Study Guide the Urinary System and Disorder Block

Study Guide The Urinary System and Disorder Block

~ CURRICULUM ~

Aims:

Comprehend the biologic function of urogenital system to pathological process of urinary system disorders.
Apply and interpret special studies in diagnosis urogenitalsystem disorders, including laboratory and imaging examination.
Diagnose and manage patient with common urogenital system disorders
Diagnose and refer special patient with urogenital system disorders
Plan patient, family, and community education about urogenital system disorders

Learning Outcome

Describe the functional structure of urigenital system and its general clinical implications.
Comprehend the pathological basis underlying the symptoms and signs of urogenital system disorders.
Recognize the potential uses of common diagnostic and therapeutic procedure in urogenital system disorders.
Manage urogenital systemdisorders:
Diagnose and manage independentlyuncomplicated urinary tract infection, including uncomplicated pyelonephritis.
Diagnose and manage independentlyphymosis and paraphymosis.
Diagnose, give initial treatment, and refer some urogenital systemdisorders such as acute and chronic glomerulonephritis, renal colic, kidney rupture, bladder rupture, urethra rupture, acute kidney injury, chronic kidney disease, acute tubular necrosis,prostatitis, and priapismus.
Diagnose and refer some urogenital system disorders such as, horse shoe kidney, kidney tumor, nephrotic syndrome, symptomatic polycystic kidney, epydidimitis, urothelial carcinoma, benign prostate hyperplasia, and prostate cancer, common penile tumor, hipospadia, and epispadia.
Manage secondary hypertension

Diagnose and refer secondary hypertension, especially renal hypertension

Implement patient education in the prevention and early detection of common urinary system disorders.

Curriculum content

Functional structure of urogenital system
Pathological basis of urogenitalsystem disorders
Symptom and sign of urogenitalsystem disorders
Physical examination, laboratory investigation and imaging studies in urogenitalsystem disorders
Interpret and utilize results of Physical examination, laboratory investigation and imaging studies
Rational drug use in urogenitalsystem disorders
Management of urogenitalsystem disorders
Clinical procedure in urogenital system disorders
Communicate and apply basic principle in the prevention, and rehabilitation of urogenitalsystem disorders

~ PLANNERS TEAM ~

NO / NAME / DEPARTMENT
1 / DR. dr. A A Gde Oka, Sp.U (Coordinator) / Urology
2 / dr. I Wayan Juli Sumadi, Sp.PA (Secretary) / Pathology
3 / Prof. dr. K. Tirtayasa, MS, AIF / Physiology
4 / dr. I A Ika Wahyuniari, M.Kes / Histology
5 / Prof. DR. dr. Mangku Karmaya,M.Repro / Anatomy
6 / Prof. DR. dr. K. Suwitra, SpPD (KGH) / Internal Medicine
7 / dr. Made Adi Tarini, Sp.MK / Microbiology
8 / DR. dr. Wiradewi Lestari, Sp.PK / Clinical Pathology
9 / dr. IGAP Nilawati, Sp.A(K) / Pediatric
10 / dr. I Gst Ayu Artini, M.Sc / Pharmacology
11 / dr. Gede Wirya Kusuma Duarsa, Sp.U / Urology
12 / dr. Sri Laksminingsih, Sp.Rad / Radiology

~ LECTURERS ~

NO / NAME / DEPARTMENT
1 / Prof. DR. dr. K. Suwitra, SpPD (KGH) / Internal Medicine
2 / Prof. dr. K. Tirtayasa, MS, AIF / Physiology
3 / dr. I A Putri Wirawati, Sp.PK / Clinical Pathology
4 / dr. G A P Nilawati, Sp.A / Pediatric
5 / Prof. DR. dr. N. Mangku Karmaya, M.Repro / Anatomy
6 / dr. A A Gde Oka, Sp.U / Urology
7 / dr. Jodhi Sidarta L, SpPD (KGH) / Internal Medicine
8 / dr. Ni Wayan Winarti, Sp.PA / Pathology Anatomy
9 / dr. G. Wirya K Duarsa, SpU, M.Kes / Urology
10 / dr. I Wayan Sugiritama, M.Kes / Histology
11 / dr. I Gst Ayu Artini, M.Sc / Pharmacology
12 / dr. A A Wiradewi Lestari, Sp.PK / Clinical Pathology
13 / dr. Sri Laksminingsih, Sp.Rad / Radiology
14 / dr. Made Adi Tarini, Sp.MK / Microbiology

