SubjectsSubjects(version: 875)
Course, academic year 2020/2021
  
Surgery - CSRZKCHO (Surgery, Orthopaedics, Urology, Plastic Surgery, Burns Medicine, Neurosurgery, Cardiosurgery, Paediatrics Surgery)
Title: Chirurgie
Guaranteed by: Department of General Surgery (12-CHIR)
Faculty: Third Faculty of Medicine
Actual: from 2016 to 2020
Semester: both
Points: 17
E-Credits: 17
Examination process:
Hours per week, examination: 0/440 C [hours/semester]
Extent per academic year: 11 [weeks]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
State of the course: taught
Language: Czech, English
Teaching methods: full-time
Level:  
Note: you can enroll for the course in winter and in summer semester
Guarantor: prof. MUDr. Robert Gürlich, CSc.
prof. MUDr. Martin Krbec, CSc.
Classification: Medicine > Clinical Overview
Examination dates   Schedule   
Annotation -
Last update: doc. MUDr. Rodomil Kostka, CSc. (16.11.2017)
blok závěrečné praktické výuky a seminářů na klinikách chirurgických oborů Klinika popáleninové medicíny Students learn the basic difference between the extensive (major) and not extensive (minor) burns and all the factors important for estimating severity of burn injury (early and late prognosis). There is printed out significance of the prehospital care (transport, securing ventilation and oxygenation, analgesia and sedation, fluid replacement, urgent procedures. There are explained principles of burn wound care (indications and methods of conservative treatment, indications and methods of surgical procedures). There are indicated peculiarities of electricalinjuries(prognosis often dubious) - high voltage:resuscitation,cardiac complications,renal complications,neurologic complications,contacts and pathway of current - low voltage: risks related to contact - electrical arc: depth of burn wound,surgical treatment,late results. Specific features of chemiical (caustic) injuries and intoxication. Cold injuries:local (post bite),risks of general hypothermia Paediatric burns require different approach:in extimation prognosis(survival)in longtherm outcome(quality of life). Particularities of reconstructive surgery in burn scar deformities: - urgent procedures - surgery following physiotherapy (maturation of scars). Students learn to comprehend psychic derangement starting with the mechanism of injury and changing according to psychological care of burn team and of family background.
Aim of the course -
Last update: doc. MUDr. Rodomil Kostka, CSc. (16.11.2017)

Chirurgie
Completing of final state exam from surgery and its sub-branches.




Klinika popáleninové medicíny
Students get acquainted with the interdisciplinary approach to Burn Medicine, where the coordinating member of the burn team is the burn surgeon qualified in general surgery, in plastic surgery and specialized in Burn Medicine.

Literature -
Last update: doc. MUDr. Rodomil Kostka, CSc. (16.11.2017)

literatura

Klinika popáleninové medicíny
Herndon D. N., et al. Total Burn Care, 3rd edition. Saunders Published May 2007.
ISBN 1416032746 / 9781416032748, 880 Pages, 772 Illustrations

Teaching methods -
Last update: doc. MUDr. Rodomil Kostka, CSc. (16.11.2017)

Chirurgie
SE for English speaking students has only theoretical (verbal) part.
You practical skills and knowledges will be surveyed by your tutor
during whole practical training.
 
 Surgical clinic
Seminars, lectures, practical training.

Requirements to the exam -
Last update: doc. MUDr. Rodomil Kostka, CSc. (11.03.2016)

Chirurgie
passing of practical training for eight weeks (You'll work under your
assigned tutor supervision.)

- active participation on the announced seminaries

- sign up for SE on given days is possible through SIS (web aplication)

- in case of fail new terms are given according the Educational regulations




Klinika popáleninové medicíny
75% attendance in training. If not accomplished, there is an alternative of training according to individual agreement with the teacher.



