aVLLP0532c Clinical Introduction II - practice

Faculty of Medicine
autumn 2019
Extent and Intensity
0/7/0. 5 credit(s). Type of Completion: z (credit).
Teacher(s)
MUDr. Ernest Biroš (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. Irena Andršová, Ph.D. (seminar tutor)
prof. MUDr. Ivan Čapov, CSc. (seminar tutor)
MUDr. Lukáš Dadák, Ph.D. (seminar tutor)
MUDr. Katarína Doležalová (seminar tutor)
MUDr. Jiří Dolina, Ph.D. (seminar tutor)
prof. MUDr. Petr Gál, Ph.D. (seminar tutor)
MUDr. Jiří Hlásenský, Ph.D. (seminar tutor)
MUDr. Tomáš Horňák (seminar tutor)
MUDr. Anna Chaloupka, Ph.D. (seminar tutor)
MUDr. Daniel Ira, Ph.D. (seminar tutor)
prof. MUDr. Zdeněk Kala, CSc. (seminar tutor)
MUDr. Zuzana Komorová (seminar tutor)
MUDr. Jan Konečný, Ph.D. (seminar tutor)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
MUDr. Radek Kroupa, Ph.D. (seminar tutor)
MUDr. Milan Krtička, Ph.D. (seminar tutor)
MUDr. Ivo Křikava, Ph.D. (seminar tutor)
doc. MUDr. Lubomír Křivan, Ph.D. (seminar tutor)
MUDr. Andrea Křivanová, Ph.D. (seminar tutor)
MUDr. Lenka Kubková (seminar tutor)
MUDr. Karel Lábr, Ph.D. (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. Róbert Mazúr (seminar tutor)
MUDr. Katarína Melajová (seminar tutor)
prof. MUDr. Jaroslav Meluzín, CSc. (seminar tutor)
MUDr. Roman Miklík, Ph.D. (seminar tutor)
doc. MUDr. Helena Němcová, CSc. (seminar tutor)
doc. MUDr. Miroslav Novák, CSc. (seminar tutor)
MUDr. Petr Novotný (seminar tutor)
doc. MUDr. Libor Paša, Ph.D. (seminar tutor)
MUDr. Eva Pažourková (seminar tutor)
prof. MUDr. Miroslav Penka, CSc. (seminar tutor)
MUDr. Radek Pikula, Ph.D. (seminar tutor)
doc. MUDr. Petr Piskač, CSc. (seminar tutor)
MUDr. Pavel Smékal (seminar tutor)
prof. MUDr. Miroslav Souček, CSc. (seminar tutor)
prof. MUDr. Robert Staffa, Ph.D. (seminar tutor)
prof. MUDr. Lenka Špinarová, Ph.D., FESC (seminar tutor)
prof. MUDr. Vladimír Šrámek, Ph.D. (seminar tutor)
doc. MUDr. Petr Štourač, Ph.D. (seminar tutor)
doc. MUDr. Miroslav Tomíška, CSc. (seminar tutor)
MUDr. Jakub Trizuljak (seminar tutor)
doc. MUDr. Lenka Veverková, Ph.D. (seminar tutor)
MUDr. Daniela Žáčková, Ph.D. (seminar tutor)
MUDr. Jan Žák, Ph.D. (seminar tutor)
Hana Baráčková (assistant)
Zdeňka Dvořáková (assistant)
Jitka Firešová (assistant)
Eva Kašpárková (assistant)
Lucie Kučerová (assistant)
Eva Kysilková (assistant)
Lea Müllerová (assistant)
Lucie Odehnalová, DiS. (assistant)
Alena Stodůlková (assistant)
Jana Šmehlíková (assistant)
Zdeňka Trojanová (assistant)
Hana Zemanová (assistant)
Guaranteed by
MUDr. Milan Sepši, 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 %)
Timetable of Seminar Groups
aVLLP0532c/30: Wed 18. 9. 10:00–12:55 N13191a, Fri 20. 9. 10:00–12:55 M1-Vm-L, Wed 25. 9. 10:00–12:55 N13191a, Fri 27. 9. 10:00–12:55 N03005, Wed 2. 10. 10:00–12:55 N13191a, Fri 4. 10. 10:00–12:55 M1-Vm-L, Wed 9. 10. 10:00–12:55 N13191a, Fri 11. 10. 10:00–12:55 M1-Vm-L, Tue 15. 10. 7:30–10:25 063, Fri 18. 10. 10:00–12:55 N03901, Wed 23. 10. 10:00–12:55 N13191a, Fri 25. 10. 10:00–12:55 M1-Vm-L, Wed 30. 10. 10:00–12:55 N13191a, Fri 1. 11. 10:00–12:55 M1-Vm-L, Wed 6. 11. 9:30–12:25 N09184, Fri 8. 11. 10:00–12:55 M1-Vm-L, Wed 13. 11. 10:00–12:55 N13191a, Fri 15. 11. 10:00–12:55 M1-Vm-L, Wed 20. 11. 10:00–12:55 N13191a, Fri 22. 11. 10:00–12:55 M1-Vm-L, Wed 27. 11. 10:00–12:55 N13191a, Fri 29. 11. 10:00–12:55 M1-Vm-L, Wed 4. 12. 10:00–12:55 N13191a, Fri 6. 12. 10:00–12:55 M1-Vm-L, Wed 11. 12. 10:00–12:55 N13191a, Fri 13. 12. 10:00–12:55 M1-Vm-L, Wed 18. 12. 10:00–12:55 N13191a, Fri 20. 12. 10:00–12:55 M1-Vm-L