~ FACILITATORS ~

Regular Class (Class A)

No / Name / Group / Departement / Phone / Venue
(2rd floor)
1 / dr. Ida Bagus Wirakusuma, MOH / A1 / Public Health / 08124696647 / 2nd floor: R.2.09
2 / dr. Kadek Agus Heryana, Sp.An / A2 / Anasthesi / 081338568883 / 2nd floor: R.2.11
3 / dr. Ketut Agus Somia, Sp.PD-KPTI / A3 / Interna / 08123989353 / 2nd floor: R.2.12
4 / dr. Ketut Rai Purnami, Sp.PD / A4 / Interna / 0818350703 / 2nd floor: R.2.13
5 / dr. Komang Andi Dwi Saputra , Sp.THT-KL / A5 / ENT / 081338701828/081338701878 / 2nd floor: R.2.14
6 / dr. I Kadek Swastika , M Kes / A6 / Parasitology / 08124649002 / 2nd floor: R.2.15
7 / dr. Kumara Tini, Sp.S / A7 / Neurology / 081238701081 / 2nd floor: R.2.16
8 / dr. Made Agus Hendrayana , M.Ked / A8 / Microbiology / 081339158241 / 2nd floor: R.2.20
9 / dr. Luh Putu Ratna Sundari, M.Biomed / A9 / Fisiology / 0361-7860532 / 2nd floor: R.2.21
10 / dr. I Gusti Ayu Artini , M.Sc / A10 / Pharmacology / 08123650481 / 2nd floor: R.2.22

English Class (Class B)

No / Name / Group / Departement / Phone / Venue
(2rd floor)
1 / dr. I Dewa Ayu Inten Dwi Primayanti, M.Biomed / B1 / Fisiology / 081337761299 / 2nd floor: R.2.09
2 / dr. Made Ratna Saraswati, Sp.PD-KEMD-FINASIM / B2 / Interna / 08123814688 / 2nd floor: R.2.11
3 / dr. Made Sudarmaja, M.Kes / B3 / Parasitology / 08123953945 / 2nd floor: R.2.12
4 / dr. Made Widhi Asih, Sp.Rad / B4 / Radiology / 081916442626 / 2nd floor: R.2.13
5 / dr. I G A Sri Darmayani, Sp.OG / B5 / DME / 081338644411 / 2nd floor: R.2.14
6 / dr. Putu Ayu Asri Damayanti , M Kes / B6 / Parasitology / 085338565783 / 2nd floor: R.2.15
7 / dr. Ni Kadek Mulyantari ,
Sp PK / B7 / Clinical Pathology / 08123647413 / 2nd floor: R.2.16
8 / dr. I Wayan Niryana, Sp.BS, M. Kes. / B8 / Surgery / 08179201958 / 2nd floor: R.2.20
9 / dr. Ni Luh Putu Ratih Vibriyanti Karna, Sp.KK / B9 / Dermatology / 081337808844 / 2nd floor: R.2.21
10 / dr. Ni Made Adi Tarini, Sp.MK / B10 / Microbiology / 081338675344 / 2nd floor: R.2.22

