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Course, academic year 2024/2025
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Pathological Physiology for Pharmacists - GF137
Title: Patologická fyziologie pro farmaceuty
Guaranteed by: Department of Biological and Medical Sciences (16-16150)
Faculty: Faculty of Pharmacy in Hradec Králové
Actual: from 2024
Semester: summer
Points: 0
E-Credits: 7
Examination process: summer s.:oral
Hours per week, examination: summer s.:42/14, C+Ex [HS]
Capacity: unlimited / 300 (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech
Teaching methods: full-time
Level:  
Explanation: (F,2.r.)
Note: deregister from the exam date if a requisite was not fulfilled
course can be enrolled in outside the study plan
enabled for web enrollment
Guarantor: prof. PharmDr. Petr Nachtigal, Ph.D.
Classification: >
Comes under: 2.ročník 2024/25 Farmacie
Co-requisite : GF181
Is co-requisite for: GF309, GF155, GF184, GF235
Is pre-requisite for: GF339
Annotation -
Pathology is a linking-up discipline between biomedical subjects and pharmacology. Pathology concentrates on the study of structural and functional changes in cells, tissues and organs which form the basic of #diseases#. There are four main aspects of pathological processes that make up the structure of pathology. The cause of disease, mechanism of its development, structural alterations, and functional consequences of morphological changes. The study of pathology is divided into general and special system pathology.
Last update: Nachtigal Petr, prof. PharmDr., Ph.D. (17.02.2025)
Course completion requirements -

Credit:

Regular attendees:

ATTENDANCE:

  • 100% attendance at seminars is a condition of credit (two excused absences are tolerated: sickness only with a doctor's note; excused when representing the school - discussed in advance, confirmation of attendance)

TESTS:

  • the condition for credit is to write tests with at least 70% of the total number of points.
  • in the case of more than two excused absences, successful completion of the credit test is a condition for credit,

(3 attempts, number of announced dates 4)

  • in case of failure to meet the point limit, successful completion of the credit test is a condition for credit,

(3 attempts, number of dates 4)

Repeat students:

  • if the student has received credit in a previous course of study, credit will be given in the credit week of the semester in question

Examination:

Examination will be in the form of an oral examination

Only students who have taken Morphology/Physiology/Fundamentals of Human Anatomy and Physiology are eligible to take the exam

Registration for the exam is only through the Student Information System (SIS)

Students choose 2 questions at random and are then tested orally

The lecturer has the possibility to ask additional questions from other topics than the ones chosen by the student by random selection (this is a form of checking the student's readiness within the whole scope of the course replacing the examination test).

The student answers the questions independently (the exam should not take more than 30 minutes)

Questions chosen at random by the student and questions asked by the teacher are equivalent.

A prerequisite for successful completion of the examination is the demonstration of basic knowledge of the subjects to which pathological physiology is logically related

Physiology, morphology/anatomy

Immunology

n Histology

Last update: Nachtigal Petr, prof. PharmDr., Ph.D. (06.03.2025)
Literature - Czech

Povinná:

  • Silbernagl, Stefan, Lang, Florian. Atlas patofyziologie člověka. Praha: Grada Publishing, 2001, 390 s. ISBN 80-7169-968-3.
  • Hulín, Ivan. Patofyziológia. Bratislava: Slovak academic press, 1996, 702 s. ISBN 80-85665-62-X.

Last update: Nachtigal Petr, prof. PharmDr., Ph.D. (17.02.2025)
Syllabus -

Pathophysiology of necrosis (types) and apoptosis (mechanism), differences between necrosis and apoptosis

Disorders of hormone action at the receptor level, distribution and examples

Pathophysiology of fever and its effect on body functions, hyperthermia and hypothermia, sepsis

Etiopathogenesis of cancer, clinical classification and examples

Histopathological classification of tumours, paraneoplastic phenomena and examples

Explanation and examples of the terms hypertrophy, atrophy, hyperplasia, metaplasia, dysplasia, thrombosis, embolism, hyperemia and metastasis (pathogenesis and consequences for the organism)

Pathophysiology of the inflammatory response, mediators of inflammation and their influence on the functions of the organism, pathophysiological classification of inflammation (examples from each group)

