SubjectsSubjects(version: 953)
Course, academic year 2023/2024
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Surgery - CSRZKCHO (Surgery, Orthopaedics, Urology, Plastic Surgery, Burns Medicine, Neurosurgery, Cardiosurgery, Paediatrics Surgery)
Title: Chirurgie
Guaranteed by: Department of General Surgery 3FM CU and UHKV (12-CHIR)
Faculty: Third Faculty of Medicine
Actual: from 2021
Semester: both
Points: 17
E-Credits: 17
Examination process:
Hours per week, examination: 0/440, C [HS]
Extent per academic year: 11 [weeks]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech, English
Teaching methods: full-time
Teaching methods: full-time
Level:  
Note: you can enroll for the course in winter and in summer semester
Guarantor: prof. MUDr. Robert Gürlich, CSc.
prof. MUDr. Martin Krbec, CSc.
Classification: Medicine > Clinical Overview
Examination dates   Schedule   
Annotation -
In the 6th year, a 8-week block of final practical training takes place at surgical clinics. In the eight weeks, students must complete 1 week at the workplace of general surgery. The next 7 weeks of practice take place in other surgical fields: orthopedics, plastic surgery, burn medicine, urology, cardiac surgery, neurosurgery and anesthesiology and resuscitation. The internship can be completed at the Královské Vinohrady University Hospital or other contract hospitals in the Czech Republic; in the case of an internship at a non-contract hospital, this hospital must have a contract with the 3rd Medical Faculty of Charles University. The clinical internship can also be completed at foreign accredited or university workplaces. The 9th week is reserved for preparation for the final state exam.
Last update: Šubrt Zdeněk, doc. MUDr., Ph.D. (19.09.2023)
Aim of the course -

To acquaint students with the operation and clinical activities in individual departments of specific surgical disciplines, an overview of individual types of operations, preoperative preparation, postoperative care, the possibility of physiotherapy in surgical and conservative procedures of surgical patients.

Last update: Šubrt Zdeněk, doc. MUDr., Ph.D. (19.09.2023)
Literature -

Surgery:

ATLS Advanced Trauma Life Support 10th Edition Student Course Manual. ACS American College of Surgeons 2018. ISBN 0996826238

McLatchie G., Borley N., Chikwe J.: Oxford Handbook of Clinical Surgery. Oxford University Press, Oxford 2013, ISBN 9780199699476

 

Orthopaedics:

Adams J.C., Hamblen D.L.: Outline of Orthopaedics. 14th ed. Churchill Livingstone, 2009

Dandy D.J., Edwards D.J.: Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone 2009

Duckworth T., Blundell C.M.: Orthopaedics and Fractures. 4th ed. Wiley-Blackwell 2010

McRae R.: Practical Fracture Treatment. 5th ed. Churchill Livingstone 2008

 

Plastic surgery:

M. Dušková et al.: Plastic Surgery, textbook for students of 3.FM CU. UK v Praze, 3. LF, Klinika plastické chirurgie 3.LF a FNKV 2010, ISBN 978-80-254-8781-54


Burn surgery:


Herndon D. N., et al. Total Burn Care, 3rd edition. Saunders Published May 2007.
ISBN 1416032746 / 9781416032748, 880 Pages, 772 Illustrations

Last update: Šubrt Zdeněk, doc. MUDr., Ph.D. (19.09.2023)
Teaching methods -

Teaching takes place in the form of practical training (8 weeks).

E-learning course: Course: Surgery 6th year 2022/23 (cuni.cz) - https://dl2.cuni.cz/course/view.php?id=4753

Last update: Šubrt Zdeněk, doc. MUDr., Ph.D. (19.09.2023)
Requirements to the exam -

The credit is conditional on participation in 8-week block practical internship at surgical departments and completion of the credit test within the e-learning course.

Credit before the state final exam will be granted on the basis of completion of 8 weeks of compulsory practice with min. 80% attendance and also after completing the e-learning course in general and special surgery,

where individual topics of general and special surgery questions are discussed and presented. This e-learning course is finished with an electronic test with min. 80% correct answers.

The course takes place electronically in the Moodle II internet environment at the following link:

Course: Surgery 6th year 2022/23 (cuni.cz) - https://dl2.cuni.cz/course/view.php?id=4753.

In case of justified non-participation, an alternative date can be arranged.

When completing the internship abroad, it is necessary to agree with the course coordinator on the recognition of the content of practical training. In case the experience from abroad is insufficient, it is necessary to complete the missing part at the given clinics after agreement.