~ TIME TABLE ~

REGULAR CLASS

DAY/DATE / TIME / ACTIVITY / VENUE / PIC
I
08-05-2015 / 08.00-09.00 / Macroscopic Anatomy of The Urinary System / 3.02 / Mangku Karmaya
08.00-10.00 / Individual Learning / - / -
10.00-11.00 / Practical Session (Anatomy): Group A1-A5 / Anatomy Lab / Mangku Karmaya
11.00-12.30 / SGD 1 / Discussion room / Facilitators
12.30-13.00 / Break / - / -
13.00-14.00 / Practical Session (Anatomy): Group A6-A10 / Anatomy Lab / Mangku Karmaya
14.00-15.00 / Plenary / 3.02 / Mangku Karmaya
II
11-05-2015 / 08.00-09.00 / Microscopic Anatomy of The Urinary System / 3.02 / Sugiritama
09.00-10.00 / Individual Learning / - / -
10.00-11.00 / Practical Session (Histology): Group A1-A5 / Histology Lab / Sugiritama
11.00-12.30 / SGD 2 / Discussion room / Facilitators
12.30-13.00 / Break / - / -
13.00-14.00 / Practical Session (Anatomy): Group A6-A10 / Histology Lab / Sugiritama
14.00-15.00 / Plenary / 3.02 / Sugiritama
III
12-05-2015 / 08.00-09.00 / The function of the urinary system:

