STUDENT STUDY GUIDE

Gastrointestinal Tract & Liver II Module

Third Year MBBS

Integrated-Modular Curriculum

Academic Year 2022-2023

LIAQUAT UNIVERSITY OF MEDICAL & HEALTH SCIENCES

(LUMHS) JAMSHORO, SINDH, PAKISTAN
 Module Details

Course MBBS

Year 3RD

Duration of module 05 weeks

Learning outcomes The competent medical practitioner, Competencies covered

I (Skilful), and II (Knowledgeable/ problem solver),

Module assessment End-module assessment

Assessment methods SBQs, SEQs, OSPE, VIVA

Departments: Surgery, Medicine, Peads, Pathology, Pharmacology

Module integration committee is comprised of the following members from all the
faculties.
Gastrointestinal and liver module -2 Committee:

Module Coordinator: PROF. DR. FARZANA MEMON

Pathology: Dr. Furqan Ahmed Bhatti
Dr. Riyast Ahmed Memon (BMC)
Pharmacology: Dr. Gunesh Kumar
Community Medicine: Dr. Tariq Feroz Memon
INTRODUCTION Welcome to the GIT and Liver module. This exciting module will serve
as building block and is very essential to your future work as doctors. This module is
designed to make your learning both interesting and productive by including several
inter active activities.
This module covers the topics which are Inflammatory and Neoplastic Diseases of
Salivary Gland, Non-neoplastic and Tumor of Esophagus, Gastritis and Peptic Ulcer,
Malignancies of Stomach, Diarrheal Diseases, Malabsorption Syndromes and
Inflammatory Bowel Diseases, Benign and Malignant Lesions of Small and Large
Intestine. Pathological conditions of Liver like Jaundice and cholestasis, Autoimmune
liver diseases & Cholangiopathies, Metabolic Liver Diseases-1, Drug and Toxin Induced
Liver Injury & Fatty Liver Disease, Cirrhosis of liver, Tumors of Liver, Inflammatory
Diseases and Tumors of Gall Bladder. All these diseases are very common in clinical
practice and will be helpful in understanding the GIT and Liver pathology.
Real life scenarios have been added in the module which will be discussed in small
groups to help students to develop them clinical approach to understand and solve the
clinical problem by correlating their basic knowledge of anatomy, physiology,
biochemistry and pathology with findings of a clinical case.

RATIONALE Diseases of the GIT are common all over our country. It is essential to make
early diagnosis and treat the disease in order to reduce morbidity and mortality.
This module provides an integrative understanding and detailed and clinically relevant
information of pathology related to the digestive and biliary system.

GENERAL LEARNING OUTCOMES: At the end of the module, the students will be able
to relate understanding of the pathological processes related to the gastrointestinal
tract & Liver.

CASE- BASED LEARNING: A small group discussion format where learning is focused
around a series of questions based on a clinical scenario. Students’ discuss and answer
the questions applying relevant knowledge gained in clinical and basic health sciences
during the module.

PRACTICAL: Able to understand the Morphological features (Gross & Microscopic

features of all diseases) also understand the liver function test and serological test for
Hepatitis viral infections and morphology of benign and malignant tumors of liver and
gall bladder.

SKILLS SESSION: Skills relevant to respective module are observed and practiced where
applicable in skills laboratory.

SELF DIRECTED LEARNING: Students’ assume responsibilities of their own learning

through individual study, sharing and discussing with peers, seeking information from
Learning Resource Centre, teachers and resource persons within and outside the
college. Students can utilize the time within the college scheduled hours of self- study.

CASE BASED LEARNING: Case-based learning (CBL) is a structured form of small-group

learning that emphasizes student preparation out of class and application of knowledge
in class. Before each session/class, students prepare by reading prior to class. In class
students are given different tasks or test where they work as team.
CASE BASED LEARNING (GIT):

Real Life Scenario 1: A 60-year male complains of fatigue, weakness, weight loss and
iron deficiency anemia. On colonoscopic examination annular encircling lesion was
found in recto-sigmoid region. Resection of affected segment of intestine was done and
specimen was sent for Histopathological diagnosis.

1) What is the most likely diagnosis?

2) Describe characteristic gross and microscopic features of this lesion?
3) Name the genetic mutations causing this lesion?

