1 Respiratory system Upper respiratory tract Lower respiratory tract – Trachea, Bronchial tree, Bronchopulmonary segments Respiratory unit, hilum of lung. Muscles of respiration Pleura, intra pleural space, intra pleural pressure, surfactant Mechanics of respiration – Chest wall movements, lung & chest wall compliance V/Q relationship, airway resistance Respiratory centre, Neural & chemical regulation of respiration Lung volumes and lung capacities, Spiro meter, lung function test Pulmonary circulation, Lung sounds, cough reflex 2 Cardiovascular system Chambers of heart, semi lunar and atria ventricular valves ,Coronary circulation, conductive system of heart Cardiac cycle, ECG, Heart sounds Blood pressure, pulse, cardiac output

1. Define, etiology, pathogenesis, clinical features, complications, Conservative and surgical management of the following conditions 1. Ischemia heart disease 2. Myocardial infarction 68 3. Heart failure 4. Cardiac arrest 5. Rheumatic fever 6. Hypertension 7. Infective endocarditis 8. Myocarditis & cardiomyopathy 2. Surgical conditions that require post surgical Physiotherapy. Open heart surgery (OHS) and closed heart surgery (CHS) Thoracotomy – Median sternotomy Heart lung machine Angioplasty CABG PTCA Valve replacement Valvotomy Conditions requiring CHS – Mitral stenosis, Aortic stenosis, PDA, COA Conditions requiring OHS-ASD, VSD, PS, TOF, TPGV, MS, MR, AS, AR Describe the principles of cardio vascular stress testing

1. Define, etiology, pathogenesis, clinical features, investigation, complications, Conservative and surgical management of the following conditions 1. COPD – chronic bronchitis and Emphysema 2. Bronchial asthma 3. Suppurative disease- Bronchiectasis, Lung abscess 4. Common infectious disease-Pulmonary TB, Pneumonia 5. Interstitial lung disease 6. Occupational lung disease 7. Pulmonary vascular disease-pulmonary HT, pulmonary thromboembolism 8. Cancer lung 9. Aspergillosis 10. Cystic fibrosis 11. Disease of pleura- Pneumothorax, hydropneumothorax, pleural effusion, Empyema

Fracture rib 69 Flail chest Pneumothorax Haemothorax Haemopneumothorax Lung contusion Injury to great vessels and bronchus

Thoracotomy Lobectomy Pneumonectomy Decortication 4. Describe about suctioning during chest physiotherapy – Indications, types, steps, and complications