Urine formation
Urine micturition

/ 3.02 / Tirtayasa
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 3 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Tirtayasa
IV
13-05-2015 / 08.00-09.00 / The kidney as water, electrolyte and acid-base balance controller / 3.02 / Tirtayasa
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 4 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Tirtayasa
V
18-05-2015 / 08.00-09.00 / Pathogenesis of Glomerular and Tubulointerstitial Injury / 3.02 / Winarti
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 5 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Winarti
VI
19-05-2015 / 08.00-09.00 / Urinary System Disorders in Children:
-Nephrotic syndrome
-PSAGN
-UTI in Children / 3.02 / Nilawati
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 6 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Nilawati
VII
20-05-2015 / 08.00-09.00 / Uncomplicated and complicated Urinary tract infection / 3.02 / Suwitra and Team
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 7 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Suwitra and Team
VIII
21-05-2015 / 08.00-09.00 / Urolithiasis (with and without colic); Urethral Stricture / 3.02 / AA Gde Oka
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 8 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / AA Gde Oka
IX
23-05-2015 / 08.00-09.00 / Common Neoplasm in Urinary System: Renal tumors, bladder tumors. / 3.02 / AA Gde Oka
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 9 / Discussion Room / Facilitators
12.00-13.00 / Student Project / - / -
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / AA Gde Oka
X
25-05-2015 / 08.00-09.00 / Urinary tract trauma (rupture of the kidney and urinary tract) / 3.02 / AA Gde Oka
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 10 / Discussion Room / Facilitators
12.00-13.00 / Student Project Presentation 1 (Horse Shoe Kidney) / 3.02 / AA Gde Oka
13.00-15.00 / Break / - / -
14.00-15.00 / Plenary / 3.02 / AA Gde Oka
XI
26-05-2015 / 08.00-09.00 / Acute Kidney Injury / 3.02 / Suwitra and Team
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 11 / Discussion Room / Facilitators
12.00-13.00 / Student Project Presentation 2 (Symptomatic Polycystic Kidney) / 3.02 / Suwitra and Team
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Suwitra and Team
XII
27-05-2015 / 08.00-09.00 / Chronic Kidney Disease / 3.02 / Suwitra and Team
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 12 / Discussion Room / Facilitators
12.00-13.00 / Student Project Presentation 3 (Hemodialysis) / 3.02 / Suwitra and Team
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Suwitra and Team
XIII
28-05-2015 / 08.00-09.00 / Renal hypertension / 3.02 / Jodi SL
09.00-10.30 / Individual Learning / - / -
10.30-11.30 / Drug Use in Renal Disorders: Diuretics; Urinary Antiseptic / 3.02 / Artini
11.30-13.00 / SGD 13 / Discussion Room / Facilitators
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Jodi SL, Artini
XIV
29-05-2015 / 08.00-09.00 / Common Prostate Disorders:
Prostatitis, BPH, Prostate Cancer / 3.02 / G. Wirya K. Duarsa
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 14 / Discussion Room / Facilitators
12.00-13.00 / Student Project Presentation 4 (Urodinamic examination and Uroflowmetry) / 3.02 / AA Gde Oka
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / Artini
XV
01-06-2015 / 08.00-09.00 / Common penile disorders: Epispadia, hypospadia, phimosis, paraphimosis, epididimitis, prostatitis, priapismus and Common tumor of the penis / G. Wirya K. Duarsa
09.00-10.30 / Individual Learning / - / -
10.30-12.00 / SGD 14 / Discussion Room / Facilitators
12.00-13.00 / Student Project Presentation 5 (Micturating Cystigraphy) / 3.02 / G. Wirya K. Duarsa
13.00-14.00 / Break / - / -
14.00-15.00 / Plenary session / 3.02 / G. Wirya K. Duarsa
XVI
03-06-2015 / 08.00-09.00 / Anamnesis and Physical Examination in Urinary System Disorders (Lecture & Demonstration) / 3.02 / Suwitra and Team
09.00-10.00 / Individual Learning / - / -
10.00-11.00 / Urethral catheterization, Clear intermittent catheterization, suprapubic punctie (Lecture & Demonstration) / 3.02 / AA Gde Oka
11.00-12.00 / Break / -
12.00-14.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
14.00-15.00 / Free Training / Skills Lab 2nd Floor / -
XVII
04-06-2015 / 08.00-09.00 / Urinalysis / 3.02 / Wirawati/Wiradewi
09.00-10.00 / Individual Learning / - / -
10.00-11.00 / Urethral Swab, Urine Culture and Sensitivity Test / 3.02 / Adi Tarini
11.00-12.00 / Break / -
12.00-14.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
14.00-15.00 / Free Training / Skills Lab 2nd Floor / -
XVIII
05-06-2015 / 08.00-09.00 / Circumcision, Prostate Palpation, Bulbocavernosus reflex (Lecture and Demonstration) / 3.02 / G. Wirya K. Duarsa
09.00-10.00 / Individual Learning / - / -
10.00-11.00 / Student Project Presentation 6 (Urine Cytology) / 3.02 / Juli Sumadi
11.00-12.00 / Break / -
12.00-14.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
14.00-15.00 / Free Training / Skills Lab 2nd Floor / -
XIX
08-06-2015 / 08.00-09.00 / BNO and IVP / 3.02 / Laksminingsih
09.00-10.00 / Individual Learning / - / -
10.00-11.00 / Student Project Presentation 7 (Pathological aspect of BPH and Prostate Cancer) / 3.02 / Winarti
11.00-12.00 / Break / - / -
12.00-14.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
14.00-15.00 / Free Training / Skills Lab 2nd Floor / -
XX
09-06-2015 / 08.00-09.00 / Student Project Presentation 8 (The role of USG in diagnosis Urinary system disorders) / 3.02 / Laksminingsih
09.00-10.00 / Student Project Presentation 9 (The role of CT Scan in diagnosis Urinary system disorders) / 3.02 / Laksminingsih
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Break / - / -
12.00-13.00 / Student Project Presentation 10 (Renal Funtion Test (BUN, SC)) / 3.02 / Wirawati/Wiradewi
13.00-15.00 / Free Training / Skills Lab 2nd Floor / -
XXI
11-06-2015 / Preparation Day
XXII
12-06-2015 / 10.00-11.40 / Final Examination / Computer Room / Team

