Internal Medicine II - FG10040

• Title: Internal Medicine II
• Guaranteed by: Academic Department of Internal Medicine (15-400)
• Faculty: Faculty of Medicine in Hradec Králové
• Actual: from 2023
• Semester: winter
• Points: 0
• E-Credits: 5
• Examination process: winter s.:
• Hours per week, examination: winter s.:7/62, C [HS]
• Capacity: unlimited
• Min. number of students: unlimited
• 4EU+: no
• Virtual mobility / capacity: no
• State of the course: taught
• Language: English
• Teaching methods: full-time
• Teaching methods: full-time
• Note: deregister from the credit exam date if a requisite was not fulfilled
• Guarantor: doc. MUDr. Miroslav Solař, Ph.D.
• Pre-requisite : {General Medicine 2nd year}, FG10029, FG10030
• Incompatibility : FV10038
• Interchangeability : FA0107043, FA0107051, FA0107052, FV10038
• Is incompatible with: FV10038, FVP037
• Is pre-requisite for: FG10051, FG10050
• Is interchangeable with: FVP037, FV10038
• In complex pre-requisite: FG10069, FG10070, FG10071, FG10072, FG10073, FG10076, FG10077, FG10078, FG10079, FG10080, FG10096, FG10097, FG10099

Annotation

Last update: Bc. Tereza Bartáková (17.07.2023)

The main topic of the subject Internal Medicine II course is gastroenterology. Seminars and practicals will focus on gastroenterology, geriatrics, critical care, electrophysiology, invasive cardiology and general internal medicine. Entry requirements: Internal Medicine I Outcomes (knowledge and clinical skills): 1) Knowledge of the basics of gastroenterology. 2) Understanding of the principles of digestive endoscopy, electrophysiology and invasive cardiology. 3) Knowledge of the principles of the intensive care. 4) Knowledge of basic characteristics and specifics of the field of geriatrics. 5) Practicing clinical examination of the patient, differential diagnosis and choice of therapeutic procedures.

Entry requirements

Last update: Bc. Tereza Bartáková (13.09.2023)

Entry requirements: Successful completion of Internal Medicine I

Aim of the course

Last update: Bc. Tereza Bartáková (13.09.2023)

Outcomes (knowledge and clinical skills):  

1) Knowledge of the basics of gastroenterology. 

2) Understanding of the principles of digestive endoscopy, electrophysiology and invasive cardiology. 

3) Knowledge of the principles of the intensive care. 

4) Knowledge of basic characteristics and specifics of the field of geriatrics. 

5) Practicing clinical examination of the patient, differential diagnosis and choice of therapeutic procedures. 

Requirements to the exam

Last update: Bc. Tereza Bartáková (17.07.2023)

Requirements for credit 

Participation in seminars and practicals. 

No more than two excused absences are allowed; excuses must be sent only in advance by e-mail to the Academic Department of Internal Medicine. In case of a higher number of absences the situation will be delt individually with the Head of the Academic Department of Internal Medicine.  

 

Test in Moodle 

focused on the knowledge of gastroenterology in range of the state exam questions 

required success rate ≥ 80 %, 3 attempts 

Syllabus

Last update: Patricie Mrkvičková (18.09.2023)

Lectures 

Lectures will introduce students to the main aspects of gastroenterology.  

Lecturers: 

Assoc. Prof. Ilja Tachecí, M.D., Ph.D.

Tomáš Douda, M.D., Ph.D.

Prof. Stanislav Rejchrt, M.D., Ph.D.

Prof. Marcela Kopáčová, M.D., Ph.D.

Jiří Cyrany, M.D., Ph.D.

Tomáš Fejfar, M.D., Ph.D.

Topics:

Inflammatory bowel disease

Functional gastrointestinal disorders

Colorectal carcinoma

Acute and chronic pancreatitis

Cholelithiasis. Cholecystitis.

Malassimilation (maldigestion and malabsorption); celiac disease

Non-alcoholic fatty liver disease

 

Seminars 

Seminars will introduce students to: practical aspects of gastroenterology, basics of the intensive care setting, and one seminar will focus on the analysis of electrocardiographic findings. 

