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Last update: Bc. Kateřina Maternová (20.09.2019)
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Last update: Bc. Kateřina Maternová (20.09.2019)
The aim of this course is summarization of basic diagnostical and therapeutical tools in internal medicine. The course exposes students to physician´s role by daily bedside activities. The objective is to expand student´s knowledge and clinical skills in internal medicine. |
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Last update: Bc. Kateřina Maternová (20.09.2019)
Harrison`s Principles of Internal Medicine Additional literature: Kumar and Clark´s Clinical Medicine, Harrison´s Principles of Internal Medicine (handbook) |
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Last update: Bc. Kateřina Maternová (20.09.2019)
In the academic year of 2014/2015 the study of internal medicine shall be conducted in the following manner: The prerequisite for participating in a pre-state examination block of internal medicine is passing all examinations of years 3, 4 and 5. This will be inspected at the Study Department before any enrolment into the module. In order to be accepted, knowledge of propaedeutics and examined subjects of previous years are a prerequisite. A big emphasis will be put on practical knowledge. In the practical part, practice in hospitals outside Prague is preferred. 1. Tuition timetable Tuition takes 12 weeks with the following timetable: first two weeks of mandatory seminars on internal medicine, nine weeks of practice, one week for preparation for examinations, and the last week is reserved for internal medicine state examinations. 2. Obligatory seminars The obligatory seminars will always take place in the first two weeks through the internal medicine block according to the schedule so as to cover basic issues of internal medicine. The seminars will take place from 8.30 a.m. to 3.45 p.m. During the introductory seminar (Monday 8:30, classroom of the 2nd internal clinic, pavilion S1, ground floor) students will receive all information and documents including a schedule of seminars, a logbook (syllabus of skills which a student should acquire during the internship) and letters for senior doctors of internal wards, where practice will be held. Confirmation about participation in individual forms of tuition will be recorded into the mentioned documents and signed by the teacher. Students may request special seminars from either the head of the department prof. Anděl or head of 6th year classes as. Hnaníček. 3. Practice before state examinations The training preceding the state examination will take place in contractual hospitals. These are hospitals in Ostrov nad Ohří, Kadaň, Ústí nad Labem, Teplice, Chomutov, Most, Liberec, Mladá Boleslav, Mělník,Kolín, Brandýs nad Labem, Nymburk, Čáslav and Tábor or as the case may be in the University Hospital of Královské Vinohrady or in other Prague hospitals. Students may also arrange practice individually, even in other (non-contractual) hospitals. As part of this practice, students will work under supervision at a ward as junior doctors, i.e. full 8.5 hours per day. They will attend morning reporting, large ward rounds, X-ray rounds or other seminars. Under supervision they will conduct a ward round at an assigned room, and will actively report on patients during rounds. All student entries in medical documentation must be legibly signed and must be always verified by the treating or supervising doctor. Students do not prescribe even a therapy or a more complex examination (such as an endoscopic examination or X-ray). They, however, participate in diagnostic and therapeutic reports and autopsies. |
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Last update: Bc. Kateřina Maternová (20.09.2019)
Credit A credit must be granted prior to the oral part of internal medicine of the SRE by the study coordinator of Internal medicine II as.prof. Dr. Hoffmanova and shall be entered into the faculty register (SIS). In order to be granted the credit, the student must bring a confirmed report on lessons taken. (i.e. report from the hospital practice, logbook and statement of participation on seminars.) The credit shall be granted on the condition that the student has at least 80% attendance and 100% confirmation of skills and training at a hospital. Illness is excused within 1 week by the head of class, a longer absence by the department head. Advanced state examination - internal medicine SRE- the internal part