Real Life Scenario 2: A 40 years’ male complains of bloody diarrhea. Colonoscopic

examination shows pancolitis. Biopsy was taken and sent for histopathological
diagnosis.

1) Name the inflammatory bowel diseases?

2) Differentiate between ulcerative colitis and Crohns disease?
3) Name other causes of ulcerative lesions of large intestine?

Real Life Scenario 3: A 30 years’ female complains of difficulty in swallowing followed

by initially for solid food but after some time she was unable to swallow liquids as well.
She was referred to endoscopic examination and on upper GI endoscopy examination a
friable and necrotic mass was seen in esophagus.

1) What is your most likely diagnosis?

2) In which part of esophagus these lesions are commonly seen?
3) What is most common type of esophageal malignancy and describe its
microscopic features?
 CASE BASED LEARNING (LIVER)

Real Life Scenario 1: A 53-year-old known case of Chronic liver disease and HCV
positive patient is brought to the emergency room by his friends because of bright red
hematemesis. His vital signs are a temperature of 98.5°F, pulse of 140 bpm, and blood
pressure of 91/60 mm Hg. Physical examination reveals abdominal distension with a
fluid wave. Following is microscopic picture of his liver biopsy.

a) What does Liver biopsy shows?

b) What is the most likely cause of hematemesis?
c) What is the most likely mechanism for the development of the lesion causing his
bleeding?
d) Discuss four major consequences of this mechanism that may develop in this
patient.
e) Discuss other Complications that may develop in these patients.

Real Life Scenario 2: A 32-year-old female presents with a three liver nodules. Largest
nodule measures 3.2x3.0x2.8 cm. Histopathology shows non-atypical hepatocytes
arranged in pseudo-acinar pattern. Portal tracts are lost and only scattered arteries and
bile ductules are seen. Steatosis is not seen. Stroma shows mild inflammation
comprising of neutrophils, lymphocytes and plasma cells.

a) What is your diagnosis.

b) Discuss molecular subtypes of this lesion.
c) Which mutation is most likely seen above described lesion.
d) Comment on prognosis of this lesion.
e) Name at least two drugs/medicines that may cause this lesion?

Real Life Scenario 3: A 45-year-old female presents with sudden sharp pain in upper
right upper quadrant abdominal pain since more than 6 hrs. The pain spreads to right
shoulder or back right upper quadrant pain and it was accompanied by nausea,
vomiting, anorexia, fever. On examination abdomen was tender and right subcostal
region was rigid. She has been married for 20 years, and has five children. CBC shows
high white blood cell count. LFT is normal.

a) What is most likely diagnosis.

