTime:6hours

Contents(?:focalpoint&★:nodus)

1?ConsiousnessDisorders

Clinicalclassifications,manifestationsanddifferentialdiagnosis

2.?★ClinicalfeaturesandmanifestationsofAphsia

3.?★ClinicalmanifestationsofOpticDisordersandEyeballDyskinesia

Opticpasswayandopticdefect

SymptomsandsignsofEyeballDyskinesia

4.?★Facialparalysis

Clinicalmanifestationsanddifferentialdiagnosisofcentralandperiphralfacial

paralysis

5.ClinicalmanifestationsofVertigoandAcousticDisorders

ClinicalmanifestationsanddifferentialdiagnosisofVertigoandSyncope

ClinicalmanifestationsofAcousticDisorders

6.?PalsyofMedullaOblongata

★Clinicalfeaturesanddifferentialdiagnosisofveraandfalse

glossolabio-laryngealparalysis

7.SensationDisorders

RelatedAnatomyBasicsofSensationDisorders

theclassificationofsensorydysfunction

?★Theclinicalcharacteristicsandpositioningdiagnosisofsensorydysfunction

8.Paralysis

Theconceptofparalysis.

Thefeaturesandidentificationbetweenupperandlowermotorneuronparalysis

Thepositioningdiagnosisofupperandlowermotorneuronparalysis.

9.?Theanatomy,physiologyandclinicalperformanceofinvoluntarymovement：

10.?TheclassificationandclinicalfeaturesofAtaxia

TeachingMethod(recommendation)

Taughtlaw:integrationbetweentheoreticallecturesandvideo.

Teachingmeans:MultimediaBilingualTeaching.

Self-learningcontent：Theanatomicalstructureofthenervoussystem.

Chapter5theDiagnositicPrincipleofNervousSystemDisease

Objectiverequirements

Graspthediagnositicprincipleofnervoussystemdiseaseandstresspositioningand

qualitativediagnosis.

Lectureshours：1hour

Teachingcontent

1.?Thecriteriaandthenotedissuesofpositioningdiagnosisofnervoussystem

diseases.

2.Theetiologicalclassificationofnervoussystemdiseasesandthenotedissuesin

qualitativediagnosis.

TeachingMethod(recommendation)

Taughtlaw:theoreticallectures.

Teachingmeans:MultimediaBilingualTeaching.

Chapter6Peripheralneuropathy

Time：1.5hours

GeneralInformation

Objective

1.Tounderstandtheanatomyandphysiologyofperipheralneuropathy.

2.Tounderstandthedegenerationandregenerationofperipheralneuropathy.

TeachingContent

1Anatomyandphysiologyofperipheralneuropathy.

2Definitionofneuritis,neuralgia,neuropathy.

3Characteristicsoffourpathologicalchangesofperipheralneuropathy.

4Characteristicsofclinicalclassificationandsymptomsofperipheralneuropathy.

TeachingMethod(recommendation)

Lecture

TheInstrumentsforTeaching

Multimediabilinguallecture.

TrigeminalNeuralgia

Objective

Tomastertheclinicalfeatureandtreatmentoftrigeminalneuralgia.

TeachingContent

1.Etiology:Unclearforprimarytrigeminalneuralgia.Secondarytrigeminal

neuralgiamayshowimpairedsymptomsandsignsoftrigeminalnerve.

2.?Clinicalfeature

Primarytrigeminalneuralgiadevelopsinmiddletolatelife.Painisconfinedto

theareasuppliedbythesecondandthirddivisionsofthetrigeminalnervewithout

impairedsigns.

3.?Diagnosisanddifferentiationdiagnosis

DiagnosiswithfacialpaincausedbyotherdiseasesandSecondarytrigeminal

neuralgiao

4.?Therapy:importance.

alleviatepain,includingdrugtherapy,radiofrequencytreatment,surgeryand

treatmentofclosed.

Educativemethods

Teachingtheory：

Casediscussion:caseoftrigeminalneuralgia.

Teachingmeathod:MultimediaBilingualTeaching

Bellparalysis

Objective

GrasptheclinicalmanifestationsandtreatmentmethodsofBellparalysis.

Teachingcontent：

1.Etiology:acutenon-suppurativeinflammationofthefacialnerveinthefacial

nervecanalandthestylomastoidforamen.Mayberelatedtothecoldor

autoimmunereaction.

