SubjectsSubjects(version: 945)
Course, academic year 2023/2024
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Internal Medicine - FG10078
Title: Internal Medicine
Guaranteed by: Academic Department of Internal Medicine (15-400)
Faculty: Faculty of Medicine in Hradec Králové
Actual: from 2023
Semester: both
Points: 0
E-Credits: 0
Examination process:
Hours per week, examination: 0/0, STEX [HT]
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
Teaching methods: full-time
Level:  
Note: you can enroll for the course in winter and in summer semester
Guarantor: doc. MUDr. Miroslav Solař, Ph.D.
Pre-requisite : {General Medicine 1st year}, {General Medicine 2nd year}, {General Medicine 3rd year}, {General Medicine 4th year}, {General Medicine 5th year}, FG10099
Co-requisite : FG10099
Incompatibility : F0112043
Interchangeability : F0112043
Is incompatible with: F0112043
Is interchangeable with: F0112043
Order Course title
Topic 1 (TO1)
1 a)Approach to the acute patient (ABCDE) b)Coronary artery disease, chronic forms c)Pulmonary infections in the immunocompromised hosts (viral, fungal)
2 a)Approach to the patient with suspected allergic reaction b)Coronary artery disease, acute forms c)Sleep apnoea syndrome (obstructive and central)
3 a)Approach to the patient with anemia b)Complications of acute myocardial infarction c)Diseases of chest wall, mediastinum, and diaphragm
4 a)Approach to the patient with ascites b)Heart failure (clinical presentation, diagnosis and pharmacotherapy) c)Diagnostic techniques in pneumology
5 a)Approach to the patient with headache b)Atrial fibrillation c)Sarcoidosis
6 a)Approach to the patient with joint and muscle pain b)Supraventricular tachyarrhythmias (exluding atrial fibrillation) c)Chronic pancreatitis
7 a)Approach to the patient with chest pain b)Tumours of the chest c)Gastritis and gastropathy
8 a)Approach to the patient with acute abdominal pain b)Bradyarrhythmias c)Hypersensitivity pneumonitis
9 a)Approach to the patient with back pain b)Sudden cardiac death, cardiopulmonary resuiscitation c)Bronchiectasis and pulmonary abscess
10 a)Approach to the patient with bradycardia b)Bronchial asthma c)Cholelithiasis and its complications
11 a)Approach to the patient with stroke b)Ventricular arrhythmias c)Drug-induced gastrointestinal injury
12 a)Approach to the patient with cyanosis b)Essential arterial hypertension c)Viral hepatitis
13 a)Approach to the patient with delirium b)Cardiovascular prevention c)Primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis
14 a)Approach to the patient with acute dyspnea b)Gout c)Secondary arterial hypertension
15 a)Approach to the patient with dysphagia, odynophagia and pyrosis b)Pulmonary embolism c)ANCA associated vasculitis
16 a)Approach to the patient with acute respiratory failure b)Liver failure (acute liver failure, acute on chronic liver failure) c)Dilated and hyperthrophic cardiomyopathy
17 a)Approach to the patient with eosinophilia b)Infective endocarditis c)Oesophageal tumours
18 a)Approach to the patient with fluidothorax b)Peptic ulcer disease c)Ankylosing spondylitis
19 a)Approach to the patient with hematuria b)Aortic disection c)Gastric tumours
20 a)Approach to the patient with hemoptysis b)Adrenal insufficiency c)Pericardial disease and myocarditis
21 a)Approach to the patient with abnormal liver function tests b)Hematologic emergencies (febrile neutropenia, tumor lysis syndrome, hypercalcemia, …) c)Critical limb ischemia
22 a)Approach to the patient with hypo- and hypeglycemia b)Aortic stenosis c)Functional gastrointestinal disorders
23 a)Approach to the patient with hypo- and hypercalcemia b)Mitral insufficiency c)Pancreatic tumours
24 a)Approach to the patient with hypo and hyperkalemia b)Pleural effusion, pleuritis, empyema c)Metabolic liver disease (nonalcoholic fatty liver disease, hemochromatosis, Wilson disease)
25 a)Approach to the patient with hypo- and hypernatremia b)Pneumothorax c)Aortic aneurysm
26 a)Approach to the patient with elevated blood pressure b)Repiratory insufficiency c)Liver tumours
27 a)Approach to the patient with obesity b)Interstitial lung diseases c)Methods of investigation in gastroenterology
28 a)Approach to the patient with hypotension b)Chronic obstructive pulmonary disease c)Peripheral artery disease, chronic forms
29 a)Approach to the patient with jaundice b)Tuberculosis c)Chronic venous insuffciency
30 a)Approach to the patient with immune deficiency and immunosuppression b)Osteoarthritis c)Heart failure, non-pharmacological treatment
31 a)Approach to the patient with suspected intoxication b)Colorectal cancer c)Pulmonary heart disease and pulmonary hypertension
32 a)Approach to the patient with cough b)Maldigestion and malabsorption c)Infectious arthritis, reactive arthritis
33 a)Approach to the patient with gastrointestinal tract bleeding b)Pneumonia c)Systemic sclerosis and idiopathic inflammatory myopaties
34 a)Approach to the patient with skin and mucosal bleeding b)Acute pancreatitis c)Occupational disease due to physical and chemical agents
35 a)Approach to the patient with bleeding on anticoagulation therapy b)Gastro-oesophageal reflux disease and Barrett's oesophagus c)Metabolic and respiratory acidosis
36 a)Approach to the patient with leukocytosis b)Portal hypertension and liver cirrhosis c)Thyroid gland tumors
