SubjectsSubjects(version: 978)
Course, academic year 2025/2026
   
Internal medicine II (1) - EA0908310
Title: Internal medicine II (1)
Guaranteed by: I.interní klinika (14-310)
Faculty: Faculty of Medicine in Pilsen
Actual: from 2020
Semester: winter
Points: 3
E-Credits: 3
Examination process: winter s.:
summer s.:
Hours per week, examination: winter s.:2/2, C [HT]
summer s.:2/2, C+Ex [HT]
Capacity: winter:unlimited / unlimited (unknown)
summer:unlimited / unlimited (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Level:  
For type:  
Guarantor: prof. MUDr. Martin Matějovič, Ph.D.
doc. MUDr. Jaromír Eiselt, Ph.D.
Teacher(s): prof. MUDr. Ivo Bernat, Ph.D.
doc. MUDr. Jaromír Eiselt, Ph.D.
MUDr. Václav Hejda
prof. MUDr. Milan Hromádka, Ph.D.
MUDr. Thomas Karvunidis, Ph.D.
MUDr. Olga Kirchnerová, Ph.D.
MUDr. Gabriela Krákorová, Ph.D.
MUDr. Michal Krčma, Ph.D.
MUDr. Jan Lhotský
doc. MUDr. Daniel Lysák, Ph.D.
prof. MUDr. Martin Matějovič, Ph.D.
doc. MUDr. Jiří Motáň, CSc.
prof. MUDr. Richard Rokyta, Ph.D.
prof. MUDr. Zdeněk Rušavý, Ph.D.
doc. MUDr. Martin Svatoň, Ph.D.
doc. MUDr. Vlastimil Vančura, Ph.D.
Co-requisite : EA0903060, EA0905500, EA0905510, EA0906090, EA0906100, EA0906520
In complex pre-requisite: EA0910361, EA0910477, EA0910479, EA0910481, EA0910483, EA0910485
Files Comments Added by
download Learning outcomes etc Int Med II dental 2025_26.docx Ing. Veronika Psutková
download Lectures_Syllabus Int Med Dent II winter 2025_26.pdf Ing. Veronika Psutková
download Pracoviště vyučujících na I.IK.xls Ing. Veronika Psutková
download ROZVRH praktika LS 1_IK 2025_26.pdf Practical classes - summer Ing. Veronika Psutková
download ROZVRH praktika ZS 2025_26.xlsx.pdf Ing. Veronika Psutková
download Syl_lect 4_year dental_med Summer sem 2025_26.pdf Lectures summer Ing. Veronika Psutková
Annotation -
Lectures (2 hours per week) and practical exercises (2 hours per week) in the winter semester will focus on the most common diseases in cardiology and angiology, the most important lung diseases, and basic diseases in hematology. The summer semester will cover endocrinological diseases, including diabetes mellitus, and rheumatology. Another part of the lectures will be devoted to the differential diagnosis of the most common pathological conditions in internal medicine. For all topics, emphasis will be placed on understanding the basic etiology of the disease, typical symptoms, syndromes, and general clinical manifestations. Diagnostic options and treatment principles will be presented. Due to the limited time of the lecture (2 teaching hours), clinical issues of diseases can only be mentioned in a brief overview. Lectures are optional but highly recommended. In order to understand the clinical issues of these diseases, basic knowledge gained from preclinical disciplines, i.e., anatomy, physiology, biochemistry, pathophysiology, and pathology, as well as the basics of pharmacology, is assumed and required.
In addition to attending lectures, we strongly recommend that all students create an account on the osmosis.org learning platform and work with it. Access to Osmosis.org is free for all students and is an excellent educational tool, including case studies with questions and explanations of the correct answers.
Last update: Psutková Veronika, Ing. (20.02.2026)
Course completion requirements -

Requirements for completing the course

To obtain credit in both the winter and summer semesters, we require participation in practical classes. 20% of excused absences are tolerated.

Last update: Psutková Veronika, Ing. (20.02.2026)
Literature -

1.    osmosis.org

2.    amboss.com   

3.    lectures

4.    Walker BR et al.: Davidson's Principles & Practice of Medicine, Elsevier, latest edition

5.    Hampton JR: The ECG made easy. Elsevier, last ed.

Last update: Psutková Veronika, Ing. (20.02.2026)
Requirements to the exam

Exam requirements 

There is no exam in the winter semester. In the summer semester, students take an oral exam. They draw a pair of questions, have 20 minutes to prepare, and then answer.

Course supervisor

The course supervisor for this academic year is Prof. MUDr. Martin Matějovič, Ph.D. The deputy supervisor is the deputy head of teaching, Doc. MUDr. Jaromír Eiselt, Ph.D.

Last update: Psutková Veronika, Ing. (20.02.2026)
Syllabus -

Winter semester:

Arterial hypertension: definition, diagnosis, stages. Primary and secondary hypertension. Hypertension therapy. Heart failure: left-sided, right-sided, bilateral, transferred. Acute and chronic heart failure. Clinical manifestations, treatment. Required knowledge: basics of anatomy and physiology of the heart and blood vessels.

Ischemic heart disease: etiology, risk factors, classification. Stable and unstable angina pectoris. Acute coronary syndrome. Chronic ischemic heart disease. Diagnosis, treatment, secondary prevention. Required knowledge: basics of anatomy and physiology of the heart and blood vessels.

