Studies in English

TEACHERS AND ASSISTANTS:

Teachers:

1. Prof. Dr. Miloš Nikolić
2. Prof. Dr. Mirjana Milinković Srećković
3. Prof. Dr. Snežana Minić
4. Prof. Dr. Dušan Skiljević
5. Assoc. Prof. Dr. Mirjana Gajić-Veljić
6. Assoc. Prof. Dr. Jelena Stojković-Filipović
7. Assoc. Prof. Dr. Dubravka Živanović
8. Assoc. Prof. Dr. Danijela Milčić

 

Assistants:

1. 1. 1. 1. Clinical Assistant Dr. Jelena Perić
         2. Clinical Assistant Dr. Vesna Reljić
         3. Clinical Assistant Dr. Jovan Lalošević

THE COURSE IN DERMATOVENEREOLOGY

FOR UNDERGRADUATE STUDENTS Academic Year 2023-24

 

STRUCTURE OF THE COURSE 

Total: 75 hours

15 weeks -  8th Semester

 

A.     THEORETICAL CLASSES (30 HOURS) 

§  Lectures (ex catedra): 30 hours;

B.     PRACTICAL CLASSES: CLINICS, OTHER FORMS OF CLASSES - (45 HOURS) 

§  Practical clinics: 30 hours;

§  Seminars / Clinical cases: 15 hours;

 

TIMETABLE - SCHEDULED ON MONDAY

09.00 - 10.30  Lecture ex catedra - Clinic of Dermatovenereology UCCS, Deligradska 34

10.30 - 10.45 Break

10.45 - 12.15  Practical -  Clinic of Dermatovenereology UCCS, Deligradska 34

12.15 - 12.30  Break

12.30 - 13.15  Clinical seminar - Clinic of Dermatovenereology UCCS, Deligradska 34

The course is held at the Department of Dermatovenereology, School of Medicine, University of Belgrade, Clinic for Dermatovenereology, University Clinical Center of Serbia, Belgrade

 

PLAN AND PROGRAM

 

1. THEORETICAL CLASSES

Lectures (ex catedra): 30 hours

 

Adverse Cutaneous Drug Reactions, Reactive erythema and Purpura

Exantematous Drug Eruption

Urticaria, Angioedema and Anaphylayis

Drug hypersensitivity Syndrome

Fixed Drug Eruption

Erythema multiforme (Minor and Major Type)

Toxic Epidermal Necrolysis

Hipersensitivity Vasculitis

Schönlein-Henoch^, Disease / IgA Vasculitis

Group of Eczema and Dermatitis

Contact dermatitis

Atopic dermatitis

       Infantile, Child and Adult Type  Atopic dermatitis

       Child - type Atopic dermatitis

       Adult - type Atopic dermatitis

Lichen Simplex chronicus

Nummular Eczema

Dyshidrotic Eczematous Dermatitis

Asteatotic  Dermatitis

Neurodermatitis

Stasis dermatitis

Psoriasis and other scaling eruptions, Erythroderma

Psoriasis Chronic plaque type

Psoriasis Guttate type

Psoriais of the Body Folds

Pustular Psoriais

      Palmoplantar pustulosis

      Generalized Acute

Piyriasis Rosea

Seborrhoic dermatitis

Exfoliative Erythoderma Syndrome

Papular Disorders

Lichen Planus      

Strophuluis infantum

Non-infective Granulomas of the Skin

Sarcoidosis

Granulloma annulare

Necrobiosis lipoidica

Panniculitis /Nodular dermatoses

Erythema nodosum

Nodular vasculitis

Connective tissue panniculitis

Autoimmune Bullous Diseases

Pemphigus (Group)

Pemphigoid

Epidermolysis bullosa acquisita

Linear IgA dermatosis

Dermatitis herpetiformis

Skin manifestations of Immune, Autoimmune, and Rheumatic Diseases Connective Tissue Disorders

Lupus erythematosus

Dermatomyositis

Sclerodermia and Morphoea

Raynaud^, s Disease and Phenomenon

Disorders of Hair and Nails

Alopecia areata

Scarring Alopecia

Androgenetic Alopecia

Hirsutism and hypertrichosis

Infections of the Nail Apparatus

Nail signs of Multisystem Diseases

Onycholysis

Onychogriphosis

Disorders of Keratinization

Ichthyosiform Dermatoses

Dyskeratosis follicularis (Dariers^,s Disease)

Palmoplantar Keratoderma

Disorders of Sebaceous, Appocrine and Eccrine glands

Acne vulgaris,  Acne Cystica and Conglobata

Rosacea

Peiroral dermatitis

Hidradenitus suppurativa

Miliaria

Viral and Bacterial Skin Infections

Human Papilloma Virus Inections

Verruca vulgaris, plantaris, plana

Condylomata acuminata

Molluscum contagiosum

Herpes simplex

Herpes zoster

Impetigo  and Ecthyma

Superficial Folliculitis

Furuncle, Carbuncle and Absces

Staphylococcal Scalded Skin Syndrome

Erythrasma

Cellulitis, Erysipelas, Erysipeloid

Tuberculosis of the Skin

Lyme Boreliosis

Fungal Infections of the Skin and Infestations

Dermatophyte Infections of the Skin, Hair, and Nails

Epidermophytoses

Candidiasis of the Skin and of the Mucous Membranes

Pityriasis Versicolor

Scabies

Pediculosis (capitis, corporis, pubis)