Klinika ortopedicko-traumatologická

Master´s studies

3rd grade
Credit will be awarded:
1. upon completion of 80% of the prescribed course attendance and passing of the final test,
2. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

4th grade
Colloquy (the so called sub-credit) will be awarded:
1. upon completion of both internships and one seminar,
2. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

5th grade
Credit will be awarded:
1. upon completion of four internships, one internship in the sonographic outpatients department and a night duty,
2. one of the mentioned duties may be replaced by internship in the Department of Anthropology in the National Museum,
3. seminars are optional, participation in 6 of 30 seminars offered is recommended in the course of the whole academic year,
4. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

6th grade
Colloquy (the so called sub-credit) will be awarded:
1. upon completion of practice of the prescribed course attendance, seminars are optional,
2. in case of failure to comply with this condition, upon completion of a substitute individual clinical internship agreed in advance with the head of the course.

Syllabus -
Last update: doc. MUDr. Zdeněk Šubrt, Ph.D. (22.01.2020)

GENERAL SURGERY

 

  1. Pain. Pathophysiology. Therapy of acute and Chronic pain.

  2. Program of rehabilitation in surgery

  3. Unconsciousness. First aid. Therapy. Complications.

  4. Approach to the surgical patient. Preoperative care. Risks of operation.

  5. Cardiopulmonary resuscitation. Cerebral death. Transplant program.

  6. Tracheostomy. Coniotomy.

  7. Surgical drainages. Types, indications.

  8. Sterilisation. Asepsis. Antisepsis. Desinfection.

  9. Injections. Types, approaches. Mode of applications.

  10. Arteficial lung ventilation.

  11. Inflammation. Infection. Antibiotics.

  12. Parenteral nutrition in surgery.

  13. Panaritium. Hand inflammation surgery.

  14. Postoperative care. Postoperative complications.

  15. Antibiotics in surgery. Complications of ATB therapy.

  16. Regional anesthesia.

  17. General anesthesia.

  18. Bandage. Plaster casts. Dressing. Technique.

  19. Wounds. Wound Healing.

  20. Oncology. Radical surgical cancer therapy.

  21. TNM classification. Paliative cancer treatment. Chemotherapy.

  22. Blood Transfusion. Indications. Mode of application. Complications. Autotransfusion.

  23. Fistulas in Surgery. Classification. Diagnosis. Therapy.

  24. Shock

  25. Burns + other thermal injuries.

  26. Central venous catheter. Indications. Approaches. Complications.

  27. Organ transplantation.

  28. Radiodiagnostic and other special diagnostic procedures in surgery

  29. Lasers in surgery. Lasertherapy. Photodynamic Therapy.

  30. Surgical diagnostical and curative endoscopy.

  31. Thoracic injuries

  32. Abdominal injuries

  33. Arterial injuries

  34. Polytrauma

  35. Multiple injuries

  36. Neck injuries

 

SPECIAL SURGERY – PART I.

 

