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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
PROPEDEUTICS IN SURGERY
The objective of the course is an introduction to the clinic for surgery. Acquainted with the history of surgery, basic terminology and surgical instruments, surgical examination of the patient, pre-and postoperative care, the principles of operation of operating rooms and training tools, techniques and basic operating procedures and types of anesthesia. Another goal is to gain basic practical knowledge of dressing techniques, the surgeon preparing for surgery, basic suturing wounds, dressing changes and wound care.
PROPEDEUTICS IN INTERNAL MEDICINE
The objective of the course is an introduction to clinical medicine, contact with sick and gradual steps to establish the diagnosis. These first steps are art history and physical examination.The second objective is the ability to build medical records and medical documentation.At the end of the course the student is able to investigate patients with internal diseases, get a history of illness, physical examination the patient. Can produce patient medical history, to determine preliminary diagnosis and recommend additional testing.
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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
PROPEDEUTICS IN SURGERY
Epstein,Perkin,de Bono,Cookson:Clinical examination.Second Edition ; Mosby l999
Talley,O´Connor : Clinical Examination (a Systemic Guide to Physical Diagnosis);Blackwel Scie.Publ.1992
DUŠKOVÁ, M. et al. Introduction to surgery. Textbooks for students Third Faculty of Medicine. [CD-ROM]. First ed Prague: Charles University in Prague, Third Faculty of Medicine, Department of Plastic Surgery, 2009. Electronic version in PDF format also available on WWW: http://www.lf3.cuni.cz/cs/pracoviste/plasticka-chirurgie/. ISBN: 978-80-254-4656-0
PROPEDEUTICS IN INTERNAL MEDICINE
Chrobák Ladislav et al.: Physical examination in internal medicine. Praha, Grada, 2003
http://www.lf3.cuni.cz/en/departments/3interni/vyuka/studijni-materialy/CVSE3P0014/studijni-materialy/modul2b-vyukove-filmy.html |
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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
PROPEDEUTICS IN SURGERY
Seminars, interships
PROPEDEUTICS IN INTERNAL MEDICINE
Seminars,lectures and bedside practice I., II. a III. Medical Departements |
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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
PROPEDEUTICS IN SURGERY
Credit for winter semester will be earned by filled presence list (at least 80 %) and practical exam.
Tasks for surgery examination: 1. History of surgery, surgical branches and specializations. 2. Basic principles of the first aid and emergency care (blood circulation and cardiovascular system, respiration and ventilation, state of consciousness). 3. Basic characteristics of the shock, preventive care of the shock in the first aid. 4. Asepsis, antisepsis, means and types of sterilization and disinfection. 5. Types of the anesthesia. 6. Examination of the patient in surgery. 7. Basic guide and keeping of medical documentation in surgery, including the juristic aspects. 8. Common surgical problems: nosologic units (tumors, cysts, ulcers, sinuses and fistulas, necrosis, gangrene), parallel diseases and problems (metabolic, cardiovascular, ventilation, psychological, and psychiatric), specific aspects (childhood, old age). 9. Inflammation and infection in surgery (wound, local, systemic, general), prevention of the tetanus, nosocomial infection. 10. Wound types and characteristics, wound healing (first intention, second intention). 11. Preoperative management of the patient (local, general), including surgical field itself. 12. Management of the operation theatre, surgical team. 13. Technologies in surgery- endoscope and endoscopy, microscope and microsurgery. 14. Hemorrhage, bleeding, physiological and surgical hemostasis. 15. Surgical medical supplies- types of bandages and dressings, suture materials, basic instruments. 16. Administration of medicaments: injections, infusions, installations, infiltration, and others (ingestion, sticking-plaster, gel, cream, ointment, eye and ear drops). 17. Surgical drainage, catheterization. 18. Local and general postoperative treatment, postoperative complications. 19. Nutrition and dietetics in surgery. 20. Physiotherapy in surgery.