37 a)Approach to the patient with leukopenia b)Hypothyroidism c)Kidney tranplantation
38 a)Approach to the patient with lymphadenopathy b)Hyperthyroidism c)Metabolic and other complications associated with chronic kidney disease (kidney bone disease, anemia, hyperparathyreosis)
39 a)Approach to the patient with acute renal failure b)Rheumatoid arthritis c)Diabetes inspididus
40 a)Approach to the patient with limb edema b)Hemolytic anemias, and anemia of chronic disease c)Cold, heat, electrical and radiation injury
41 a)Approach to the patient with palpitations b)Inflammatory bowel disease (Ulcerative colitis and Crohn's disease) c)Polycystic kidney disease
42 a)Approach to the patient with polyuria b)Iron deficiency anemia, and Vitamin B12 and folic acid deficiency anemia c)Patient on dialysis - clinical picture, complications
43 a)Approach to the patient with hyperlipidemia b)Coeliac disease c)Parathyroid diseases
44 a)Approach to the patient with proteinuria b)Principles of transfusion therapy including blood derivates, indications and complications c)Cushing´s syndrome
45 a)Approach to the patient with diarrhea b)Laboratory tests of hemostasis; interpretation of the results c)Primary hyperaldosteronism and pheochromocytoma
46 a)Approach to the patient with enlarged mediasntinum on chest X-ray b)Hypopituitarism c)Myelodysplastic syndrome, aplastic anemia
47 a)Approach to the patient with tachycardia b)Systemic lupus erythematosus c)Alcohol poisonings (ethanol, methanol, ethyleneglycol),Carbon monooxide, cyanide and organic phosphates poisonings
48 a)Approach to the patient with thrombocytopenia b)Diabetes mellitus type I c)Antimicrobial treatment
49 a)Approach to the patient with venous thrombosis b)Diabetes mellitus type II c)Mushroom poisoning
50 a)Approach to the patient with suprarenal mass b)Acute complications of diabetes c)Hodgkin´s and non-Hodgkin´s lymphoma
51 a)Approach to the patient with weight loss b)Acute kidney injury; causes, diagnosis, treatment c)Gastrointestinal polyps and polyposis syndromes
52 a)Approach to the patient with sepsis b)Chronic kidney disease (CKD); definition, CKD classification, clinical picture c)Aterosclerosis - risk factors and pathogenesis
53 a)Approach to the patient with splenomegaly b)Chronic complications of diabetes c)Glomerulopathy and glomerulonephritis (excluding rapidly progressive glomerulonephritis)
54 a)Approach to the patient with giotre b)Nutritional support (enteral and parenteral nutrition) c)Thrombophilia, inherited and acquired
55 a)Approach to the patient with transient loss of consciousness b)Urinary tract infections – acute and chronic c)Coagulopathies, inherited and acquired
56 a)Approach to the patient with constipation b)Acute and chronic tubulointerstitial non-infectious nephritis c)Chronic myeloid leukemia
57 a)Approach to the patient with vomiting b)Diagnostic techniques in nephrology c)Chronic Ph-negative myeloproliferative diseases (polycythemia vera, primary myelofibrosis, essential thrombocythemia)
58 a)Approach to the patient with fever b)Renal replacement therapy – dialysis; principles, modalities c)Pain control, symptomatic and palliative care
59 a)Approach to the unconscious patient b)Short bowel syndrome c)Multiple myeloma, monoclonal gammopathy
60 a)Approach to the patient with shock b)Osteoporosis c)Acute leukemias
61 a)Approach to the elderly patient b)Rapidly progressive glomerulonephritis c)Chronic lymphocytic leukemia
Topic 2 (TO2)
1 Practical exam
Annotation
Last update: Bc. Tereza Bartáková (02.08.2023)
The state exam takes place according to the schedule of Faculty of Medicine. Regular dates are usually listed in February and June, alternative dates are usually in April, July/August, and September, always at least 4 weeks from the previous date. The commission consists of three members, state exam consists of an oral examination and a practical examination, which will take place at one of the internal departments. Please bring a white coat, slippers and a phonendoscope for the practical part of the exam. The practical examination does not have to be repeated on the first attempt, if the student obtained a grade of 1 or 2 and a maximum of 1 year has elapsed since the first attempt. In the second attempt, the practical and oral exam are repeated, an external member of the commission appointed by the study department of the Faculty of Medicine is present. State exam topics are available in Moodle https://moodle.lfhk.cuni.cz/moodle2/course/view.php?id=2050
Entry requirements
Last update: Bc. Tereza Bartáková (13.09.2023)
Entry requirements: successful completion of course Practice before state examination in internal medicine
Requirements to the exam
Last update: Bc. Tereza Bartáková (19.07.2023)
Without the credit (both in index and SIS), registration for the state exam in not possible.
Literature
Last update: Bc. Tereza Bartáková (19.07.2023)

Recommended sources:

Literature: 

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

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

Češka et. al., Interna

Sčudla et. al. Základy diferenciální diagnostiky ve vnitřním lékařství

Bureš et. al Vnitřní lékařství

Bureš J, Horáček J, Malý J (eds): Vnitřní lékařství I a II. 2. vydání. Praha, Galén, 2014; ISBN 978-80-7492-145-2

Websites:

1. www.medscape.com

2. www.amboss.com

3. wikidoc.org

 
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