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Course, academic year 2023/2024
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Surgery (STEX) - DA0112204
Title: Surgery (STEX)
Guaranteed by: Department of Surgery (13-371)
Faculty: Second Faculty of Medicine
Actual: from 2020
Semester: winter
Points: 0
E-Credits: 0
Examination process: winter s.:
Hours per week, examination: winter s.:0/0, STEX [HT]
Capacity: unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Level:  
Guarantor: prof. MUDr. Alan Stolz, Ph.D.
prof. MUDr. Michal Rygl, Ph.D.
Classification: Medicine > Clinical Disciplines
Order Course title
Topic 1 (TO1)
1 1. Treatment of wounds, types of surgical stitches.
2 2. Wound infections, bedsores.
3 3. Surgical treatment of burns and frostbite.
4 4. Surgical access to body cavities (open and mini-invasive).
5 5. Preoperative examination and preparation (malnutrition, obesity, anemia and icterus).
6 6. Principles of postoperative care, treatment of postoperative pain.
7 7. Thromboembolism - prevention and treatment.
8 8. Postoperative complications - classification, prevention and therapy.
9 9. Sepsis - diagnostics and therapy.
10 10. Antibiotics in surgery, nosocomial infections.
11 11. Infusions and transfusions, venous access.
12 12. Acute abdomen - classification, diagnostics, main priniciples of its treatment.
13 13. Inflammatory causes of acute abdomen.
14 14. Bowel obstruction.
15 15. Gastrointestinal perforation.
16 16. Acute bleeding into the upper gastrointestinal tract.
17 17. Acute bleeding into the lower gastrointestinal tract.
18 18. Acute appendicitis.
19 19. Complications of appendicitis, acute appendicitis in pregnancy and in elderly patients.
20 20. Acute pancreatitis.
21 21. Acute cholecystitis.
22 22. Acute diverticulitis.
23 23. Intestinal strangulation.
24 24. Paralytic and vascular ileus (acute mesenteric ischemia).
25 25. Differential diagnosis of pain in the right lower quadrant.
26 26. Differential diagnosis of epigastric pain.
27 27. Vomiting - differential diagnosis and treatment.
28 28. Polytrauma - triage, timing of therapeutic steps, principles of damage control surgery.
29 29. Pneumothorax, hemothorax.
30 30. Thoracic and diaphgramatic trauma, rib fractures.
31 31. Traumatic causes of acute abdomen.
32 32. Blunt abdominal trauma.
33 33. Gunshot and stab wounds of thorax and abdomen.
34 34. Traumatic hemoperitoneum.
101 1. Goitre, thyrotoxicosis, hyperparathyroidism.
102 2. Tumours of the thyroid gland.
103 3. Tumours of the mammary gland - classification, screening and diagnostics.
104 4. Surgical treatment of tumours of the mammary gland.
105 5. Surgical treatment of bronchogenic carcinoma.
106 6. Surgery of the esophagus - injury, diverticular, gastroesophageal reflux disease.
107 7. Esophageal carcinoma.
108 8. Gastric cancer.
109 9. Complications of peptic ulcer disease and their treatment.
110 10. Obstructive icterus - diagnostics and treatment.
111 11. Cholelithiasis - symptomatology, complications, indications for surgical treatment.
112 12. Surgical treatment of benign and malignant hepatic tumours.
113 13. Surgery of the gallbaldder and biliary tree.
114 14. Pancreatic cancer.
115 15. Chronic pancreatitis.
116 16. Surgery of the spleen.
117 17. Small intestine - injury, inflammation, tumours.
118 18. Non-specific inflammatory bowel disease - Crohn's disease and ulcerative colitis.
119 19. Diverticular diease of the colon.
120 20. Colon cancer.
121 21. Rectal cancer.
122 22. Disaeases of the rectum and anus - hemoroids, abscesses, fistulae.
123 23. Sinus pilonidalis.
124 24. Endoscopic procedures - diagnostic and therapeutic.
125 25. Hernias - symptomatology, complications, indication for surgical treatment.
126 26. Inguinal hernia.
127 27. Femoral hernia, umbilical hernia.
128 28. Incisional hernia.
129 29. Congenital malformations of the chest wall.
130 30. Surgical diseases of the lungs in paediatric patients.
131 31. Diseases of the mediastinum.
132 32. Diaphgramatic hernias.
133 33. Surgical diseases of the oesophagus in paediatric patients.
134 34. Atresia and stenosis of the duodenum and small intestine.
135 35. Malrotation.
136 36. Pylorostenosis.
137 37. Intussusception in the paediatric patient.
138 38. Diseases of Meckel's diverticulum.
139 39. Appendicitis in the paediatric patient.
140 40. Anorectal malformation.
141 41. Hirschsprung disease.
142 42. Surgery of the biliary tree in the paediatric patient.
143 43. Surgery of the liver in the paediatric patient.
144 44. Congenital anomalies of the abdominal wall.
145 45. Hernias in the paediatric patient.
146 46. Undescended testes, phismosis, paraphimosis, conglutination.
147 47. Scrotal syndrome in the paediatric patient.
148 48. Differential diagnosis of abdominal pain in the paediatric patient.
149 49. Differential diagnosis of abdominal massess in the paediatric patient.
201 1. Classification of fractures.
202 2. Fractures in the shoulder region.
203 3. Soft tissue trauma of the shoulder.
204 4. Trauma of the elbow and humerus.
205 5. Fractures of the forearm with regards to age.
206 6. Fractures of the wrist and hand with regards to age.
207 7. Pelvic fractures.
208 8. Fractures of the hip and acetabulum.
