LF:aVLLP0633c Clinical Introduction III - p

aVLLP0633c Clinical Introduction III - practice

Faculty of Medicine
spring 2024

Extent and Intensity

0/7/0. 5 credit(s). Type of Completion: zk (examination).
Taught in person.

Teacher(s)

Guaranteed by

MUDr. Jan Konečný, Ph.D.
First Department of Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine
Contact Person: Lucie Kučerová
Supplier department: First Department of Surgery – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine

Timetable of Seminar Groups

aVLLP0633c/30: Tue 20. 2. 7:30–10:25 I.CHK N02002, Thu 22. 2. 10:00–12:55 I.IKAK N06034, Tue 27. 2. 7:30–10:25 I.CHK N02002, Thu 29. 2. 10:00–12:55 I.IKAK N06034, Tue 5. 3. 7:30–10:25 I.CHK N02002, Thu 7. 3. 10:00–12:55 I.IKAK N06034, Tue 12. 3. 7:30–10:25 I.CHK N02002, Thu 14. 3. 10:00–12:55 I.IKAK N06034, Tue 19. 3. 7:30–10:25 I.CHK N02002, Thu 21. 3. 10:00–12:55 I.IKAK N06034, Thu 28. 3. 10:00–12:55 I.IKAK N06034, Tue 2. 4. 7:30–10:25 I.CHK N02002, Thu 4. 4. 10:00–12:55 I.IKAK N06034, Thu 11. 4. 10:00–12:55 I.IKAK N06034, Fri 12. 4. 8:00–10:55 KPECH N03901, Tue 16. 4. 7:30–10:25 I.CHK N02002, Thu 18. 4. 10:00–12:55 I.IKAK N06034, Tue 23. 4. 7:30–10:25 I.CHK N02002, Wed 24. 4. 8:00–10:55 KDAR N01004, Tue 30. 4. 7:30–10:25 I.CHK N02002, Thu 2. 5. 10:00–12:55 I.IKAK N06034, Tue 7. 5. 7:30–10:25 I.CHK N02002, Thu 9. 5. 10:00–12:55 I.IKAK N06034, Tue 14. 5. 12:30–14:30 F37/364, 12:30–14:30 F37/365, Tue 21. 5. 12:30–14:30 F37/355, 12:30–14:30 F37/358, 12:30–14:30 F37/357, Tue 28. 5. 7:30–10:25 I.CHK N02002, Thu 30. 5. 10:00–12:55 I.IKAK N06034
aVLLP0633c/31: Mon 19. 2. 9:30–12:25 IKK N13191a, Fri 23. 2. 8:00–10:55 KPECH N03901, Mon 26. 2. 9:30–12:25 IKK N13191a, Tue 27. 2. 11:00–13:55 II.CHK N01908, Mon 4. 3. 9:30–12:25 IKK N13191a, Tue 5. 3. 11:00–13:55 II.CHK N01908, Mon 11. 3. 9:30–12:25 IKK N13191a, Tue 12. 3. 11:00–13:55 II.CHK N01908, Mon 18. 3. 9:30–12:25 IKK N13191a, Tue 19. 3. 11:00–13:55 II.CHK N01908, Mon 25. 3. 9:30–12:25 IKK N13191a, Tue 26. 3. 11:00–13:55 II.CHK N01908, Tue 2. 4. 11:00–13:55 II.CHK N01908, Mon 8. 4. 9:00–11:55 ARK N01063, Tue 9. 4. 11:00–13:55 II.CHK N01908, Mon 15. 4. 9:30–12:25 IKK N13191a, Tue 16. 4. 