Cutaneous manifestations of vascular insufficiency

Atherosclerosis

Acrocyanosis

Trombophlebitis and Deep Venous thrombosis

Chronic  Venous insufficiency

Leg ulcers

Pressure ulcers

Skin disordes proveced by the physical factors

Skin reaction to Cold or Heat

Skin reactions to Sunlight

Sunburn

Solar urticaria

Chronic Photodamage

Skin Reaction to Ionizing R diation

Pruriginous dermatoses

Pruritus

Prurigo

Disorders of Oral mucosa and Non-venereal diseases of genital mucosa

Angular cheilitis

Aphtous ulceration

Leukoplakia

Cutaneous Disordewrs involving the Mouth

Lingua nigra

Lingua geographica

Lingua scrotalis

Glossodynia

Oral Hairy Leukoplakia

Balanithis

Phymosis

Paraphymosis

Pigmentary disorders

Vitiligo

Albinism

Melasma

Post-inflammatory hyper- and hypopigmentation

Benign Neoplasms, Nevi and Neurokristopathia

Seborrheic Keratosis

Skin Tag (Acrochordon)

Keratoacanthoma

Dermatofibroma

Hypertrophic scars and Keloids

Mucocutaneous Cysts and Pseudocysts

Common Melanocytic Nevocellular (Junctional, Dermal, Compound )

Halo nevus, Blue nevus

Angiomas and Pyogenic Granuloma (Botriomycoma)

"Adenoma Sebaceum" and Tuberous Sclerosis

Neurofibromatosis

Precancerous Lesions and Paraneoplastic disorders, Hyperplasias, Cutaneous Carcinomas and  Melanoma

Leukoplakia, Bowen^, s Disease, Erythroplasia Queyrat

Sqamous Cell Carcinoma and Basal Cell Carcinoma

Dysplastic Melanocytic Nevus (Clark Nevus)

Markers and Precursors of Cutaneous Melanoma

Melanoma (ALM, SSM, NM, LMM )

Cutaneous Lymphomas and Kaposi,s Sarcoma

T - cell Leukemia / Lymphoma

Sezary^, syndrome

Cutaneous B-cell Lymphoma

Kaposi^,s Sarcoma ( Classic and HIV associated )

Sexually Transmitted Diseases I

Syphilis

Gonorrhoea

Ulcus molle

Lymphogranuloma venerum

Granuloma inguinale

Sexually Transmitted Diseases II

Urethritis non-gnonorrhoica

Herpes genitalis

Condylomata acuminata

AIDS

 

C.     PRACTICAL CLASSES: CLINICS, OTHER FORMS OF CLASSES - (45 hours)

• Practical clinics: 30 hours;
• Seminars / clinical cases: 15 hours;

Practical clinical work with Dermatovenereology patients, both inpatients and outpatients, in real time - History and Physical Examination; Diagnosis and Differential Diagnosis, Laboratory and Special Examinations (Microbiologic examination of skin material: csales, crusts, exsudate; Wood^'s lamp examination; Dermatopathology); Topical and Systemic Pharmacotherapy, Physical Therapy and Phototherapy.

 

Practical clinics

I. History and Physical Examination

1. History

A. Duration of onset of skin lesions

B. Relation of skin lesions to season, travel history, heat, cold, sun exposure, erpvious treatment, drug  ingestion, occupation, hobby, effects of menses and pregnancy

C. Skin symptoms as pruritis, pain, paresthesia

D. Constitutional symptoms

E. Systems review

  

2. Physical examination

A. Apperance of patient

B. Vital signs

C. Glossary of Basic Dermatologic Lesions

(Type, Shape, Arrangement, Distribution)

D. Hair and Nails

E. Mucous membranes

 

II.  Diagnosis and Differential Diagnosis

A. Hospitalized patients - seriously ill or with rare dermatoses

B. Outpatients with common skin disorders

 

III.  Laboratory and Special Examinations

A. Microbiologic examination of skin material: csales, crusts, exsudate

1. Direct microscopic examination of skin

For yeast and fungus: ( 10% Potassium hydroxyde preparation )

For Gonococci: ( Loeffer^, s Methylene blue )

 For autoimmune bullous and viral diseases: Tzanck smear

For Treponema pallidum: dark-field examination

 For parasites: scabies mite from a burrow

2. Mycologic Culture ( identification of sonic common fungal species)

B. Wood^, s lamp examination in:

- Microsporia, Tinea Versicolor, Erythrasma (diagnosis and cure ) and "ash leaf "patches in Tuberous

