Předmět Klinická propedeutika (DA0105454)

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Materiál	Typ	Datum	Počet stažení

Sylabus

Syllabus of lectures of Introduction to Clinical Medicine - Internal part Summary of the main symptoms of internal diseases. An introductory lecture to the course of propedeutics of internal diseases. Importance of history taking for making correct diagnosis. Segments of patient´s history. Main symptoms and signs of internal diseases. Pain. Dyspnoe. Cough. Palpitations. Nausea and vomiting. Constipation. Diarrhoe. Recquired knowledge: anatomy, physiology Overall condition of the patient, the state of consciousness. Mental state of the patient, consciousness, growth, nutrition, standing and walking and their disturbances, voice and speech and their disturbances, body temperature - measurement and different types of temperature curves. Recquired knowledge: anatomy, physiology Findings on the skin. Physical examination of the head and the neck (part I). Examination of the skin - colour, tonus, moisture, temperature, affections. Hair and nails. Shapes of head, hair cover, face, eyes, nose, mouth and throat. Physical examination, normal findings. Recquired knowledge: anatomy, physiology of skin, head and neck Physical examination of the head and the neck (part II). Physical examination of the eyes and the throat. Examination of eyes, eyelids, nose, mouth, throat. Inspection, percussion, palpation, auscultation. Mobility of the neck, vessels, lymfatic nodes, thyreoid gland. Pathological findings. Recquired knowledge: anatomy, physiology of head and neck Symptomatology of the cardiovascular diseases. Physical examination of the heart (physiological findings). History, important complaints. Changes in chest shape, inspection, percussion. Finding the heart borders. Palpation, auscultation - physiological findings. Recquired knowledge: anatomy, physiology of circulation Physical examination of the heart (physiological findings - part II), pathological findings. Auscultation of the heart, basic heart sounds, extra sounds, murmurs. Physiological and pathological findings. Blood pressure measurement. Recquired knowledge: anatomy, physiology of circulation Acquired and congenital heart diseases in the adults. Heart valve disease - mitral stenosis, mitral regurgitation, aortic stenosis, aortic regurgitation - clinical presentation, physical examination. Congenital heart defects - septal defects, Fallot´s tetralogy, Ebstein´s anomalia, ductus arteriosus persistens, coarctation of the aorta. Clinical presentation, physical examination. Recquired knowledge: anatomy, physiology of circulation Symptomatology of the pulmonary diseases. Physical examination of the lungs (physiological findings). Physical examination of the lungs - observation (changes in chest shape), palpation, percussion, auscultation. Recquired knowledge: anatomy, physiology of ventilation Physical examination of the lungs (physiological findings - part II), pathological findings. Pathological findings during physical examination. Effusions, inflammation, oedema. Recquired knowledge: anatomy, physiology of ventilation Symptomatology of the gastrointestinal diseases. Physical examination of the abdomen (physiological findings) Inspection, percussion, auscultation, palpation and per rectum examination. Superficial and deep palpation. Importance of excellent knowledge of normal findings to be able to recognize pathology. Importance of history. Recquired knowledge: anatomy, physiology of gastrointestinal tract Physical examination of the abdomen (physiological findings - part II), pathological findings. Inspection, percussion, auscultation, palpation and per rectum examination. Superficial and deep palpation. Importance of excellent knowledge of normal findings to be able to recognize pathology. Importance of history. Recquired knowledge: anatomy, physiology of gastrointestinal tract Physical examination of the abdomen (pathological findings). Physical examination, pathological findings. Important complaints: pain, dyspepsia, dysphagia, pyrosis, bowel movement disorders. Recquired knowledge: anatomy, physiology of gastrointestinal tract Symptomatology and affections of the limbs. Physical examination of the limbs. Common complaints. Oedemas, claudications, rest pain, trophical changes. Inspection, palpation, auscultation. Examination of joints and mobility. Upper and lower extremities. Recquired knowledge: anatomy, physiology of limbs Examination methods in cardiology. History, common complaints. Physical examination. ECG, echocardiography, stress examination. CT and MR imaging. Biochemical markers. Recquired knowledge: anatomy, physiology of circulation Basics of electrocardiography Recording the ECG. Reading and interpretation of ECG records. Basic dysrrhytmias, disturbances of conduction, acute and chronic ischaemic changes. Recquired knowledge: anatomy, physiology of circulation Examination methods in