aVLLP0532c Clinical Introduction II - practice

Faculty of Medicine
autumn 2021
Extent and Intensity
0/7/0. 5 credit(s). Type of Completion: z (credit).
Taught in person.
Teacher(s)
MUDr. Ernest Biroš (lecturer)
doc. MUDr. Jiří Dolina, Ph.D. (lecturer)
MUDr. Radek Kroupa, Ph.D. (lecturer)
doc. MUDr. Lubomír Křivan, Ph.D. (lecturer)
MUDr. Luboš Kubíček, Ph.D. (lecturer)
MUDr. Tomáš Novotný, Ph.D. (lecturer)
MUDr. Yvona Pospíšilová (lecturer)
prof. MUDr. Robert Staffa, Ph.D. (lecturer)
prof. MUDr. Lenka Špinarová, Ph.D., FESC (lecturer)
MUDr. Robert Vlachovský, Ph.D. (lecturer)
MUDr. Václav Žižlavský (lecturer)
MUDr. Viktor Adedokun (seminar tutor)
MUDr. Irena Andršová, Ph.D. (seminar tutor)
MUDr. Andrej Berkeš (seminar tutor)
MUDr. Alena Berková, Ph.D. (seminar tutor)
Mgr. MUDr. Štěpánka Bibrová, Ph.D. (seminar tutor)
MUDr. Klára Bochníčková (seminar tutor)
prof. MUDr. Ivan Čapov, CSc. (seminar tutor)
MUDr. Aleš Čermák, Ph.D. (seminar tutor)
MUDr. Lukáš Dadák, Ph.D. (seminar tutor)
MUDr. Petra Divácká (seminar tutor)
doc. MUDr. Luboš Dražan, Ph.D. (seminar tutor)
MUDr. Zdeněk Dvořák, Ph.D. (seminar tutor)
MUDr. Jiří Faldík (seminar tutor)
MUDr. Michal Fedorko, Ph.D., FEBU (seminar tutor)
MUDr. Petr Filipenský, Ph.D. (seminar tutor)
prof. MUDr. Petr Gál, Ph.D. (seminar tutor)
MUDr. Motasem Ghazal (seminar tutor)
MUDr. Katarína Glombová (seminar tutor)
MUDr. Jakub Habr (seminar tutor)
MUDr. Tomáš Hanslík (seminar tutor)
MUDr. Martin Harazim (seminar tutor)
MUDr. Roman Hasara (seminar tutor)
MUDr. Kateřina Helánová, Ph.D. (seminar tutor)
MUDr. Zuzana Heralecká (seminar tutor)
MUDr. Michaela Heroutová (seminar tutor)
MUDr. Jiří Hlásenský, Ph.D. (seminar tutor)
MUDr. Tomáš Horňák (seminar tutor)
MUDr. Ľubomíra Horňáková (seminar tutor)
MUDr. Anna Chaloupka, Ph.D. (seminar tutor)
MUDr. Antreas Cheimaris (seminar tutor)
MUDr. Zdeněk Chovanec, Ph.D. (seminar tutor)
MUDr. Daniel Ira, Ph.D. (seminar tutor)
prof. MUDr. Zdeněk Kala, CSc. (seminar tutor)
MUDr. Michal Kašpar (seminar tutor)
MUDr. Pavla Kavříková (seminar tutor)
doc. MUDr. Jozef Klučka, Ph.D. (seminar tutor)
MUDr. Martin Knoz, Ph.D. (seminar tutor)
MUDr. Hana Kolovratníková (seminar tutor)
MUDr. Jan Konečný, Ph.D. (seminar tutor)
MUDr. Štefan Konečný (seminar tutor)
doc. MUDr. Martina Kosinová, Ph.D. (seminar tutor)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
MUDr. Milan Krtička, Ph.D. (seminar tutor)
MUDr. Ivo Křikava, Ph.D. (seminar tutor)
MUDr. Jana Křivánková (seminar tutor)
MUDr. Andrea Křivanová, Ph.D. (seminar tutor)
MUDr. Lenka Kubková (seminar tutor)
MUDr. Terezie Kuncová (seminar tutor)
MUDr. Lumír Kunovský, Ph.D. (seminar tutor)
MUDr. Laura Kvasnicová (seminar tutor)
MUDr. Karel Lábr, Ph.D. (seminar tutor)
MUDr. Petr Litzman (seminar tutor)
MUDr. Petr Lokaj, Ph.D. (seminar tutor)
MUDr. Jan Maláska, Ph.D. (seminar tutor)
MUDr. Filip Marek, Ph.D. (seminar tutor)
doc. MUDr. Michal Mašek, CSc. (seminar tutor)
MUDr. Jan Menoušek (seminar tutor)
MUDr. Marie Miklíková, Ph.D. (seminar tutor)
MUDr. Tomáš Musil (seminar tutor)
doc. MUDr. Helena Němcová, CSc. (seminar tutor)
MUDr. Eva Niedobová (seminar tutor)
MUDr. Marian Nociar (seminar tutor)
doc. MUDr. Miroslav Novák, CSc. (seminar tutor)
MUDr. Tomáš Ondrúš, Ph.D. (seminar tutor)
MUDr. Eva Papežová (seminar tutor)
doc. MUDr. Libor Paša, Ph.D. (seminar tutor)
MUDr. Tomáš Pavlacký (seminar tutor)
doc. MUDr. Igor Penka, CSc. (seminar tutor)
prof. MUDr. Miroslav Penka, CSc. (seminar tutor)
MUDr. Adam Peštál, Ph.D. (seminar tutor)
MUDr. Radek Pikula, Ph.D. (seminar tutor)
MUDr. Martin Pospíchal (seminar tutor)
MUDr. Vadim Prudius, Ph.D. (seminar tutor)
MUDr. Martin Radvan, Ph.D. (seminar tutor)