  1. Pancreatic islet cell tumors.

  2. Adenocarcinoma of the pancreas + ampulla of Vater

  3. Gastric Ulcer. Zollinger – Ellison syndrome

  4. Duodenal ulcer

  5. Complications of peptic ulcer.

  6. Hiatal hernia. Esophageal reflux.

  7. Esophageal diverticula. Achalasia.

  8. Tumors of the esophagus

  9. Peritonitis. Classification. Symptoms+Signs. Diagnosis. Treatment.

  10. Gallstones. Biliari colis. Choledocholithiasis. Gallstone ileus.

  11. Acute Cholecystitis. Cholangitis.

  12. Tumors, pseudotumors of the gallbladder. Bile duct injuries + strictures.

  13. Superficial and deep thrombophlebitis. Pulmonary thromboembolism

  14. Varicose veins. Lymphedema.

  15. Pleural effusion. Empyema. Lung abscess.

  16. Crohn´s disease. Colitis ulcerativa.

  17. Stomach carcinoma

  18. Breast cancer.

  19. Hemorrhoids. Pilonidal desease. Rectal prolaps.

  20. Acute abdomen.

  21. Gastrointestinal hemorrhage (upper, lower)

  22. Acquired heart disease. Aortic aneurysm. Aortic dissection.

  23. Ischemic heart disease. Pericarditis.

  24. Pulmonary stenosis. Coarctation of the aorta. Atrial septal defect. Tetralogy of Fallot.

  25. Mediastinal diseases. Tumors of mediastinum.

  26. Anorectal fistulas. Anal fissure. Anorectal abscess.

  27. Jaundice. Classification. Diagnosis. Surgical + endoscopical treatment

  28. Hernias of the abdominal wall.

  29. Acute pancreatitis. Chronic pancreatitis. Pancreatic pseudocyst.

  30. Portal hypertension.

  31. Malignant tumors of the thyroid

  32. Ileus. Classification. Symptoms. Diagnosis. Therapy.

  33. Goiter. Classification. Symptoms. Therapy.

  34. Thyrotoxicosis. Clinical signs. Diagnosis. Therapy.

  35. Lung tumors. Classification. Diagnosis. Therapy.

  36. Hypertrophic pyloric stenosis in children. Hirschsprung´s disease. Intussusception

  37. Appendicitis. Classification. Diagnosis. Treatment.

  38. Pneumothorax. Hemothorax. Bronchiectasis.

  39. Diseases of the parathyroid glands.

  40. Cancer of the colon and rectum

  41. Spleen surgery and splenectomy indication

  42. Diferential diagnosis of peritonitis in lower abdomen

     

    SPECIAL SURGERY – PART II.

 

  1. Investigation techniques in orthopaedics and traumatology (clinical, laboratoř and imagination  techniques)

  2. Developmental dysplasia of the hip joint

  3. Hip disorders in children – exept of DDH (transient synovialitis, m. Legg-Calvé-Perthes, slipped capital femoral epiphysis)

  4. Neuromuscular disorders in orthopaedics (birth trauma, cerebral palsy, poliomyelitis, peripheral nerve entrapment)

  5. Orthopeadic foot  disorders (clubfoot,  hallux valgus)

  6. Congenital and developmental spine disorders (scoliosis, Scheuermann disease, spondylarthritis)

  7. Back pain (diferential diagnosis)

  8. Aseptic bone necrosis, enthesopathies

  9. Non-specific and specific bone and joint  infection (osteomyelitis, septic artritis, tuberculosis)

  10. Degenerative joint diseases – orthopaedic treatment (artritis, rheumatoid artritis, osteotomy, joint replacement)

  11. Bone tumors (cathegories, diagnosis, treatment principles)

  12. Fracture classifications, fracture healing, fractures in children

  13. Non optative fracture treatment, physiotherapy, prosthetics and orthotics

  14. Splinting technique, plaster of Paris, skeletal traction

  15. Operative fracture fixation and complications (infection, fixation failure)

  16. Complications of  fracture treatment (complex regional  pain syndrome, delayed union, nonunion, deformity) and its treatment (osteosynthesis, bone grafting, osteotomy)

  17. Open fractures –treatment principles, complications (infection, compartment syndrome)

  18. Spine an spinal cord injuries

  19. Shoulder injuries

  20. Diaphyseal fractures of long bones

  21. Fractures and dislocations around  the elbow, supracondylar fracture in children

  22. Fractures of  forearm, wrist and hand

  23. Pelvic and acetabular fractures

  24. Hip fractures

  25. Fractures around  the knee (distal femoral fractures, patella, proximal tibia)

  26. Soft-tissue injuries of the knee (ligaments, tendons, menisceal tears, chondral lesions

  27. Foot and ankle injuries

  28. Joint injuries (ligaments, intraarticular fractures)

  29. Locomotion system injury in polytraumatized patient, associated injuries (team co-care, diagnostics, treatment principles)

  30. Trauma care in elderly (diagnosis, typical elderly fractures, treatment, social aspects)

  31. Posttraumatic growth disorders

  32. Growth plate injuries (physeal and epiphyseal classification)

  33. Typical fractures in children and its specifics

  34. Non-operative treatment of fractures in children (reduction, fixation, traction)

  35. Principles of fracture fixation in children

  36. Supracondylar humerus fracture in children, fractures and dislocation around the elbow in childhood

  37. Forearm fractures in children, Monteggio lesion

  38. Femoral fractures in children

 

SPECIAL SURGERY – PART III.

