Propaedeutics in Surgery - B80634

• Anglický název: Propaedeutics in Surgery
• Zajišťuje: I. chirurgická klinika – břišní, hrudní a úrazové chirurgie 1. LF UK a VFN (11-00660)
• Fakulta: 1. lékařská fakulta
• Platnost: od 2023
• Semestr: zimní
• Body: 4
• E-Kredity: 4
• Způsob provedení zkoušky: zimní s.:
• Rozsah, examinace: zimní s.:0/5, Z+Zk [HT]
• Rozsah za akademický rok: 75 [hodiny]
• Počet míst: neomezen
• Minimální obsazenost: neomezen
• 4EU+: ne
• Virtuální mobilita / počet míst pro virtuální mobilitu: ne
• Stav předmětu: vyučován
• Jazyk výuky: angličtina
• Způsob výuky: prezenční
• Způsob výuky: prezenční
• Vysvětlení: MUDr. Ulrych Jan, Ph.D.
• Další informace: http://chir1.lf1.cuni.cz
• Staré označení: 634
• Garant: prof. MUDr. Zdeněk Krška, DrSc.; doc. MUDr. Petr Libánský, Ph.D.; prof. MUDr. Jaroslav Lindner, CSc.
• Patří mezi: Compulsory for GM 3.y._23/24
• Atributy: Lékařství; Klinický předmět
• Prerekvizity : B80032, B83010, B83119, B83120
• Je prerekvizitou pro: B82945, B80074, B81256, B81662, B81607, B80128, B80613, B80123, B82105, B80116, B81312, B80308, B80122

Anotace

čeština

Poslední úprava: doc. MUDr. Jan Ulrych, Ph.D. (27.09.2018)

Seznamuje studenty se základy klinické chirurgie. Náplní výuky je naučit studenty vyšetřovat pacienty s chirurgickým onemocněním (anamnéza, somatické vyšetření), seznámit studenty s ambulantním provozem a s provozem na standardních i intenzivních odděleních. Během stáže by se měli studenti seznámit s principy základních diagnostických a léčebných postupů.

angličtina

Poslední úprava: doc. MUDr. Jan Ulrych, Ph.D. (27.09.2018)

Learning and practising of the common issues of clinical medicine with the intention of Surgery (anamnesis, physical evaluation, basics of diagnostic and therapeutic methods).

Sylabus

Poslední úprava: Jana Kolářová (11.02.2020)

Students are conversanted with the general issues of clinical medicine (history, somatic investigation, basic investigation and treatment procedures, the most important legal regulations in clinical medicine) and acquire knowledge are practically practicing.

Teaching General Surgery is aimed at acquainting students with the symptomatology of surgical diseases which can be identified by physical examinations supplemented by basic instrumental and laboratory examinations. General propedeutics teaches students the basics of first medical assistance and includes basic issues of traumatic surgery, prevention and treatment of severe post-traumatic conditions.

The aim of the course is to master the rules of asepse and antisepsis, knowledge of basic methods of numbness, complex postoperative treatment of patients and recognition and treatment of postoperative complications. The trainees will continue to practice the substances in the surgical propedeutics: examination of the patients, cavitation, event. performing smaller surgical procedures at departments or outpatients. Attention will be paid to preoperative and postoperative care of patients, treatment of postoperative complications. In Surgery Propedeutics will be incorporated General training on injuries, surgical infections, surgical regulations, rehabilitation, and dietetics too.

Metody výuky

Poslední úprava: doc. MUDr. Jan Ulrych, Ph.D. (29.09.2023)

SURGERY PRACTICE:
Winter semester: 2.10.2023 - 21.1.2024

Group 3051 - Friday - 8.15-10.30 a.m. Department of Surgery, Thomayer University Hospital  

Group 3052 - Thursday - 8.15-10.30 a.m. 1st Department of Surgery, General University Hospital

Group 3053 - Wednesday - 8.15-10.30 a.m. 3rd Department of Surgery, University Hospital Motol 

Group 3054 - Monday - 8.15-10.30 a.m. Department of Surgery, University Hospital Bulovka

Group 3055 - Friday - 8.15-10.30 a.m. 1st Department of Surgery, General University Hospital 

Group 3056 - Wednesday - 8.15-10.30 a.m. 1st Department of Surgery, General University Hospital 

Address of Department of Surgery:

1st Department of Surgery - Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague     Address: U Nemocnice 2, Prague 2

3rd Department of Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol                                                                                                                    Address: Prague 5, V Úvalu 84

Department of Surgery - Bulovka, First Faculty of Medicine, Charles University in Prague and University Hospital Bulovka                                                                                                        Address: Prague 8, Budínova 2

Department of Surgery - Thomayer, First Faculty of Medicine, Charles University in Prague and Thomayer University Hospital                                                                                                   Address: Prague 4, Vídeňská 800

Seminars and practical training are compulsory.