b) How would you confirm your finding?
c) Discuss etiology of this disease.
d) Discuss complications of this disease.
 THEME-I DISEASE OF ORAL CAVITY AND ESOPHAGUS
Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
Define leukoplakia and erythroplakia.
Describe ulcer of oral cavity and
define dental caries, fungal infection
GIT-II-PATHO-1 and inflammatory condition of oral BCQ
Interactive
01 Ulcer/ inflammatory lesion cavity. SAQs
Lecture
and cancer of oral cavity Name the malignant tumors of oral OSPE
mucosa and describe their
etiopathology, morphology and
clinical features.
Mention cause of sialadenitis, clinical
features and morphology.
GIT-II-PATHO-2 BCQ
Name benign and malignant tumors Interactive
02 Disease of salivary gland SAQs
inflammation and tumor of salivary gland. Lecture
OSPE
Describe etiopathology, morphology
and clinical features.
GIT-II-PATHO-3 Define achalasia, mention its causes
Motor disorders. and morphology.
BCQ
Esophageal varices, Describe causes of haematemesis. Interactive
03 SAQs
inflammatory condition Describe pathogenesis, clinical Lecture
OSPE
and gastroesophageal features of GERD
reflux Mention causes of dysphagia.
Name benign and malignant tumors
of esophagus. BCQ
GIT-II-PATHO-4 Interactive
04 Describe etiopathology, clinical SAQs
Tumors of esophagus Lecture
features and morphology of OSPE
carcinoma esophagus.
Gross and microscopic features of oral BCQ
05 GIT-II-PATHO-1[P] cavity carcinoma, salivary gland tumor Practical SAQs
and carcinoma esophagus. OSPE
PHARMACOLOGY
GIT-II-PHARMA-1
BCQ
Drugs used for dyspepsia Interactive
06 SAQs
(Antacids and prokinetic Lecture
OSPE
drugs)
MEDICINE
GIT-II-MED-1
Gastroesophageal reflux, BCQ
Interactive
07 esophagitis, Barrett’s SAQs
Lecture
esophagus and hiatal OSPE
hernia
SURGERY
GIT-II-SURG-1
Surgical causes,
BCQ
presentation and Interactive
08 SAQs
management of Lecture
OSPE
hematemesis, dysphagia
and carcinoma esophagus
 THEME-II DISEASE OF STOMACH
Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
Mention causes, pathogenesis of
gastritis (Acute and chronic)
Describe causes, etiopathology,
GIT-II-PATHO-5 complication and morphology of BCQ
Interactive
09 Gastritis and peptic ulcer peptic ulcer disease. SAQs
Lecture
disease Mention role of H. Pylori in peptic OSPE
ulcer disease, describe various
methods of diagnosis of H. Pylori
infection.
Name benign and malignant tumors
BCQ
GIT-II-PATHO-6 of stomach, describe etiopathology, Interactive
10 SAQs
Tumor of stomach clinical features and morphology of Lecture
OSPE
carcinoma stomach.
Gross and microscopic features of BCQ
11 GIT-II-PATHO-2[P] Practical
peptic ulcer and carcinoma stomach SAQs
PHARMACOLOGY
GIT-II-PHARMA-2
Drugs used for Acid peptic BCQ
Interactive
12 disorders including H. SAQs
Lecture
Pylori infection proton OSPE
pump inhibitors
MEDICINE
GIT-II-MED-2
Diagnosis and
management of BCQ
Interactive
13 gastritis/Acid peptic SAQs
Lecture
disease and endoscopic OSPE
management of bleeding
peptic ulcer
SURGERY
GIT-II-SURG-2
BCQ
Surgical management in Interactive
14 SAQs
Acid peptic disease and Lecture
OSPE
carcinoma of stomach.
 THEME-III DIARRHEAL DISEASES AND MALABSORPTION SYNDROMES
Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
GIT-II-MICRO-1 Name various cases of enterocolitis.
Enterocolitis & causes of Mention various causes of diarrhea and
BCQ
diarrhea and dysentery dysentery Enlist the virulence factors. Interactive
15 SAQs
(Gram Negative curved Describe the clinical features, Lecture
OSPE
rods (campylobacter, H. pathogenesis & laboratory diagnosis
pylori & Vibrio) (Microbiology).
Describe clinical features.
GIT-II-PATHO-7 etiopathogenesis and morphology.
Ischemic colitis, Define malabsorption and name various BCQ
Interactive
16 Haemorrhoids causes. SAQs
Lecture
Malabsorption syndrome Describe clinical features, etiopathology OSPE
(Coeliac disease) morphology and diagnosis of coelic
disease.
GIT-II- MICRO-2 BCQ
Describe the clinical features , Interactive
17 Entamoeba histolytica & SAQs
pathogenesis & laboratory diagnosis Lecture
Giardia lamblia OSPE
Classify the medically important
cestodes. BCQ
GIT-II- MICRO-3 Interactive
18 Describe the important properties , SAQs
Cestodes (Tape worms) Lecture
clinical findings and laboratory OSPE
diagnosis.
Classify medically important nematodes
BCQ
GIT-II- MICRO-4 Describe the important properties , Interactive
19 SAQs
Intestinal Nematodes clinical findings and laboratory Lecture
OSPE
diagnosis.
Name inflammatory bowel disease.
GIT-II-PATHO-08 BCQ
Describe etiopathology, clinical features Interactive
20 Inflammatory bowel SAQs
and morphological features of Crohn's Lecture
diseases OSPE
disease and ulcerative colitis.
Describe/ Enlist the various microbial BCQ
21 GIT-II-PATHO-3[P] agents causing diarrhea and dysentery Practical SAQs
and mention their lab diagnosis. OSPE
PHARMACOLOGY
GIT-II-PHARMA-3 Interactive BCQ
22
Emetics and Antiemetic’s Lecture SAQs
MEDICINE
GIT-II-MED-3
Causes and clinical
presentation and
BCQ
management of Interactive
23 SAQs
malabsorption syndrome Lecture
OSPE
/ Coeliac disease.
Irritable bowel
syndrome.
SURGERY
GIT-II-SURG-3
Clinical presentation and BCQ
Interactive
24 surgical management of SAQs
Lecture
inflammatory bowel OSPE
disease.
PEDIATRICS
25 GIT-II-PAEDS-1 Interactive BCQ
 Causes and clinical Lecture SAQs
presentation and OSPE
management of acute
diarrhea.

