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Last update: Pavla Ježková (26.03.2020)
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Last update: doc. MUDr. Jan Gojda, Ph.D. (13.12.2019)
Learning outcomes of the course ICM-III is to acquire knowledge, skills and attitudes needed for further study of internal medicine. These are mainly: 1. Correct and systematic taking of complete patient's medical history. 2. Physical examination of all body areas, organs and systems. To know physiological finding, its description and basic interpretation of pathological findings. 3. Introduction to basic complementary examination methods used in internal medicine and its sub-disciplines (laboratory examination, ecg, imaging, etc.). To know essential examinations, their indications and general interpretative results (eg. normal finding and basic underlying pathology that may be detected). Integral part is also a knowledge of patient preparation for instrumental examination, its basic indications and contraindications. 4. Acquisition of knowledge and skills for data analysis from medical history, physical examinations and complementary examinations - from symptom to syndrome, working and definitive diagnosis. |
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Last update: doc. MUDr. Jan Gojda, Ph.D. (12.12.2019)
Ladislav Chrobák et al.: Physical examination in internal medicine. Grada, Praha, 2003, 240 p. Lynn S Bickley et al.: Bates‘ guide to physical examination and history taking. 11th Edition, Wolters Kluwer, Lippincott Williams and Wilkins, Philadephia, USA, 2013, 967 s. |
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Last update: doc. MUDr. Jan Gojda, Ph.D. (12.12.2019)
Teaching comprises of seminars and practicals in small groups at the clinical wards of faculty medicine departments. Teaching is both theoretical and practical. Theoretical one consists of acquiring the knowledge needed to examine patients. It is realized in the form of interactive seminars and students' own theoretical work with patient data. Practical training consists of training of skills, especially taking medical history, physical examination and interpretation of findings. It consists of independent examination of patients, demonstrations of pathological findings and use of simulation technologies. |
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Last update: doc. MUDr. Jan Gojda, Ph.D. (12.12.2019)
The credit is given in the summer semestra after completion of the course. Criteria are: attendance at seminars and clinical internships, elaboration of a theoretical clinical case and demonstration of individual examination of the patient. The theoretical clinical case will be assigned to the students at the end of the winter block by their respective teachers, the students will elaborate it and present it during the summer internship block. Demonstration of the individual examination will take place during the summer semestra after consultation with the teacher.
The exam will consist of two parts 1st part: Practical examination at a patient. Students have to demonstrate their skills how to perform physical examination of one particular region (e.g. abdomen, neck etc.). Students do not need necessarily to recognise detailed pathology, however have to proceed technically and methodically correctly. In case of not proving skills to correctly perform physical examination, students will be asked to examine different region and if students don’t fulfil requirements, the exam will be terminated with classification „failed“, and second theoretical part will not be executed. 2nd part-theoretical part: Theoretical question will be focused on basic signs and symptoms of pathological states, basic examination methods and their principles, indications, contraindications, and basics of evaluation. List of questions is published. If student is classified as failed of any part of examination, the whole examination will be classified as failed. In such a case student has to repeat both parts of exam (thus, even if during first attempt he/she passed practical part of the exam)
Questions for theoretical part of the exam
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Last update: doc. MUDr. Jan Gojda, Ph.D. (12.12.2019)
Teaching comprises of mandatory seminars and clinical training. Seminars. Eight seminars covering propaedeutic of internal medicine and its basic subspecialties will take place. Attendance, which is mandatory, will be registered by teachers in attendance sheets that will be distributed to students during the first seminar. Propedeutics in cardiology. Medical history and examination in cardiovascular diseases Ecg, principles, normal curve, basic pathological changes Propaedeutics in gastroenterology. History and examination in diseases of the gastrointestinal tract Propedeutics in pneumology. History and examination in respiratory diseases Propedeutics in Nephrology. History and examination in diseases of uropoietic apparatus Propaedeutics in rheumatology. History and examination in rheumatological diseases Propedeutics in Endocrinology and Diabetology. History and examination in diseases of endocrine glands Propedeutics in hematology. History and examination in diseases of hematopoietic apparatus Clinical training will take place at clinical wards of the Medicine departments. Students will be distributed to particular wards and teachers during first day of clinical classes. The aim of clinical classes is to learn and practice history taking and physical examination of patients. Second aim will be also to learn basics of laboratory, imaging and other methods used in internal medicine with the stress on their principles, basic indications and contraindications, basal findings and preparation of patients. Attendance will be registered by teachers (stamp and signature) in attendance sheets that will be distributed to students during the first class. Introduction to propedeutics, documentation, patient access, communication with patients and professionals, clinical cases reporting Anamnesis Basics of physical examination, examination of general condition and vital functions Examination of head and neck Examination of the chest and breast, including the heart and lungs Examination of the abdomen, including per rectum and examination of the kidneys Examination of limbs, vascular system, spine Symptoms and syndromes in diseases of the cardiovascular apparatus Symptoms and syndromes in diseases of the respiratory system Symptoms and syndromes in diseases of digestive and uropoietic tract Symptoms and syndromes in diseases of endocrine glands |
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Last update: doc. MUDr. Jan Gojda, Ph.D. (12.12.2019)
Basic requirement is the registration for 3rd year. Essential condition for clinical training is having of white coat, stethoscope, ID batch, overshoes and vaccination against hepatitis B. Students are requested not to attend clinical training when having signs and symptoms of respiratory or gastrointestinal infection. Substitute practice is possible based on deal with a teacher.
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