gastroenterology and hepatology. History, common complaints. Physical examination. Ultrasound, X-ray, CT and MR imaging. Endoscopic and biochemical methods. Recquired knowledge: anatomy, physiology of gastrointestinal tract Examination methods in endocrinology - clinical presentation, basic examination, differences in adult patients. History, common complaints. Clinical presentation and examination of basic disturbances. Ultrasound, CT and MR imaging. Biochemical markers and tests. Differences in children and adult patients. Recquired knowledge: anatomy, physiology of glandsSyllabus of paediatric part of the clinical propedeuticsPracticals are run on wards of Paediatric Department and on Neonatology unit with ICU of Department of Gynaecology and Obstetrics (blue building, floor 5, B).Start of lectures and practicals is specified in time schedule.Students may check which meeting room/ward is assigned to their class one week ahead on: faculty website - information and news - program of teaching at Paediatric Dept faculty website - study - time schedules - click on respective study group on a noticeboard on the ground floor G (in front of the auditorium) on noticeboards in the ground floor corridor leading to the auditoriumUpon arrival to Paediatric Dept the students will receive attendance record cards from their study group supervisor and will be introduced to the program of their module. 20% absence will be tolerated (including sick leave, medical appointment or other personal reasons). A student can sign up to the exam from clinical propedeutics electronically once he/she completes all tasks and gets credits into their cards. Before signing up to the exam, it is also required to fill out the student's survey. Please bring to the exam your attendance card and completed medical report exercise.Lectures from paediatrics - for all study groupsWinter semesterIntroduction to the topic of clinical paediatrics. History and management of the care of children. prof. JandaSymptoms of disease in childhood. Vaccination. prof. JandaDevelopment of an individual from conception to adolescence and maturity. Human growth and development - auxological and anthropological aspects doc. KrásničanováSpecifics of the paediatric pulmonology. prof. PohunekA family as a critical part of the individual social environment, in early infants and children doc. KocourkováAcquired and congenital heart diseases in the adult. Specifics of childhood in cardiology (1 hour). MUDr. ReichNeonatology, basic facts, definition, nomenclature doc. ZobanThe principles of nutrition in childhood (natural and arteficial) prof. NevoralSummer semesterHaematology - basics of examination, symptomatology prof. HrodekNephrology - basics of examination, symptomatology prof. JandaPhysical examination of joint and locomotive system MUDr. MalcováEndocrinology - basics of examination, symptomatology doc. ŠnajderováExamination methods in cardiology - specifics of childhood MUDr. ReichExamination methods in pulmonology prof. PohunekPrinciples of allergological examination as. VančíkováExamination methods in gastroenterology and hepatology. Specifics of childhood prof. NevoralThe principles of nutrition in childhood and in adults prof. NevoralPracticals are run on wards of Paediatric Dept and Dept of Gynaecology and obstetrics - Neonatology unit with ICUWinter semesterMedical history group supervisorsExamination of a newborn doc. Zoban,Neonatology unit of Dept of Gyn and Obstetrics, Fl. 5, BExamination I. Group supervisorsExamination II. Group supervisorsExamination III. Group supervisorsPsychomotoric development in childhood Group supervisorsPaediatric auxology doc. KrásničanováSummer semesterLaboratory methods and its interpretation group supervisorsEndocrinology doc. Šnajderovádoc. ŠumníkNephrology I. doc. Bláhováprof. Janda Nephrology II. doc. Dušekas. VondrákPaediatric auxology doc. KrásničanováInfants´ nutrition dr. BronskýCardiology dr. ReichGastroenterology, hepatology dr. BronskýSocial Paediatrics dr. KašparAllergology and pneumology as. Svobodováas. VančíkováSpecial neonatology doc. ZobanAdmission of a patient to the Paediatric Unit: History, examination protocol group supervisorsConsultation group supervisorsCourse-unit credit group supervisors

Literatura

Bickley, Lynn S.: Bate‘s guide to physicalexamination and history taking : J. B.Lippincott, 2007 (B)Chrobák, L.: Physical examination in internalmedicine : Grada publishing, 1997 (B)Zelenková, J.: Internal propaedeutic workbook : Triton,2009 (A)Hay, W. W. Jr.: Current diagnosis and treatment inpediatrics : McGraw-Hill, 2007 (B)Willms, J. L.: Introduction to clinical medicine :Williams and Wilkins, 1991 (B)Dworkin, P. H.: Pediatrics :Williams and Wilkins, 2000 (B)Hathaway, W. E.: Current pediatric diagnosis andtreatment :Prentice-Hall International, 1991 (B)+Hrodek, O.: Pediatrie : Galén, 2002 (B)+Niessen, K. H.: Pediatrie : Scientia Medica, 1996 (B

Garant

Prof. MUDr. Milan Kvapil, CSc., MBA