MUDr. Michal Reška, Ph.D. (seminar tutor)
MUDr. Lukáš Růžek, Ph.D. (seminar tutor)
MUDr. Filip Sasínek (seminar tutor)
MUDr. Pavel Smékal (seminar tutor)
MUDr. David Solil (seminar tutor)
prof. MUDr. Miroslav Souček, CSc. (seminar tutor)
MUDr. Šárka Stiborová (seminar tutor)
doc. MUDr. Libor Streit, Ph.D. (seminar tutor)
MUDr. Ondřej Šedivý (seminar tutor)
prof. MUDr. Vladimír Šrámek, Ph.D. (seminar tutor)
MUDr. Michaela Šramková (seminar tutor)
MUDr. Roman Štoudek (seminar tutor)
prof. MUDr. Petr Štourač, Ph.D. (seminar tutor)
doc. MUDr. Miroslav Tomíška, CSc. (seminar tutor)
MUDr. Michaela Ťoukálková (seminar tutor)
MUDr. Jakub Trizuljak (seminar tutor)
MUDr. Libor Urbánek, Ph.D. (seminar tutor)
MUDr. Jitka Vaculová (seminar tutor)
MUDr. Gabriel Varga, Ph.D., FEBU (seminar tutor)
prof. MUDr. Jiří Veselý, CSc. (seminar tutor)
MUDr. Ondřej Veškrna (seminar tutor)
doc. MUDr. Lenka Veverková, Ph.D. (seminar tutor)
MUDr. Vítězslav Vít (seminar tutor)
MUDr. Petr Vlček, Ph.D. (seminar tutor)
MUDr. Martina Vomáčková (seminar tutor)
MUDr. Tamara Vystrčilová (seminar tutor)
MUDr. Roman Wasserbauer (seminar tutor)
MUDr. Daniela Žáčková, Ph.D. (seminar tutor)
MUDr. Jan Žák, Ph.D. (seminar tutor)
Petra Čutová (assistant)
Blanka Dvořáčková (assistant)
Zdeňka Dvořáková (assistant)
Jitka Firešová (assistant)
Eva Kašpárková (assistant)
Lucie Kučerová (assistant)
Eva Kysilková (assistant)
Lea Müllerová (assistant)
Lucie Odehnalová, DiS. (assistant)
Hana Půčková (assistant)
Alena Stodůlková (assistant)
Jana Šmehlíková (assistant)
Zdeňka Trojanová (assistant)
Hana Zemanová (assistant)
Guaranteed by
MUDr. Jan Konečný, Ph.D.
Department of Internal Cardiology Medicine - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine
Supplier department: First Department of Internal Medicine - Cardioangiology - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine (12,39 %), Second Department of Internal Medicine - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine (6,20 %), First Department of Surgery - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine (13,33 %), Second Department of Surgery - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine (13,33 %), Department of Anesthesiology and Intensive Care - Institutions shared with St. Anne's Faculty Hospital - Faculty of Medicine (1,91 %), Department of Internal Cardiology Medicine - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (11,42 %), Department of Internal Medicine, Hematology and Oncology - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (11,43 %), Department of Pulmonary Diseases and Tuberculosis - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (1,90 %), Department of Surgery - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (13,33 %), Department of Urology - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (3,33 %), Department of Trauma Surgery - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (6,67 %), Department of Anaestesiology and Intensive Care Medicine - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine (1,43 %), Department of Pediatric Surgery, Orthopedics and Traumatology - Institutions shared with the Faculty Hospital Brno (paediatric medicine) - Faculty of Medicine (3,33 %)
Prerequisites
aVLLP0431c Clinical Introduction I -prac. && ( aVLAN0222p Anatomy II - lec. || VSAN0333p Anatomy III - lec. ) && ( aVLHE0322c Histology and Embryology II -p || VSHE0322c Histology and embryology II -p )&& ( aVLBC0422c Biochemistry II - pr. || VSBC041c Biochemistry II -pract. )&& aVLFY0422c Physiology II - practice
Fullfil the prerequisites, examination of anatomy, physiology, and biochemistry.