Pathophysiology of oedema and examples of its occurrence in various diseases

Classification, pathogenesis and consequences of shock states; syncope

Pathophysiology of the stress response, diseases resulting from chronic stress and their pathophysiological causes, overview of autoimmune diseases (theory of origin)

Definition, classification and pathogenesis of pain

Pathological forms of respiration, pathophysiology of defensive respiratory reflexes, pleural pathology, pathophysiological aspects of respiratory system pathology symptoms

Obstructive lung diseases (bronchial asthma, emphysema, bronchiectasis, chronic bronchitis and COPD)

Restrictive lung diseases (ARDS, atelectasis, fibrosis, TB, pulmonary oedema)

Bronchogenic lung cancer, inflammatory lung diseases, pneumoconiosis

Causes, pathophysiology and consequences of atherosclerosis

Disorders of lipid metabolism (hyperlipoproteinemia, dyslipoproteinemia), examples and clinical implications

Causes and pathophysiology of coronary heart disease (angina, myocardial infarction), pathophysiological aspects of cardiovascular symptoms

Causes, pathology distribution and consequences of arterial hypertension, pulmonary hypertension (cor pulmonale)

Classification, causes and consequences of disorders of the cardiac conduction system

Classification, pathophysiology and consequences of acquired valvular heart defects

Etiopathogenesis and consequences of cardiac insufficiency (forward and backward failure)

Diabetes mellitus, causes, types, overview of acute and chronic consequences of diabetes

Non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH) (etiopathogenesis, pathophysiology, examples and consequences)

Causes, pathophysiology and clinical implications of insulin resistance and metabolic syndrome

Glomerulopathies with nephrotic and nephritic presentation (etiopathogenesis, pathophysiology, examples and implications), differences between nephrotic and nephritic syndrome

Acute and chronic renal failure (causes, pathophysiology, differences and consequences)

Acid-base balance disorders, distribution and effects on body functions

Gastric and intestinal dyspepsia (classification and examples), pathophysiological aspects of gastrointestinal symptoms

Diseases of the oesophagus and stomach (hiatal hernia, achalasia, oesophagitis, gastritis, ulcer disease, carcinoma)

Inflammatory and neoplastic diseases of the small intestine and colon (acute enteritis, Crohn's disease, ulcerative colitis, celiac disease, colorectal cancer, haemorrhoids)

Diseases of the gallbladder, pancreas (acute and chronic pancreatitis) and peritoneum (peritonitis)

Icterus, ascites, portal hypertension (causes, manifestations and pathophysiological aspects)

Liver diseases (insufficiency, encephalopathy, cirrhosis, steatosis, Wilson's disease, hepatitis)

Manifestations of vitamin deficiency (vitamins A, D, E, K, group B, C)

Manifestations of deficiency of essential minerals (calcium, magnesium, potassium, sodium, iron, zinc, selenium)

Pathophysiology and consequences of nutritional and metabolic disorders (anorexia, malnutrition, bulimia, obesity)

Pathogenesis and examples of endocrine disorders of the hypothalamus and pituitary gland

Etiopathogenesis and pathophysiology of endocrine disorders of the thyroid and parathyroid glands (hypo and hyperfunction, goiter)

Etiopathogenesis and pathophysiology of adrenal disorders I (Addison's disease, Cushing's disease and syndrome)

Etiopathogenesis and pathophysiology of adrenal disorders II (hypoaldosteronism, secondary and tertiary hypofunction of the adrenal cortex, primary and secondary hyperaldosteronism)

Neurological diseases of the CNS (pathophysiology of epilepsy, Parkinson's and Huntington's diseases)

Demyelinating and autoimmune CNS diseases (Sclerosis multiplex, encephalomyelitis, myasthenia gravis).

Neuroinfections - bacterial, viral and prion affections of the nervous system (meningitis, encephalitis, rabies, polyomyelitis).

Memory disorders (amnesia, dementia, Alzheimer's disease and other memory disorders);

Schizophrenia, autism (aetiopathogenesis, clinical manifestations).

Etiopathogenesis of affective disorders (depression, bipolar disorder, anxiety disorders, ADHD).

