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Evidence – Based Clinical Examination – Study Group on Renal Failure (Menoufia University)
Egypt (IFMSA-Egypt) - Menoufia University, Menoufia
Internal Medicine, Faculty of Medicine, Menofia University
Prof Dr Mohamed Rabaei
Prof Dr Mohamed Rabaei
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
Iniciation on clinical examination is the phase in the medical education in which the signs and symptoms of disease were studied. As a introduction to clinical medicine, focuses on the study of the technique to approach, interview, examine and interpret the signs and symptoms presented by renal failure patient. Clinical examination correctly performed, besides being more affordable, has higher sensitivity and specificity for most diagnostic exams that sophisticated. Moreover, it is noted that in addition to clinical examination techniques to very low probability of correct, there are other methods and clinical signs proven more efficient than many of the tests requested additional unnecessarily. The signals observed by physical examination should be evaluated with the same methodological rigor with which they are tested in laboratory techniques, assessing its validity and reliability. This project focuses on Evidence-Based Clinical Examination and apply it on renal failure, a disease that according to the latest WHO data published in May 2014, Kidney Disease Deaths in Egypt reached 15,820 or 3.41% of total deaths. The age adjusted Death Rate is 26.63 per 100,000 of population ranks Egypt #12 in the world.
What is the aim of the project?
The objective of this project is to study the prevalence and clinical validity of respiratory, cardiac, gastrointestinal, renal, urological, rheumatological and dermatological signs and symptoms more prevalent in patients getting hemodialysis treated in the renal failure unit, through closely monitoring a certain sample of renal failure patients getting hemodialysis in the Menofia University Teaching Hospital Hemodialysis Unit.
What techniques and methods are used?
Different diagnostic radiological and laboratory techniques will be used such as measuring Renal Enzymes urea, creatinine, CT scan (Computerized Tomography Scan), ultrasound, MRI (magnetic resonance imaging) and other blood tests.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
- The student will mainly observe
- If the project includes “lab work”
- the student will take active part in the practical aspect of the project
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
What are the tasks expected to be accomplished by the student?
The student will get to closely monitor a certain sample of renal failure patients getting hemodialysis in the Menofia University Teaching Hospital Hemodialysis Unit. Under the supervision of the tutor, the student will get to assess the main renal disorders of the sample and their response to treatment and different management approaches, and get the outcomes noted in the research logbook. Attend the presentation of the patient, and get to know the basics of proper history taking, and apply them under the supervision of his tutor. Get to learn and perform different investigative approaches through various hands-on examination techniques and ultrasonography. Get to learn and perform laboratorial diagnostic methods through attending a number of daily lab hours (blood tests , urine tests , imaging, kidney biopsy) If present, the student will get to observe and even assist in the procedures of the operative management and postoperative follow up through hours in surgical theaters and post-op. units.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
There will be a training at the beginning of exchange in the form of lectures and seminars in Microbiology, parasitology and tropical medicine. Then the student will participate in field work through attending presentation of patients, participating in clinical examination, diagnosis and management of patients.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report - The student will prepare a poster - The student will prepare a presentation - The student will prepare an abstract
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
The Student should have studied internal medicine English Computer skills: Microsoft office (word)
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Pre-Medical students from the American-British system
- Mehta; R.L.; Pascual; M.T.; Soroko; S.; Chertow; G.M. and PICARD Study Group; 2002. Diuretics; mortality; and nonrecovery of renal function in acute renal failure. Jama; 288(20); pp.2547-2553.
- Mehta RL; Pascual MT; Soroko S; Chertow GM; PICARD Study Group. Diuretics; mortality; and nonrecovery of renal function in acute renal failure. Jama. 2002 Nov 27;288(20):2547-53.
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