Last update: Šubrt Zdeněk, doc. MUDr., Ph.D. (19.09.2023)
Syllabus -

Revision 2021 for State Exams since study year 2022/2023

 

GENERAL SURGERY

 

1.     Examination of a surgical patient.

2.     Wounds - classification, healing, healing disorders, temporary and definitive treatment

3.     Infections in surgery

4.     Infectious diseases of the hand

5.     Asepsis, antisepsis, disinfection, sterilization

6.     Problems of nutrition in surgery

7.     Preparing the patient for surgery. Surgical risk, preoperative examination. Informed consent.

8.     Basic surgical procedures and surgical approaches.

9.     Basic principles of postoperative care

10.  Transfusion. Indications, application principles, complications

11.  Postoperative complications – classification, prevention, diagnosis, therapy

12.  Surgical wound complications

13.  Thromboembolic disease

14.  Nosocomial infections, basic principles of ATB treatment in surgery.

15.  Crush syndrome, reperfusion syndrome, blast syndrome.

16.  Shock, definition, classification, symptomatology, therapy

17.  Sepsis and septic shock in surgical patients - definition, general principles of treatment

18.  General principles of oncosurgery

19.  Minimally invasive surgery

20.  Transplant program, medical and ethical aspects of termination of resuscitation and resuscitation care, brain death

21.  Polytrauma and multiple injuries, basic procedures in mass accidents (triage, trauma plan)

 

SPECIAL SURGERY

 

1.     Thyroid gland surgery

2.     Primary and secondary lung tumours

3.     Thoracic injuries

4.     Inflammations and tumours of the mediastinum

5.     Inflammations and tumours of the breast

6.     External and internal hernias

7.     Benign diseases of the oesophagus

8.     Complications of gastric and duodenal ulcers.

9.     Tumours of the oesophagus and stomach

10.  Nonspecific intestinal inflammations (CN, UC)

11.  Inflammatory diseases of the large intestine (diverticular disease, colitis)

12.  Benign diseases of the anorectum

13.  Colorectal cancer

14.  Benign and malignant liver tumours

15.  Injuries to the abdomen, liver and spleen

16.  Cholecystolithiasis and its complications

17.  Acute pancreatitis. Abscess, pancreatic necrosis

18.  Chronic pancreatitis. Cysts and pseudocysts of the pancreas

19.  Tumours of the pancreas

20.  Benign and malignant diseases of the biliary tract.

21.  Acute abdomen, definition, classification, differential diagnosis of abdominal pain according to abdominal quadrants.

22.  Bleeding into the gastrointestinal tract

23.  Acute appendicitis

24.  Inflammatory acute abdomen

25.  Bowel obstruction

26.  Ischemic disease of the lower limbs, acute complications.

27.  Acute situations in vascular surgery

28.  Diabetic foot

 

ORTHOPAEDICS

 

1.     Investigation techniques in orthopaedics and traumatology – clinical, laboratory and imaging methods.

2.     Developmental dysplasia of the hip joint.

3.     Hip disorders in children exept of DDH – transient synovialitis, m. Legg-Calvé-Perthes, slipped capital femoral epiphysis.

4.     Neuromuscular disorders in orthopaedics – birth trauma, cerebral palsy, poliomyelitis, peripheral nerve entrapment.

5.     Orthopaedic foot disorders – clubfoot, hallux valgus.

6.     Congenital and developmental spine disorders (scoliosis, Scheuermann disease, spondylarthritis.

7.     Back pain – differential diagnosis.

8.     Aseptic bone necrosis, enthesopathies

9.     Non-specific and specific bone and joint infections – osteomyelitis, septic arthritis, tuberculosis.

10.  Degenerative joint diseases and orthopaedic treatment – arthritis, rheumatoid arthritis (osteotomy, joint replacement)

11.  Bone tumours - classification, diagnosis, treatment principles.

12.  Non operative fracture treatment, physiotherapy, prosthetics, and orthotics.

13.  Splinting technique, plaster of Paris, skeletal traction.

14.  Operative fracture fixation and complications – infection, fixation failure.

15.  Complications of fracture treatment – complex regional pain syndrome, delayed union, non-union, deformity, and its treatment – osteosynthesis, bone grafting, osteotomy.

16.  Open fractures, treatment principles, complications – infection, compartment syndrome.

17.  Spine and spinal cord injuries.

18.  Shoulder injuries

19.  Diaphyseal fractures of long bones

20.  Fractures and dislocations around the elbow.

21.  Fractures of forearm, wrist, and hand.

22.  Pelvic and acetabular fractures.

23.  Hip fractures.

24.  Fractures around the knee – distal femoral fractures, patella, proximal tibia.

25.  Soft-tissue injuries of the knee – ligaments, tendons, meniscal tears, chondral lesions.

26.  Foot and ankle injuries.

27.  Joint injuries – ligaments, intraarticular fractures.

28.  Locomotion system injury in polytraumatized patient, associated injuries – team cooperation, diagnostics, treatment principles.