11:00–13:55 II.CHK N01908, Mon 22. 4. 9:30–12:25 IKK N13191a, Tue 23. 4. 11:00–13:55 II.CHK N01908, Mon 29. 4. 9:30–12:25 IKK N13191a, Tue 30. 4. 11:00–13:55 II.CHK N01908, Mon 6. 5. 9:30–12:25 IKK N13191a, Fri 10. 5. 8:00–10:55 KDCHOT N03005, Tue 14. 5. 12:30–14:30 F37/357, 12:30–14:30 F37/358, 12:30–14:30 F37/355, Tue 21. 5. 12:30–14:30 F37/365, 12:30–14:30 F37/364, Mon 27. 5. 9:30–12:25 IKK N13191a, Tue 28. 5. 11:00–13:55 II.CHK N01908
aVLLP0633c/32: Tue 20. 2. 10:00–12:55 IKII N04012, Thu 22. 2. 7:30–10:25 I.CHK N02002, Tue 27. 2. 10:00–12:55 IKII N04012, Thu 29. 2. 7:30–10:25 I.CHK N02002, Tue 5. 3. 8:00–10:55 N02144, Thu 7. 3. 7:30–10:25 I.CHK N02002, Tue 12. 3. 10:00–12:55 IKII N04012, Thu 14. 3. 7:30–10:25 I.CHK N02002, Tue 19. 3. 10:00–12:55 IKII N04012, Thu 21. 3. 7:30–10:25 I.CHK N02002, Tue 26. 3. 10:00–12:55 IKII N04012, Thu 28. 3. 7:30–10:25 I.CHK N02002, Tue 2. 4. 10:00–12:55 IKII N04012, Thu 4. 4. 7:30–10:25 I.CHK N02002, Tue 9. 4. 10:00–12:55 IKII N04012, Thu 11. 4. 7:30–10:25 I.CHK N02002, Tue 16. 4. 10:00–12:55 IKII N04012, Thu 18. 4. 7:30–10:25 I.CHK N02002, Tue 23. 4. 10:00–12:55 IKII N04012, Fri 26. 4. 8:00–10:55 KPECH N03901, Tue 30. 4. 10:00–12:55 IKII N04012, Tue 7. 5. 10:00–12:55 IKII N04012, Thu 9. 5. 7:30–10:25 I.CHK N02002, Mon 13. 5. 11:00–13:55 KDCHOT N03005, Wed 15. 5. 12:30–14:30 F37/365, 12:30–14:30 F37/364, Mon 20. 5. 12:30–14:30 F37/355, 12:30–14:30 F37/357, 12:30–14:30 F37/358, Tue 28. 5. 10:00–12:55 IKII N04012, Thu 30. 5. 7:30–10:25 I.CHK N02002
aVLLP0633c/33: Wed 21. 2. 10:00–12:55 IHOK N14190, Fri 23. 2. 8:00–10:55 N07191, Wed 28. 2. 10:00–12:55 IHOK N14190, Fri 1. 3. 8:00–10:55 N07191, Wed 6. 3. 10:00–12:55 IHOK N14190, Fri 8. 3. 8:00–10:55 N07191, Wed 13. 3. 8:00–10:55 KDAR N01004, Fri 15. 3. 8:00–10:55 N07191, Wed 20. 3. 10:00–12:55 IHOK N14190, Fri 22. 3. 8:00–10:55 KDCHOT N03005, Wed 27. 3. 10:00–12:55 IHOK N14190, Wed 3. 4. 10:00–12:55 IHOK N14190, Fri 5. 4. 8:00–10:55 N07191, Wed 10. 4. 10:00–12:55 IHOK N14190, Fri 12. 4. 8:00–10:55 N07191, Wed 17. 4. 10:00–12:55 IHOK N14190, Fri 19. 4. 8:00–10:55 N07191, Wed 24. 4. 10:00–12:55 IHOK N14190, Fri 26. 4. 8:00–10:55 N07191, Fri 3. 5. 8:00–10:55 N07191, Fri 10. 5. 8:00–10:55 N07191, Wed 15. 5. 12:30–14:30 F37/443a, 12:30–14:30 F37/447, 12:30–14:30 F37/445, Mon 20. 5. 12:30–14:30 F37/365, 12:30–14:30 F37/364, Wed 29. 5. 10:00–12:55 IHOK N14190, Fri 31. 5. 8:00–10:55 N07191
