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Course, academic year 2024/2025
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Internal Medicine III - FGP043
Title: Internal Medicine III
Guaranteed by: Academic Department of Internal Medicine (15-400)
Faculty: Faculty of Medicine in Hradec Králové
Actual: from 2024
Semester: summer
Points: 0
E-Credits: 6
Examination process: summer s.:
Hours per week, examination: summer s.:16/65, C [HS]
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
Level:  
Note: deregister from the credit exam date if a requisite was not fulfilled
Guarantor: prof. MUDr. Pavel Žák, Ph.D.
Pre-requisite : {General Medicine 2nd year}, FGP027, FGP029, FGP031, FGP032
Incompatibility : FV10039
Interchangeability : FA0108043, FA0108051, FA0108052, FA0108104, FV10039
In complex pre-requisite: FG10069, FG10070, FG10071, FG10072, FG10073, FG10076, FG10077, FG10078, FG10079, FG10080, FG10096, FG10097, FG10099
Annotation
The main focus of the Internal Medicine II course is on diabetes, haematology and transfusion medicine, cardiology and rheumatology. Teaching is in the form of seminars and practical exercises, which will focus on teaching the above disciplines as well as training in differential diagnosis, ABCDE approach and technical skills.
Last update: Bartáková Tereza, Bc. (08.01.2025)
Aim of the course

Outcomes (knowledge and clinical skills):

Knowledge of the basics of diabetology, hematology and transfusion medicine, cardiology occupational medicine and rheumatology.

Training in selected technical skills.

Training in clinical patient examination, differential diagnosis and selection of basic therapeutic procedures.

Last update: Bartáková Tereza, Bc. (30.01.2025)
Literature

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

 

Last update: Minařík Jiří, Ing. (05.01.2024)
Requirements to the exam

Requirements necessary for the credit:

Participation in seminars and practical exercises

A maximum of two excused absences are allowed, one for practicals and one for seminars. Excused absences must be sent only in advance in the excuse form. In case of a higher number of absences, the situation will be resolved individually with the Head of the Department of Internal Medicine.   

 

Tests before the seminars: Before the selected seminars, students will complete a self-study knowledge check in the form of tests before the seminars in Moodle (4 tests). 


Test in Moodle (30 questions)

focused on knowledge of haematology and ABCDE approach within the scope of the state examination questions (10 questions) and describing and interpreting ecg curves within the range defined by the graduate profile (20 questions)

The time limit for the test is 50 minutes and required success rate is ≥ 70 %. Students will receive a 10% bonus for successfully completing the tests before the seminars.

Last update: Bartáková Tereza, Bc. (30.01.2025)
Syllabus

Seminars

Seminars introduce students to the practical aspects of diabetes, haematology and transfusion medicine, cardiology, and rheumatology. Most of the seminars will be interactive through the presentation of model cases.

Transfusion medicine: Complications of transfusion therapy and their management - MUDr. Řeháček Vít, Ph.D

Cardiology: ECG lecture with ass. prof. Haman - doc. MUDr. Haman Luděk, Ph.D.

Diabetology 1: Briefing before practicals on diabetology - MUDr. Paclíková Markéta

Diabetology 2: Diabetes mellitus, case presentation 1 - MUDr. Jiráčková Jana, MUDr. Trčková Eva

Diabetology 3: Diabetes mellitus, case presentation 2 - doc. MUDr. Šmahelová Alena, Ph.D.

Rheumatology 1: Approach to the patient with rheumatologic disease - doc. MUDr. Bradna Petr, CSc.

Rheumatology 2: Laboratory examination in rheumatology - doc. MUDr. Soukup Tomáš, Ph.D.

Rheumatology 3: Case presentation 1 - doc. MUDr. Bradna Petr, CSc./doc. MUDr. Tomáš Soukup, Ph.D.

Rheumatology 4: Case presentation 2 - doc. MUDr. Soukup Tomáš, Ph.D.

Rheumatology 5: Rheumatoid arthritis, spondyloarthritis (including reactive arthritis) - MUDr. Tomš Jan

Rheumatology 6: SLE, systemic vasculitis - prof. MUDr. Hrnčíř Zbyněk, DrSc.

Rheumatology 7: Idiopathic inflammatory myopathies, systemic scleroderma, Sjogren's syndrome, crystalline arthropathies - doc. MUDr. Soukup Tomáš, Ph.D.

Hematology 1: Acute and chronic leukemia - prof. MUDr. Žák Pavel, Ph.D.

Hematology 2: Myeloproliferative disease and myelodysplastic syndrome - MUDr. Eliška Šafránková

Hematology 3: Interpretation of blood count - prof. MUDr. Smolej Lukáš, Ph.D.

Hematology 4: Myeloma and other paraproteinaemias - doc. MUDr. Radocha Jakub, Ph.D.

Hematology 5: Lymphomas - MUDr. Šimkovič Martin, Ph.D.

Hematology 6: Anemia, hemolytis, TMA, ITP - prof. MUDr. Pavel Žák, Ph.D.

Hematology 7: Thrombophilic and bleeding disorders - MUDr. Eva Heinrichová

Hematology 8: Anticoagulant therapy - monitoring, complications and preparig before surgical intervention - MUDr. Eva Heinrichová

Hematology 9: Hematological emergencies - MUDr. Víšek Benjamin

Hematology 10: Modern diagnostics in hematology - prof. MUDr. Lukáš Smolej, Ph.D.

Hematology 11: Modern therapy in hematology - doc. MUDr. Jakub Radocha, Ph.D.

 

Practicals

Students completing 14 practical exercises focusing on the following topics:

Transfusion Medicine (1 practical):

Students will visit the Transfusion Department of the University Hospital, where they will learn about the basics of transfusion medicine, they will deal with issues related to blood donation, as well as the preparation and indications for the administration of blood derivatives and transfusion products.


Haematology (3 practicals)

During the practicals in the haematology clinic, students will learn about the most common haematological diseases, their diagnosis and principles of therapy.


Diabetology (2 practicals)

During the practicals on the topic of diabetes, students will learn about the practical procedures for the care of patients with diabetes.


Rheumatology (1 practical)

During the rheumatology practicals, students will be presented with model cases of rheumatologic diseases to demonstrate basic diagnostic and therapeutic procedures.


General Internal Medicine (5 practicals)

Practicals on general internal medicine will be conducted in all standard departments of internal medicine clinics or in the departments of individual teachers. During the practicals, students will focus on clinical examination, ancillary test results, differential diagnosis and therapeutic procedures.

ABCDE approach (simulator training) (1 practical)

Training of acute patient examination using ABCDE approach. 


Technical skills (1 practical)

During the Technical Skills practicals, students will practice basic procedures that are performed in internal medicine.

Last update: Bartáková Tereza, Bc. (08.01.2025)
Entry requirements

Entry requirements: successful completion of Internal Medicine I.

Last update: Minařík Jiří, Ing. (05.01.2024)
 
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