Trachea and Bronchial tree 2 Bronchopulmonary segments 3 Respiratory unit 4 Muscles of respiration 5 Lung & Chest wall compliance 6 v/q ratio 7 Anatomical dead space and Physiological dead space 8 Pulmonary defence mechanism 9 Mechanics of breathing 10 Surface anatomy of lungs and heart 11 Lung volumes and Lung capacities 12 Coronary and pulmonary circulation 13 Conductive system of heart 14 Cardiac cycle

1. Evaluation and functional physiotherapy assessment with appropriate reasoning for implementation of chosen treatment technique. 2. Subjective assessment – chief complaints, history 3. Functional assessment – ADL assessment 4. Objective assessment – physiotherapy assessment of cardiothoracic conditions. 5. Respiratory Conditions 1. Obstructive lung disease – Chronic bronchitis and Emphysema 2. Bronchiectasis 3. Bronchial asthma 4. Lung abscess 5. Chest Infections - Pneumonia 6. Restrictive lung disease – OLD, Chest wall deformities, 7. Pulmonary Surgery – Pneumonectomy, Lobectomy, Segmenectomy Pre-operative and post-operative PT management 6. Cardiac conditions a. Coronary artery diseases – IHD, MI, Heart failure b. Hypertension c. Cardiac surgery – CABG, PTCA Pre-operative and Post-operative PT management

1. Define, indications, contraindication, physiological effect, types, steps, precaution, complication of the following chest physical therapy technique Breathing exercise –DBE, Costal, Segmental, Apical Breathing control Breathing re-education during functional activities Relaxation position for breathlessness patient Forced expiratory technique Thoracic expansion exercise Chest mobility exercise Active cycle of breathing Positive expiratory pressure Manual hyperinflation Incentive Spirometry Postural drainage – Modified PD, Home PD Cough – Stages of cough, types of cough, steps in teaching voluntary cough Factors affecting cough mechanism Huff – Low, Mid, High lung volume huff Vibrations, Percussion, Shaking Ventilator – Modes, types, principles, weaning Humidification – Physiology, Bubble jet, Pass over, Ultrasonic nebulizer humidifier Nebulization – Physiology, MDI, Ultrasonic, Suctioning – Oropharyngeal, Nasopharyngeal, intubated, steps, complications

Pulmonary Rehabilitation Define, indication, outcomes, steps in pulmonary rehabilitation, contraindication Education Cardiac Rehabilitation Define, Indication, Phases of cardiac rehabilitation, contraindication, benefits, Education

Physiotherapy in general surgery Pre-operative and Post-operative management for patient with abdominal surgery Conditions – appendicectomy, mastectomy, gastrectomy, hysterectomy, hernioraphy, cholecystectomy, colostomy Physiotherapy in Intensive Care Unit Define, Indications, Types of ICU, Equipment used in adult and pediatric ICU, Assessment, Principles of physiotherapy for a patient in ICU including chest Physiotherapy and adjacent for adult and pediatric patient. Physiotherapy for ventilator dependent patient Definition of ventilator, Types of ventilator, Principles of Ventilator, Indication Of ventilator, PT assessment of ventilator dependent patient, PT management Physiotherapy for peripheral vascular diseases Definition, Physiology, Conditions of PVD, evaluation-arterial, venous, lymphatic, Doppler, Treatment-Buergers exercise, cold laser, electrical stimulation, Intermittent compression.