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
Learning outcomes of the course: the aim is to teach students the basics of the physical examination of patients in surgery and internal medicine.
Learning outcomes
After completing the subject Propaedeutics the student will be able:
- to take complete patient history
- to perform 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 chest and abdominal X-rays.
He will be familiar with basic surgical instruments together with their use, will be familiar with immobilization technique, with basic technique of sewing, punching, cannulation, preparation, catheterization.
Student will master the theoretical knowledge of these topics in accordance with the results of the Optimed 2 project.
Syllabus
  • The student passes 7 hours of practical exercises weekly divided into 2 teaching units, each 3,5 hours. One learning block is internal medicine (former internal propedeutics) supplemented by 3 blocks for anestesiology and 1 block for urology. The second block is surgical (former surgical propedeutics) supplemented by 1 block in pediatric surgery and 1 block in plastic surgery. Internal medicine: teaching takes place at the departments internal medicines 5th semester 1) Overall patients history - practically at bed 2) Clinical examination of the head and neck 3) Clinical examination of the heart 4) Clinical examination of the lungs 5) Clinical examination of the abdomen 6) Clinical examination of limbs 7) Basic neurological examination 8) Anesthesiology 9) urology 10- 15) Repetition and practical exercises, credits 6th semester Topics is always supplemented by specialized examination methods for individual issues 1) Special medical history and physical examination of lung diseases 2) Special medical history and physical examination of heart disease 3) Description of the ecg 4) Special medical history and physical examination of kidney and urinary tract diseases 5) Special medical history and physical examination of gastrointestinal and liver diseases 6) Special medical history and physical examination of endocrine diseases 7) Special medical history and physical examination of haematological diseases 8) Special medical history and physical examination of peripheral arteries and veins 9) Special medical history of rheumatological and immunological diseases 10) Basic clinical and auxiliary examinations of laboratory and imaging methods (X-ray, ultrasound, fibroscopic and some other examinations) 11) anesthesiology 12) anesthesiology 13-15) Repetition and practical exercises, credits Anesthesiology: - providing a breathing path, entering the vascular system (ie a peripheral vein); basic of anesthesia; CPR - the beginning of ACLS (defibrillation, medication, basic algorithm) Surgical part : 5th semester 1. Instruments, equipment of the operating room - devices. 2. Asepsis, antisepsis, disinfection, surgical workplace 3. History and examination ofacute abdomen 4. Surgical procedures - types, indications, preparation, postoperative care. 5. Local and general anesthesia 6. Postoperative complications, shock, ICU 7. Infections - early, urinary, respiratory, abdominal, atb, prevention, tetanus, rabies .... 8. Wounds, healing, treatment, sewing. 9. Personal and medical history and examination of injuries 10. Immobilization techniques - bandages, plasters, orthoses 11. Child Surgery - specifics of pediatrics - FDN 12.-15. Repetition, practical exercises, credits
  • Summer - 6. Semester 1. Accidental surgery - mass disasters, traumaplanes, sorting patients, treating wounds 2. Bleeding, build-up, loss of blood (injury), loss compensation, transfusion. 3. Fractures - division, treatment, healing, 4. Injury of joints, tendons and muscles 5. Burns, frostbite, corrosion, 6. Sculpture - skin sculpture, transplantation, - PLASTICS 7. Parenteral and enteral nutrition, infusion, indoor environment. 8. Oncology - basic terms, classification, ... 9. Drowning, hanging, injuries of el. By current 10. Transplantation 11. Rehabilitation 12.-15. Repetition, practical exercises, credits
Literature
    required literature
  • CHROBÁK, Ladislav, Thomas GRAL and Jiří KVASNIČKA. Physical examination in internal medicine. 1. vyd. Praha: Grada, 2003. 239 s. ISBN 9788024706177. info
    recommended literature
  • Bickley, L. S. BATES´ GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING
Bookmarks
https://is.muni.cz/ln/tag/LF:aVLLP0532c!
Teaching methods
Practicals always has 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 maedical history , examination of individual organs), basic examination methods (ultrasound , X-ray, laboratory findings, ECG).
Assessment methods
The credit is given for an active approach, based on proven ability to examine the patient. The theoretical knowledge required by the lecturer or self-study required is also required. The final evaluation has two parts: 1. Practical, 2. Oral. Practical part contains a written personal history and physical examination of a particular patient, cognition of surgical instruments, bandage of wound. The oral examination part is tested by 2 examiners: 1 internist and 1 surgeon together.
Language of instruction
English
Further comments (probably available only in Czech)
The course is taught: every week.
Information on the extent and intensity of the course: 105.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2017, autumn 2018, autumn 2019, autumn 2020.
  • Enrolment Statistics (autumn 2021, recent)
  • Permalink: https://is.muni.cz/course/med/autumn2021/aVLLP0532c