 

Seminars for all groups: 

Lecturer: 

Prof. Petr Hůlek, M.D., Ph.D.

Topics:

Chronic hepatitis

Liver cirrhosis

Liver failure

Seminars for particular groups: 

Lecturers: 

Jan Maňák, M.D., Ph.D.

Zdeněk Bureš, M.D.

Rudolf Repák, M.D.

Assoc. Prof. Ilja Tachecí, M.D., Ph.D.

Prof. Marcela Kopáčová, M.D., Ph.D.

Prof. Stanislav Rejchrt, M. D., Ph.D.

Jiří Cyrany, M.D., Ph.D.

Tomáš Fejfar, M.D., Ph.D.

Assoc. Prof. Roman Šafránek, M.D., Ph.D.

Topics:

Intensive care in internal medicine

Geriatry 1: Geriatric frailty

Geriatry 2: Geriatric syndromes

Clinical investigation in gastroenterology I: Ultrasonography

Clinical investigation in gastroenterology II: Upper part of gastrointestinal tract; diagnosis and eradication of Helicobacter pylori infection

Clinical investigation in gastroenterology III: Small intestine and functional testing

Clinical investigation in gastroenterology IV: Large intestine

Clinical investigation in gastroenterology V: Pancreas and biliary system

Differential diagnosis of abdominal pain

Differential diagnosis of jaundice

Differential diagnosis of diarrhoea and constipation

Gastrointestinal tract bleeding, emergencies in gastroenterology

Gastrointestinal tract and liver injury induced by drugs and toxins

Nephrology seminar 1

Nephrology seminar 2

Nephrology seminar 3

Nephrology seminar 4

 

Practicals: 

Students will complete 14 practical exercises focusing on the following topics: 

 

Digestive endoscopy (1 practical) 

Students will visit a digestive endoscopy unit to learn about the range of procedures performed there and their indications. The practicum will include working with a digestive endoscopy simulator. 

 

Gastroenterology (3 practicals) 

During practicums in standard wards of the 2nd Department of Internal Medicine – Gastroenterology, students will learn about the most common diseases of the digestive tract by presenting individual cases. 

 

Intensive care (4 practicals) 

During practicals at the intensive care unit students will learn the basic principles and procedures of intensive care through case presentations. 

 

General Internal Medicine (2 practicals) 

The general internal medicine practicals will be held in all standard wards of internal medicine departments or in the workplaces of each teacher. During the practicals students will focus on clinical examination, results of ancillary examinations, differential diagnosis and therapeutic procedures. 

 

Geriatrics (2 practical) 

Practicals will take place in the 3rd Department of Internal Medicine – Metabolic Care and Gerontology. During the practicals, students will learn the principles and procedures of geriatric care through the presentation of model cases. 

 

Electrophysiology and cardiac pacing (1 practical) 

During practicals at The Department of Electrophysiology and Cardiostimulation of the 1st Department of Internal Medicine – Cardioangiology, students will learn about the indications and spectrum of electrophysiology and cardiac pacing procedures. 

 

Invasive Cardiology (1 practical) 

During practicals at the Department of Invasive Cardiology of the 1st Department of Internal Medicine – Cardioangiology, students will learn about the indications and spectrum of procedures in electrophysiology and cardiac pacing. 

Literature

Last update: Bc. Tereza Bartáková (19.07.2023)

Recommended sources:

Literature: 

Adam Feather, David Randall, Mona Waterhouse, Kumar and Clark´s Clinical Medicine E-Book

Ian B. Wilkinson, Tim Raine, Kate Wiles, Anna Goodhart, Catriona Hall and Harriet O´Neil, Oxford Handbook of Clinical Medicine 

Češka et. al., Interna

Sčudla et. al. Základy diferenciální diagnostiky ve vnitřním lékařství

Bureš et. al Vnitřní lékařství

Bureš J, Horáček J, Malý J (eds): Vnitřní lékařství I a II. 2. vydání. Praha, Galén, 2014; ISBN 978-80-7492-145-2

Websites:

1. www.medscape.com

2. www.amboss.com

3. wikidoc.org