medicine is to consist of: a/ a field part - examination of a patient and completion of their medical record (the Head of Study allocates students to examiners) b/ an oral examination (only those who have taken the test and the field part of the examination may take the oral examination.)Topics for the oral examination are posted up on the webpage of the Third Faculty of Medicine of Charles University. The oral examination is commissional with examiners of the Third Faculty of medicine of Charles University present as well as with other invited specialists from other medical faculties. Registration for the examination: Students shall register electronically - in the electronic enrolment system. It is not possible to register for individual examiners. The examination may only be taken after all student obligations have been fulfilled. Cancellation of registration for an examination: A student may cancel their registration in the electronic enrolment system one week before the date of the examination at the latest. If a student wants to cancel their registration less than one week before the examination,they must present a doctor´s confirmation of illness as an excuse. In the event of other serious reasons students must excuse themselves to the Head of Department. Questions for oral part of exam from internal medicine of the state exam of general medicine Valid from academic year 2017/2018
1. Myocarditis Hyperglycaemic ketoacidotic coma. Lactic acidosis and lactacidotidic coma Management of patient with hematuria 2. Pulmonary hypertension. Cor pulmonale Hyperglycaemic hyperosmolar nonketotic coma Managmeent of patient with proteinuria 3. Cardiomyopathies Hypoglycaemia and hypoglycaemic coma. Insulinoma Approach to patient with chronic kidney disease (CKD) 4. Aortic anerysm Oral antidiabetic drugs Aproach to patient with acute kidney injury (AKI) 5. Chronic pericardial effusion. Constrictive Pericarditis. Insulins Approach to a patient with urinary tract infection 6. Aortic valve disease Sepsis Approach to patient on Maintenance Dialysis Treatment with acute internal clinical problems 7. Supraventricular arrythmias Anuria and polyuria Approach to patient chronic nutritional deficit 8. Atrial septal defect and grown-up congenital heart disease Pain management Approach to patient with malabsorption syndrome 9. Acute myocardial infarction Acute status of patient in wilderness: mushroom poisoning, snake bites, allergies, heatstroke/sunstroke, lightning strike Approach to patient with disorders of swallowing 10. Chronic limb threatening ischaemia Metabolic acidosis and metabolic alkalosis Approach to patient with heartburn (pyrosis) 11. Superficial and Deep Vein Phlebitis Respiratory acidosis and respiratory alkalosis Management of patient with vomiting 12. Glomerulonephritis (GN) Acute Heart Failure Approach to patient with constipation 13. Tubulointerstitial Nephritis Ventricular arrytmias Approach to patient with diarrhea 14. Kidney diseases in diabetic patient Dissection and transseection of aorta Approach to Patient with Melena and Enterorrhagia 15. Chronic Kidney Disease (CKD), Progression of CKD, Uremic Syndrome Pulmonary embolism Approach to patient with ascites 16. Atherosclerosis Pulmonary edema Approach to patient with jaundice 17. Kidney disease of vascular etiology (atherosclerosis, renal artery stenosis, renal vasculitis) Acute pericarditis, cardiac tamopnade Approach to the patient with the weight loss 18 Renal cell cancer and bladder cancer Acute coronary syndromes Approach to patient with ileus 19. Secondary hypertension Cancer chemotherapy - basic drug groups Approach to patient with abdominal pain 20. Chronic obstructive pulmonary disease (COPD) Acute Gout Attack, Hyperuricemia and Gout Approach to patient with chronic heart failure 21. Bronchial asthma Thyreotoxic crisis Approach to patient with arterial hypertension 22. Interstitial lung diseases Adverse drug reactions in cardiology Approach to a patient with thyroid gland enlargement 23. Sarcoidosis Intoxication with Ethanol and Methanol, Intoxication with drugs(Pervitin/Methamphetamine, Heroin, Marijuana) Approach to patient with arrytmia 24. Lung cancer Hypertensive crisis Approach to Patient with Lymphadenopathy 25. Pneumonia Hyperpotasemia and hypopotasemia Approach to patient with diabetes from the point of cardiovascular disease risk 26. Pulmonary tuberculosis. Extra-pulmonary tuberculosis. Hyponatremia and hypernatremia Diagnostic methods in cardiology and their indications 27. Imaging methods in pneumology