VLVL7X65c Internal medicine part 5 - Functional Diagnostics and Rehabiliation

Faculty of Medicine
Spring 2018
Extent and Intensity
0/3/0. 2 credit(s). Type of Completion: z (credit).
Teacher(s)
prof. MUDr. Petr Dobšák, CSc. (seminar tutor)
MUDr. Pavel Homolka, Ph.D. (seminar tutor)
prof. MUDr. Jarmila Siegelová, DrSc. (seminar tutor)
MUDr. Michaela Sosíková, Ph.D. (seminar tutor)
MUDr. Hana Svačinová, Ph.D. (seminar tutor)
MUDr. Pavel Vank (seminar tutor)
Mgr. Leona Dunklerová (assistant)
Guaranteed by
prof. MUDr. Petr Dobšák, CSc.
Department of Sports Medicine and Rehabilitation - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine
Contact Person: Ing. Soňa Pavlová
Supplier department: Department of Sports Medicine and Rehabilitation - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine
Timetable of Seminar Groups
VLVL7X65c/01: Mon 19. 3. to Fri 23. 3. each working day 7:30–12:20 N03329
VLVL7X65c/02: Mon 5. 3. to Fri 9. 3. each working day 7:30–12:20 N03329
VLVL7X65c/04: Mon 28. 5. to Fri 1. 6. each working day 7:30–12:20 N03329
VLVL7X65c/05: Mon 14. 5. to Fri 18. 5. each working day 7:30–12:20 N03329
VLVL7X65c/06: Mon 30. 4. to Fri 4. 5. each working day 7:30–12:20 N03329
VLVL7X65c/07: Mon 16. 4. to Fri 20. 4. each working day 7:30–12:20 N03329
VLVL7X65c/08: Mon 2. 4. to Fri 6. 4. each working day 7:30–12:20 N03329
VLVL7X65c/31: No timetable has been entered into IS.
VLVL7X65c/32: No timetable has been entered into IS.
VLVL7X65c/34: No timetable has been entered into IS.
VLVL7X65c/35: No timetable has been entered into IS.
Prerequisites (in Czech)
VSPF0622p Pathophysiol. II - lect. && VSPA0622p Pathology II - lecture && VLCP0622c Introduc. to surgery II -pr. && VSIP0622c Introduction to internal II-pr && VLLM0522p Medical Microbiology II - lect && VLIM051p Immunology - lecture && VLFA0621c Pharmacology I - p
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
Course objectives
This course unit provides detailed information about key diagnostic functional tests in clinical medicine, all of which are conducted inside the lab. Students will be able to apply the basic concepts by conducting self-made examinations and recording their own physiological responses to exercise. Students can further understand the human body’s ability to perform exercise, to adapt to stressful conditions, to improve the exercise performance, to design appropriate therapeutic exercise rehabilitation programs and to evaluate the outcomes. All the topics are presented using a variety of teaching methods, including lectures, seminars, group activities, practical work and a tutorial. All lectures and seminars offer also the comprehensive resource that frames the latest and most significant research findings and makes it easier for students to learn.
