LF:aVLLP0633c Clinical Introduction III - p

aVLLP0633c Clinical Introduction III - practice

Faculty of Medicine
spring 2023

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 14. 2. 10:30–13:25 I.CHK N02002, Thu 16. 2. 10:00–12:55 I.IKAK N06034, Tue 21. 2. 10:30–13:25 I.CHK N02002, Thu 23. 2. 10:00–12:55 I.IKAK N06034, Tue 28. 2. 10:30–13:25 I.CHK N02002, Thu 2. 3. 10:00–12:55 I.IKAK N06034, Tue 7. 3. 11:00–13:55 KPECH N03901, Thu 9. 3. 10:00–12:55 I.IKAK N06034, Tue 14. 3. 10:30–13:25 I.CHK N02002, Thu 16. 3. 10:00–12:55 I.IKAK N06034, Tue 21. 3. 10:30–13:25 I.CHK N02002, Thu 23. 3. 10:00–12:55 I.IKAK N06034, Tue 28. 3. 10:30–13:25 I.CHK N02002, Thu 30. 3. 10:00–12:55 I.IKAK N06034, Tue 4. 4. 10:30–13:25 I.CHK N02002, Wed 5. 4. 8:00–10:55 KDAR N01004, Tue 11. 4. 10:30–13:25 I.CHK N02002, Thu 13. 4. 10:00–12:55 I.IKAK N06034, Tue 18. 4. 9:00–11:55 KDCHOT N03005, Thu 20. 4. 10:00–12:55 I.IKAK N06034, Tue 25. 4. 10:30–13:25 I.CHK N02002, Thu 27. 4. 10:00–12:55 I.IKAK N06034, Tue 2. 5. 10:30–13:25 I.CHK N02002, Thu 4. 5. 10:00–12:55 I.IKAK N06034, Fri 12. 5. 12:30–14:30 F37/357, 12:30–14:30 F37/358, 12:30–14:30 F37/355, Fri 19. 5. 12:30–14:30 F37/365, 12:30–14:30 F37/364, Tue 23. 5. 10:30–13:25 I.CHK N02002, Thu 25. 5. 10:00–12:55 I.IKAK N06034
aVLLP0633c/31: Tue 14. 2. 10:00–12:55 I.IKAK N06034, Thu 16. 2. 8:00–10:55 II.CHK N01908, Tue 21. 2. 10:00–12:55 I.IKAK N06034, Thu 23. 2. 8:00–10:55 II.CHK N01908, Tue 28. 2. 10:00–12:55 I.IKAK N06034, Thu 2. 3. 8:00–10:55 II.CHK N01908, Tue 7. 3. 10:00–12:55 I.IKAK N06034, Thu 9. 3. 8:30–11:25 KDCHOT N03005, Tue 14. 3. 10:00–12:55 I.IKAK N06034, Thu 16. 3. 8:00–10:55 II.CHK N01908, Tue 21. 3. 10:00–12:55 I.IKAK N06034, Fri 24. 3. 9:30–12:25 KPECH N03901, Tue 28. 3. 10:00–12:55 I.IKAK N06034, Thu 30. 3. 8:00–10:55 II.CHK N01908, Tue 4. 4. 10:00–12:55 I.IKAK N06034, Thu 6. 4. 8:00–10:55 II.CHK N01908, Tue 11. 4. 10:00–12:55 I.IKAK N06034, Thu 13. 4. 8:00–10:55 II.CHK N01908, Mon 17. 4. 8:00–10:55 N02144, Thu 20. 4. 8:00–10:55 II.CHK N01908, Tue 25. 4. 10:00–12:55 I.IKAK N06034, Thu 27. 4. 8:00–10:55 II.CHK N01908, Tue 2. 5. 10:00–12:55 I.IKAK N06034, Thu 4. 5. 8:00–10:55 II.CHK N01908, Fri 12. 5. 12:30–14:30 F37/365, 12:30–14:30 F37/364, Fri 19. 5. 12:30–14:30 F37/355, 12:30–14:30 F37/357, 12:30–14:30 F37/358, Tue 23. 5. 10:00–12:55 I.IKAK N06034, Thu 25. 5. 8:00–10:55 II.CHK N01908