 

TOPICS FOR SURGERY PRACTICES

(list of topics can be changed based on healthcare running in each of surgical departments)

 

1. PRINCIPLE OF CLINICAL EXAMINATION OF SURGICAL PATIENT

2. PRINCIPLE OF ANAESTHESIA - GENERAL ANAESTHESIA, LOCAL AND REGIONAL ANAESTHESIA

3. ASEPSIS, ANTISEPSIS, STERILISATION, DESIFECTION. OPERATING THEATER. HEALTH CARE ASSOCIETED INFECTIONS

4. PREOPERATIVE ASSESSMENT AND PREOPERATIVE CARE

5. TYPE OF SURGERY, OPEN AND MINIMALY-INAVSIVE SURGERY

6. POSTOPERATIVE COMPLICATIONS

7. DEFINITION AND CLASSIFICATION OF ACUTE ABDOMEN

8. CLASSIFICATION OF FRACTURES. SURGICAL AND NON-SURGICAL THERAPY OF FRACTURE

9. SURGICAL SITE INFECTION. ANTIBIOTICS IN SURGERY

10. FRACTURE HEALING. WOUND HEALING. TYPE OF WONUDS AND PRINCIPLES OF WOUND CARE. CASTING AND DRESSING

11. SHOCK. BLOOD REPLACEMENT

12. PRINCIPLES OF FIRST AID. MAJOR TRAUMA (POLYTRAUMA), MILTIPLE TRAUMA

13. LABORATORY TESTS AND RADIOGRAPHIC IMAGING IN SURGERY. FLUID AND ELECTROLYTE THERAPY OF THE SURGICAL PATIENT. PARENTERAL ADMINISTRATION OF DRUGS. INTRAVENOUS ACCESS

14. INDWELLING OF URINARY CATHETER AND NASOGASTRIC TUBE. ABDOMINAL AND THORACIC PUNCTURE OR DRAINAGE. TRACHEOSTOMY AND CRYCOTHYROIDOTOMY

15. CREDITS

 

SURGERY LECTURES: Friday 11.00 - 12.30 a.m.  
Winter semester: 1.10.2023 - 21.1.2024.

Surgery lectures will be held every Friday in Auditorium of the 1st Department of Surgery based on schedule. 

Auditorium of the 1st Department of Surgery
1st Surgical Department - Clinical Department of Abdominal,Thoracic Surgery and Traumatology , Prague 2 , U Nemocnice 2 (first floor)

 

 

 

Vstupní požadavky

čeština

Poslední úprava: doc. MUDr. Jan Ulrych, Ph.D. (30.09.2022)

První den praktických stáží se studenti dostaví na sekretariát příslušné chirurgické kliniky (dle uvedeného rozpisu a rozdělení jednotlivých kruhů na chirurgické kliniky), kde si je převezme lékař zodpovědný za výuku na daném pracovišti.  

Nezbytné požadavky na stážujícího studenta: identifikační karta, bílý plášť a přezutí !!

Rozdělení studentů na jednotlivá chirurgická pracoviště, témata přednášek, požadavky na udělení zápočtu a požadavky ke zkoušce z Propedeutiky z chirurgie jsou dostupné v informačním systému - sis. S ohledem na zdravotnický provoz na jednotlivých pracovištích upozorňujeme na možnost aktuálních změn, informace o těchto změnách budou dostupné na sekretariátu I. chirurgické kliniky, event. sekretariátech ostatních chirurgických pracovišť. 

angličtina

Poslední úprava: doc. MUDr. Jan Ulrych, Ph.D. (29.09.2023)

On the first day of practical internships, students will attend the secretariat office of the allocated Surgical Department (division of the students to Surgical Departments is available in SIS). Students will meet the surgeon responsible for the education there.

 

Essential requirements for the students: identification card, white medical coat and working shoes!!

 

The allocation of students to surgical departments, lecture topics, credit requirements and exam requirements are available in the information system - SIS.

 

With regard to work flow in surgical departments, we would like to call for attention to the possible change in education schedule. The information about these changes will be available at the secretariat office of the First Surgical Department of General University Hospital or secretariat offices of allocated surgical departments.