PROPEDEUTICS IN INTERNAL MEDICINE
Credit-conditions
Internal Medicine Clinical Propedeutics Questions:
1. a) History taking b) Physical examination of the head and neck 2. a) Personal and family history b) Physical examination of the chest and breasts 3. a) Status praesens (current state of the patient) b)Percussion of the lung 4. a) The disorders of the consciousness b) Physical examination of the heart-inspection,palpation and percussion 5. a) The history in diseases of the digestive tract b) Auscultation of the heart- heart sounds and additional heart sounds 6. a) Abdominal colic b) Examination of the sputum 7. a) Somatic and visceral pain of the abdomen b) Palpitations,syncope,cyanosis 8. a) Examination of breathing and body temperature b) Systolic heart murmurs 9. a) Gastrointestinal bleeding b) Diastolic heart murmurs 10. a) Blood transfusion-documentation,procedure and complications. b) Constipation and diarrhoea 11. a) The history in diseases of the kidney and urinary tract b) Stools examination 12. a) The arterial pulse b) The signs of peritonitis 13. a) Blood pressure measuring b) Hemoptysis and hemoptoe 14. a) Rectal examination b) Physical findings in mitral stenosis 15. a) Occupational and social history b)Physical findings in mitral regurgitation 16. a) Physical examination of the abdomen b) Physical findings in aortic stenosis 17. a) Examination of the male genitalia b) Physical findings in aortic regurgitation 18. a)Examination of the faeces b) Physical findings in tricuspid regurgitation 19. a) The routes of drug administration b) Physical examination of the liver,gallblader and the spleen 20. a) The history in diseases of the locomotor system b) Nutrition disorders 21. a) Examination of the kidney and the urinary tract b) Physical findings in ventricular and antral septal defect 22. a) Examination of the joints b) Patent ductus arteriosus 23. a) Examination of the spine b) Physical findings in pulmonary stenosis 24. a) Examination of the soft part of the locomotor system b) Coarctation of the aorta 25. a) Examination of peripheral arteries b) Icterus 26. a) Examination of peripheral veins b) Ascites 27. a) Examination of the lymph nodes b) Cardiac pain 28. a) The respiratory history b) Portal hypertension 29. a) Medical records b) Changes in urine volume or stream 30. a) The syndrome of chronic airflow limitation b) Skin examination 31. a) Physical findings inlung infiltration b) The basic hematological examination 32. a) Pleural effusion b) The basic test of hemocoagulation 33. a) Pneumothorax b) Urinanalysis 34. a) Mediastinal compression b) Dyspnoe 35. a) The cardiac history b) The basic clinical chemistry of the blood 36. a) The history and physical examination in endocrine diseases b) The formulation of normal physical finidings 37. a) Basic methods of physical examination b) Skin changes in liver diseases 38. a) The history and physical examination in hematological diseases b) Skin changes in rheumatological diseases 39. a) The history in diseases of the liver, gallbladder and the pankreas b) Oedemas 40. a) The history of the presenting illness b) Basic ECG interpretation 41. a) Approach to the patient and history taking b) Cardiopulmonary resuscitation
Examination of Internal and surgical propedeutics takes place in the summer semester. It has a practical part of internal medicine:history, physical examination the patient, writing medical record.Students demonstrate the ability to investigate a patient teacher.The oral part of the exam is the exam period, examiners are professor / associate professor of internal medicine and professor / associate professor of surgery.The condition for the test, credit for winter and summer semester and passing tests of 2 year(Module IA).The oral exam will take place in the library of Plastic Surgery for students who complained about II. and III. Medical Department (depending on where students complained), students who complained at the I. Medical Department will be examined at the I. Medical Department.
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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
PROPEDEUTICS IN SURGERY
Seminars
Introduction to the surgery, history of surgery, surgical terminology - basic concepts, surgical instruments Medical history, examination of surgically ill, documentation Asepsis, antisepsis, sterilization, principles of operation of operating rooms, preparing tools and materials Preparing the patient for surgery, the overall local, post-operative care, physiotherapy, dietetics, visiting department Basic surgical techniques - planning cuts, bleeding, suture and wound drainage Basic surgical procedures, types of anesthesia, infection in surgerypracticedressing technique
Practice
Kinds of sewing materials, practice sewing techniques Dressing gowns, gloves, surgeon preparing for surgery Dressing the department and ambulance Work on the operating cups
PROPEDEUTICS IN INTERNAL MEDICINE
Teaching takes the form of internships wards I., II. and III. Department of Internal Medicine.
Syllabus internships
1. Introduction to the field, organizational notes, credit conditions, tests 2. History 3. History - practice 4. Basic methods of physical examination in general: look, percussion, auscultation, palpation - a technique of these tests 5.General condition, consciousness, examinations of head, neck 6. Lung examination 7. Heart examination 8. Examination of the abdomen 9. Examination of the lower limbs 10. Auxiliary examination methods in internal medicine (basic biochemistry, hematology, ECG, X-ray) 11. Auxiliary examination methods non-invasive, invasive 12. - 15. Practicing history, physical examination
Lesson ends with a test that has a practical part (internal examination the patient medical record writing and testing of the physical examination) and an oral phase:Takes place at the end of the summer semester.Questions are in internal medicine and surgical propedeutics - Commission consists of senior lecturer (professor) of internal medicine and associate professor (professor) surgery.
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Last update: Mgr. Alena Vlasáková, DiS. (22.03.2013)
PROPEDEUTICS IN SURGERY
Succesful previous study
PROPEDEUTICS IN INTERNAL MEDICINE
Compliance with the conditions II. year master's degree. |