THEME-IV INTESTINAL DISORDERS

Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
Mention various causes of intestinal
obstruction
GIT-II-PATHO-09 BCQ
Define volvulus, intussusception, hernias and Interactive
26 Intestinal SAQs
adhesions. Lecture
obstruction OSPE
Discuss etiopathogenesis, clinical features
and morphology of Hirschsprung disease.
Define acute appendicitis.
Describe causes, clinical features and
GIT-II-PATHO-10
morphology of acute appendicitis. BCQ
Inflammatory Interactive
27 Mention clinical features and morphology of SAQs
condition of Lecture
Meckel’s diverticulitis. OSPE
abdomen
Define diverticulosis, describe etiopathology
and morphology.
Name benign polypoidal lesion of intestine.
Describe etiopathology, clinical features and
GIT-II-PATHO-11
morphology of benign polyp. BCQ
Benign tumors of Interactive
28 Define familial adenomatous polyposis SAQs
small intestine and Lecture
syndrome. OSPE
large intestine
Describe etiopathology and morphology of
FAP syndrome.
GIT-II-PATHO-12
Name malignant tumor of large intestine. BCQ
Malignant tumors of Interactive
29 Describe etiopathology, clinical features and SAQs
small intestine and Lecture
morphological features. OSPE
large intestine
GIT-II-PATHO-4[P]
BCQ
Benign and Describe gross and microscopic features of
30 Practical SAQs
malignant tumors of benign and malignant tumors of intestine.
OSPE
intestine.
PHARMACOLOGY
GIT-II-PHARMA-4
Drugs used in
constipation. BCQ
Interactive
31 Management of SAQs
Lecture
diarrhea and OSPE
inflammatory bowel
syndrome.
SURGERY
GIT-II-SURG-4
Causes and BCQ
Interactive
32 management of SAQs
Lecture
intestinal OSPE
obstruction.
 THEME-V JAUNDICE & CHOLESTASIS
Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
Bile Formation and Secretion
Pathophysiology of Hyperbilirubinemia
Explain etiology & clinical diagnosis of
Pre-Hepatic Jaundice
GIT-II-PATHO-13 Hepatic Jaundice BCQ
Interactive
33 Jaundice and Post-Hepatic Jaundice SAQs
Lecture
cholestasis Hereditary Hyperbilirubinemia OSPE
Gilbert's syndrome
Crigler–Najjar syndrome type I & II
Dubin-Johnson syndrome (DJS)
Rotors syndrome (DJS)
BCQ
GIT-II-PATHO-14 Pathophysiology of viral hepatitis Interactive
34 SAQs
Infectious disorder A, B, C, D & E Virus Lecture
OSPE
Describe the mode of transmission, BCQ
GIT-II- MICRO-5 Interactive
35 Clinical features and serology of viral SAQs
Hepatitis Virus Lecture
hepatitis (microbiology) OSPE
Explain etiology, pathogenesis & clinical
GIT-II-PATHO-15 features & Diagnostic criteria of
BCQ
Autoimmune liver Type I Autoimmune liver diseases Interactive
36 SAQs
diseases & Type II Autoimmune liver diseases Lecture
OSPE
Cholangiopathies Primary Biliary Cholangitis (PBC)
Primary Sclerosing Cholangitis (PSC)

THEME-VI METABOLIC & DRUG/TOXIN RELATED LIVER DISEASES

Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
Explain etiology, pathogenesis & clinical
GIT-II-PATHO-16 features &Diagnostic criteria of BCQ
Interactive
37 Metabolic Liver -Hemochromatosis SAQs
Lecture
Diseases -Wilson Disease OSPE
-α1-Antitrypsin Deficiency
GIT-II-PATHO-17
Explain etiology, pathogenesis & clinical
Drug- and Toxin- BCQ
features &Diagnostic criteria of Interactive
38 Induced Liver SAQs
-Alcoholic Liver Disease Lecture
Injury & Fatty Liver OSPE
-Nonalcoholic Fatty liver
Disease