aVLLP0633c/32: Mon 13. 2. 9:00–11:55 I.CHK N02002, Tue 14. 2. 8:00–10:55 KDAR N01004, Mon 20. 2. 9:00–11:55 I.CHK N02002, Tue 21. 2. 10:00–12:55 IKII N04012, Mon 27. 2. 9:00–11:55 I.CHK N02002, Tue 28. 2. 10:00–12:55 IKII N04012, Mon 6. 3. 8:00–10:55 KPECH N03901, Tue 7. 3. 10:00–12:55 IKII N04012, Tue 14. 3. 10:00–12:55 IKII N04012, Thu 16. 3. 8:30–11:25 KDCHOT N03005, Mon 20. 3. 9:00–11:55 I.CHK N02002, Tue 21. 3. 10:00–12:55 IKII N04012, Mon 27. 3. 9:00–11:55 I.CHK N02002, Tue 28. 3. 10:00–12:55 IKII N04012, Mon 3. 4. 9:00–11:55 I.CHK N02002, Tue 4. 4. 10:00–12:55 IKII N04012, Tue 11. 4. 10:00–12:55 IKII N04012, Mon 17. 4. 9:00–11:55 I.CHK N02002, Tue 18. 4. 10:00–12:55 IKII N04012, Mon 24. 4. 9:00–11:55 I.CHK N02002, Tue 25. 4. 10:00–12:55 IKII N04012, Tue 2. 5. 10:00–12:55 IKII N04012, Thu 18. 5. 14:45–16:45 F37/364, 14:45–16:45 F37/365, Mon 22. 5. 9:00–11:55 I.CHK N02002, Tue 23. 5. 10:00–12:55 IKII N04012
aVLLP0633c/33: Wed 15. 2. 10:00–12:55 IHOK N14190, Thu 16. 2. 8:00–10:55 KDCHOT N03005, Wed 22. 2. 10:00–12:55 IHOK N14190, Fri 24. 2. 9:30–12:25 N07191, Wed 1. 3. 10:00–12:55 IHOK N14190, Fri 3. 3. 9:30–12:25 N07191, Wed 8. 3. 10:00–12:55 IHOK N14190, Fri 10. 3. 9:30–12:25 N07191, Wed 15. 3. 10:00–12:55 IHOK N14190, Fri 17. 3. 9:30–12:25 N07191, Wed 22. 3. 10:00–12:55 IHOK N14190, Fri 24. 3. 9:30–12:25 N07191, Wed 29. 3. 10:00–12:55 IHOK N14190, Fri 31. 3. 9:30–12:25 N07191, Mon 3. 4. 9:00–11:55 ARK N01063, Wed 12. 4. 10:00–12:55 IHOK N14190, Fri 14. 4. 9:30–12:25 N07191, Wed 19. 4. 10:00–12:55 IHOK N14190, Fri 21. 4. 9:30–12:25 N07191, Wed 26. 4. 10:00–12:55 IHOK N14190, Fri 28. 4. 9:30–12:25 N07191, Wed 3. 5. 10:00–12:55 IHOK N14190, Fri 5. 5. 8:30–11:25 KPECH N03901, Thu 18. 5. 14:45–16:45 F37/358, 14:45–16:45 F37/357, 14:45–16:45 F37/355, Wed 24. 5. 10:00–12:55 IHOK N14190, Fri 26. 5. 9:30–12:25 N07191
aVLLP0633c/34: Mon 13. 2. 11:00–13:55 KPECH N03901, Tue 14. 2. 10:00–12:55 IHOK N14190, Tue 21. 2. 10:00–12:55 IHOK N14190, Fri 24. 2. 9:00–11:55 KDCHOT N03005, Tue 28. 2. 10:00–12:55 IHOK N14190, Fri 3. 3. 9:00–11:55 KDCHOT N03005, Tue 7. 3. 9:00–11:55 N02144, Fri 10. 3. 9:00–11:55 KDCHOT N03005, Tue 14. 3. 10:00–12:55 IHOK N14190, Fri 17. 3. 9:00–11:55 KDCHOT N03005, Tue 21. 3. 10:00–12:55 IHOK N14190, Fri 24. 3. 9:00–11:55 KDCHOT N03005, Tue 28. 3. 10:00–12:55 IHOK N14190, Fri 31. 3. 