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, Ministère de l'enseignement supérieur, de la recherche et de l'innovation. mars 2020, ANNEXE I : Supports de e-learning sur les manifestations dermatologiques des pathologies digestives
, Réponses : a, b, c Réponses : a, d Réponses : a, b, c, d, e Réponses : b, e Réponses : a, b, c, d, e 2.2.Test sur les infections bactériennes du tube digestif Réponses : a, e Réponses : a, b, c, d, e Réponses : e 2.3.Test sur le syndrome de malabsorption Réponses : a, b, c, d, e Réponses : a, b, c, d, e Réponses : a, d, e Réponses : a, b, d, e 2.4.Test sur les manifestations cutanées des tumeurs malignes digestives Réponses : a, b
, Cas cliniques
Réponse : Par ordre décroissant chez l'homme : thyroïde, rein, colon Par ordre décroissant chez la femme : sein, thyroïde, endomètre ,
il est habituel que les manifestations cutanées aient un temps de réponse plus long, il faut maintenir l'anti-TNF. On peut ajouter des dermocorticoïdes en attendant l'efficacité du traitement. Réponse : Switch de l'immunothérapie, dans l'hypothèse d'une réaction paradoxale ,
Pyoderma gangrenosum arising during treatment of psoriasis with adalimumab: Effectiveness of ustekinumab, Australas J Dermatol, vol.58, pp.270-271, 2017. ,
, Réponse : Il s'agit d'un zona généralisé
, Il faut hospitaliser le patient en urgence, arrêter la biothérapie et instaurer un traitement par aciclovir IV 10mg/kg toutes les 8 heures pour une durée de 10 jours
, Isolement respiratoire et contact. -réaliser un TDM-thoracique low-dose pour recherche une atteinte pulmonaire -réaliser un bilan biologique avec : NFS, bilan hépatique et rénale -en cas de signe de surinfection : antibiothérapie associée locale et systémique, p.141
Questionnaire de satisfaction RESUME Introduction : Les formations en ligne sont de plus en plus développées ,
élaborer un e-learning sur les manifestations dermatologiques des pathologies digestives destiné aux internes inscrits en D.E.S. de Dermatologie-Vénéréologie à l ,
,
, Les cours étaient sous forme de diapositives, il y avait également des QCM et trois cas cliniques pour que les internes puissent s'évaluer. Ils devaient ensuite répondre à un questionnaire de satisfaction. Résultats : 16 internes, soit 100% de l'effectif
, La durée pour la réaliser était d'au moins 3 heures pour 63% des internes
, L'ensemble des internes trouvait la formation utile, pensait reconsulter ce cours durant son cursus et trouvait avoir progressé sur les manifestations dermatologiques des pathologies digestives
, Une majorité (56%) d'internes aurait préféré un cours magistral
, Nous avons fait une correction en visioconférence car la situation sanitaire ne nous permettait pas de nous réunir. Conclusion : Le e-learning est un mode d'enseignement bien développé et qui a montré son efficacité, 81% des internes ont trouvé les cas cliniques difficilement abordables et trouvé utile d'en faire une correction en présentiel
, Il semblerait qu'une association entre cours en présentiel et cours en ligne c'est-à-dire de type blended learning soit la meilleure combinaison pour pallier le sentiment de solitude
, Mots clés : e-learning, dermatologie, gastroentérologie, maladies inflammatoires chroniques de l'intestin