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Course, academic year 2024/2025
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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
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Level:  
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: FG10050, FG10051
Is interchangeable with: FV10038, FVP037
In complex pre-requisite: FG10069, FG10070, FG10071, FG10072, FG10073, FG10076, FG10077, FG10078, FG10079, FG10080, FG10096, FG10097, FG10099
Annotation
Seminars and practicals will focus on gastroenterology, geriatrics, nephrology, acute and intensive care including ABCDE approach.
Last update: Bartáková Tereza, Bc. (27.08.2024)
Aim of the course

Outcomes (knowledge and clinical skills):  

1) Knowledge of the basics of gastroenterology and digestive endoscopy.

2) Knowledge of basic nephrology and hemodialysis treatment.  

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. 

6) Acute patient examination training using the ABCDE approach.

7) Repeat the description and interpretation of ecg curves.   

Last update: Bartáková Tereza, Bc. (27.08.2024)
Literature

Main recommended source:

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

https://www-clinicalkey-com.ezproxy.is.cuni.cz/student/content/toc/3-s2.0-C20180021994

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

https://ebookcentral.proquest.com/lib/cuni/detail.action?docID=31216011&query=Oxford%20Handbook%20of%20Clinical%20Medicine

Moodle LFHK https://moodle.lfhk.cuni.cz/moodle2/course/index.php?categoryid=669 

Interesting additional source:

O'Neill,Paul: Macleod's Clinical OSCEs, 2016. 

https://www-clinicalkey-com.ezproxy.is.cuni.cz/student/content/toc/3-s2.0-C2012006509X 

Kumar, Dame Parveen J: Kumar & Clark's Cases in Clinical Medicine, Fourth edition, 2021. 

https://www-clinicalkey-com. ezproxy.is.cuni.cz/student/content/toc/3-s2.0-C20170044233 

www.medscape.com

www.amboss.com

www.osmosis.org

NEJM interactive clinical cases https://www.nejm.org/multimedia/interactive-medical-case 

Alternative source:

wikidoc.org

Last update: Bartáková Tereza, Bc. (20.08.2024)
Requirements to the exam

Requirements for credit 

Participation in seminars and practicals. 

A maximum of two excused absences are allowed, one for practicals and one for seminars. Excused absences must be sent only in advance in the excuse form. In case of a higher number of absences, the situation will be resolved individually with the Head of the Department of Internal Medicine. 

 

Test 1 (Moodle)

scope of test questions: gastroenterology, nephrology, geriatrics, ABCDE approach - within the scope of the state examination questions and the graduate profile. 

required success rate ≥ 70 %, 3 attempts 

 

Test in Moodle 2

description and interpretation of ecg curves within the range defined by the graduate profile.

required sucess rate ≥ 70 %, 3 attempts 

Last update: Bartáková Tereza, Bc. (27.08.2024)
Syllabus

Lectures 

Lectures will introduce students to the main aspects of gastroenterology.  

Lecturers: 

Paula Morávková, M.D.

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

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

Štěpán Šembera, M.D., Ph.D.

Tomáš Fejfar, M.D., Ph.D.

Mezera Vojtěch, M.D., Ph.D. - online

.

Topics:

Inflammatory bowel disease

Tumours of gastrointestinal tract

Liver failure

Liver cirhosis and portal hypertension

Disorders of the pancreas and biliary system

Geraitric syndromes - online

Geriatric patient, a specific approach - online

 .

Seminars 

Seminars will introduce students to: practical aspects of gastroenterology, nephrology and geriatrics, basics of the acute care and intensive care setting, ABCDE approach.

 .

Lecturers: 

Assoc. Prof. Martin Jakl, Ph.D.

Pavel Skořepa, M.D., Ph.D.

Joao Fortunato, M.D., Ph.D.

Assoc. Prof. Miroslav Solař, Ph.D.

Mathauser Radek, Mgr.

Jan Maňák, M.D., Ph.D.

Zdeněk Bureš, M.D., Ing.

Ladislav Douda, M.D., Ph.D.

Rudolf Repák, M.D.

Assoc. Prof. Ilja Tachecí, 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:

Acute care, interacive clinical cases

Introduction into intensive care in internal medicine

Intensive care, interactive clinical cases

Clinical examination and stabilization of an acute patient using ABCDE approach

Approach to the patient with sepsis

Geriatry 1, Geriatric syndromes

Geriatry 2, Geriatric frailty

Gastroenterology 1, Clinical investigation I: Ultrasonography

Gastroenterology 2, Clinical investigation II: Upper part of gastrointestinal tract; diagnosis and eradication of Helicobacter pylori infection

Gastroenterology 3, Clinical investigation III: Small intestine and functional testing

Gastroenterology 4, Clinical investigation IV: Large intestine

Gastroenterology 5, Clinical investigation V: Pancreas and biliary system

Gastroenterology 6, Differential diagnosis of abdominal pain

Gastroenterology 7, Differential diagnosis of jaundice

Gastroenterology 8, Differential diagnosis of diarrhoea and constipation

Gastroenterology 9, Gastrointestinal tract bleeding, emergencies in gastroenterology

Gastroenterology 10, Gastrointestinal tract and liver injury induced by drugs and toxins

Nephrology 1, Introduction into nephrology, chronic kidney disease

Nephrology 2, Diagnostic techniques in nephrology, acute renal failure

Nephrology 3, Tubular function, tubulointersticial nephritis, congenital kidney disease.

Nephrology 4, Glomerulopathies

Nephrology 5, Kidney disease in systemic disorders

Nephrology 6, Renal replacement therapy - dialysis

Nephrology 7, Renal replacement therapy - kidney transplantation

Nephrology 8, Interactive clinical cases

 .

Practicals: 

Students will complete 12 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 (2 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 (1 practical) 

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

 

ABCDE approach (1 practical)

Training of acute patient examination using ABCDE approach. 

Nephrology, clinical cases (1 practical)

Practical, which will take place in the inpatient department of the Nephrology Clinic, will focus on the demonstration of typical cases of kidney disease.   

Nephrology, renal replacement therapy (1 practical)

Practical, which will take place at the Hemodialysis Center of the Nephrology Clinic, will focus on familiarizing with the environment of the department and the basic principles of hemodialysis therapy.  

Last update: Bartáková Tereza, Bc. (27.08.2024)
Entry requirements
Entry requirements: Successful completion of Internal Medicine I
Last update: Bartáková Tereza, Bc. (13.09.2023)
 
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