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GASTROINTESTINAL AND HEPATIC DISORDERS

MODULE NUMBER 4

1. FUNCTIONAL CONSTIPATION1.1. 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 AreaArea of competence : 4, (Doctor Competencies Standard, Indonesian

Medical Council)

1.3. Competency ComponentStudents 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

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1.5. Learning MethodeDiscussion (Module task) and Lectures

1.6. EquipmentSmall rooms (for discussion), Classroom, Computer, LCD and screen

1.7. TimeFor 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 DescriptionThis 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. LecturerDr. Satrio Wibowo, M.Si.Med, Sp.A

1.10. EvaluationPost test (Mid Semester and Final Test)

1.11. Suggested Refferences1. Phatak UP, Pashankar DS. Constipation. In: Bishops Pediatric Practice

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

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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 Task1. 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. DefinitionThe passage of gastric contents into the esophagus and oropharynx,

with or without vomiting

2.2. Competency AreaArea of competence : 4, (Doctor Competencies Standard, Indonesian

Medical Council)

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2.3. Competency ComponentStudents 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 MethodeDiscussion (Module task) and Lectures

2.6. EquipmentSmall rooms (for discussion), Classroom, Computer, LCD and screen

2.7. TimeFor 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 DescriptionThis topic is a part of Module no. 4 on Gastrointestinal and Hepatic

Disorders Block, integratedly designs for medical student of 7th

semester

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through Teaching Learning Process . This topic will lead and facilitate

students to understand how to diagose and manage GER

2.9. LecturerDr. Satrio Wibowo, M.Si.Med, Sp.A

2.10. EvaluationPost test (Mid Semester and Final Test)

2.11. Suggested Refferences1. 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 Task1. 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. How can you diagnose GER ?

6. How can you manage GER ?

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

3.1. DefinitionInflamation of the liver cause by viral infection

3.2. Competency AreaArea of competence : 4, (Doctor Competencies Standard, Indonesian

Medical Council)

3.3. Competency ComponentStudents 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

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3.5. Learning MethodeDiscussion (Module task) and Lectures

3.6. EquipmentSmall rooms (for discussion), Classroom, Computer, LCD and screen

3.7. TimeFor 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 DescriptionThis 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. LecturerDr. Satrio Wibowo, M.Si.Med, Sp.A

3.10. EvaluationPost test (Mid Semester and Final Test)

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3.11. Suggested Refferences1.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 Task1. 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. How to diagnose Hepatitis A, B and C in infant and children

7. How to 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

(*you may put your answer in a table)