Congenital and acquired heart defects: classification, clinical manifestations, diagnosis, and treatment. Required knowledge: basics of anatomy and physiology of the heart and blood vessels.

Heart rhythm disorders and conduction disorders: classification, most common supraventricular and ventricular arrhythmias. Treatment options for arrhythmias. Basics of cardiopulmonary resuscitation. Required knowledge: basics of anatomy and physiology of the heart and blood vessels.

Myocarditis, pericarditis: etiology, clinical manifestations, classification, treatment. Infectious endocarditis: causes, clinical course, treatment, prophylaxis. Required knowledge: basics of anatomy and physiology of the heart and blood vessels.

Thromboembolic disease: risk factors, clinical manifestations, diagnosis, and treatment. Inflammation of the veins. Required knowledge: basics of anatomy and physiology of the heart and blood vessels.

Acute and chronic bronchitis. Bronchial asthma. Chronic obstructive pulmonary disease. Lung inflammation. Interstitial lung processes. Required knowledge: basics of respiratory tract anatomy and basics of respiratory pathophysiology.

Pulmonary tuberculosis: cause, epidemiology, diagnosis, forms, treatment. Atypical mycobacteria. Tumors of the bronchi and lungs. Bronchogenic carcinoma: types, diagnosis, therapy. Diseases of the pleura. Diseases of the mediastinum. Required knowledge: basics of respiratory tract anatomy and basics of respiratory pathophysiology.

Differential diagnosis of dyspnea, cough, and hemoptysis. Required knowledge: basics of respiratory tract anatomy and basics of respiratory pathophysiology.

Hematology. Examination methods (medical history, physical examination, laboratory methods, sternal puncture, trepanobiopsy). Anemia: classification, clinical manifestations with regard to manifestations in the oral cavity, treatment. Required knowledge: basic knowledge of blood and blood elements from histology and physiology.

Bleeding disorders caused by disorders of the vascular wall, platelets, coagulation factors, fibrinolysis. Purpura. Disseminated intravascular coagulation. Hemophilia, von Willebrand disease. Bleeding disorders in diseases of other organs. Blood transfusion, complications. Required knowledge: basic knowledge of the physiology of hemocoagulation.

Hematopoietic disorders: myeloaplasia, myelodysplasia, myeloproliferation. Leukemia, lymphomas, plasma cell myeloma. Clinical picture of these diseases with emphasis on possible manifestations in the head, oral cavity, and throat, their diagnosis. Chemotherapy in hemato-oncology. Bone marrow and peripheral stem cell transplantation. Required knowledge: basic knowledge of blood and blood elements from histology and physiology.

Summer semester:

Pituitary gland diseases. Hypopituitarism. Pituitary gland tumors. Hyperpituitarism. Diabetes insipidus. Adrenal gland diseases. Adrenal cortex hypofunction and hyperfunction. Adrenal medulla diseases.

Thyroid diseases. Thyroid hyperfunction. Thyroid hypofunction. Thyroiditis. Thyroid tumors. Parathyroid diseases. Hyperparathyroidism. Hypoparathyroidism.

Diabetes mellitus. Diagnosis of diabetes. Metabolic and organ complications. Treatment of diabetes. Metabolic syndrome.

Inflammatory and degenerative joint and bone diseases. Possible manifestations of these diseases in the head and neck area.

Systemic connective tissue diseases and systemic vasculitis. Manifestations of these diseases in the oral cavity.

The most common types of poisoning and damage to health from physical causes.

Differential diagnosis of elevated temperatures and fevers.

Differential diagnosis of disorders of consciousness.

Differential diagnosis of chest pain.

Differential diagnosis of abdominal pain, nausea, and vomiting.

Differential diagnosis of shortness of breath, cough, hemoptysis.

Differential diagnosis of jaundice and liver enlargement.

Differential diagnosis of edema, ascites, and pleural effusion.

Differential diagnosis of enlarged lymph nodes and spleen.

Differential diagnosis of prolonged bleeding.

Last update: Psutková Veronika, Ing. (20.02.2026)
Learning outcomes -

By completing the cycle of lectures and practical classes, students will acquire the basic knowledge necessary for the recognition and treatment of diseases covered in the syllabus. Practical teaching (2 hours per week) serves to practice basic practical skills (taking a medical history and performing a physical examination) that students learned in the previous semester in the Internal Medicine I course. Students will also practice describing ECG curves, learn about the most common arrhythmias and the typical picture of acute coronary syndromes. In medical history taking, students will improve their skills in taking a targeted medical history and performing a targeted physical examination based on the symptoms and current presentation of the patient. Teachers will try to select patients with diseases that have been currently discussed in lectures for practical teaching. Although lectures are voluntary, if a student does not attend lectures, they should study the diseases covered on an ongoing basis (according to the lecture syllabus) in order to be prepared for practical teaching.

Students may participate (passively) with their instructor, depending on operational possibilities, in any procedures and treatments performed in the relevant department or at complementary workplaces (e.g., blood and other biological material collection, vital sign monitoring, thoracic puncture, ascites puncture, catheterization, obtaining vascular access, central vein cannulation, etc.).

Last update: Psutková Veronika, Ing. (20.02.2026)
 
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