Basic knowledge of Internal Medicine is important for graduates of Dentistry for the following reasons: 1) Understanding the manifestations of internal diseases in the oral cavity. 2) Choosing optimal approaches to the treatment of oral diseases in patients with internal medical conditions. 3) An essential component of general medical education. In the summer semester of the 3rd year, the teaching focuses on mastering physical examination, basic laboratory and clinical tests, cardiology, pneumology, and gastroenterology.
Last update: Landová Tereza, Bc. (28.07.2026)
Aim of the course
Perform basic clinical examination of a patient, with emphasis on assessing overall condition and vital functions.
Knowledge of fundamental symptoms of internal diseases, their significance, and basic differential diagnosis.
Knowledge of basic pharmacotherapy of internal diseases, with emphasis on medications relevant to therapeutic procedures in dentistry.
Knowledge of manifestations of internal diseases in the head, oral cavity, and neck.
Strengthen competence in basic emergency resuscitation, including the use of an automated external defibrillator.
Recognize acute conditions requiring urgent medical care.
Identify manifestations of internal diseases based on findings in the oral cavity or systemic symptoms that require specialized internal medicine evaluation.
Practical Skills
Medical history taking: A Dentistry graduate will be able to perform a comprehensive medical history, including family history, social history, personal history, pharmacological history, allergy history, and history of present illness. This skill is essential for identifying systemic diseases that may influence dental treatment or require modification of therapeutic procedures.
Assessment of vital signs: A Dentistry graduate will be able to assess basic vital functions (consciousness, blood pressure, heart rate, respiratory rate, oxygen saturation, temperature) and interpret the results with a focus on recognizing critical and severe conditions.
Recognition of acute, potentially life‑threatening conditions: A Dentistry graduate will be able to recognize and respond appropriately to the most common urgent conditions: cardiac arrest, impaired consciousness of non‑cardiac origin, syncope, epileptic seizure, stroke, allergy/anaphylaxis, hypoglycemia, angina pectoris, sepsis, shock, respiratory failure.
Basic emergency resuscitation using an automated external defibrillator: A Dentistry graduate will be able to initiate and perform basic life support using an automated external defibrillator.
Analysis of current pharmacotherapy: A Dentistry graduate will be able to analyze chronic medication with special focus on drugs that may influence dental care. They will have basic knowledge of selected drug classes specified further in the curriculum.
ECG, Laboratory Diagnostics, Imaging Methods: A Dentistry graduate will be able to / will know how to recognize basic ECG pathologies (atrial fibrillation, ventricular fibrillation, asystole, ST‑segment elevation), interpret results of basic laboratory tests (complete blood count, coagulation tests, basic biochemical panel: Na, K, Cl, urea, creatinine, uric acid, bilirubin, ALT, AST, ALP, GMT, CRP, cholesterol, LDL, HDL, TAG, glucose, TnT, NT‑proBNP, urinalysis and urine sediment), understand basic principles and indications of commonly used imaging methods: ultrasound, X‑ray, CT, MRI
Last update: Landová Tereza, Bc. (21.08.2026)
Literature
Češka et al. Interna Triton, 3. aktualizované vydání ISBN 978-80-7553-782-9
Internal Medicine for Dental Treatments (Springer), Toshimi Chiba, Hiroyuki Yamada (https://doi.org/10.1007/978-981-99-3296-2, Hardcover ISBN 978-981-99-3295-5, eBook ISBN 978-981-99-3296-2 Published: 15 February 2024
Course assessment methods and requirements for successful completion, grading scheme
Attendance at practical classes and seminars must be at least 80% (i.e., the student completes 12 out of 15 classes/seminars).
Excused absences must be sent only in advance in the excuse form.
If the lecturer does not come for the class within 10 minutes after the start of the class, contact the Department of Internal Medicine.