Organophosphate poisoning, Agents in chemical warfare. Approach to a patient after syncope 28. Diseases of pleura and mediastinum Hypocalcemia and hypercalcemia Approach to patient with high risk of cardiovascular disease ( primary prevention) 29. Mikrocytic anemia Percutaneous interventions and cardiac surgery in treatment of cardiac diseases Approach to patient with neutropenia and neutrophilia 30. Normocytic anemia Stress-induced myocardial stunning (Tako – Tsubo syndrom) Approach to patient with metabolic liver diseases 31. Makrocytic anemie Long ECG intervals QT or QRS or PQ Approach to patient with gynecomastia and hirsutism 32. Thrombotic microangiopathies Complications of acute myocardial infarction Approach to patients with incidental adrenal tumor 33. Aplastic anemia and differential diagnosis of pancytopenia Cardiogenic shoc Approach to patient with intoxication (oral, respiratory, intravenous 34. Immune trombocytopenic purpura (ITP) Differential diagnosis of shock Chronic complications of diabetes mellitus 35. Acute leukemia (AML a ALL) Infective endocarditis Approach to a patient with back pain 36. Chronic myeloid leukemia (CML) Sudden cardiac death Approach to patient with subfebrile temperature and with fever of unknown origin 37. Primary myelofibrosis (PMF). Polycythaemia vera Critical limb ischaemia Approach to patient with uremia 38. Essencial trombocytemia (ET) Venous thrombosis Approach to patient with impaired kidney function and radiocontrast imaging methods. 39. Hodgkin lymphoma Nutritional support Approach to patient with disorders of consciousness 40. Agressive and indolent non - hodgkin lymphomas Beta blockers. Diuretics. Vasodilators Approach to patient with incidentaly discovered pituitary tumor. 41. MGUS and multiple myeloma Hemodynamics and diagnostic cardiac catheterization Approach to patient with diabetes foot syndrome. Prevention of diabetic foot syndrome 42. Hemophilia a von Willebrandt disease Acute states connected with pheochromocytoma and carcinoid tumour Approach to patients with arrhythmias 43. Disseminated intravascular coagulation (DIC) Acute adrenal insufficiency and adrenal (addisonian crisis) Approach to patients with prosthetic valves 44. Trombosis and trombophilia Acute pancreatitis Approach to patients with newly diagnosed left ventricular dysfunction 45. Degenerative joint diseases Antithrombotics,: anticoagulants, antiplatelet drugs, thrombolytics Dynamic testing in endocrinology (stimulation and suppression tests) 46. Inflammatory joint disease Solid organs transplantation - basic principles of transplantation and management of the patient for transplantation. Approach to a patient with chronic dyspnea 47. Lupus erythematodes Imunosupression therapy Approach to a patient with acute dyspnea 48. Dermatomyositis a sclerodermia Basic pronciples of nutritional support Approach to patients with acute chest pain 49. Vasculitides Principles of antibiotic therapy Approach to patients with chronic chest pain 50. Nonmalignant esophageal lessions and esophageal cancer Exacerbation of COPD and asthma bronchiale Approach to patients with palpitations 51. Tumors of stomac and small intestine Pneumothorax - Pneumothorax Approach to patients with pathologic ECG as accidental finding. 52. Colorectal and anal cancer Blood transfusion and blood derivates , indication for their application and its complications Approach to patients with dyspnoe and pulmonary infiltration on chest X-ray 53. Primary and secondary tumors of the liver Akutní respirační insuficience – Acute respiratory failure Approach to patients with precordial murmur 54. Tumors of biliary tract and pancreas Diagnostic and therapeutic bronchoscopy Approach to patients with limb edema 55. Type 2 diabetes mellitus Treatment of exacerbation of COPD and asthma bronchiale Approach to patients with stroke 56. Gastric and duodenal ulcer Hypercalcemia and hypercalcemic crisis Approach to patients after myocardial infarction 57. Inflammatory bowel disease Oncological immunotherapy - basic therapeutic groups Approach to patients with right heart failure or with anasarca (generalized edema) 58. Acute and chronic hepatitis Cancer biological therapy - basic drug groups Approach to cardiac patients before / during /after non-cardiac surgery 59. Liver cirrhosis Diabetic diet Approach to patients with unilateral lower limb pain 60. Wilson’s disease and hemochromatosis Angina pectoris. Silent myocardial ischemia. Exercise stress testing. Approach to patient with gastrointestinal bleeding 61. Chrionic pancreatitits Dehydration and hyperhydration, edemas Approach to patient with lymphocytosis 62. Hypothalamic disorders Transient ischemic attack Approach to the patient with chronic exposition to alcohol 63. Hyperprolactinemia and prolactinoma Mitral valve disease Approach to the patients with new hyperglycemia 64. Acromegaly and gigantism Hypertensive crisis Approach to geriatric patients. Frailty patient. 