ENGLISH CLASS

DAY/DATE / TIME / ACTIVITY / VENUE / PIC
I
08-05-2015 / 09.00-10.00 / Macroscopic Anatomy of The Urinary System / 3.02 / Mangku Karmaya
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Practical Session (Anatomy): Group B1-B5 / Anatomy Lab / Mangku Karmaya
12.00-13.00 / Practical Session (Anatomy): Group B6-B10 / Anatomy Lab / Mangku Karmaya
13.00-14.30 / SGD 1 / Discussion room / Facilitators
14.30-15.00 / Break / - / -
15.00-16.00 / Plenary / 3.02 / Mangku Karmaya
II
11-05-2015 / 09.00-10.00 / Microscopic Anatomy of The Urinary System / 3.02 / Sugiritama
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Practical Session (Histology): Group B1-B5 / Histology Lab / Sugiritama
12.00-13.00 / Practical Session (Histology): Group B6-B10 / Histology Lab / Sugiritama
13.00-14.30 / SGD 2 / Discussion room / Facilitators
14.30-15.00 / Break / - / -
15.00-16.00 / Plenary / 3.02 / Sugiritama
III
12-05-2015 / 09.00-10.00 / The function of the urinary system:
Urine formation
Urine micturition / 3.02 / Tirtayasa
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 3 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / Tirtayasa
IV
13-05-2015 / 09.00-10.00 / The kidney as water, electrolyte and acid-base balance controller / 3.02 / Tirtayasa
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 4 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / Tirtayasa
V
18-05-2015 / 09.00-10.00 / Pathogenesis of Glomerular and Tubulointerstitial Injury / 3.02 / Winarti
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 5 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / Winarti
VI
19-05-2015 / 09.00-10.00 / Urinary System Disorders in Children:
-Nephrotic syndrome
-PSAGN
-UTI in children / 3.02 / Nilawati
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 6 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / Suarta/Nilawati
VII
20-05-2015 / 09.00-10.00 / Uncomplicated and complicated Urinary tract infection / 3.02 / Suwitra and team
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 7 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / Suwitra/AA Gde Oka
VIII
21-05-2015 / 09.00-10.00 / Urolithiasis (with and without colic), urethral stricture / 3.02 / AA Gde Oka
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 8 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / AA Gde Oka
IX
23-05-2015 / 09.00-10.00 / Common Tumors in Urinary System: Renal cancer, bladder cancer / 3.02 / AA Gde Oka
10.00-11.30 / Individual Learning / - / -
11.30-12.30 / Break / - / -
12.30-14.00 / SGD 9 / Discussion Room / Facilitators
14.00-15.00 / Student Project / - / -
15.00-16.00 / Plenary session / 3.02 / AA Gde Oka
X
25-05-2015 / 09.00-10.00 / Urinary tract trauma (rupture of the kidney and urinary tract) / 3.02 / AA Gde Oka
10.00-11.00 / Student Project Presentation 1 (Horse Shoe Kidney) / 3.02 / AA Gde Oka
11.00-12.30 / Individual Learning / - / -
12.30-14.00 / SGD 10 / Discussion Room / Facilitators
14.00-15.00 / Break / - / -
15.00-16.00 / Plenary session / 3.02 / AA Gde Oka
XI
26-05-2015 / 09.00-10.00 / Acute Kidney Injury / 3.02 / Suwitra and team
10.00-11.00 / Student Project Presentation 2 (Symptomatic Polycystic Kidney) / 3.02 / Suwitra and Team
11.00-12.30 / Individual Learning / - / -
12.30-14.00 / SGD 11 / Discussion Room / Facilitators
14.00-15.00 / Break / - / -
15.00-16.00 / Plenary session / 3.02 / Suwitra and team
XII
27-05-2015 / 09.00-10.00 / Chronic Kidney Disease / 3.02 / Suwitra and team
10.00-11.00 / Student Project Presentation 3 (Hemoadialysis) / 3.02 / Suwitra and Team