Sclerosis

C. Dermatopathology

1. Light microscopy: site, process, cell types ( common dermatoses )

          a) special techniques ( stains.... )

 2. Immunofluorescence ( theoretical aspects )

D. Phlebology: diagnostic procedures; application of hydrocolloid dressings (wound healing)

 

IV. Topical and Systemic Pharmacotherapy

General considerations

Therapeutic implications of percutaneous absorption

The vehicle

Topical agents

Topical cytotoxic therapy

Systemic agents

 

V. Physical and Surgical Therapy

     Local anaesthesia

     Excision

     Curettage

     Electosurgery

     Cryosurgery

     Intralesional therapy

 

VI. Phototherapy

           PUVA Therapy

 

 

 

EXEMINATION (COLLOQUIUM, TEST / EXAM STRUCTURE)

PRE-EXAM DUTIES

Colloquium

VII - X week of the course. Areas: selected, most important chapters. Colloquium is in the form of a test with 20 questions. In order to pass the exam, it is necessary to give correct answers to the 50% + 1 questions (11 questions). The results of the colloquium are entered into the student card. Each question carries 1 point, the maximum number of points from the colloquium in 20.

 

Practical classes

Evaluation is entered in the card and consists of the evaluation of timeliness in attendance and evaluation of activities during the practical classes. Neat attendance is assigned with six points, for obligations fulfilled with a delay (catch-up) - 3 points; when a student has not done a catch-up, for neatness in school attendance gets 0 points. The remaining 4 points are given based on the engagement and commitment during classes (interactive teaching) by assessment of the assistants and teachers. The maximum total number of points is 10.

 

PRE-EXAM DUTIES are shown in Table 1

STRUCTURE OF THE FINAL EXAM

1. Practical part of the exam is taken with the teacher and consists of five areas - 3 from dermatology, 1 from venereology, 1 from histopathology/DIF test, each area is assessed with point range of 0-4 points, the maximum number of points is 20. The exam consists in recognizing and describing 5 photos of skin diseases which are given in the textbooks. The students are expected to recognize and describe the clinical picture shown in the photo, establish the diagnosis and differential diagnosis, and to discuss therapeutic modalities and prognosis. If the student gets less than 11 points at the practical exam, the points are not given, the student falls the exam, and the score 5 (five) is entered in the card.

 

2. Written theoretical part of the exam – test consists of 45 multiple choice questions of which 37 are from dermatology and 8 are from venereology. The value of each question is 1 point, except the clinical questions, where the value is 2 points. To pass the test, the student must have at least (minimum) 50% + 1 point in each part of the test (dermatology – 21 points, and venereology – 6 points). The maximum number of points from the test is 50. The test must be finished within 50 minutes. Passed test is valid for 6 months period. If the student gets less than 21 +6 points in the test, the points are not given, the student falls the exam, and the score 5 (five) is entered in the card.

 

FINAL SCORE

The final score is based on the success achieved during the course (30 % of the final grade) - see table 1, practical part of the exam (20 %) and the achieved knowledge and success in the written part of the exam - test (50 %) - see Table 2.

 

 

GRADINGSCHEME
      TablE 1 - Pre-exam duties- TOTAL 30/100 points; 30% of the final grade

TYPE OF ACTIVITY	Number of points
Regularity in attendance	/6
Activity during the practical classes	/4
Colloquium	/20
Pre-exam activities -  total	/30

 

 

  TablE 2 - FINAL SCORE

 

Pre-exam activities	Written examination - test		Practical exam		Total points	Teacher's signature
Points	Date	Points	Date	Points
__ /30		__/50		__/20	___/100

 

 

 TablE 3 - TOTAL NUMBER OF POINTS

 

TOTAL NUMBER OF POINTS (1+2+3)	FINAL SCORE
91-100	10
81-90	9
71-80	8
61-70	7
51-60	6
≤ 50	5

 

Note: If a student gets a total of 50.5, 60.5, 70.5, 80.5, or 90.5 points, number of points will be rounded to the next whole number (51,61,71,81,91), and the appropriate score will be assigned.

 

RECOMMENDED TEXTBOOKS:

 

1. Wolff K, Johnson RA, Saavedra AP, Roh EK. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology. 8th ed. McGraw-Hill; 2017. or  

2. Arturo Saavedra, Ellen Roh, Anar Mikailov. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology. 9th ed. McGraw-Hill; 2023.

3. James G. Marks Jr. MD, Jeffrey J. Miller MD. Lookingbill and Marks' Principles of Dermatology: 6 th Ed, 2018

4. Website: www.dermis.net (large number of photographs of various skin diseases).

 

Department of Dermatovenereology

Faculty of Medicine, University of Belgrade

Address: Pasterova 2,  11000 Beograd

Phone: +381  11 264 264 8; Fax  +381 11 2682 652

Email: derma@kcs.ac.rs

 

 

Course Director:

Prof. Mirjana Milinković Srećković,

E-mail: milinm@eunet.rs