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Course, academic year 2018/2019
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Surgery - CSRZKCHO (Surgery, Orthopaedics, Urology, Plastic Surgery, Burns Medicine, Neurosurgery, Cardiosurgery, Paediatrics Surgery)
Title: Chirurgie
Guaranteed by: Department of General Surgery 3FM CU and UHKV (12-CHIR)
Faculty: Third Faculty of Medicine
Actual: from 2016 to 2019
Semester: both
Points: 17
E-Credits: 17
Examination process:
Hours per week, examination: 0/440, C [HS]
Extent per academic year: 11 [weeks]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech, English
Teaching methods: full-time
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. Zdeněk Šubrt, Ph.D. (27.09.2020)
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. Zdeněk Šubrt, Ph.D. (24.09.2020)

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. Zdeněk Šubrt, Ph.D. (24.09.2021)

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. Zdeněk Šubrt, Ph.D. (27.09.2020)

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. Zdeněk Šubrt, Ph.D. (27.09.2020)

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 Summary.

3.    Unconsciousness. First aid. Therapy. Complications.

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

5.    Cardiopulmonary resuscitation. Cerebral dech. Transplant program.

6.    Trachestomy. Coniotomy.

7.    Surgical drainages. Types, indications.

8.    Sterilisation. Asepsis. Antisepsais. Desinfection.

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

10.  Arteficial lung ventilation.

11.  Inflammation. Infection. Antibiotics.

12.  Paarenteral nutrition in Sumery.

13.  Panaritium. Hand inflammation Sumery.

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 tegment. 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 Sumery. Lasertherapy. Photodynamic Therapy.

30.  Surgical diagnostical and curative endoskopy.

 

SPECIAL SURGERY – PART I.

 

1.    Pancreatic islet cell tumors.

2.    Adenocarcinoma of the pankreas + 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 esophagusTumors of the esofagus.

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 dinase. Colitis ulcerativa.

17. Stomach carcinoma

18. Breast cancer.

19. Hemorrhoids. Pilonidal desease. Rectal prolaps.

20. Acute abdomen.

21. Gastrointestinal hemorrhagie (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 + endoskopical 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 Sumery and splenectomy indication

42. Diferential diagnosis of peritonitis in lower abdomen

 

SPECIAL SURGERY – PART II.

 

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

2.    Developmental dysplasia of the hip joint

3.    Hip disorders in children – exept of DDH (transient synovialitis, m. Legg-Calvé-Perthes, coxa vara adolescentium)

4.    Neuromuscular disorders in orthopaedics (birth truma, cerebral palsy, poliomyelis nerve compressions)

5.    Orthopeadic foot  disorders (pes equinovarus congenitus, hallux valgus)

6.    Inherited and acquired spine disorders (scoliosis, m. Schauermann, spondylartritis)

7.    Back pain (diferential diagnosis)

8.    Aseptic bone necrosis, enthesopathies, tenosynovitis)

9.    Non-specific and specific bone and joint inflamation (osteomyelitis, purulent artritis, tuberculosis)

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

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

12. Fracture classification, fracture healing, children fractures

13. Conservative fracture treatment, physiotherapy, orthoses

14. Splinting technique, extension treatment technique

15. Operative fracture treatment (osteosyntesis) and complications (infection, loosening)

16. Complications of operative fracture treatment (Sudecs syndroma, delayed union, nonunion, deformities) and their solutions (osteosynthesis, bone rafting osteotomy)

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

18. Injury of the spine and the spinal cord

19. Injury of the shoulder girdle

20. Diaphyseal fractures of the humerus, femur and tibia

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

22. Fractures of the forearm, wrist and hand

23. Fractures of the pelvis and acetabular fractures

24. Proximal femoral fractures

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

26. Soft-tissue injury of the knee (ligaments, tendons, menisceal tears)

27. Injuries about the ankle and foot

28. Joint injuries (ligaments, intraarticullar fractures)

29. Locomotion system injury in polytraumatized patient, associated injuries (team co-operation, diagnostics, algorhytm)

30. Gerontotraumatology (diagnosis, typical elderly fractures and their solution, social aspects)

 

 

SPECIAL SURGERY – PART III.

 

1.    Thoracic injuries

2.    Abdominal injuries

3.    Arterial injuries

4.    Polytrauma

5.    Multiple injuries

6.    Neck injuries

7.    Craniocerebral trauma, Concussion, Contusion, Laceration

8.    Extradural hemorrhagie, Subdural hematoma

9.    Immediate measured at the scene of an injury akcident

10. Emergency room care

11. Spinal cord injury

12. Traumatic peripheral nerve lesion

13. Nontraumatic cerebral hamorrhage, Elevated intracnial pressure

14. Brain tumors

15. Lumbar disk syndrome, Possibilities of surgical treatment

16. Acute apendicitis in childhood

17. Wound healing

18. Closure of defect: skin grafts, skin flaps, muscle-cutaneous flaps, free flaps, and clinical application.)

19. Facial injuries, essential care

20. Hand injuries, diagnostics, and treatment including physiotherapy

21. Traumatic amputation, classification. Indications and contraindications of replantation, primary treatment

22. Congenital malformations of the face, cleft lip and palate

23. Congenital malformations of the hand

24. Skin tumors, diagnostics, and surgical treatment

25. Reconstruction of the face (with the exception of congenital malformations

26. Aesthetic plastic surgery

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

28. Diagnosis of the depth and extent of thermal injury

29. Primary ensure of extensively burned patient

30. Urgent procedures in burns and in electric injury

31. Three phases of treatment of extensive burns

 

STATE EXAMINATION QUESTIONS FROM THE UROLOGY

 

1)      Congenital anomalies of the urogenital tract

2)      Urological examination methods and surgical approaches in the urology

3)      Radiology and ultrasonography in the urology

4)      Hematuria, diagnostics and differential diagnosis

5)      Miction disorders, clinical presentations and differential diagnosis

6)      Renal colic, diagnostics and differential diagnosis

7)      Derivation of urine

8)      Pyelonephritis

9)      Inflammation of the urinary bladder and urethra

10)  Inflammation of the prostate

11)  Urosepsis

12)  Disorders of the epididymis, scrotum and funiculus

13)  Tuberculosis of the urogenital tract

14)  Acute disorders in the urology

15)  Benign prostatic hyperplasia

16)  Urolithiasis

17)  Injuries to the urogenital tract

18)  Obstructive uropathy

19)  Urinary incontinence, urodynamic studies

20)  Renal neoplasms

21)  Tumors of the renal pelvis and ureter

22)  Bladder tumors

23)  Prostate cancer – etiology, diagnostics

24)  Prostate cancer – therapy

25)  Tumors of the testis

26)  Tumors of the penis

Andrology, male sexual dysfunction and male infertility
 
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