Internal Medicine - Clinic 2 - B81169 (Dentistry)

• Title: Internal Medicine - Clinic 2
• Guaranteed by: 4th Department of Medicine – Department of Gastroenterology and Hepatology First Faculty of Medicine Charles University and General University Hospital in Prague (11-00540)
• Faculty: First Faculty of Medicine
• Actual: from 2023
• Semester: winter
• Points: 7
• E-Credits: 7
• Examination process: winter s.:
• Hours per week, examination: winter s.:0/50, C+Ex [HS]
• Extent per academic year: 50 [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: nonenone
• Additional information: http://int4.lf1.cuni.cz/
• Guarantor: prof. MUDr. Radan Brůha, CSc.
• Comes under: Compulsory for Dentistry 4.y._23/24
• Attributes: Klinický předmět; Zubní lékařství
• Pre-requisite : B81157, B83145, B83148, B83149, B83155
• Is pre-requisite for: B83496, B81181

Annotation

Last update: Jana Kolářová (08.02.2021)

The main objective is knowledge of the basics of internal medicine, especially with respects to the dental practice. Internal Clinic 2 is focused on different diseases with emphasis on frequent illnesses and conditions, on acute situations in internal medicine and their treatment, on conditions and diseases particularly related to the dentistry (manifestations of internal diseases in the oral cavity, specifics of dental procedures in specific internal diseases).

Syllabus

Last update: Jana Kolářová (08.02.2021)

Diseases of heart and vessel.

The most common symptoms of metabolic and nutritional disorders.

Metabolic diseases: Atherosclerosis. Metabolic syndrome. Diabetes mellitus. Disorders of lipid metabolism.

Malnutrition and support in nutrition.

Obesity

Fundamentals of endocrinology.

The most common symptoms of liver disease. Liver failure. Drug induced liver disease (DILI). Chronic liver diseases.

Cirrhosis. Hepatocellular carcinoma. Budd-Chiari syndrome. Liver in pregnancy. Metastatic liver tumours. Liver transplantation.

Coagulation disorders, thrombocytopenia, thrombocytopathy. Basics of evaluation of coagulation tests. Anticoagulation therapy (indications, complications).

Nephrotic syndrome. Glomerulonephritis. Glomerulopathy.

Systemic vasculitis. Urinary tract infection. Nephrolithiasis. Tumours of the kidneys. Acute kidney failure. Chronic kidney failure. Renal transplantation.

The most common symptoms of rheumatic diseases.

Basic signs and symptoms of digestive tract diseases. Manifestations of internal diseases on mucosa. Disease of the oesophagus, stomach and duodenum. Small bowel disease. Diseases of the large intestine. GI bleeding.

Diseases of the pancreas, gallbladder and biliary tract.

The most common symptoms of lung diseases. Inflammatory pulmonary diseases. Chronic Obstructive Pulmonary Disease (COPD). Bronchial asthma. Pulmonary emphysema. Bronchiectasis. Tuberculosis.

Literature

Last update: Jana Kolářová (08.02.2021)

#Chrobák et al.: Physical examination in internal medicine. Prague, Grada 1997.
#Cecil essentials of medicine (4. ev 5.vydání), editoři Andreoli, Bennett, Carpenter, Plum. Nakladatelství W.B.Saunders Comp.

Teaching methods

Last update: Jana Kolářová (08.02.2021)

The course will take place at the 1st Faculty of Medicine (4th Internal Clinic). Teaching is in the form of lectures and bedside practice and it is finished by credit and exam.