Požadavky ke zkoušce

Poslední úprava: doc. MUDr. Jan Ulrych, Ph.D. (30.09.2023)

Credit requirements - 80 % of attendance in surgery practice (12 lessons per winter semester).

Examination requirements - credit for Propaedeutics in Surgery

Examination Questions
in Clinical Propaedeutics of Surgery
First Faculty of Medicine Charles University in Prague

1) a. POSTOPERATIVE COMPLICATIONS (gastrointestinal and urinary complications)

    b.  TETANUS – diagnosis, symptoms, surgical prophylaxis and therapy

    c.  CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

2) a. PRINCIPLES OF THERAPY OF MALIGNANT DISEASE

    b. SURGICAL SITE INFECTION

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

3) a. PREOPERATIVE ASSESSMENT AND PREOPERATIVE CARE

    b. PRINCIPLES OF REHABILIATION IN SURGERY. DECUBITUS

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

4) a. SURGICAL THERAPY OF FRACTURE – basic principles

    b.  WOUND HEALING (primary and secondary healing, wound healing stages)

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

5) a. MAJOR TRAUMA (POLYTRAUMA), MILTIPLE TRAUMA (definition, primary survey, management ABCDE)

    b. FLUID AND ELECTROLYTE THERAPY OF THE SURGICAL PATIENT

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

6) a. GENERAL ANAESTHESIA

    b. ABDOMINAL TRAUMA (blunt and penetrating trauma)

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

7) a. POSTOPERATIVE COMPLICATIONS (cardiovascular and respiratory complications)

    b. ANTIBIOTICS IN SURGERY

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

8) a. POSTOPERATIVE CARE (basic principles)

    b. TRAUMA OF BIG JOINTS

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

9) a. PREOPERATIVE ASSESSMENT OF FITNESS FOR OPERATION

    b. SHOCK – definition, classification, principles of therapy

    c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

10) a. DOCUMENTATION IN SURGERY

      b. PARENTERAL ADMINISTRATION OF DRUGS. INTRAVENOUS ACCESS. (peripheral and central vain catheter)

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

11) a. ABDOMINAL AND THORACIC PUNCTURE OR DRAINAGE (indications and procedures)

      b. NON-SURGICAL THERAPY OF FRATURE

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

12) a. POSTOPERATIVE WOUND COMPLICATIONS

      b. CLASSIFICATION OF FRACTURES

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

13) a. PRINCIPLES OF SUTURES AND KNOTS (different types, materials, staplers)

      b. ARREST OF HAEMORRHAGE (coagulation, ligature). FIRST AID

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

14) a. LOCAL AND REGIONAL ANAESTHESIA

      b. FIRST AID IN PATIENT WITH FRACTURE

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

15) a. INDWELLING OF URINARY CATHETER AND NASOGASTRIC TUBE

      b. THORACIC TRAUMA. FIRST AID

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

16) a. CLINICAL EXAMINATION OF KNEE JOINT

      b. MASS CASUALTY INCIDENT (principle of management)

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

17) a. NECROTISING AND NON-NECROTISING SKIN AND SOFT TISSUE INFECTIONS

      b. TYPE OF WONUDS AND PRINCIPLES OF WOUND CARE

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

18) a. CASTING AND DRESSING

      b. DEFINITION AND CLASSIFICATION OF ACUTE ABDOMEN

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

19) a. FRACTURE HEALING

      b. THERMAL INJURY AND ELECTRICAL INJURY

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

20) a. ABDOMINAL EXAMINATION

      b. BLOOD REPLACEMENT (indication, compatibility testing, complications)

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

21) a. TYPE OF SURGERY

      b. HEALTH CARE ASSOCIETED INFECTIONS (definition, classification)

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

22) a. ASEPSIS, ANTISEPSIS, STERILISATION, DESIFECTION.

      b. PRINCIPLES OF FIRST AID

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

23) a. OPEN AND MINIMALY-INAVSIVE SURGERY

      b. PRINICIPLES OF PLASTIC AND RECONSTRUCTIVE SURGERY

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)

 

24) a. LABORATORY TESTS AND RADIOGRAPHIC IMAGING IN SURGERY

      b. TRACHEOSTOMY AND CRYCOTHYROIDOTOMY (definition, indication) 

      c. CLINICAL SKILLS (scrubbing in, gowning, gloving and maintain sterile fields, surgical instruments)