2.?Clinicalmanifestations

Acuteonset,showingthesymptomsandsignsofunilateralorbilateralfacial

paralysis.

3.?Diagnosisanddifferentialdiagnosis.

Diagnosiswithsecondaryfacialparalysisandcentralfacialparalysis

4.?Therapy

AcutePhase:cortexsteroids>physicalTherapyetc.

Timelyacupuncturetreatment

Teachingmethods

Teachingtheory

Casediscussion:caseofBellparalysis

Teachingmeathod

MultimediaBilingualTeaching

AcuteInflammatoryDemyelinatingPolyneuropathy

Objective

tomasterclinicalmanifestation,diagnosis,differentialdiagnosisandtreatmentof

acuteinflammatorydemyelinatingpolyneuropathy(Guillain-Barresyndrome).

Teachingcontent

1.Etiology:maybeautoimmunedisease.

2.?Clinicalmanifestation:mainpoint.

Acuteorsubacuteonset;limbslowermotorneuronparalysis;bilateralfacialpalsy

or/andglossolabio-laryngealparalysiscanbeexist;peripherysensorydisabilitycan

beexist;cerebrospinalfluidalbuminocytolgoicdissociationphenomenon;generally

fineprognosis(eusemia);

3.?Diagnosisanddifferentialdiagnosis

Acutemyelitis,polymyelytis,myastheniagravis,periodicparalysis.

4.?Treatment

Intravenousimmunoglobulin;plasmaexchange;glucocorticoid;largedoseofvitamin

B,bulboparalysisrespiratorymuscularparalysis,infectioncontrol,complication

prevention

teachingmethod(recommendation)

theorylecture

casediscussion:Acuteinflammatorydemyelinatingpolyneuropathy

teachingstyle

multimediaandbilingualism

Chapter7DiseasesofSpinalCord

classhours:1.5hours

Outline

Objective

1.understandspinalcordapplicationanatomyandphysiology

2learntherelationbetweenthespinalcordandthespinalcolumn

3Control:thefixedpositiondiagnosisofthespinalcordtransversedamage

Contentofcourse

1Applieddissectionandphysiologyofspinalcord

2Therelationbetweenthespinalcordandthespinalcolumn

3?Mainandclinicalperformanceandcommonreasonofspinalcordpathological

changes

4?★Theclinicalperformanceofthespinalcordtransversedamage

Teachingmethod(suggestion):

lecture:teachingtheories.

Teachingmeans

Multi-mediabilingualteaching.

Acutemyelitis

Objective

1Understandthemeaningandtheclinicalclassificationoftheacutemyelitis

2Controltheclinicalperformance,diagnosis,discriminatingdiagnosisandcuring

principlediagnosisoftheacutemyelitis

3Beacquaintwiththetreatmentandnursingoftheacutemyelitis

Thecourse

1ThecourseandPathological

Thecauseofsuchadiseaseisn'tclear,whichmaybehavesomethingtodowith

virusinfectionandimmunity.Listitsrelevantchangeofpathologybriefly.

2?Clinicalperformance

Listtheclinicalperformanceofacutetransversemyelitis

(includingtheacuteshockandconvalescentperiod)andthechangeofbrainridge

liquid.

3?Diagnosisanddiscriminatingdiagnosis

Accordingtothediseasehistoryandthebodysigns,thediagnosisisn*tdifficult,butit

isnecessarytodiscrimiateitwithcompressivemyelopathy,Guillain-Barresyndrom

andsoon.

4?Treatmentandnursing

(1)Acutephaseofthetrialcouldbeshort-corticosteroids,anddealwithdysuriaand

respiratorymusclarparalysis.

(2)Preventandtreatthecomplications,suchasurinarytractinfection,respiratory

tractinfectionandbedsore.

(3)Physicaltherapy,trainingandothertreatmentintherehabilitativeperiod.

TeachingMethod(recommendation)

Taughtlaw

theory

Casediscussionofteachingmethods:casesofacutemyelitis.

Teachingmeans

multimediabilingualteaching.

Compressivemyelopathy

Objective

Grasptheclinicalmanifestation,diagnosis,differentialdiagnosisofcompressive

myelopathyandunderstandthetherapeuticprincipleofcompressivemyelopathy.

Teachingcontents

Cause

Allkindsofspinalcordtumors,inflammatorydisease,vertebraldisease.

2?Clinicalmanifestations:emphasis

Nerveroot,conductionbeampatternsensorydisability,vegetativenervefunctional

disturbance,reflectingchanges.