aVLLP0633c/34: Tue 20. 2. 10:00–12:55 IHOK N14190, Wed 21. 2. 8:00–10:55 KDCHOT N03005, Tue 27. 2. 10:00–12:55 IHOK N14190, Wed 28. 2. 8:00–10:55 KDCHOT N03005, Tue 5. 3. 10:00–12:55 IHOK N14190, Wed 6. 3. 8:00–10:55 KDCHOT N03005, Mon 11. 3. 8:00–10:55 ARK N01063, Tue 12. 3. 10:00–12:55 IHOK N14190, Wed 13. 3. 8:00–10:55 KDCHOT N03005, Tue 19. 3. 10:00–12:55 IHOK N14190, Wed 20. 3. 8:00–10:55 KDCHOT N03005, Tue 26. 3. 10:00–12:55 IHOK N14190, Wed 27. 3. 8:00–10:55 KDCHOT N03005, Wed 3. 4. 8:00–10:55 KDCHOT N03005, Tue 9. 4. 10:00–12:55 IHOK N14190, Wed 10. 4. 8:00–10:55 KDCHOT N03005, Tue 16. 4. 10:00–12:55 IHOK N14190, Thu 18. 4. 8:00–10:55 KPECH N03901, Tue 23. 4. 10:00–12:55 IHOK N14190, Wed 24. 4. 8:00–10:55 KDCHOT N03005, Tue 30. 4. 10:00–12:55 IHOK N14190, Tue 7. 5. 10:00–12:55 IHOK N14190, Fri 17. 5. 12:30–14:30 F37/365, 12:30–14:30 F37/364, Fri 24. 5. 12:30–14:30 F37/357, 12:30–14:30 F37/355, 12:30–14:30 F37/358, Tue 28. 5. 10:00–12:55 IHOK N14190, Wed 29. 5. 8:00–10:55 KDCHOT N03005
aVLLP0633c/35: Wed 21. 2. 9:00–11:55 IKK N13191a, Thu 22. 2. 11:00–13:55 KDCHOT N03005, Wed 28. 2. 9:00–11:55 IKK N13191a, Thu 29. 2. 10:30–13:25 N07191, Wed 6. 3. 9:00–11:55 IKK N13191a, Thu 7. 3. 8:00–10:55 KPECH N03901, Wed 13. 3. 9:00–11:55 IKK N13191a, Thu 14. 3. 10:30–13:25 N07191, Wed 20. 3. 9:00–11:55 IKK N13191a, Thu 21. 3. 10:30–13:25 N07191, Wed 27. 3. 9:00–11:55 IKK N13191a, Thu 28. 3. 10:30–13:25 N07191, Wed 3. 4. 9:00–11:55 IKK N13191a, Thu 4. 4. 10:30–13:25 N07191, Wed 10. 4. 9:00–11:55 IKK N13191a, Thu 11. 4. 10:30–13:25 N07191, Wed 17. 4. 9:00–11:55 IKK N13191a, Thu 18. 4. 10:30–13:25 N07191, Wed 24. 4. 9:00–11:55 IKK N13191a, Thu 25. 4. 10:30–13:25 N07191, Tue 30. 4. 8:00–10:55 N02144, Thu 2. 5. 10:30–13:25 N07191, Thu 9. 5. 10:30–13:25 N07191, Fri 17. 5. 12:30–14:30 F37/443a, 12:30–14:30 F37/445, 12:30–14:30 F37/447, Fri 24. 5. 12:30–14:30 F37/364, 12:30–14:30 F37/365, Wed 29. 5. 9:00–11:55 IKK N13191a, Thu 30. 5. 10:30–13:25 N07191