Requirements to the exam

Last update: MUDr. Tomislav Švestka, CSc. (17.10.2023)

Examination Questions in Propaedeutic in Internal Medicine for 4^th year Dentistry 

1.        Basic physical examination methods

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

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

4.        Main parts of the case history and their content

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

6.        Dyspnoe

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

8.        Basic symptoms of heart diseases

9.        General examination of a patient - status of hydration, edemas

10.    Basic symptoms of diseases of esophagus, stomach and intestine

11.    General examination of a patient – skin

12.    Chest pain

13.    General examination of a patient - changes of skin and mucosa

14.    Auxiliary examination methods in kidney and urinary tract diseases

15.    Breathing and its disorders. Assessment and evaluation of body temperature

16.    Abdominal pain

17.    Assessment of voice, speech and hearing; important pathological changes in these areas

18.    Basic symptoms of diseases of liver, biliary system and pancreas

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

20.    Cough

21.    Physical (somatic) examination and important pathological changes – eyes

22.    Basic symptoms of diseases of the peripheral arteries and veins

23.   Physical (somatic) examination and important pathological changes - oral cavity, lips

24.   General symptoms of internal diseases - tiredness, anorexia, weight loss

25.   Physical (somatic) examination of the neck

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

27.   Examination of pulse and blood pressure, physiological values

28.   Auxiliary examination methods in gastrointestinal diseases

29.   Physical (somatic) examination of the thorax – lungs

30.   Basic symptoms of kidneys and urinary tract diseases

31.   Physical examination of the heart

32.   Basic symptoms of diseases of the locomotion system

33.   Examination of the circulatory system

34.   Disorders of swallowing, nausea, vomiting

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

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

37.   Technique of blood and blood derivates transfusion; assessment of blood groups

38.   Basic pulmonary syndromes

39.   Electrophysiological diagnostic methods in internal medicine

40.   Physical (somatic) examination of the abdomen

41.   Basic rules for collection and processing of biological samples

42.   Physical (somatic) examination of the liver, biliary system and spleen; ascites

43.   Auxiliary examination methods in diseases of lungs, pleura and mediastinum

44.   Physical (somatic) examination of kidneys and urinary tract

45.   Main symptoms of pulmonary diseases

46.   Physical (somatic) examination of the locomotion system

47.   Overview of imaging methods in internal medicine

48.   Physical (somatic) examination of lower extremities

49.   Auxiliary examination methods in heart disease

Questions from Internal Medicine - 4th Schoolyear Dentistry

1.   Respiratory failure

2.   Portal hypertension: esophageal varices, bleeding from esophageal varices

3.   Hyperthyreosis

4.   Acute complications of diabetes mellitus

5.  Liver cirrhosis

6.   Type 2 diabetes mellitus

7.   Lung cancer

8.   Pulmonary embolism

9.   Pneumonia, lung abscess

10.    Hemolytic anemia

11.    Idiopathic bowel diseases

12.    Bronchial asthma

13.    Bleeding disorders related to platelets: thrombocytopathy, thrombocytopenia

14.    Icterus (jaundice)

15.    Acute glomerulonephritis

16.    Arthritis of infectious origin

17.    Adrenal gland diseases

18.    Risk factors of atherosclerosis

19.    Non-Hodgkin and Hodgkin lymphomas

20.    Gastrointestinal bleeding (hematemesis, melena, enterorrhagy)

21.    Viral hepatitis

22.    Glomerulonephritis

23.    Lung tuberculosis

24.    Cholelithiasis and chronic cholecystitis

25.    Gastric and duodenal ulcers

26.    Chronic obstructive lung dinase (COLO)

27.    Acute and chronic pancreatitis

28.    Colon cancer

29.    Metabolic syndrome

30.    Disseminated intravascular coagulation (DIC)

31.    Myeloprolipherative diseases (exception for chronic myeloid leukemia)

32.    Thyroid gland inflammation and tumor s

33.    Type 1 diabetes mellitus

34.    Urolithiasis, nephrolithiasis

35.    Dyslipidemia

36.    Bleeding disorders related to coagulation impairment

37.    Esophagus diseases

38.    Chronic lymphatic leukemia

39.    Chronic complications of diabetes mellitus

40.    Osteoporosis

41.    Acute cholecystitis and cholangoitis

42.    Hemoptysis

43.    Infections of urinary tract and acute pyelonephritis

44.    Obesity

45.    Iron-deficiency anemia

46.    Gastric and duodenal tumors

47.    Megaloblastic anemia and pernicious anemia

48.    Cushing syndrome

49.    Hypothyreosis