9:00–11:55 KDCHOT N03005, Tue 4. 4. 10:00–12:55 IHOK N14190, Tue 11. 4. 10:00–12:55 IHOK N14190, Tue 18. 4. 10:00–12:55 IHOK N14190, Fri 21. 4. 9:00–11:55 KDCHOT N03005, Tue 25. 4. 10:00–12:55 IHOK N14190, Fri 28. 4. 9:00–11:55 KDCHOT N03005, Tue 2. 5. 10:00–12:55 IHOK N14190, Fri 5. 5. 9:00–11:55 KDCHOT N03005, Fri 12. 5. 14:45–16:45 F37/357, 14:45–16:45 F37/355, 14:45–16:45 F37/358, Fri 19. 5. 14:45–16:45 F37/364, 14:45–16:45 F37/365, Tue 23. 5. 10:00–12:55 IHOK N14190, Fri 26. 5. 9:00–11:55 KDCHOT N03005
aVLLP0633c/35: Mon 13. 2. 10:00–12:55 IKK N13191a, Thu 16. 2. 8:30–11:25 N07191, Mon 20. 2. 10:00–12:55 IKK N13191a, Thu 23. 2. 8:30–11:25 N07191, Mon 27. 2. 10:00–12:55 IKK N13191a, Thu 2. 3. 8:30–11:25 N07191, Mon 6. 3. 10:00–12:55 IKK N13191a, Thu 9. 3. 8:30–11:25 N07191, Mon 13. 3. 10:00–12:55 IKK N13191a, Thu 16. 3. 8:30–11:25 N07191, Mon 20. 3. 10:00–12:55 IKK N13191a, Thu 23. 3. 8:30–11:25 N07191, Mon 27. 3. 10:00–12:55 IKK N13191a, Thu 30. 3. 8:30–11:25 N07191, Mon 3. 4. 10:00–12:55 IKK N13191a, Tue 4. 4. 9:00–11:55 KDCHOT N03005, Thu 13. 4. 8:30–11:25 N07191, Mon 17. 4. 10:00–12:55 IKK N13191a, Thu 20. 4. 8:30–11:25 N07191, Mon 24. 4. 10:00–12:55 IKK N13191a, Tue 25. 4. 8:00–10:55 KPECH N03901, Tue 2. 5. 8:30–11:25 N02144, Thu 4. 5. 8:30–11:25 N07191, Fri 12. 5. 14:45–16:45 F37/364, 14:45–16:45 F37/365, Fri 19. 5. 14:45–16:45 F37/358, 14:45–16:45 F37/355, 14:45–16:45 F37/357, Mon 22. 5. 10:00–12:55 IKK N13191a, Thu 25. 5. 8:30–11:25 N07191
aVLLP0633c/36: Wed 15. 2. 12:30–15:25 KTra N02901, Thu 16. 2. 10:00–12:55 IGEK N15190, Wed 22. 2. 12:30–15:25 KTra N02901, Thu 23. 2. 10:00–12:55 IGEK N15190, Mon 27. 2. 8:30–11:25 KDCHOT N03005, Thu 2. 3. 10:00–12:55 IGEK N15190, Wed 8. 3. 12:30–15:25 KTra N02901, Thu 9. 3. 10:00–12:55 IGEK N15190, Wed 15. 3. 12:30–15:25 KTra N02901, Thu 16. 3. 10:00–12:55 IGEK N15190, Wed 22. 3. 12:30–15:25 KTra N02901, Thu 23. 3. 10:00–12:55 IGEK N15190, Wed 29. 3. 12:30–15:25 KTra N02901, Thu 30. 3. 10:00–12:55 IGEK N15190, Wed 5. 4. 12:30–15:25 KTra N02901, Thu 6. 4. 10:00–12:55 IGEK N15190, Wed 12. 4. 12:30–15:25 KTra N02901, Thu 13. 4. 10:00–12:55 IGEK N15190, Wed 19. 4. 12:30–15:25 KTra N02901, Thu 20. 4. 10:00–12:55 IGEK N15190, Tue 25. 4. 8:00–10:55 ARK N01063, Wed 26. 4. 12:30–15:25 KTra N02901, Wed 3. 5. 11:00–13:55 KPECH N03901, Thu 4. 5. 10:00–12:55 IGEK N15190, Wed 10. 5. 8:00–10:00 F37/357, 8:00–10:00 F37/358, 8:00–10:00 F37/355, Wed 17. 5. 8:00–10:00 F37/364, 8:00–10:00 F37/365, Wed 24. 5. 12:30–15:25 KTra N02901, Thu 25. 5. 10:00–12:55 IGEK N15190
