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Last update: Gabriela Mühlbergerová (16.10.2008)
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Last update: Gabriela Mühlbergerová (16.10.2008)
The primary objective is to provide an introduction to clinical practice through two important symptoms: dyspnea and chest pain. This course aim is to mediate link between the systems physiology through the symptoms pathomechanisms to the clinical manifestation, diagnosis and therapy of dyspnea and chest pain. The course objective is to provide student with the opportunity to correlate historical information with physical examination and non-invasive (echocardiogram, ECG, exercise stress testing, nuclear cardiology and 24-hour ECG) and invasive data to plan a treatment strategy. The course exposes students to physician role models demonstrating the relevance of basic science to the clinical practice of medicine, and providing a glimpse of the contemporary practice of medicine. The secondary objective is to expand students knowledge and clinical skills in tests used in diagnosis of dyspnea and chest pain. |
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Last update: Gabriela Mühlbergerová (17.10.2008)
Braunwald E. et al.: Heart Disease. W. B. Saunders, 2006. Harrison´s Principles of Internal Medicine. McGraw-Hill, Inc. NY, 2006 Chrobák L et al.: Physical Examination in Internal Medicine. Praha, Grada, 2003 |
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Last update: Gabriela Mühlbergerová (16.10.2008)
seminars, interships.
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Last update: Gabriela Mühlbergerová (16.10.2008)
In addition, students must have good knowledge of internal propedeutics from 3rd year.
Questions : 1. Chest pain 2. Acute and chronic dyspnoe 3. Coronary artery disease (angina pectoris and myocardial infarction) 4. Systemic and pulmonary hypertension. Myocardial hypertrophy 5. Respiratory insufficiency. Spirometry. Blood gas analysis. Cyanosis 6. Chronic obstructive pulmonary disease. Bronchial asthma 7. Heart failure and shock. Left ventricular dysfunction 8. Cardiac murmur 9. Pathologic ECG 10. Palpitations. Syncope 11. Thromboembolic disease 12. Cough and hemoptysis
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Last update: Gabriela Mühlbergerová (16.10.2008)
1. Dyspnea: definition, pathomechanisms 1.1. Dyspnea secondary to pulmonary disease 1.2. Dyspnea secondary to cardiac disease 1.3. Psychogenic dyspnea 1.4. Dyspnea secondary to metabolic disorders, intoxications and anemia 1.5. Dyspnea secondary to neuromuscular disease 1.6. Dyspnea secondary to trama. Pneumothorax 1.7. Child with dyspnea 2. Chest pain 2.1. Myocardial ischemia and infarction 2.2. Other cardiovascular disorders caused chest pain: aortic aneurysm, pericarditis 2.3. Pleuritic pain: pulmonary embolism, pleuritis 2.4. Depression and panic attacks 2.5. Chest pain secondary to neuromusculosceletal disease 2.6. Chest pain secondary to gastroesophageal disease 3. Other symptoms of cardiovascular disease 3.1. Hypertension 3.2. Palpitation, syncope, sudden death 3.3. Cyanosis 3.4. Shock 3.5. Cough and hemoptysis |
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Last update: Gabriela Mühlbergerová (17.10.2008)
Knowledge of normal physiology and patophysiology of circulatory and respiratory systems, knowledge of internal propedeutics incl.physical examination |