Last update: Landová Tereza, Bc. (21.08.2026)
Syllabus
Lectures:
Cardiology Symptoms of cardiac diseases - doc. MUDr. Miroslav Solař, Ph.D. Ischemic heart disease – acute forms - doc. MUDr. Miroslav Solař, Ph.D. Heart failure - doc. MUDr. Miroslav Solař, Ph.D. Heart valve diseases and infective endocarditis - doc. MUDr. Miroslav Solař, Ph.D. Venous thromboembolic disease - doc. MUDr. Miroslav Solař, Ph.D. Ischemic heart disease – chronic forms E-LEARNING Supraventricular and ventricular arrhythmias, sudden cardiac death E-LEARNING Diagnostic methods in cardiology E-LEARNING
Pulmonology Symptoms of pulmonary diseases Pneumonia Chronic obstructive pulmonary disease Bronchial asthma, recognition and management of an asthma attack E-LEARNING Lung and mediastinal tumors E-LEARNING Diagnostic methods in pulmonology E-LEARNING
Gastroenterology Symptoms of diseases of the gastrointestinal tract, liver, biliary tract, and pancreas - MUDr. Tomáš Fejfar, Ph.D. Diseases of the esophagus - prof. MUDr. Ilja Tachecí, Ph.D. Peptic gastroduodenal ulcer disease E-LEARNING Inflammatory bowel diseases E-LEARNING Diseases of the liver and biliary tract E-LEARNING Tumors of the gastrointestinal tract, liver, and pancreas E-LEARNING Diagnostic methods in gastroenterology E-LEARNING
Seminars: Patient examination – medical history taking, critical anamnesis questions - doc. MUDr. Miroslav Solař, Ph.D. Patient examination – theoretical foundations of physical examination - doc. MUDr. Miroslav Solař, Ph.D Biochemical testing – basic tests and interpretation - doc. MUDr. Jakub Radocha, Ph.D. Complete blood count – basic tests and interpretation - doc. MUDr. Jakub Radocha, Ph.D. Blood coagulation – basic tests and their interpretation - doc. MUDr. Jakub Radocha, Ph.D. Patient with chest pain in the dental office - doc. MUDr. Miroslav Solař, Ph.D. Patient with dyspnea in the dental office - doc. MUDr. Miroslav Solař, Ph.D. Patient with hypertension and hypotension in the dental office - doc. MUDr. Miroslav Solař, Ph.D. Prophylaxis of infective endocarditis – cardiologist’s perspective - doc. MUDr. Miroslav Solař, Ph.D. Basic cardiology medications – indications, adverse effects - doc. MUDr. Miroslav Solař, Ph.D. Patient with COPD and asthma – specifics of management Basic pulmonology medications – indications, adverse effects Patient with liver cirrhosis – specifics of management - MUDr. Tomáš Fejfar, Ph.D. Manifestations of gastroenterological diseases in the oral cavity (reflux, Crohn’s disease, liver diseases) - prof. MUDr. Ilja Tachecí, Ph.D. Principles of pain management and palliative care - MUDr. Jana Hrubešová
Practicals:
Students complete 15 practical sessions focused on:
Medical history taking
Examination of overall condition, including basic vital signs, head, neck, and extremities
Chest examination
Abdominal examination
Internal medicine examination – diagnostic methods (blood pressure measurement, SpO₂, POCUS including practical ultrasound demonstration)
Cardiology (4 practical sessions) – presentation of typical cases, demonstration of diagnostic techniques and therapeutic procedures (echocardiography, coronary angiography, cardiac pacing, electrophysiology)
Pulmonology (3 practical sessions) – presentation of typical cases, demonstration of diagnostic techniques and therapeutic procedures (spirometry, bronchoscopy)
Gastroenterology (3 practical sessions) – presentation of typical cases, demonstration of diagnostic techniques and therapeutic procedures (abdominal ultrasound, gastroscopy, colonoscopy)
Last update: Landová Tereza, Bc. (21.08.2026)
Course registration requirements
.The prerequisite is completion of the course Physiology II.