29.  Trauma care in elderly – diagnosis, typical elderly fractures, treatment, social aspects.

 

PAEDIATRIC SURGERY, PLASTIC SURGERY, BURN MEDICINE

 

1.     Congenital acute abdomen – disorders of intestinal rotation, atresia of GIT, meconium ileus.

2.     Acquired acute abdomen in childhood except appendicitis – necrotizing enterocolitis, intussusception, complications of Meckel’s diverticula.  

3.     Acute appendicitis in childhood.

4.     Congenital pyloric stenosis, gastroesophageal reflux

5.     Omphalocele, gastroschisis.

6.     Abdominal hernia in children – inguinal, umbilical, femoral, epigastric.

7.     Oesophageal atresia, diaphragmatic hernias.

8.     Anorectal malformation. Hirschsprung´s disease, obstipation.

9.     Posttraumatic growth disorders

10.  Growth plate injuries – physeal and epiphyseal injuries, classification.

11.  Typical fractures in children and its specifics.

12.  Fracture classifications, fracture healing, fractures in children.

13.  Non-operative treatment of fractures in children – reduction, fixation, traction.

14.  Principles of fracture fixation in children.

15.  Supracondylar humerus fracture in children, fractures, and dislocation around the elbow in childhood.

16.  Forearm fractures in children, Monteggio´s lesion

17.  Femoral fractures in children

18.  Obstructive uropathy in children – hydronephrosis, ureterocoele, posterior urethral valves.

19.  Vesico-ureteral reflux in children.

20.  Disorders of testicular descent.

21.  Acute scrotal pain in children.

22.  Congenital abnormalities of the urinary bladder and urethra – bladder extrophy, epispadias, hypospadias.

23.  Cavity trauma in childhood – CNS, parenchymatous and cavity organs.

24.  Prehospital management, transportation, and emergency care of burn patient.

25.  Factors determining the severity of burns, prognosis of burns.

26.  Three phases of treatment of extensive burns.

27.  Diagnosis of the depth and extent of thermal injury

28.  Operative wound management in burns.

29.  Pathological scarring – hypertrophic, keloid scars, the basics of diagnostics, prevention, and treatment.

30.  Closure of defects – skin grafts, flaps (composition, transfer), examples of clinical application. Transplantation of composite tissues.

31.  Pressure sores, postiradiation defects, chronic defects. Classification, treatment.

32.  Facial injuries – simple, complex, with defect. Diagnosis and principles of urgent treatment.

33.  Hand injury – simple, complex and with defect. Diagnostics and principles of urgent treatment, rehabilitation.

34.  Amputation injury of fingers and hand, classification. Indications and contraindications of replantation, primary care, transport. Option of reconstruction and substitution.

35.  Congenital malformations of the face, cleft lip and palate, principle, timing of surgical treatment.

36.  Congenital malformations of the hand, principles, and timing of surgical treatment.

37.  Skin tumours, diagnostics, and surgical treatment especially regarding facial region.

38.  Reconstruction of acquired facial defects after injuries, in connection with different pathological degenerative diseases and after treatment of soft tissue tumours.

39.  Aesthetic plastic surgery, dysmorphophobia.

 

UROLOGY 

 

1.     Urological examination methods and surgical approaches in urology.

2.     Radiology and ultrasonography in urology.

3.     Haematuria, diagnostics, and differential diagnosis.

4.     Disorders of micturition, clinical presentations, and differential diagnosis.

5.     Renal colic, diagnostics, and differential diagnosis.

6.     Derivation of urine.

7.     Pyelonephritis.

8.     Inflammation of the urinary bladder and urethra.

9.     Inflammation of the prostate.

10.  Complicated urinary infections, urosepsis.

11.  Disorders of the epididymis, scrotum, and funiculus.

12.  Tuberculosis of the urogenital tract.

13.  Urological emergencies.

14.  Benign prostatic hyperplasia.

15.  Urolithiasis.

16.  Trauma of kidney and ureter.

17.  Trauma of urinary bladder and urethra.

18.  Obstructive uropathy.

19.  Urinary incontinence, urodynamic studies.

20.  Renal neoplasms.

21.  Tumours of the renal pelvis and ureter.

22.  Bladder tumours.

23.  Prostate cancer.

24.  Testicular tumours.

25.  Penile tumours.

26.  Andrology, male sexual dysfunction, and male infertility.

27.  Differential diagnosis of hydronephrosis.

28.  Differential diagnosis of scrotal pain.  

Last update: Šubrt Zdeněk, doc. MUDr., Ph.D. (19.09.2023)
 
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