Předmět Interní propedeutika (1) (EA0105021)

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Materiál	Typ	Datum	Počet stažení

Sylabus

b

Literatura

Klener P. et al.: Vnitřní lékařství. Praha Galén 1999 poslední vydáníChrobák L. a kol. : Propedeutika vnitřního lékařství. Praha SPN poslední vydáníChrobák L., Gral T., Kvasnička J. et al: Physical Examination in Internal Medicine. Grada Praha last editionKarlíček V.: Practical Quide to Physical Examination and Electrocardiography. Charles University Faculty of Medicine Plzeň last editionHarrisons Principles of Internal Medicine last editionHarvey : The Principles and Practice of Medicine last editionHaman P.: Praktické návody k hodnocení EKG křivek

Požadavky

Examination in Propedeutics in Internal Medicine at the Department of internal medicine 1, Plzeň-Lochotín has two parts, both held in one day: Practical part:a) The teacher chooses an appropriate patient and asks the student to perform some part of the physical examination (physicals), e.g. examination of the lungs.b) The student approaches lege artis to the patient and asks him/her about presenting complaint.  c) The student shall perform the given part of the physicalShould the student not be able to communicate with the patient in Czech, the teacher will help the student and interpret the questions/answers and necessary instructions to the patient during the physical, e.g. "deep breath in - deep breath out and hold!" etc.d) The student writes (on an A4 sheet of paper) notes about presenting complaints (e.g. "86-year-old woman was admitted due to…(one or two sentences)) and also writes down the findings from the given part of the physicals (the same way as if he/she would write regular medical notes on the patient´s chart). The teacher assisting with the communication observes the student´s work and can give additional questions/comments. The teacher writes the theme of the practical exam and the grade achieved in the Examination book. The written notes from the physicals are given to the teacher examining the oral part. Oral part: The student draws a card with a pair of questions,  He/She has 15 minutes for preparation and then presents the topic to the examiner. Propedeutics in Internal medicineList of questions for oral examination1.      History taking (Medical interview)2.      Physical examination - generally. Approach to the patient3.      General inspection (aspection) of the patient4.      Examination of the arterial pulse and venous pressure5.      Abnormalities of height, weight, nutritional status, stature 6.      Typical positions, movements, disorders of gait, speech7.      Examination of respiration, breathing patterns8.      Disturbances of conciousness, orientation and cognitive functions 9.      Disturbations of the skin, hair and nails10. Examination of the head11. Examination of the neck12. Aspection of the chest, thoracic lines, the breast examination13. Percussion of the chest14. Auscultation of the chest, breath sounds15. Added breath sounds, crackles, wheeze, stridor, pleural rub16. Physical findings in mitral valvular disease17. Vocal fremistus, vocal resonance, physical findings in pneumothorax 18. Physical findings in lung emphysema, bronchial asthma and bronchitis19. Physical findings in pneumonias20. Physical findings in diseases of pleura21. Physical examination of the heart: inspection, palpation, cardiac auscultation22. Heart sounds and their abnormalities23. Physical findings in aortic valvular disease24. Examination of the abdomen: inspection, percussion, auscultation25. Examination of the abdomen: palpation26. Examination of the liver and gall bladder27. Examination of the spleen, lymph nodes and kidneys28. Examination of the perianal/genitalia region, rectal examination29. Examination of extremities and spine30. Physical examination of the arterial and venous system31. Description of normal physical examination32. Non-invasive examinations in cardiology33. Assessment of red blood cell count34. Heart murmurs, extracardiac murmurs35. Pulmonary embolism on ECG36. Blood pressure measurement37. Measuring body temperature, patterns of fever, hypothermia38. Diuresis, abnormalities in urine volume and composition, voiding symptoms39. Basic biochemical methods in medicine, biochemical screening40. White blood cell count, bone marrow examination41. Examination methods in gastroenterology  42. Ventricular ectopic beats, ventricular tachycardia and fibrillation43. P-pulmonale, P-mitrale44. Cycle ergometry and treadmill excercise testing - indications, methods and assessment45. Functional tests and imaging methods in renal diseases46. Functional tests and imaging methods in lung disorders47. Performing urinalysis and microscopy of urine specimen48. Atrioventricular heart blocks49. Supraventricular ectopic beats and tachycardias on ECG50. Anterior myocardial infarction on ECG51. Inferior myocardial infarction on ECG52. Invasive investigations in cardiology53. Characteristics of the normal ECG54. Investigation of hemostasis55. Atrial fibrillation and atrial flutter on ECG56. Investigations before transfusion, pre-transfusion testing doc. MUDr. Jaromír Eiselt, Ph.D.deputy head for education

Garant

prof. MUDr. Martin Matějovič, Ph.D.Doc.MUDr. Jaromír Eiselt, Ph.D.

Vyučující

MUDr. Karel BaliharMUDr. Ivo Bernat, Ph.D.MUDr. Hana BrůhováDoc.MUDr. Jaromír Eiselt, Ph.D.MUDr. Václav HejdaMUDr. Milan Hromádka, Ph.D.MUDr. Jiří Chvojka, Ph.D.MUDr. Eva JánskáMUDr. Jan Klaboch, Ph.D.MUDr. Jana KoželuhováDoc. MUDr. Aleš Kroužecký, Ph.D.Doc.MUDr. Silvie Lacigová, PhD.MUDr. Jan LhotskýDoc. MUDr. Daniel Lysák, Ph.D.MUDr. Jan Mareš, Ph.D.prof. MUDr. Martin Matějovič, Ph.D.Doc. MUDr. Jiří Motáň, CSc.MUDr. Ivan Novákprof. MUDr. Sylvie Opatrná, Ph.D.MUDr. Vratislav PechmanDoc.MUDr. Tomáš Reischig, Ph.D.MUDr. Pavlína Richtrová, Ph.D.Prof. MUDr. Richard Rokyta, Ph.D.Prof. MUDr. Zdeněk Rušavý, Ph.D.MUDr. Vlastimil Vančura, Ph.D.MUDr. Petr ZdeněkMUDr. Michal Žourek