THEME-VII CIRRHOSIS
Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
GIT-II-PATHO-18 Etiology, Pathogenesis Interactive
39 BCQ
Cirrhosis of liver Symptoms and Complications Lecture
SAQs
GIT-II-PATHO-5[P]
40 Describe gross and microscopic features Practical OSPE
Cirrhosis of liver
PHARMACOLOGY
GIT-II-PHARMA-5
Interactive BCQ
41 Drugs used in
Lecture SAQs
Hepatitis
MEDICINE
 GIT-II-MED-4
Clinical presentation BCQ
Interactive
42 and outline SAQs
Lecture
management of OSPE
Hepatitis B&C
GIT-II-MED-5
Management of BCQ
Interactive
43 acute hepatitis and SAQs
Lecture
fulminant hepatic OSPE
failure
SURGERY
GIT-II-SURG-5
Clinical presentation BCQ
Interactive
44 and indication of SAQs
Lecture
surgery in liver OSPE
cirrhosis.

THEME-VIII TUMORS OF LIVER AND GALL BLADDER

Teaching Assess
S# Topics Learning Objectives
Strategies ments
PATHOLOGY
Etiology, pathogenesis, gross &
histologic Features
Focal Nodular Hyperplasia
BCQ
GIT-II-PATHO-19 Cavernous Hemangioma Interactive
45 SAQs
Tumors of liver Hepatocellular Adenoma Lecture
OSPE
Hepatoblastoma
Hepatocellular Carcinoma
Malignant Biliary Tumors
Congenital Anomalies
Etiology, pathogenesis, gross &
GIT-II-PATHO-20 BCQ
histologic Features of Interactive
46 Diseases & Tumors of gall SAQs
Cholelithiasis (Gall stones) Lecture
bladder OSPE
Acute & Chronic Cholecystitis
Gall bladder Carcinoma
Gross and microscopic feature of BCQ
GIT-II-PATHO-6[P]
47 hepatocellular carcinoma and Practical SAQs
Ca liver and Gall Bladder
carcinoma gall bladder OSPE
MEDICINE
GIT-II-MED-6
BCQ
Cirrhosis, partial hypertension, Interactive
48 SAQs
variceal bleeding, medical and Lecture
OSPE
endoscopic management.
GIT-II-MED-7
BCQ
Ascites, Hepatic Interactive
49 SAQs
encephalopathy and hepato Lecture
OSPE
renal syndrome
SURGERY
GIT-II-SURG-6
Interactive BCQ
50 Clinical presentation and
Lecture SAQs
management of cholelithiasis
 SUBJECT: COMMUNITY MEDICINE – NUTRITION

Learning Outcomes: At the end of module students will be able to:

