GASTROINTESTINAL AND HEPATIC DISORDERS MODULE NUMBER 4

1. FUNCTIONAL CONSTIPATION
1.1. Definition Infrequent bowel movements, hard stool consistency, large stool size, painful defecation, or voluntary withholding bowel movements without any sign of anatomical disturbances/disorders

1.2.

Competency Area Area of competence : 4, (Doctor Competencies Standard, Indonesian Medical Council)

1.3.

Competency Component Students able to diagnose and to apply terapeutic approach in pediatric patient that suffered from functional constipation

1.4.

Clinical Competence : Students have to be able to : 1. define functional constipation 2. describe the epidemiology of functional constipation 3. explain the normal mechanism of defecation 4. explain pathogensis of functional constipation 5. explain the clinical presentation of functional constipation 6. diagnose functional constipation 7. manage functional constipation

1.5.

Learning Methode Discussion (Module task) and Lectures

1.6.

Equipment Small rooms (for discussion), Classroom, Computer, LCD and screen

1.7.

Time For module task, free, but should be finish before discussion 1 x 50 minute : discussion 1 x 50 minute : expert lecture (teaching session)

1.8.

Lecture Description This topic is a part of Module no. 4 on Gastrointestinal and Hepatic Disorders Block, integratedly designs for medical student of 7th semester through Teaching Learning Process . This topic will lead and facilitate students to understand how to diagose and treat functional constipation

1.9.

Lecturer Dr. Satrio Wibowo, M.Si.Med, Sp.A

1.10. Evaluation Post test (Mid Semester and Final Test)

1.11. Suggested Refferences

1. Phatak UP, Pashankar DS. Constipation. In: Bishops Pediatric Practice

Gastroenterology. McGraw Hill, NY, 2010:55-64

2. Loening-Baucke V. Constipation and Fecal Incontinence. In: Wyllie,

Hyams and Kays (Eds) Pediatric Gastrointestinal and Liver Disease. Elsevier Saunders 2011, Phil, 2011:127-135
3. Croffie JM, Fitzgerald JF. Constipation and Irritable Bowel Syndrome.

In: Pediatric Gastroenterology; the Requisites in Pediatrics. Mosby Elsevier, Phil, 2008:30-41

1.12. Module Task

1. Define functional constipation ! 2. Describe the epidemiology of functional constipation ! 3. Explain the normal mechanism of defecation ! 4. Explain pathogensis of functional constipation ! 5. Explain the clinical presentation of functional constipation ! 6. How can you diagnose functional constipation ! 7. How can you manage functional constipation !

2. GASTRO ESOPHAGEAL REFLUX

2.1. Definition The passage of gastric contents into the esophagus and oropharynx, with or without vomiting

2.2.

Competency Area Area of competence : 4, (Doctor Competencies Standard, Indonesian Medical Council)

2.3.

Competency Component Students able to diagnose and to apply terapeutic approach in pediatric patient that suffered from gastroesophageal reflux

2.4.

Clinical Competence : Students have to be able to :

1. define gastroesophageal reflux (GER), regurgitation, rumination and

gastroesophageal reflux disease

2. describe the epidemiology of GER or regurgitation 3. explain pathogensis of GER 4. explain the clinical features of GER in infant and older children 5. diagnose GER 6. manage GER

2.5.

Learning Methode Discussion (Module task) and Lectures

2.6.

Equipment Small rooms (for discussion), Classroom, Computer, LCD and screen

2.7.

Time For module task, free, but should be finish before discussion 1 x 50 minute : discussion 1 x 50 minute : expert lecture (teaching session)

2.8.

Lecture Description This topic is a part of Module no. 4 on Gastrointestinal and Hepatic Disorders Block, integratedly designs for medical student of 7th semester

through Teaching Learning Process . This topic will lead and facilitate students to understand how to diagose and manage GER

2.9.