Quantitative and qualitative disorders of consciousness, sleep disorders

Classification and causes of anaemia I (compensatory mechanisms of the organism as a consequence to tissue hypoxia and pathophysiological aspects of anaemia symptoms, sideropenic and megaloblastic anaemia)

Classification and causes of anaemias II (anaemia from increased losses), polycythaemia

Disorders of haemocoagulation (bleeding disorders, disseminated intravascular coagulation, thromboembolic diseases), disorders of primary haemostasis (platelet disorders, vasculopathies)

White blood cell diseases (haematopoietic stem cell diseases, reactive white blood cell changes, leukaemia, malignant lymphoproliferative diseases, paraproteinaemia, myelofibrosis)

Diseases of the male reproductive system (prostatic hyperplasia, prostate cancer, infertility)

Menstrual cycle disorders (amenorrhea, metrorrhagia, menorrhagia, poly-, oligo-, hyper-, hypomenorrhea, PMS, dysmenorrhea)

Breast and cervical cancer, vulvovaginitis (etiopathogenesis, risk factors, clinical manifestations)

Diseases of the musculoskeletal system (inflammatory and degenerative diseases of the joints and spine - progressive polyarthritis, osteoarthritis, ankylosing spondylarthritis, spondylarthrosis, extra-articular rheumatism; myopathy, gout)

Note: a prerequisite for successful completion of the examination is the demonstration of basic knowledge of the subjects to which pathological physiology is logically related (physiology, morphology, immunology, microbiology), e.g. In the case of cardiac conduction disorders, the role of ion channels in the genesis of the action potential, in the case of inflammatory diseases the main infectious agents that cause them, in the case of pain the pain pathway, in the case of endocrinopathies the mechanisms of action of hormones, knowledge of the physiological role of vitamins and minerals, knowledge of the physiological ranges of body parameters (blood pressure, etc.) and biochemical parameters (lipoprotein levels, etc.), etc.

Last update: Nachtigal Petr, prof. PharmDr., Ph.D. (06.03.2025)
Learning outcomes - Czech

  

Předmět: Patologická fyziologie pro Farmaceuty navazuje na znalosti a dovednosti získané v předmětech: Obecná biologie, Mikrobiologie, Imunologie a zejména Morfologie a Fyziologie člověka.

Studující po absolvování předmětu znají základní patologickou a medicínskou terminologii a jsou schopni na základě této terminologie porozumět patofyziologii vybraných patologických stavů.

Výsledky učení:

Studující na základě získaných znalostí a dovedností:

Ø  definují vybrané patologické termíny popisující patologické stavy jako nekróza, apoptóza, atrofie, dystrofie, hypertrofie, hyperplazie, zánět, edém

Ø  znají vybrané fyziologické a patologické hodnoty krevních parametrů (např. glykemie, cholesterolemie, pH)

Ø  jsou schopni využít základy fyziologie a morfologie, pro pochopení patofyziologických procesů z vybraných onemocnění kardiovaskulárního, respiračního, trávicího, vylučovacího, endokrinního, nervového a reprodukčního systému, krve a psychiatrických stavů

Ø  orientují se a vysvětlí etiopatogenezi, patofyziologii a klinické symptomy vybraných onemocněních:

o   kardiovaskulárního systému jako ateroskleróza ICHS, arteriální hypertenze, metabolický syndrom, arytmie, sehnáni srdce a šokové stavy

o   respiračního systému jako ARDS, CHOPN, plicní edém, karcinom plic

o   reprodukčního systému jako poruchy menstruace, karcinomy prsu, děložního čípku a prostaty

o   psychiatrických a neurologických onemocněních jako úzkostné poruchy, bipolární choroba, Alzheimerovy choroby, Hungtintonovy nemoci, Parkinsonovy nemoci a epilepsie

o   trávicího systému a metabolismu jako malnutrice, obezity, diabetes mellitus, ikterus, jaterní fibróza, pankreatitida, vředová choroba, Idiopatické střevní záněty, kolorektální karcinom

o   vylučovacího systému a poruch pH jako nefritický a nefrotický syndrom, selhání ledvin, glomerulonefritidy, acidózy a alkalózy

o   endokrinního systému jako Addisonova choroba, Cushingův syndrom, Graves-Basedowova choroba, Hashimotova struma, poruchy hypotalamo-hypofýzarního systému

 

 

 

 

 

 

 

 

 

 

 

Last update: Nachtigal Petr, prof. PharmDr., Ph.D. (06.03.2025)
 
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