3?Diagnosisanddifferentialdiagnosis:

①Determinewhethercompressivemyelopathy.

②Judgethesegmentsofspinalcordcompression.

(3)Judgetheintramedullaryorextramedullaryoppression.

(4)Judgethereasonsofspinalcordcompression.

4Treatment:surgery,radiationtherapy,symptomatictreatment.

TeachingMethod(suggestion):

Taughtlaw:theorytaught.

TheCasediscussionofteachingmethod:thecaseofcompressivemyelopathy

Teachingmeans:Multimediabilingualeducations

Chapter8Cerebrovasculardisease

Lectureshours:7.0classes

Outline

Objective

1Understandsacutecerebrovasculardisease'sclassification.

2Familiarwithcerebrovasculardiseaseprevention.

Coursecontent

1Cerebrovasculardistribution.

2Acutecerebrovasculardisease'sclassification.

3Theetiology,riskfactor,preventionmeasuresofscerebrovasculardisease.

Teachingmeans(recommendation)

Lecturingmethod

Theoryteaching

Teachingmethods:Multimediabilingualeducations

TransientIschemicAttack(TIA)

Objective

1UnderstandsTransientischemicattacketiologyandpathogenesis.

2MasterytheDiagnosis,differentialdiagnosis,treatmentprincipleofTIA

Coursecontent

1Etiologyandpathogenesis:Emphasizesthecardiovascularouterofcraniallesions

Emphasizesmicroembolizationtheory.

2?Clinicalcharacteristics:key

apartialdysfunctionoftheInternalcarotidarteryandvertebralarterybloodsupply,

theconceptoftime,theprognosis.

3?Diagnosisanddifferentialdiagnosis:

Withepilepsy,migraine,syncope,dizziness,andotheridentification

4?PreventionandTreatment

Etiologytreatment,plateletaggregationinhibitors,etc

TeachingMethod(recommendation)

TaughtMethod:teachingtheory

Casediscussionofteachingmethods:TransientIschemicAttackCase

Teachingmeans

multimediabilingualteaching

CerebralThrombosis

Objective

1Understandingofthepathogenesisofcerebralthrombosis

2Mastercerebralbloodsupplyandthesymptomsafterocclusionofmainarteries

3Masterofcerebralthrombosisdiagnosisanddifferentialdiagnosisandtreatment

principles.

Teachingcontent

1etiologyandpathogenesis：Stressingthethreemajorelementsofthisdiseasesuch

asthevascularwall,hemodynamicsandbloodcomponents,

2?Clinicalmanifestations

Typicalclinicalmanifestationsandthemainclinicaltypes.Introducethe

significanceofCTandMRIinthediagnosisofclinicaldiagnosis

3?Diagnosisanddifferentialdiagnosis

Identificatewithcerebralembolism,cerebralhemorrhageandsubarachnoid

hemorrhagediseasesetc.

4?Therapy

Thrombolytictherapy,anticoagulationtherapy,plateletaggregation

inhibitors,treatmentofcerebralprotectionandSurgicaltreatment

5.Prevention

6.Lacunarinfarction:concepts,diagnosisandtreatment.

TeachingMethod(recommendation)

Lecture:theorytaught.

CaseDiscussionMethods:cerebralthrombosiscases.

TheInstrumentsforTeaching

multimediaandbilingualteaching.

Self-learning:thecerebralthrombosisthrombolytictherapy.

CerebralEmbolism

Objective

Tomasterthecerebralembolismpathogenesis,clinicalmanifestations,diagnosisand

differentialdiagnosis,andtreatment.

Outline

1.Etiologyandpathogenesisprinciple:emphasizethesourceofembolus

2.?ThefocusedissuesforClinicalmanifestations.

(1)Typicalclinicalmanifestationsandthemainclinicaltypes.

(2)IntroducingthesignificanceofCTandMRIinthediagnosisofclinical.

3.?Thefocusedissuesfordiagnosisanddifferentialdiagnosis:

Distinguishthedifferencesofthesediseases,suchascerebralthrombosis,cerebral

hemoiThage,subarachnoidhemorrhageetc.

4.?Thefocusedissuesfortreatment

Anticoagulanttherapy,antiplateletagents,cerebralprotectiontreatment,surgeryand

othertreatments.

5.Prevention

Teachingmethods:(recommendation)

Lecture:theorytaught.