11.00-12.30 / Individual Learning / - / -
12.30-14.00 / SGD 12 / Discussion Room / Facilitators
14.00-15.00 / Break / - / -
15.00-16.00 / Plenary session / 3.02 / Suwitra and team
XIII
28-05-2015 / 09.00-10.00 / Renal Hypertension / 3.02 / Jodi SL
10.00-11.00 / Individual Learning / - / -
11.00-12.30 / Drug Use in Urinary System Disorders: Diuretics; Urinary Antiseptic / - / Artini
12.30-14.00 / SGD 13 / Discussion Room / Facilitators
14.00-15.00 / Break / - / -
15.00-16.00 / Plenary session / 3.02 / Jodi SL, Artini
XIV
29-05-2015 / 09.00-10.00 / Common prostate disorders: Prostatitis, BPH, Prostate Cancer / 3.02 / G. Wirya K. Duarsa
10.00-11.00 / Student Project Presentation 4 (Urodinamic examination and Uroflowmetry) / 3.02 / AA Gde Oka
11.00-12.30 / Individual Learning / - / -
12.30-14.00 / SGD 14 / Discussion Room / Facilitators
14.00-15.00 / Break / - / -
15.00-16.00 / Plenary session / 3.02 / G. Wirya K. Duarsa
XV
01-06-2015 / 09.00-10.00 / Common penile disorders: Epispadia, hypospadia, phimosis, paraphimosis, epididimitis, prostatitis, priapismus and Common tumor of the penis / G. Wirya K. Duarsa
10.00-11.00 / Student Project Presentation 5 (Micturating Cystigraphy) / 3.02 / G. Wirya K. Duarsa
11.00-12.30 / Individual Learning / - / -
12.30-14.00 / SGD 14 / Discussion Room / Facilitators
14.00-15.00 / Break / - / -
15.00-16.00 / Plenary session / 3.02 / G. Wirya K. Duarsa
XVI
03-06-2015 / 09.00-10.00 / Anamnesis and Physical Examination in Urinary System Disorders (Lecture & Demonstration) / 3.02 / Suwitra and Team
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Urethral catheterization, Clear intermittent catheterization, suprapubic punctie (Lecture & Demonstration) / 3.02 / AA Gde Oka
12.00-13.00 / Break / -
13.00-15.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
15.00-16.00 / Free Training / Skills Lab 2nd Floor / -
XVII
04-06-2015 / 09.00-10.00 / Urinalysis / 3.02 / Wirawati/Wiradewi
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Urethral Swab, Urine Culture and Sensitivity Test / 3.02 / Adi Tarini
12.00-13.00 / Break / -
13.00-15.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
15.00-16.00 / Free Training / Skills Lab 2nd Floor / -
XVIII
05-06-2015 / 09.00-10.00 / Circumcision, Prostate Palpation, Bulbocavernosus reflex (Lecture and Demonstration) / 3.02 / G. Wirya K. Duarsa
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Student Project Presentation 6 (Urine Cytology) / 3.02 / Juli Sumadi
12.00-13.00 / Break / -
13.00-15.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
15.00-16.00 / Free Training / Skills Lab 2nd Floor / -
XIX
08-06-2015 / 09.00-10.00 / BNO and IVP / 3.02 / Laksminingsih
10.00-11.00 / Individual Learning / - / -
11.00-12.00 / Student Project Presentation 7 (Pathological aspect of BPH and Prostate Cancer) / 3.02 / Winarti
12.00-13.00 / Break / - / -
13.00-15.00 / Skills Training / Skills Lab 2nd Floor / Facilitators
15.00-16.00 / Free Training / Skills Lab 2nd Floor / -
XX
09-06-2015 / 09.00-10.00 / Individual Learning / - / -
10.00-11.00 / Student Project Presentation 8 (The role of USG in diagnosis Urinary system disorders) / 3.02 / Laksminingsih
11.00-12.00 / Student Project Presentation 9 (The role of CT Scan in diagnosis Urinary system disorders) / 3.02 / Laksminingsih
12.00-13.00 / Break / - / -
13.00-14.00 / Student Project Presentation 10 (Renal Funtion Test (BUN, SC)) / 3.02 / Wirawati/Wiradewi
14.00-16.00 / Free Training / Skills Lab 2nd Floor / -
XXII
11-06-2015 / PREPARATION DAY
XXI
12-06-2015 / FINAL EXAMINATION