 

  1. Acute appendicitis in childhood

  2. Congenital acute abdomen: disorders of intestinal  rotation, atresia of GET meconium ileus

  3. Acquired  acute abdomen in childhood except  apendicitis(necrotizing enterocolitis, intussusception, complications of diverticula Meckel’s)  

  4. Congenital pyloric stenosis, gastroesophageal reflux

  5. Omphalocele  gastroschisis

  6.  Abdominal hernia in children (inguinal, umbilical, femoral, epigastric)

  7. Esophageal    atresia, diaphragmatic

  8. Anorectal malformation. Hirshsprung’s disease,  obstipation

  9. Ischemic heart dinase, cardiosurgial treatment-indications, type of graft, mechanical complication of myocardial infarction

  10. Valvular heart diseese, descriuption, cardiosurgical treatment

  11. Aneurysma and dissection of thoracic aorta. Trauma of heart and great vessels

  12. Monstfrequent congenital heart disesess in children and adults. Atrial and ventricular septal defect, patent ductus arteriosus, tetraolgy of Fallot, coarctation of the aorta

  13. Craniocerebral trauma, Concussion, Contusion, Laceration

  14. Extradural hemorrhagie, Subdural hematoma

  15. Immediate measured at the scene of an injury accident

  16. Emergency room care

  17. Spinal cord injury

  18. Traumatic peripheral nerve lesion

  19. Nontraumatic cerebral hamorrhage, Elevated intracnial pressure

  20. Brain tumors

  21. Lumbar disk syndrome, Possibilities of surgical treatment

  22. Surgical treatment of burns

  23. Pathological scarring (hypertrofic, keloid scars, the basics of diagnostics, preventiv, and treatment)

  24. Principles of physiological surgical technice, technologies in plastic surgery

  25. Closure of defects (skin grafts, flaps-composition, transfer), examples of clinical application. Transplantion of composite tissues

  26. Pressure sores, postradiation defects, chronic defects. Classification, treatment

  27. Facial injuries (simple, complex, with defect) Diagnosis and principles of urgent treatment

  28. Hand injury (simple, complex and with defect) diagnostics and principles of urgent treatment, rehabilitation 

  29. Amputation injury of fingers and hand, classification. Indications and contraindications of replantation, primary care, transport. Option of reconstruction and substitution.

  30. Congenital malformations of the face, cleft lip and palate, principle, timing of

    Surgial treatment

  31. Congenital malformations of the hand, principles and timing of surgical treatment

  32. Skin tumours, diagnostics, and surgical treatment especially with regard to facial region

  33. Reconstruction of acquired facial defects (after injuries, in connection with different pathological degenerative diseases and after treatment of soft tissue tumors

  34. Aesthetic plastic surgery, dysmorphophobia

  35. Prehospital Management, Transportation, and Emergency Care of Burn Patient

  36. Factors determining the severity of burns, prognosis of burns

  37. Three phases of treatment of extensive burns

  38. Diagnosis of the depth and extent of thermal injury

  39. Operative Wound Management in Burns

  40. Pathological scars (hypertrophic  scar, keloid scar, prevention, treatement)

     

    UROLOGY

 

  1. Obstructive uropathy in children (hydronephrosis, ureterocoele, posterior urethral valves)

  2. Vesico-ureteral reflux in children

  3. Disorders of testicular descent

  4. Acute scrotal pain in children

  5. Congenital abnormalities of the urinary bladder and urethra (bladder extrophy, epispadias, hypospadias)

  6. Urological examination methods and surgical approaches in urology

  7. Radiology and ultrasonography in urology

  8. Haematuria, diagnostics and differential diagnosis

  9. Disorders of micturition, clinical presentations and differential diagnosis

  10. Renal colic, diagnostics and differential diagnosis

  11. Derivation of urine

  12. Pyelonephritis

  13. Inflammation of the urinary bladder and urethra

  14. Inflammation of the prostate

  15. Urosepsis

  16. Disorders of the epididymis, scrotum and funiculus

  17. Tuberculosis of the urogenital tract

  18. Urological emergencies

  19. Benign prostatic hyperplasia

  20. Urolithiasis

  21. Urogenital trauma

  22. Obstructive uropathy

  23. Urinary incontinence, urodynamic studies

  24. Renal neoplasms

  25. Tumours of the renal pelvis and ureter

  26. Bladder tumours

  27. Prostate cancer – aetiology, diagnostics

  28. Prostate cancer – therapy

  29. Testicular tumours

  30. Penile tumours

  31. Andrology, male sexual dysfunction and male infertility

 
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