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Course, academic year 2023/2024
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Propaedeutics in Internal Medicine - B80632 (General Medicine - English parallel)
Title: Propaedeutics in Internal Medicine
Guaranteed by: 3rd Department of Medicine – Department of Endocrinology and Metabolism First Faculty of Medicine Charles University and General University Hospital in Prague (11-00530)
Faculty: First Faculty of Medicine
Actual: from 2023
Semester: winter
Points: 4
E-Credits: 4
Examination process: winter s.:
Hours per week, examination: winter s.:2/3, C+Ex [HT]
Extent per academic year: 75 [hours]
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
Explanation: Dr Michal Vrablík (vrablikm@seznam.cz)
Additional information: http://int3.lf1.cuni.cz/
Old code: 632
Guarantor: prof. MUDr. Michal Vrablík, Ph.D.
Comes under: Compulsory for GM 3.y._23/24
Attributes: Lékařství
Klinický předmět
Pre-requisite : B80032, B83010, B83119, B83120
Is pre-requisite for: B82945, B80573, B82983, B80306, B80302, B81662, B80134, B81421, B80128, B80120, B80118, B80760, B83007, B80410, B80304, B80305, B80579, B80307, B80602, B80084, B80078, B80629, B80121, B80113, B83011, B80613, B82982
Annotation
Last update: Jana Kolářová (11.02.2020)
Represents first students´ contact with clinical medicine (medical history, somatic examination, basic examination and treatment procedure, important legislative aspects of clinical medicine), in both theoretical and practical way.
Syllabus
Last update: Jana Kolářová (11.02.2020)
Topics of the lectures:

Basic principles of clinical work. Clinical documentation. Important legislative background of clinical work.

The first contact with the patient. Medical history, its structure and components. Personal history.as.

Global assessment of the patient and physical examination (consciousness, position, mobility etc.).

Examination of the head, neck and the lymphatic system. The most important signs and symptoms.

The current illness. The state of health.

Abdominal examination. The most important signs, symptoms and findings.

Physical examination in children.

Examination of the thorax - the cardiologist's view. The most important signs, symptoms and findings.

Examination of the nutritional state. Dietary system and hospital regimen. Principles of the structured (differentiated) health care.

Examination of the thorax - the pneumologist's view. Important signs and symptoms of the lung disorders, pleura and mediastinum.

Signs, symptoms and examination of the locomotory system - rheumatologist's view.

Overview of medical imaging methods.

Growth and Development of the Child.

Principles of laboratory examination; indications and short overview.

Palliative care.

Literature
Last update: Jana Kolářová (11.02.2020)

Obligatory:

  • Chrobák, Ladislav, Gral, Thomas, Kvasnička, Jiří. Physical examination in internal medicine. Praha: Grada, 2003, 239 s. ISBN 978-80-247-0617-7.
  • Epstein, Owen. Clinical examination. Edinburgh: Mosby, 2003, 424 s. ISBN 0-7234-3229-5.
  • Bickley, Lynn S. Bates' Guide to Physical Examination and History Taking. Philadelphia: Wolters Kluwer Health; Eleventh Edition, 2013, 994 s. ISBN 9781609137625.

Requirements to the exam
Last update: prof. MUDr. Michal Vrablík, Ph.D. (13.01.2016)

Examination Questions in Propedeutics in Internal Medicine

1   a   Basic physical examining methods: use of different examination techniques (inspection, auscultation, percussion, palpation)

       b   Principles of case history, the contact with patients of various age groups

 

2   a   General examination of a patient - status of consciousness, quantity and quality; meningeal signs

       b   Main parts of the case history and their content

 

3   a   General examination of a patient- position and mobility, standing and gait

       b   Dyspnoe

 

4   a   General examination of a patient- body shape (habitus), nutritional status

       b   Basic symptoms of heart diseases

 

5   a   General examination of a patient - status of hydration, edemas

       b   Basic symptoms of diseases of esophagus, stomach and intestine

 

6   a   General examination of a patient - skin

       b   Chest pain

 

7   a   General examination of a patient - changes of skin and mucosa color

       b   Auxiliary examination methods in kidney and urinary tract diseases

 

8   a   Breathing and its disorders. Assessment and evaluation of body temperature

       b   Abdominal pain

 

9   a   Assessment of voice, speech and hearing; important pathological changes in these areas

       b   Basic symptoms of diseases of liver, biliary system and pancreas

 

10 a   Examination of the skull, nose and ears, assessment of facial innervation, important pathological changes in these regions

       b   Cough

 

11 a   Physical (somatic) examination and important pathological changes - eyes

       b   Basic symptoms of diseases of the peripheral arteries and veins

 

12 a   Physical (somatic) examination and important pathological changes - oral cavity

       b   General symptoms of internal diseases - tiredness, anorexia, weight loss

 

13 a   Physical (somatic) examination of the neck

       b   Basic laboratory tests of blood, urine; oral glucose tolerance test

 

14 a   Examination of pulse and blood pressure, physiological values

       b   Auxiliary examination methods in gastrointestinal diseases

 

15 a   Physical (somatic) examination of the thorax - cardiologist´s view

       b   Basic symptoms of kidneys and urinary tract diseases

 

16 a   Auscultation of the heart

       b   Basic symptoms of diseases of the locomotor system

 

 

17 a   Examination of the circulatory system

       b   Disorders of swallowing, nausea, vomiting

 

18 a   Physical (somatic) examination of the thorax - pneumologist´s view; basic pulmonary syndromes

       b   Medical documentation: parts and forms; rules for handling and protection of personal data

 

19 a   Physical (somatic) examination and symptoms of pleural disease. Pneumothorax and fluidothorax

       b   Technique of blood and blood derivates transfusion; assessment of blood groups

 

20 a   Overview of the examination of the thorax; examination of the brests and axilla

       b   Electrophysiological diagnostic methods in internal medicine

 

21 a   Physical (somatic) examination of the abdomen

       b   Basic rules for collection and processing of biological samples

 

22 a   Physical (somatic) examination of the liver, biliary system and spleen; ascites

       b   Auxiliary examination methods in diseases of lungs, pleura and mediastinum

 

23 a   Physical (somatic) examination of kidneys and urinary tract

       b   Main symptoms of pulmonary diseases

 

24 a   Physical (somatic) examination of the locomotor system

       b   Overview of imaging methods in internal medicine

 

25 a   Physical (somatic) examination of lower extremities

       b   Auxiliary examination methods in heart diseases

 

 

Questions for the final exam are available at the website of the 3rd Department of Internal Medicine (http://int3.lf1.cuni.cz/)

 
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