~ STUDENT PROJECT ~

No / Group / Topic / PIC
1 / A1, B1 / Horse Shoe Kidney / AA Gde Oka
2 / A2, B2 / Symptomatic Polycystic Kidney / Suwitra and Team
3 / A3, B3 / Hemodialysis / Suwitra and Team
4 / A4, B4 / Urodinamic examination and Uroflowmetry / AA GdeOka
5 / A5, B5 / Micturating cystigraphy / AA GdeOka
6 / A6, B6 / Urine Cytology / Juli Sumadi
7 / A7, B7 / Pathological aspect of BPH and Prostatic Carcinoma / Winarti
8 / A8, B8 / The role of USG in diagnosis Urinary system disorders / Sri Laksminingsih
9 / A9, B9 / The role of CT Scan in diagnosis Urinary system disorders / Sri Laksminingsih
10 / A10, B10 / Renal Function Test (BUN, SC) / Wirawati/Wiradewi

~ ASSESSMENT METHOD ~

Assessment will be carried out on June12, 2014. There will be 100 questions consisting mostly of Multiple Choice Questions (MCQ) and some other types of questions. The minimal passing score for the assessment is 70. Other than the examination score, your performance and attitude during group discussions and your study project will be considered in the calculation of your average final score.

~ LEARNING PROGRAMS ~

ABSTRACTS

The urinary system (urinary tract) consists of two kidneys, two ureters, a urinary bladder, and the urethra. The kidney is subdivided into cortex and medulla. The kidney is made up by subunits called uriniferous tubule. The uriniferous tubule consists of the nephron and the collecting tubule that is functional unit of the kidney. It modifies the fluid passing through it to form urine. Beside its’ excretion function, kidney also involve in controlling blood pressure. This function is provided by juxtaglomerular apparatus, which consists of juxtaglomerular cell, extraglomerular mesangial cell and macula densa cell. This complex secretes hormones and contains receptors that can modify vasoconstriction and vasodilatation of blood vessels.

Urine enters the renal pelvis, a structure that connects the kidney with ureter. The ureters that consist of mucosa, muscular coat, and fibrous outer coat deliver urine from the kidneys to urinary bladder. The urinary bladder is an essentially organ for storing urine until it is ready to be voided. It’s wall consists of mucosa, lined by transitional epithelium that is thin in full bladder, but thicker when contracted. Urine will be excreted from urinary bladder through the urethra. The urethra of male and female have different structure. In male the urethra is divided into three parts, urethra pars prostatica, urethra pars membranasea and urethra pars cavernosa. In female, the urethra is shorter and covered by transitional epithelium and stratified squamous epithelium.

SGD 1

Macroscopic Anatomy of Urinary System

Trigger Case

A 30 years old man came to the doctor with flank pain since 2 days. One week before he fell while he was riding a bike and he didn’t feel any flank pain. His friends suggested that he have to see the doctor, they afraid there is something wrong in his kidney. His friends also suggest drinking much water. After drinking much water, the frequency of urination is increasing and he has very clear urine. He never feels any pain when urinate. On physical examination, the doctor didn’t find any disturbance either on his kidney or urinary tract. The patient asks the doctor to explain about: where is the kidney taking place, why the frequency of urination and urine volume increasing if we drink much water? If you as a doctor, please explain to the patient.

Learning Task:

Explain the location of urinary system in the abdominal region and its vasculature and innervations!
Draw the anatomical structure of urinary tract!
Draw the vasculature and innervations of urinary tract!

SGD 2

Microscopic Anatomy of Urinary System

Trigger Case 1

A male patient came to the doctor with complaint of generalized swelling, especially around his eyes, feet, and hands. From examination there were albuminuria and hipoalbunemia. After complete examination, the doctor diagnosed the patient with nephrotic syndrome which damage glomeruli.

Learning Task

Differentiate the microscopic structure of cortex and medulla of the kidney!
Explain the structure of the functional unit of the kidney! Explain about the structures that participate in filtrating process!
Explain the microscopic structure of the juxtaglomerular apparatus and its function!
Why in the case above, albumin is present in the urine?

Trigger case 2

A 60 years old man complained with abdominal colic and uncontinuous flow of urination. From abdominal ultrasonography (USG), the doctor found stone in urinary bladder. After urinalysis, there are bloods in urine (hematuria).

Learning task

Explain the microscopic structure of ureter! Which structure is mainly involved in passing down urine from kidney to urinary bladder? Why urine could not regurgitate from the bladder back into ureters?
Explain the microscopic structure of urinary bladder! Why urine does not pass into the underlying lamina propria?