209 9. Fractures of the proximal femur.
210 10. Fractures of the femoral diaphysis.
211 11. Fractures around the knee joint.
212 12. Knee “soft tissue” injuries.
213 13. Fractures of the shin with regards to age.
214 14. Fractures of the ankle.
215 15. Fractures of the hindfoot.
216 16. Tratment of diaphyseal fractures with regards to age.
217 17. Open fractures – classification, strategy of treatment, first aid.
218 18. Traumatic joint dislocations, posttraumatic joint instability.
219 19. Complications and sequelae of conservative and surgical management of fractures.
220 20. Specifics of fractures in children.
221 21. Trauma of the growth plate.
222 22. Fractures of C spine.
223 23. Fractures of Th spine.
224 24. Fractures of L spine.
225 25. Injury of ligaments, tendons and muscles.
226 26. Compartment syndrome.
301 1. Congenital anomalies of cranium and brain.
302 2. Congenital anomalies of the spine and spinal cord.
303 3. Hydrocephalus – classification and treatment.
304 4. Intracranial tumors in adults.
305 5. Intracranial tumors in children.
306 6. Tumors of the spine and spinal cord.
307 7. Inflammatory diseases of the cranium, of the meninges and brain.
308 8. Intervertebral disc herniation, stenosis, listhesis and instability – evaluation and treatment.
309 9. Peripheral nerve injury, entrapment neuropathy.
310 10. Nontraumatic intracraniall hemorrhage, AVM, aneurysms, hypertension hemorrhage.
311 11. Cerebral ischemia, carotid artery stenosis.
312 12. Craniocerebral injury – classification, intracranial pressure, level of consciousnes.
313 13. Focal craniocerebral injury – contusion, hematoma.
314 14. Diffuse craniocerebral injury, skull fracture.
315 15. Spine and spinal cord injury.
316 16. Epilepsy surgery and functional neurosurgery.
317 17. Emergency situations in neurosurgery.
318 18. Monitoring the state of consciousness.
319 19. Intracranial hypertension - pathophysiology, diagnosis and treatment.
320 20. Tumors of the CNS - classification, clinical presentation, diagnosis and treatment.
321 21. Surgical treatment of ischemic heart disease.
322 22. Acute and chronic mechanical complications of myocardial infarction and IHD.
323 23. Aquired mitral and tricuspid valve diseases - surgical treatment.
324 24. Thoracic aorta aneurysm and aortic dissection - types, etiology, symptoms, diagnosis, treatment.
325 25. Heart trauma and great vessel trauma.
326 26. Congenital heart diseases in adults - ASD, VSD, tetralogy of Fallot, aortic coarctation, TGA.
327 27. Principle of extracorporeal circulation (heart-lung machine), ventricular assist devices.
328 28. Chronic arterial occlusions - diagnosis and treatment, Fontain classification.
329 29. Acute arterial occlusions, compartment syndrome, myonephropatic syndrome.
330 30. Diseases of the aortic valve and ascending aorta - etiology, symptomatology, diagnosis, treatment.
331 31. Diseases of the aortic arch branches, and aortoiliac arteries - etiology, symptomatology, diagnosis, treatment.
332 32. Diseases of the femoropopliteal and crural arteries - etiology, symptomatology, diagnosis, treatment.
333 33. Acute and chronic diseases of the great veins - etiology, symptomatology, diagnosis, treatment.
334 34. Varicose veins of the lower extremities, vascular access for haemodialysis.
335 35. Czech transplant program legislation, donors categories, coordination of the transplant program, organs harvesting and allocation principles, principles of the immunosuppression therapy.
336 36. Indication, technique of specific organ harvesting ant transplantation (kidney, liver, pancreas, heart, lungs, small intestine and multiorgan transplants), outcome.
337 37. Arterial aneurysms - etiology, symptomatology, diagnosis, treatment.
338 38. Types of valve replacements, anticoagulantion therapy, prevention of endocarditis.
339 39. Infective endocarditis.
340 40. Vascular prostheses, types of anastomoses.
Annotation
Last update: Zdeněk Procházka (04.02.2021)
General Surgery, Paediatric Surgery, Orthopaedics and Traumatology, Neurosurgery, Cardiovascular Surgery.
Course completion requirements
Last update: VALTER (19.09.2017)

Oral examination

Literature
Last update: Zdeněk Procházka (04.02.2021)

Hoch J, Leffler J a kol. Textbook of surgery. Maxdorf, Praha, 2013. ISBN 978-80-7345-375-6.

Puri, P.: Newborn surgery :Butterworth - Heinemann, 2003 (B)

And basic literature for the 4th year

Syllabus
Last update: Zdeněk Procházka (04.02.2021)

Education in surgery in the sixth year of the general medicine program takes place in an eight-week teaching block. This consists of three weeks of general adult surgery, three weeks of paediatric surgery, one week of traumatology, one week of cardiovascular surgery and neurosurgery.

During the second week of general adult surgery education will take place partially in the department of the Military Hospital in Střešovice. Classes in the department of the Military Hospital in Střešovice starts at 7 a.m. by doctor’s round. The key from the cloakroom will be available before 7 a.m. at the secretariat of that department (1st floor, pavilion CH).

For final allocation of weeks see detailed schedule via the link above.

 
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