CaseDiscussionMethods:casesofcerebralembolism.

TheInstrumentsforTeaching:multimediaandbilingualteaching.

CerebralHemorrhage

Objective

1tounderstandtheetiologyandpathogenesisofcerebralhemorrhage.

2tomasterthediagnosis,identificationandtreatmentprinciplesofcerebral

hemorrhage

Lecturingcontents

1theetiologyandpathogenesis,toemphasisonhypertension,atherosclerosisand

microarteryaneurysm.

2pathology:internalhemorrhageofthebrainsubstanceandvulnerablesite.

3?Clinicalmanifestation

(1)thetypicalclinicalmanifestation

(2)thecharacteristicsofclinicalmanifestonthemajorcerebralhemorrhageof

brainparenchyma(internacapsule,thebasilarnucleusarea,pontine,cerebrallobe,

ventricular)

4?Diagnosisanddifferentialdiagnosis

differentialdiagnosiswithcerebralthrombosiscerebralembolism,subarachnoid

hemoiThage.andsoon.

5?Treatment

Descendingcranialpressure,sedation,adjustingbloodpressure,thenursingcareand

treatmentofthecomapatients,surgicaltreatment,theapplicationsandprecautions

aboutcorticosteroidsanddehydratingagent

teachingmethod(recommendation)

themethodlecture:theoreticaltelling.

CasediscussionApproach:examplesofcerebralhemorrhage

Teachingmeans:multimediabilingualteaching

Self-learning:surgicaltreatmentofcerebralhemorrhage

Subarachnoidhemorrhage(SAH)

Objective

1ToknowtheetiologyandpathogenesisofSAH

2Tomastertheclinicalpresentations,diagnosis,differentialdiagnosis,treatmentand

prognosis.

Teachingcontent

1Etiology:cerebralcongenitalaneurysm,cerebralvascularmalformation,

arteriosclerosis

2Pathogenesis:thecerebralcongenitalaneurysmandvascularmalformationareeasy

torupture,hemorrhageandvascularspasm,cerebralsurfacehemorrhage.

3Pathology:emphasizethefrequently-occurringsitesofaneurysm.

4?Clinicalpresentation:emphasis

Emphasizetheattacksituation,meningealirritationsigns,bloodcerebrospinalfluid,

rarelocalsignsofCNSinjury,theclinicalvalueofDSAexamination

5?DiagnosisandDifferentialdiagnosis:emphasis

Differentiatewithcerebralembolism,atherothromboticcerebralinfarctionand

intracerebralhemorrhage.

6?TreatmentSedation,dehydrant,inhibitbleedingagain,removecausative

factors,preventcomplicationsandrecurrence.

TeachingMethods(recommendation)

Lecture:academicteaching

Casediscussion:thecaseofSAH

Teachingmeans:Bilingualteachingbasedonmultimedia

Self-learningcontents:thetreatmentofnervousinterventionandsurgeryonSAH

Chapter9theinfectionsoftheCentralNervousSystem

Objective

1lbknowtheetiologyandpathogenesisofvirusencephalitis

2lbmastertheclinicalpresentation,diagnosis,treatmentprinciplesofvirus

encephalitis(Hei,pessimplexvirusencephalitis)

3.Knowabouttheclinicalmanifestations,diagnosisandtherapeuticprincipleofthe

cryptococcalmeningitis

4.Acquaintedoftheclinicalmanifestations,diagnosisandtherapeuticprincipleofthe

Tuberculousmeningitisunderstand

Lecturehours:3.0hours

TeachingContent

1.TheetiologyandpathogenesisoftheViralmeningitis：

Herpessimplexvirus,propagatingalongthenerve,throughtheblood,resulting

ininflammatoryinfiltrationanddemyelination

2.?TheclinicalmanifestationsoftheAcuteheipessimplexvirusencephalitis:

Acuteonset,prominentofmentaldisorders,consciousdisturbance,

hyperspasmia,paralysis,fever,etc.

3.?ThediagnosisanddifferentialdiagnosisoftheAcuteherpessimplexvirus

encephalitis

BythemeansofCSF,EEG,aetiologicaldetection

4.?ThetreatmentsoftheAcuteherpessimplexvirusencephalitis

Anti-virus,protectthebrain,symptomaticandsupportivetreatment

andhyperbaricoxygentherapy

5.Theetiology,pathogenesis,clinicalmanifestations,diagnosis,differentialdiagnosis,

treatmentoftheTuberculousmeningitis

6.Theetiologyandpathogenesisofthecryptococcalmeningitis

7.?Theclinicalmanifestations,diagnosisanddifferentialdiagnosis,andtreatment

methodsofthecryptococcalmeningitis

TeachingMethod(Recommended)

Lecturingmethod:

Theoreticallecture.

