Subjects

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IIC - 3. Disturbance of the Nervous System - CMCP0334 (Neurology, Pharmacology, Pathology, Pathological Physiology, Radiology, Nuclear Medicine, Occupational Medicine)

Title:	IIC - 3. Poruchy nervového systému
Guaranteed by:	Department of Neurology 3FM CU and UHKV (12-NEUR)
Faculty:	Third Faculty of Medicine
Actual:	from 2013
Semester:	winter
Points:	2
E-Credits:	2
Examination process:	winter s.:
Hours per week, examination:	winter s.:0/60, other [HS]
Extent per academic year:	60 [hours]
Capacity:	unknown / unknown (unknown)
Min. number of students:	unlimited
4EU+:	no
Virtual mobility / capacity:	no
Key competences:
State of the course:	not taught
Language:	Czech
Teaching methods:	full-time
Teaching methods:	full-time
Level:

Guarantor:	prof. MUDr. Pavel Kalvach, CSc.
Classification:	Medicine > Clinical Disciplines
Attributes:	Modul IIC

Examination dates Schedule

Annotation -

Last update: prof. MUDr. Pavel Kalvach, CSc. (18.06.2008)

This course, composed of 60 teaching hours, includes, apart of neurological tution, 7 hours of pharmacology, 6 hours of pathological anatomy and 11 hours of pathological physiology. It operates with and further develops neurological propedeutics of 20 hours extent, performed in the 3rd year. "Disorders of Nervous System" in the 4th year present in this module an educational phase, which preceeds the completing of neurological teaching in the 5th year. The knowledge of this course will be completed consequently by an advanced clinical and practical view and a study of ancilliary clinical methods. The course "Disorders of Nervous System" makes the students acquainted in the form of seminars and practical exercises with the steps of central nervous system examination and assessing diagnoses in 9 basic neurological categories: Cerebrovascular diseases of the brain and spinal cord, Inflammatory diseases, Disturbances of consciousness (vigilance, sleep, epilepsy), Neuromuscular diseases, Autoimmune disturbances, Dementia and higher nervous activity disorders, Neurooncology, Vertebrogenic pain and disorders, Toxic affections of the nervous system.

Aim of the course -

Last update: prof. MUDr. Pavel Kalvach, CSc. (18.06.2008)

This course further develops the semiologic and syndromologic neurology, taught in the 3rd year of study. Here, in the fourth year, the previous knowledge of proper neurological examination is being applied to the assessment of diagnoses in basic nosological units. Students learn to distinguish characteristic signs of the spinal cord and brain disorders, peripheral neuron diseases and muscular disorders, states of altered consciousness and signs of psychosomatic disorders including neuroses and dissociative disorders. The main goal is to teach the student to set a proper topical diagnosis and to consider the right etiological reason for a pathological state.

Literature -

Last update: prof. MUDr. Pavel Kalvach, CSc. (18.06.2008)

Lindsay KW, Bone I, Callander R. Neurology and Neurosurgery Illustrated. Churchill Livingstone.

Mumenthaler M. Neurology. Georg Thieme Verlag, Stuttgart 1990 or later.

Adams RD, Victor M. Principles of Neurology. Mc Graw-Hill, New York, 1997 or later

Jones HR (Editor): Netter´s Neurology, Icon Learning Systems, Teterboro, New Jersey, 2005, ISBN 1-929007-06-X.

Teaching methods -

Last update: prof. MUDr. Pavel Kalvach, CSc. (18.06.2008)

Seminars, practical presentations of patients, analyses of cases, presentations of topics via dataimaging, diagrams, neuroradiologic pictures.

Requirements to the exam -

Last update: prof. MUDr. Pavel Kalvach, CSc. (26.08.2008)

Out of 60 hours of tution, including Neurology, Pathophysiology, Pharmacology, Radiology, Nuclear Medicine and 8 hours of lectures in Pathology, performed alltogether within 2 weeks, minimally 7 working days/ 42 hours of tution need to be signed by the teaching assistents. In cases of special reasons 1 additional working day absence could be recompensated by presenting knowledge, by self-iniciative in elaborating a neurological topic, or by especially active performance in seminars.

The course is finished by a "Multiple choice test", in which minimally 70% of correct answers are required.

This neurological credit of the Course No 3 is a prerequisite for a global Exam of the Module II C.

Substitution is possible only exceptionally, with another group.

Syllabus -

Last update: prof. MUDr. Pavel Kalvach, CSc. (18.06.2008)

The anatomicaly substantiated topical diagnostics is the basis for localization of lesions of the brain, spinal cord, the peripheral neuron, and of muscular, joint or vertebrogenic lesions.

Neurological diagnostics need to consider also a possible presence of other speciality diseases - most importantly those of internal medicine - which affect the nervous system. Also traumatic and other physical influences (e.g. radiation) should be taken into account.

The cerebrovascular field is linked with consequences of atherosclerosis, the inflam-matory diseases with basic knowledge of Cerebrospinal fluid data, disturbances of conscious-ness with knowledge of EEG, neuromuscular diseases need good orientation in EMG, dementia and higher nervous activity disturbances are completed with neuropsychology. Neurooncology and vertebrogenic disorders are supported by an expertise in neuroradiologic imaging. In all steps of this study the relation of a proper history taking and analysis with results of an objective examination and ancilliary methods is permanently stressed.