Lecturer Dr. Satrio Wibowo, M.Si.Med, Sp.A

2.10. Evaluation Post test (Mid Semester and Final Test)

2.11. Suggested Refferences

1. Gold BD. Gastroesophageal Reflux Disease. In: Bishops Pediatric

Practice Gastroenterology. McGraw Hill, NY, 2010:160-89

2. Vandenplas Y. Gastroesophageal Reflux. In: Wyllie, Hyams and Kays

(Eds) Pediatric Gastrointestinal and Liver Disease. Elsevier Saunders 2011, Phil, 2011:232-47
3. Grossman AB, Liacouras CA. Gastroesophageal Reflux. In: Pediatric

Gastroenterology; the Requisites in Pediatrics. Mosby Elsevier, Phil, 2008:74-86

2.12. Module Task

1.

Define gastroesophageal reflux (GER), regurgitation, rumination and gastroesophageal reflux disease !

2. 3. 4. 5. 6.

Describe the epidemiology of GER or regurgitation ! Explain pathogensis of GER ! Explain the clinical features of GER in infant and older children ! How can you diagnose GER ? How can you manage GER ?

3. ACUTE VIRAL (A, B, C) HEPATITIS IN PEDIATRIC

3.1. Definition Inflamation of the liver cause by viral infection

3.2.

Competency Area Area of competence : 4, (Doctor Competencies Standard, Indonesian Medical Council)

3.3.

Competency Component Students able to diagnose and to apply terapeutic approach in pediatric patient that suffered from functional constipation

3.4.

Clinical Competence : Students have to be able to :

1. describe the molecular virology of virus that cause Hepatitis A, B, C 2. describe the epidemiology of Hepatitis A, B and C in infant and

children
3. explain replication and pathogensis of Hepatitis A, B and C 4. explain the risk factor of Hepatitis A, B and C in children 5. explain the clinical features of Hepatitis A, B and C in infant and

children
6. diagnose Hepatitis A, B and C in infant and children 7. manage Hepatitis A, B and C in infant and children 8. explain the vaccination programme to prevent Hepatitis A and B in

infant and children

3.5.

Learning Methode Discussion (Module task) and Lectures

3.6.

Equipment Small rooms (for discussion), Classroom, Computer, LCD and screen

3.7.

Time For module task, free, but should be finish before discussion 1 x 50 minute : discussion 1 x 50 minute : expert lecture (teaching session)

3.8.

Lecture Description This topic is a part of Module no. 4 on Gastrointestinal and Hepatic Disorders Block, integratedly designs for medical student of 7th semester through Teaching Learning Process . This topic will lead and facilitate students to understand how to diagose, manage and prevent acute viral hepatitis in infant and children

3.9.

Lecturer Dr. Satrio Wibowo, M.Si.Med, Sp.A

3.10. Evaluation Post test (Mid Semester and Final Test)

3.11. Suggested Refferences 1. Davison S, Boxall EH. Invective Disordersof the Liver. In: Kellys (Ed) Disease of the Liver and Biliary System in Children, 3rd Ed. Blackwell Publishing Ltd. Sussex UK, 2008:129-65 2. Romero JR, OConnor JA. Viral Hepatitis. In: Bishops Pediatric Practice Gastroenterology. McGraw Hill, NY, 2010:541-55 3. Fawaz R, Jonas MM. Acute and Chronic Hepatitis. In: Wyllie, Hyams and Kays (Eds) Pediatric Gastrointestinal and Liver Disease. Elsevier Saunders 2011, Phil, 2011:811-28 4. Haber BA. Viral Hepatitis. In: Pediatric Gastroenterology; the Requisites in Pediatrics. Mosby Elsevier, Phil, 2008:289-97

3.12. Module Task 1. 2. Describe the molecular virology of virus that cause Hepatitis A, B, C! Describe the epidemiology of Hepatitis A, B and C in infant and children 3. 4. 5. Explain replication and pathogensis of Hepatitis A, B and C Explain the risk factor of Hepatitis A, B and C in children Explain the clinical features of Hepatitis A, B and C in infant and children 6. 7. 8. How to diagnose Hepatitis A, B and C in infant and children How to manage Hepatitis A, B and C in infant and children Explain the vaccination programme to prevent Hepatitis A and B in infant and children

(*you may put your answer in a table)