 Comprehend the public health importance of Nutrition.
 Understand the nutritional requirement for different ages and gender.
 Identify the factors for micro and macronutrient deficiencies in Pakistan.
 Identify the risk factors of Malnutrition in children < 5 and over 5 years of age
 Classify the types of malnutrition among children under and over 5 years.
S. Topic Teaching Assess
Learning Objectives
No Strategy ment
Define balanced diet
Understand the importance of a balanced diet
Explain the food pyramid
Describe the different focus groups in a
balanced diet
Enumerate the routine dietary requirements GIT-II-COM
and nutritional values at different age groups. MED-1
Describe the routine dietary needs of pregnant Balanced Diet Interactive
01
and lactating mothers. and Nutritional Lecture
Define the nutritional status, growth and status
development. assessment
Describe the purpose of nutritional assessment.
Understand and discriminate between internal
and external methods of nutritional assessment
in children and adults.
Enumerate different nutritional indices in adults
Describe micro and macro-nutrient
components.
Comprehend the importance of micro and
macro nutrient components.
Enumerate the different factors of micro and
GIT-II-COM BCQ's,
macronutrient deficiencies.
MED-2 SAQ's
Describe the burden of micro and
Micro and OSPE,
macronutrient deficiency in Pakistan.
macro VIVA
Describe the malnutrition
nutritional
Classify the types of malnutrition among Interactive
02 Deficiencies
children under and over 5 years. Lecture
and
Discriminate between the risk factors
Malnutrition in
responsible for malnutrition among children
under and over
under and over 5 years of age.
five years’ age
Discuss the epidemiology of Malnutrition in
children
Pakistan.
Discriminate between Kwashiorkor and
Marasmus
Discuss the strategies for controlling
malnutrition in Pakistan
Define food preservation, fortification and
adulteration. GIT-II-COM
Describe the public health importance of food MED-3
preservation and fortification. Food
Discriminate between food adulteration and preservation, Interactive
03
fortification. fortification Lecture
Define food poisoning and
Describe what causes food poisoning adulteration/
Explain the effects of food poisoning Food Poisoning
 SUBJECT: FORENSIC MEDICINE
S. TOPIC TEACHING ASSESS
LEARNING OBJECTIVES
NO STRATEGY MENT
Define death
Explain Scientific concepts regarding
death THEME:
THANATOLOGY
Describe Medico-legal aspect of brain
Interactive
01 death, Howard’s criteria of death GIT -II-FOR MED-1
Death (Intro) Cause, Lecture
Explain Medico-legal aspects of sudden &
Manner, Mode &
unexpected deaths Mechanism of Death
Discuss Cause, manner, mode and
mechanism of death
Describe Immediate signs of death with
special stress on Somatic or clinical death
Define Suspended animation
Explain Changes in the eye
GIT -II-FOR MED-2
Discuss Early changes after death such as Interactive
02 Immediate & Early
Algor Mortis (Cooling of the body) Lecture
Signs of Death
Discuss Early changes after death such as
Liver Mortis.
Discuss Early changes after death such as
Rigor Mortis
Describe Physio-chemical changes in
GIT -II-FOR MED-3
various body tissues and organs under
Physio-Chemical
various environmental conditions, such as
Changes of Death
changes in muscular system after death Interactive
03 and Death Changes
Describe Changes in the blood Lecture
in Blood, CSF,
Describe Changes in the CSF Vitreous Humour & BCQ's,
Describe Changes in the Vitreous humor
Bone Marrow SAQ's
Describe Changes in the Bone marrow
OSPE,
Describe Late signs of death i.e.,
VIVA
Putrefaction, mechanism, changes, gases GIT -II-FOR MED-4
Interactive
04 of decomposition Late & very late Sign
Lecture
Explain Adipocere formation of Death
Explain Mummification
Discuss Forensic entomology
Define Maceration
Discuss Process in formation of
maceration GIT -II-FOR MED-5 Interactive
05 Microscopic changes occurred in Forensic Entomology
and Maceration Lecture
maceration
Differentiate b/w putrefaction,
maceration, mummification and
adipocere formation
Define Sexual offences THEME: FORENSIC
Classify sexual offences SEXOLOGY Interactive
06 GIT -II-FOR MED-6
Sexual Offences Lecture
(Intro)
Define Legal definition of Rape
Describe Procedure of examination of a
victim of rape and Collection of GIT -II-FOR MED-7
specimens during examination Natural Sexual Interactive
07
Describe Examination of accused person Offences and Legal Lecture
Define Rape in children Aspects
Discuss Complications following rape with
special stress of post-traumatic stress
 disorder
Discuss Problems in medico legal
examination of victim of rape in present
scenario
Define Incest and its legal aspects