Prerequisites (in Czech)

aVLLP0532c Clinical Introduction II && aVLAN0222p Anatomy II - lec. && aVLHE0322p Histology and embryology II -l && aVLBC0422p Biochemistry II - lecture && aVLFY0422p Physiology II - lecture

Course Enrolment Limitations

The course is only offered to the students of the study fields the course is directly associated with.

fields of study / plans the course is directly associated with

General Medicine (programme LF, M-GM)
General Medicine (eng.) (programme LF, M-VL)

Course objectives

The aim is to teach students the basics of the physical examination of patients in surgery and internal medicine.

Learning outcomes (in Czech)

The student will be able:
- to take complete patient history
- to perform a general physical examination of the patient,
- to perform basic internal, neurological and surgical examination of the patient.
Student will be familiar with basic laboratory and other diagnostic tests.
- to perform and evaluate the ECG
- to recognize basic pathological ECG findings.
- to describe the physiological findings on the chest and abdominal X-rays.
He will be familiar with basic surgical instruments together with their use, will be familiar with immobilization techniques, with the basic techniques of sewing, punching, cannulation, preparation, catheterization.

Syllabus (in Czech)

The student completes 7 hours of practical exercises per week divided into 2 teaching units of 3.5 hours. One teaching block is internal, supplemented by an internship at the anaesthesiology-resuscitation clinic. The second one is surgical supplemented by 1 internship in paediatric surgery and 1 internship in plastic surgery. In the 13th and 14th weeks, teaching is only in SIMU, where the focus is on practicing practical skills.
Internal Medicine: 1. Basic clinical and laboratory, imaging and functional diagnostic methods (chest and abdominal X-ray, principles of ultrasound, fibroscopic and some other examinations) 2. History and examination of pulmonary diseases 3. History and examination of cardiac diseases 4. Basic ECG pathological findings 5. History and examination in renal and urinary tract diseases 6. History and examination in gastrointestinal and liver diseases 7. History and examination in endocrine diseases and diabetes 8. History and examination in haematological diseases 9. History and examination in diseases of peripheral arteries and veins 10. History and examination in rheumatological and immunological diseases 11. ARK/KARIM/KDAR - general and local anaesthesia, anaesthesiologist's role 12. Repetition 13. and 14. SIMU - practice of basic skills 15. Repetition
Surgery: Teaching is done in study groups, topics of each internship: 1. Metabolism and nutrition in surgery - enteral nutrition, parenteral nutrition, diets, fluid balance, replacement solutions, ions and acid-base balance in surgery 2. Infections in surgery - wounds, GIT, urinary, respiratory, sepsis, tetanus, rabies, surgical wounds, purulent hand diseases 3. Injuries of joints, muscles, tendons - open, closed, characteristics, diagnosis, principle of treatment. Wound care - repetition. 4. Nerve and vascular injuries, bleeding control, replacement of blood loss, blood transfusion, shock and its types, drowning, hanging, electric shock. 5. Fractures - healing and treatment, fracture healing disorders, rehabilitation, prosthetics, assessment 6. Surgery - types, indications, pre-operative preparation, post-operative response, risks and complications per-operative and post-operative, prevention of thrombosis, antibiotic prophylaxis 7. Basic surgical approaches and procedures: head, thoracic cavity, abdominal cavity, small pelvis (including scopic approaches), extremities, basic surgical procedures - nomenclature 8. trauma surgery - polytrauma, compound injuries, mass casualties, trauma plan, war injuries (triage and removal of wounded + principles of treatment) including blast syndrome, crush syndrome, 9. Cancer surgery - classification and spread of tumours, prevention, organisation of cancer care. Introduction to transplantation 10. KPECH - Plastic Surgery - plastic surgery charges, flaps, treatment of traumatic amputations, frostbite, burns. 11. KDCHOT Pediatric Surgery- specifics of the pediatric patient 12. repetition 13. and 14. SIMU - practice of basic skills 15. repetition

Literature

required literature

LONGMORE, J. M. Oxford handbook of clinical medicine. 9th ed. New York: Oxford University Press, 2014, 902 s. ISBN 9780199609628. info
Surgery at a glance. Edited by P. A. Grace - Neil R. Borley. 5th ed. Chichester: Wiley-Blackwell, 2013, 207 p. ISBN 9781118522608. info
BLUMENFELD, Hal. Neuroanatomy through clinical cases. 2nd ed. Sunderland: Sinauer Associates, 2010, xxiii, 100. ISBN 9780878936137. info

recommended literature

CHROBÁK, Ladislav, Thomas GRAL and Jiří KVASNIČKA. Physical examination in internal medicine. 1. vyd. Praha: Grada, 2003, 239 s. ISBN 9788024706177. info

Bookmarks

https://is.muni.cz/ln/tag/LF:aVLLP0633c!

Teaching methods (in Czech)

Practicals always have a theoretical and practical part. The theoretical part is devoted to the above-mentioned topic, practical (for which the main emphasis is placed) – at the patient (taking of personal and medical history, examination of individual organs), basic examination methods (ultrasound, X-ray, laboratory findings, ECG). Practical training (about 50 % of the total volume of teaching) is complemented by a comprehensive range of simulation teaching methods on simulators with varying degrees of fidelity, trainers and virtual patients. Simulation results in subsequent debriefing (feedback to the student). There is also problem-oriented learning in the foreground, where the student is taught by solving the problem presented, as well as team-oriented teaching when small groups of students discuss and choose a solution to the problem. Emphasis is also placed on the development of soft skills, incl. so-called "21st-century skills", particularly communication, decision-making skills, critical thinking, crisis communication and teamwork.

Assessment methods (in Czech)

The evaluation consists of several components. In Clinical introduction III, you need to complete attendance requirements in internal medicine and surgery clinics, pass a practical OSCE exam and a theoretical exam.
All the details of the OSCE exam are placed in the interactive course syllabus and the student is obliged to get acquainted with them.

Language of instruction

English

Further comments (probably available only in Czech)

Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 105.

Listed among pre-requisites of other courses

Zobrazit další předměty

The course is also listed under the following terms Spring 2018, spring 2019, spring 2020, spring 2021, spring 2022, spring 2023.

Enrolment Statistics (recent)
Permalink: https://is.muni.cz/course/med/spring2024/aVLLP0633c

LF:aVLLP0633c Clinical Introduction III - p - Course Information

aVLLP0633c Clinical Introduction III - practice

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