Learning outcomes
After completing the course the student will know:
- principles of implementation, indications and contraindications of CPX (cardiopulmonary exercise testing) in clinical and outpatient practice (especially spiroergometric testing, basic principles of functional diagnostics of respiratory functions and investigation of autonomic nervous regulations)
- reactions of the organism to various types of exertion and the differences between the physiological and pathological reactions of the basic functional parameters to the physical load
- the importance of prescribing exercise therapy in internal medicine, especially in patients with cardiovascular or respiratory diseases, and metabolic disorders
- the importance of different training types for cardiac patients (phase I. - IV. of cardiovascular rehabilitation)
Syllabus
  • The part of the teaching programme of internal medicine
  • 1 Introduction
  • 2 Reaction and adaptation to physical stress
  • 2.1 Gas transport system
  • 2.1.1 Respiration
  • 2.1.2 Circulation
  • 2.2 Energy metabolism
  • 2.3 Body fluids and ions, acid - base balance
  • 2.4 Neuromuscular system
  • 3 Stress tests
  • 3.1 Characteristics
  • 3.2 Indications and contraindications
  • 3.3 Stress testing procedure
  • 3.4 Criteria of evaluation and interpretation
  • 3.5 Methods
  • 3.6 Special approaches to stress testing
  • 3.6.1 Stress testing in children and adolescents
  • 3.6.2 Stress testing in clinical diagnostics
  • 3.6.3 Stress testing in therapeutical and rehabilitation programmes
  • 3.6.4 Stress testing in different groups of population
  • 4 Fundamentals of exercise therapy and rehabilitation
  • 4.1 Exercise therapy as a part of rehabilitation
  • 4.1.1 Definition and division into constituent parts
  • 4.1.2 Therapeutical rehabilitation
  • 4.2 Prescription of exercise therapy
  • 4.2.1 Principles
  • 4.2.2 Physiologic efficiency of physical activities
  • 4.2.3 Kinds of physical activities
  • 4.2.4 Stress intensity
  • 4.2.5 Frequency and duration of stress
  • 5 Stress testing and exercise therapy in selected diseases
  • 5.1 Cardiovascular and haematologic diseases
  • 5.1.1 Functional disorders of circulation
  • 5.1.2 Congenital heart diseases
  • 5.1.3 Valvular heart diseases
  • 5.1.4 Acute inflammatory diseases
  • 5.1.5 Cardiomyopathy
  • 5.1.6 Atherosclerosis
  • 5.1.7 Coronary artery diseases
  • 5.1.8 Heart failure
  • 5.1.9 Arrhythmias
  • 5.1.10 Arterial hypertension
  • 5.1.11 Chronic ischaemic arterial obstructive disease of lower limbs
  • 5.1.12 Anaemia
  • 5.2 Pulmonary diseases
  • 5.2.1 Bronchial asthma
  • 5.2.2 Chronic obstructive pulmonary disease
  • 5.2.3 Interstitial lung diseases
  • 5.2.4 Cystic fibrosis
  • 5.3 Gastrointestinal diseases
  • 5.3.1 Peptic ulcer
  • 5.3.2 Constipation
  • 5.3.3 Hepatitis
  • 5.4 Metabolic, nutritional and endocrine diseases and disorders
  • 5.4.1 Obesity (exgenous, alimentary)
  • 5.4.2 Malnutrition (protein - energy type)
  • 5.4.3 Anorexia nervosa
  • 5.4.4 Diabetes mellitus
  • 5.4.5 Thyropathy
  • 5.5 Other diseases and disorders
  • 5.5.1 States after cytostatic therapy in children
  • 5.5.2 Renal diseases
  • 5.5.3 Osteoporosis
  • 5.5.4 Arthropathy
  • 5.6 Case presentations
  • 5.6.1 Heart failure and coronary artery disease
  • 5.6.2 Bronchial asthma
  • 5.6.3 Diabetes mellitus
  • 5.6.4 Other current cases
Literature
Teaching methods
Lessons are taking place in blocks of one week. Attendance at the tuition is obligatory. The students work in groups of 5-6 members at the patient s bed. Expert seminars are the part of education.
Assessment methods
written test at the end of the course
Language of instruction
Czech
Further comments (probably available only in Czech)
The course is taught each semester.
Information on the extent and intensity of the course: 2.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2009, Spring 2010, Autumn 2010, Spring 2011, Autumn 2011, Spring 2012, Autumn 2012, Spring 2013, Autumn 2013, Spring 2014, Autumn 2014, Spring 2015, Autumn 2015, Spring 2016, Autumn 2016, Spring 2017, Autumn 2017.
  • Enrolment Statistics (recent)
  • Permalink: https://is.muni.cz/course/med/spring2018/VLVL7X65c