aVLLP0633c/37: Mon 13. 2. 8:00–10:55 ARK N01063, Tue 14. 2. 10:00–12:55 IKK N13191a, Thu 16. 2. 12:30–15:25 KTra N02901, Tue 21. 2. 10:00–12:55 IKK N13191a, Thu 23. 2. 12:30–15:25 KTra N02901, Tue 28. 2. 10:00–12:55 IKK N13191a, Thu 2. 3. 12:30–15:25 KTra N02901, Tue 7. 3. 10:00–12:55 IKK N13191a, Thu 9. 3. 12:30–15:25 KTra N02901, Tue 14. 3. 10:00–12:55 IKK N13191a, Thu 16. 3. 12:30–15:25 KTra N02901, Mon 20. 3. 8:00–10:55 KPECH N03901, Tue 21. 3. 10:00–12:55 IKK N13191a, Tue 28. 3. 9:00–11:55 KDCHOT N03005, Tue 4. 4. 10:00–12:55 IKK N13191a, Thu 6. 4. 12:30–15:25 KTra N02901, Tue 11. 4. 10:00–12:55 IKK N13191a, Thu 13. 4. 12:30–15:25 KTra N02901, Tue 18. 4. 10:00–12:55 IKK N13191a, Thu 20. 4. 12:30–15:25 KTra N02901, Tue 25. 4. 10:00–12:55 IKK N13191a, Thu 27. 4. 12:30–15:25 KTra N02901, Tue 2. 5. 10:00–12:55 IKK N13191a, Thu 4. 5. 12:30–15:25 KTra N02901, Wed 10. 5. 8:00–10:00 F37/364, 8:00–10:00 F37/365, Wed 17. 5. 8:00–10:00 F37/358, 8:00–10:00 F37/357, 8:00–10:00 F37/355, Tue 23. 5. 10:00–12:55 IKK N13191a, Thu 25. 5. 12:30–15:25 KTra N02901

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

After completing the subject Propaedeutics 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.
Students 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.
Students 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

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

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)

Students' knowledge and skills are continuously assesed. Students must attend to the lessons at clinical departments and at SIMU. The course is completed by an examination, which has a practical part that takes place in SIMU (OSCE exam) and a theoretical part that is divided into internal and surgical. The theoretical parts of the exam are conducted at the individual surgical and internal departments.

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 2024.

Enrolment Statistics (spring 2023, recent)
Permalink: https://is.muni.cz/course/med/spring2023/aVLLP0633c

LF:aVLLP0633c Clinical Introduction III - p - Course Information

aVLLP0633c Clinical Introduction III - practice

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