65. Cushing’s disease and Cushing’s sydrome Side effects of antidiabetic therapy Approach to cyanotic patients 66. Addison’s disease Systemic embolism Management of patient for renal replacement therapy (RRT). Principles and types of dialysis treatment. Principles of transplantation and management of the patient for transplantation. 67. Hypopituitarismus and diabetes insipidus Cancer chemotherapy - basic drug groups Relationships between heart and brain diseases 68. Hyperttyroidism a hypothyreoidism Atrial fibrillation Approach to a patient with gestational diabetes 69. Thyroiditis and thyroid tumors Basic principles of radiation oncology Approach to a patient with acute dyspnea 70. Hyperparathyroidism, hypoparathyroidism and pseudohypoparathyroidism Basic principles of cancer Immunotherapy Approach to a patient with chronic dyspnea 71. Pheochromocytoma. Primary aldosteronism Targeted cancer therapy - basic principles and agents Approach to patients with vertigo 72. Hyperlipidaemias Therapy with glucocorticoids Approach to patient with liver and spleen enlargenet 73. Hypogonadism in men and women. Hyperandrogenic states in women Allergolocic emmergencies Approach to a patient with pleural effusion 74. Polyglandular syndromes Pneumothorax Approach to patients with stroke 75. Neuroendocrine tumors and gastrointestinal tract tumors with endocrine activity Acute respiratory failiure Relations between kidney disease and heart disease. 76. Praediabetes Acute airway infections Approach to patient with neutropenia and neutrophilia 77. Type 1 diabetes mellitus Cardiostimulation, cardioversion, defibrilation Paraneoplastic symptoms. 78. Angina pectoris. Silent myocardial ischemia. Exercise stress testing Antibiotics, their divisions and their side effects Approach to the patient with abdominal pain 79. Speciphic types of diabetes – endocrine and pancreatic . Inhereted types of diabetes. Liver failure Internal preoperative examination 80. Chronic lymphatic leucaemia Hypolipidaemic drugs and therapy Diet in liver, gallbladder and pancreas disease |
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Last update: Bc. Kateřina Maternová (20.09.2019)
1. Haematology Anaemia Leukaemia Lymphoma and multiple myeloma Coagulopathy Transplantation of haematopoietic stem cells. Transfusion and haemotherapy 2. Oncology Tumours of the oesophagus, stomach, small intestine and colon Tumors of the liver, pancreas and biliary tree Urooncology Metastatic cancer, principles of oncological treatment 3. Revmatology Rheumatoid arthritis. Seronegativ arthritis. Systemic diseases of connective tissue 4. Gastroenterology and hepatology Methods of examination in gastroenterology Disease of oesophagus Peptic ulcer disease Malabsorption syndromes and coeliac disease Idiopathic Inflammatory bowel disease Disorders of gallbladder and biliary tree Acute and chronic pancreatitis Abdominal ultrasound Case reports in gastroenterology Liver cirrhosis Acute and chronic liver failure 5. Diabetology, endocrinology and nutrition Diabetes mellitus of type 1 and 2 Acute and chronic complication of diabetes mellitus Thyropathy Disorders of adrenal glands Disorders of hypophysis Hyperkalcemia Osteoporosis Hyperlipidemia a atherosclerosis Parenteral and enteral nutrition Sepsis Acidobase principles 6. Nephrology Methods of investigation in nephrology Haematuria, proteinuria, dif. dg. of kidney diseases Glomerulonephritis Tubulointersticial nephritis Acute and chronic renal failure Methods of examination in cardiology Hypertension Pulmonaly embolism Pulmonary hypertension Coronary disease, myocardial infarction Heart failure Arrhytmias Valvular heart disease Endocarditis, Perimyocarditis Cardiopulmonary resuscitation Shock Interventional angiology 8. Pneumology Acute situation in pneumology Lung cancer Functional testing in pneumology Pneumonia Tuberculosis Intersticial lung diseases COPD. Asthma bronchiale 9. Geriatrics Elementary principles in geriatrics Specifics of the pharmacotherapy in elderly 10. Dif. dg. topics Headache Dif. dg. of fever Dif. dg. of oedema Dif. dg. of chest pain Organ transplantation |