Teachingmeans:

bilingualmultimediateaching

Self-learning:

Theetiology,pathogenesisandclinicalmanifestationsofthetuberculousmeningitis

Chapter10DemyelinatingDiseaseinCentralNervousSystem

Objective

1.Acquaintedoftheconceptandclassificationofthedemyelinatingdisease

2.Knowabouttheclinicalmanifestations,diagnosisandtherapeuticprincipleofthe

multiplesclerosis

3.Acquaintedoftheclinicalmanifestationsofthemultiplesclerosisandneurooptic

myelitis

Lecturehours:3.0hours

Teachingcontents

1Thedefinitionandclassificationofdemyelinatingdiseases.

2?Thecausesandmechanismofmultiplesclerosis,especialtheautoimmune

mechanism

3ThepathologyofMS:theinvolvementofdifferentpartsofthecentralnervous

system,theselesionswhichoccurinthecentralnervoussystemareselective.

4?ClinicalfindingsofMS.

Clinicalfeaturesincludetheinvolvementofdifferentpartsofthecentralnervous

systematdifferenttimesandtherelapsing-remittingcourse.

DemyelinatingdiseasesinAsiaandChinamainlyincludesneuromyelitisoptica,

whichisthevariationofMS.

5?DiagnosisandDifferentialDiagnosis

IntroducethediagnosiscriterionofMcDonaldmultiplesclerosisandemphasizethe

differentialdiagnosisofvirusencephalitisandacutedisseminationencephalomyelitis.

6?treatment

Immuno-inhibitiontherapy,generalhealthandsymptomatictreatmentnursing

treatment.

Teachingmethods(recommendation)

Teachingintheory

Teachingmethods:doublelanguageTeachingbymulti-media

Chapter11MovementDisorders

Lecturetime:3.0hours

Outline

Objective

Youwillunderstandthemaincombinationoftheextrapyramidalsystemandthe

symptomsoccurringinthedysfunctionofextrapyramidalsystem..

Teachingcontents

1themaincombinationofthecorpusstriatum-globuspallidussystemisdesignated

theextropyramidalsystem.

2clinicalfeaturesofthemovementdisorders:thechangeofmuscletoneand

involuntarymovements.

Teachingintheory

Teachingmethods:doublelanguageteachingbymulti-media

ParkinsonDisease(PD)

Objective

1.FamiliartheetiologyandpathogenesisofPD

2.Grasptheclinicalmanifestations(Threemainsymptoms),diagnosisandtreatment

methodsofPD.

Teachingcontent

1.Etiologyandpathogenesis:

Ageing,Environmentalfactors,Geneticfactorsate.

2.Pathological

ThebiochemicalpathologyandPathologicalchangesofnigrostriatalintheabsenceof

dopamine.

3.?Clinicalmanifestations

Threemainsymptoms:Musclerigidity,tremblingandSlowmovement

4.?Diagnosisanddifferentialdiagnosis

TypicaldiagnosedwithParkinson'ssyndromecausedbyvariousreasons.

5.?Therapy

Drugtreatment:Anti-cholinergicdrugs,Dopaminereceptorexcitomotor,Amantadine,

L-dopaetc.Surgicaltreatment

Educativemethods:

Teachingtheory：

Casediscussion:

Teachingmeathod:MultimediaBilingualTeaching

ChoreaMinor

Objective

1.tounderstandtheetiologyandpathogenesisofChoreaminor。

2.FamiliartheclinicalmanifestationsandtherapyprincipleofChoreaminor。

Chapter13Epilepsy

Objective

1.Comprehendetiologicalfactorandcategoryofepilepsy.

2.Graspclinicalmanifestationsanddiagnosismainpointsofepilepsy.

3.Grasphighlightofpreventionandcureofepilepsyandfirstaidofstatusepilepsy

Lessons:3.0hours

Teachingcontent

1.Etiologicalfactor:primaryepilepsyandsecondaryepilepsy.

2.Attackpathology:relatingmechanismofepileptiformconvulsionduetoabnormal

electricaldischargeandconveying