Define Legal definition of sodomy and its
types
Describe Examination of a victim of
Sodomy
Describe Examination of a habitual
passive agent (Catamite) and habitual
GIT -II-FOR MED-8
active agent (Sodomite)
Unnatural Sexual Interactive
08 Describe Collection of samples from
Offences and Legal Lecture
passive and active agent Aspects
Define Bestiality with examination
Define Tribadism or female homosexuality
and its legal aspects
Define Buccal coitus
Describe common sexual perversions and
legal aspects
Define Sexual perversions
GIT -II-FOR MED-9 Interactive
09 Classify Sexual perversions
Sexual Perversions Lecture
Discuss Sexual perversions
Define Virginity, Pregnancy, Delivery, THEME:
Impotence, Sterility, Artificial insemination FORENSIC OBGYN
GIT -II-FOR MED-10 Interactive
10 abortion Introduction of Lecture
Forensic OBGYN
Describe Virginity and its medico legal
perspectives
Describe Signs of virginity on medico
legal examination
GIT -II-FOR MED-11 Interactive
11 Differentiate between true and false virgin
Virginity Lecture
on examination
Describe Defloration along with causes of
rupture of hymen and age of a torn
hymen
Describe Pregnancy and its legal aspects
Describe Calculation of EDD (Expected
date of delivery
Describe Signs of pregnancy
(presumptive, probable and definite
signs) GIT -II-FOR MED-12 Interactive
12
Describe Diagnosis of pregnancy in Pregnancy Lecture
medico legal cases
Describe Motives of feigned pregnancy
Discuss Abnormal forms of pregnancy
and Legitimacy- Legitimate child as per
law
Describe Delivery and its medico legal
aspects
Describe Signs of recent delivery in living
GIT -II-FOR MED-13 Interactive
13 Describe Signs of recent delivery in dead
Delivery Lecture
Describe Signs of remote delivery in living
Describe Signs of remote delivery in dead
Describe Medico legal aspects of delivery
 Define Impotence, Sterility and Artificial
insemination
Describe Consummation of marriage,
causes of nullity of marriage and divorce
from legal aspects
Describe Impotency and Sterility with
legal dictums
Describe Causes of impotency and GIT -II-FOR MED-14 Interactive
14
sterility Impotence Lecture
Discuss Examination of a case of
impotency and how to give opinion in
such a case
Artificial Insemination, its types,
procedure, precautions in selecting a
donor and legal
implications, Surrogate birth
Define Abortion, types of abortion & its
Medico legal aspects
Discuss Grounds for abortion with special
emphasis on pregnancy after rape
Define Criminal abortion and its types
GIT -II-FOR MED-15 Interactive
15 according to Pakistan Penal Code
Abortion Lecture
Describe Unskilled, Semi-skilled and
Skilled methods of criminal abortion
Complications of Criminal abortion
Describe Causes of death in criminal
abortion and autopsy finding
Define Properties, Pharmacological
Action, Absorption, Distribution and
Elimination of Barbiturates.
Explain Classification, Features of Acute &
Chronic Toxicity & the Methods used for
16 Barbiturate Poisoning
the Detection, Management &
Postmortem changes in a Victim of
Barbiturate Toxicity.
Discuss Fatal & Lethal Doses, Medico-
legal Aspects of Barbiturates.
Define narcotics.
Discuss pathophysiology, signs & Narcotics
17 Special
symptoms, diagnosis and treatment. Drug
Toxicology
Discuss medico legal importance
Demonstra OSPE,
Define drug, drug dependence & drug
tion/ VIVA
addiction.
Tutorial
Enlist addictive drugs.
Classes
Define drug abuse, habituation,
Dependence &
18 hypnotics, & narcotics.
Drug Addiction
Discuss different terminologies i.e.
physical & psychological dependence,
psychotropic drugs, sedative, stimulants
and tolerance.
Define hallucinogens.
Classify types of hallucinogens.
Discuss source, sign & symptoms, fatal
19 Hallucinogens
dose, fatal period and treatment.
Discuss postmortem appearance and
medico legal importance.
 Introduction, different types, treatment ,
Amphetamine
20 Postmortem appearance ,medico legal
Poisoning
importance
Define herbicides
Discuss toxicity, sign & symptoms, fatal
21 Herbicide
dose, fatal period and treatment.
Discuss medico legal importance
Define Properties, Common sources,
common features for absorption, Clinical
Features & Occupations at risk,
Discuss Methods for the detection, Risks
in pregnancy & Management,
22 Postmortem changes & Medico-legal Carbon monoxide
aspects of Carbon Monoxide Poisoning.
Discuss How Does Carbon Monoxide
Poisoning Works & Its elimination & Why
Carbon Monoxide is considered as a
Chemical Asphyxiant.
Define fuel poisoning, Signs & Symptoms,
fatal dose and fatal period
Fuel poisoning
23 Discuss poisoning management options
(kerosene and petrol)
Discuss postmortem appearance and
medico legal importance