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Pracoviště vyučujících na I.IK.xls | Jitka Nováková | |
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Praktika 2020-2021.xlsx | Jitka Nováková | |
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Syllabus Propedeutics 2020_21.xlsx | Jitka Nováková | |
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Last update: doc. MUDr. Jaromír Eiselt, Ph.D. (28.10.2019)
The subject Propedeutics of Internal Medicine contains 13 lectures and 13 practicals. Students are acquainted with the principles of ethical approach to patients, taking medical history, doing physical examination of individual body parts and organ systems. Lectures also deal with laboratory and imaging methods used in internal medicine. Practical teaching takes place mainly in the wards of the Department of Internal Medicine and Department of Cardiology and consist of 13 practicals. Practicals are focused on the general approach to the patient, description of the chief complaint, history of present illness and past medical history of the patient. Students carry out systematic physical examination of patients. We emphasize the systematic approach to investigations of individual parts of the body or organ systems. Students learn to recognize physiological and pathological findings. Thorough examination of the patient gives the student an invaluable practical experience. The student learns empathy, sensitive approach. Contact with the patient is the most and we emphasize it; however, training in the seminar room, descriptions of ECG records or watching instructional videos are also part of the course. During practicals, students will also visit various departments of the internal and cardiology clinic, where they follow examinations (eg sonography, coronarography, gastroscopy, colonoscopy etc.). Assesment methods and criteria linked to learning outcomes: Lectures are optional, but we strongly recommend participation. A detailed syllabus of the course is given in the attachment (Syllabus/Lectures). Condition for granting the credit is participation in practicals (we tolerate 10% absence). The course is completed by an exam, which has a practical and theoretical part. For a list of required and recommended literature, a list of questions to the exam and a description of the components of the exam see relevant attachments. |
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Last update: doc. MUDr. Jaromír Eiselt, Ph.D. (28.10.2019)
Examination in Propedeutics in Internal Medicine at the Department of internal medicine 1, Plzeň-Lochotín has two parts, both held in one day: Practical part: a) The teacher chooses an appropriate patient and asks the student to perform some part of the physical examination (physicals), e.g. examination of the lungs. b) The student approaches lege artis to the patient and asks him/her about presenting complaint. c) The student shall perform the given part of the physical Should the student not be able to communicate with the patient in Czech, the teacher will help the student and interpret the questions/answers and necessary instructions to the patient during the physical, e.g. "deep breath in - deep breath out and hold!" etc. d) The student writes (on an A4 sheet of paper) notes about presenting complaints (e.g. "86-year-old woman was admitted due to…(one or two sentences)) and also writes down the findings from the given part of the physicals (the same way as if he/she would write regular medical notes on the patient´s chart). The teacher assisting with the communication observes the student´s work and can give additional questions/comments. The teacher writes the theme of the practical exam and the grade achieved in the Examination book. The written notes from the physicals are given to the teacher examining the oral part. Oral part: The student draws a card with a pair of questions, He/She has 15 minutes for preparation and then presents the topic to the examiner.
Propedeutics in Internal medicine List of questions for oral examination 1. History taking (Medical interview) 2. Physical examination - generally. Approach to the patient 3. General inspection (aspection) of the patient 4. Examination of the arterial pulse and venous pressure 5. Abnormalities of height, weight, nutritional status, stature 6. Typical positions, movements, disorders of gait, speech 7. Examination of respiration, breathing patterns 8. Disturbances of conciousness, orientation and cognitive functions 9. Disturbations of the skin, hair and nails 10. Examination of the head 11. Examination of the neck 12. Aspection of the chest, thoracic lines, the breast examination 13. Percussion of the chest 14. Auscultation of the chest, breath sounds 15. Added breath sounds, crackles, wheeze, stridor, pleural rub 16. Physical findings in mitral valvular disease 17. Vocal fremistus, vocal resonance, physical findings in pneumothorax 18. Physical findings in lung emphysema, bronchial asthma and bronchitis 19. Physical findings in pneumonias 20. Physical findings in diseases of pleura 21. Physical examination of the heart: inspection, palpation, cardiac auscultation 22. Heart sounds and their abnormalities 23. Physical findings in aortic valvular disease 24. Examination of the abdomen: inspection, percussion, auscultation 25. Examination of the abdomen: palpation 26. Examination of the liver and gall bladder 27. Examination of the spleen, lymph nodes and kidneys 28. Examination of the perianal/genitalia region, rectal examination 29. Examination of extremities and spine 30. Physical examination of the arterial and venous system 31. Description of normal physical examination 32. Non-invasive examinations in cardiology 33. Assessment of red blood cell count 34. Heart murmurs, extracardiac murmurs 35. Pulmonary embolism on ECG 36. Blood pressure measurement 37. Measuring body temperature, patterns of fever, hypothermia 38. Diuresis, abnormalities in urine volume and composition, voiding symptoms 39. Basic biochemical methods in medicine, biochemical screening 40. White blood cell count, bone marrow examination 41. Examination methods in gastroenterology 42. Ventricular ectopic beats, ventricular tachycardia and fibrillation 43. P-pulmonale, P-mitrale 44. Cycle ergometry and treadmill excercise testing - indications, methods and assessment 45. Functional tests and imaging methods in renal diseases 46. Functional tests and imaging methods in lung disorders 47. Performing urinalysis and microscopy of urine specimen 48. Atrioventricular heart blocks 49. Supraventricular ectopic beats and tachycardias on ECG 50. Anterior myocardial infarction on ECG 51. Inferior myocardial infarction on ECG 52. Invasive investigations in cardiology 53. Characteristics of the normal ECG 54. Investigation of hemostasis 55. Atrial fibrillation and atrial flutter on ECG 56. Investigations before transfusion, pre-transfusion testing
Required literature:
Macleod's Clinical Examination, last Edition; Authors: Graham Douglas & Fiona Nicol & Colin Robertson.
The ECG Made Easy, last Edition; Author: John R. Hampton
Recommended literature:
150 ECG Problems, last Edition Author: John R. Hampton
Physical Examination in Internal Medicine, Grada, last Edition, L Chrobák and coworkers doc. MUDr. Jaromír Eiselt, Ph.D. deputy head for education
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Last update: doc. MUDr. Jaromír Eiselt, Ph.D. (11.10.2020)
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