aVLLP0532c/31: Tue 17. 9. 10:00–12:55 N04001, Fri 20. 9. 10:00–12:55 N04001, Tue 24. 9. 10:00–12:55 N04001, Fri 27. 9. 10:00–12:55 N03005, Tue 1. 10. 10:00–12:55 N04001, Fri 4. 10. 10:00–12:55 N03901, Tue 8. 10. 10:00–12:55 N04001, Fri 11. 10. 10:00–12:55 N04001, Tue 15. 10. 9:30–12:25 N09184, Fri 18. 10. 10:00–12:55 N04001, Tue 22. 10. 7:30–10:25 063, Fri 25. 10. 10:00–12:55 N04001, Tue 29. 10. 10:00–12:55 N04001, Fri 1. 11. 10:00–12:55 N04001, Tue 5. 11. 10:00–12:55 N04001, Fri 8. 11. 10:00–12:55 N04001, Tue 12. 11. 10:00–12:55 N04001, Fri 15. 11. 10:00–12:55 N04001, Tue 19. 11. 10:00–12:55 N04001, Fri 22. 11. 10:00–12:55 N04001, Tue 26. 11. 10:00–12:55 N04001, Fri 29. 11. 10:00–12:55 N04001, Tue 3. 12. 10:00–12:55 N04001, Fri 6. 12. 10:00–12:55 N04001, Tue 10. 12. 10:00–12:55 N04001, Fri 13. 12. 10:00–12:55 N04001, Tue 17. 12. 10:00–12:55 N04001, Fri 20. 12. 10:00–12:55 N04001
aVLLP0532c/32: Tue 17. 9. 10:00–12:55 N14190, Fri 20. 9. 11:00–13:55 N07191, Tue 24. 9. 10:00–12:55 N14190, Fri 27. 9. 11:00–13:55 N03901, Tue 1. 10. 10:00–12:55 N14190, Fri 4. 10. 11:00–13:55 N03005, Tue 8. 10. 10:00–12:55 N14190, Fri 11. 10. 11:00–13:55 N07191, Tue 15. 10. 10:00–12:55 N14190, Fri 18. 10. 11:00–13:55 N07191, Tue 22. 10. 10:00–12:55 N14190, Fri 25. 10. 11:00–13:55 N07191, Tue 29. 10. 10:00–12:55 N14190, Fri 1. 11. 11:00–13:55 N07191, Tue 5. 11. 10:00–12:55 N14190, Fri 8. 11. 11:00–13:55 N07191, Tue 12. 11. 10:00–12:55 N14190, Fri 15. 11. 11:00–13:55 N07191, Tue 19. 11. 9:30–12:25 N09184, Fri 22. 11. 11:00–13:55 N07191, Tue 26. 11. 10:00–12:55 N14190, Fri 29. 11. 11:00–13:55 N07191, Tue 3. 12. 10:00–12:55 N14190, Fri 6. 12. 11:00–13:55 N07191, Tue 10. 12. 8:00–10:55 N02144, Fri 13. 12. 11:00–13:55 N07191, Tue 17. 12. 10:00–12:55 N14190, Fri 20. 12. 11:00–13:55 N07191
aVLLP0532c/33: Wed 18. 9. 10:00–12:55 N14190, Thu 19. 9. 11:00–13:55 N07191, Wed 25. 9. 10:00–12:55 N14190, Thu 26. 9. 11:00–13:55 N07191, Wed 2. 10. 10:00–12:55 N14190, Thu 3. 10. 11:00–13:55 N07191, Wed 9. 10. 10:00–12:55 N14190, Thu 10. 10. 11:00–13:55 N03005, Wed 16. 10. 10:00–12:55 N14190, Thu 17. 10. 11:00–13:55 N07191, Wed 23. 10. 10:00–12:55 N14190, Thu 24. 10. 11:00–13:55 N07191, Wed 30. 10. 10:00–12:55 N14190, Thu 31. 10. 11:00–13:55 N07191, Wed 6. 11. 10:00–12:55 N14190, Thu 7. 11. 11:00–13:55 N03901, Wed 13. 11. 10:00–12:55 N14190, Thu 14. 11. 11:00–13:55 N07191, Wed 20. 11. 9:30–12:25 N09184, Thu 21. 11. 11:00–13:55 N07191, Wed 27. 11. 10:00–12:55 N14190, Thu 28. 11. 11:00–13:55 N07191, Wed 4. 12. 10:00–12:55 N14190, Thu 5. 12. 11:00–13:55 N07191, Wed 11. 12. 8:00–10:55 N02144, Thu 12. 12. 11:00–13:55 N07191, Wed 18. 12. 10:00–12:55 N14190, Thu 19. 12. 11:00–13:55 N07191
aVLLP0532c/34: Mon 16. 9. 11:00–13:55 M1-Vm-L, Fri 20. 9. 10:00–12:55 N13191a, Mon 23. 9. 11:00–13:55 M1-Vm-L, Fri 27. 9. 10:00–12:55 N13191a, Mon 30. 9. 11:00–13:55 M1-Vm-L, Fri 4. 10. 10:00–12:55 N13191a, Mon 7. 10. 11:00–13:55 N03005, Fri 11. 10. 10:00–12:55 N13191a, Mon 14. 10. 11:00–13:55 M1-Vm-L, Fri 18. 10. 10:00–12:55 N13191a, Mon 21. 10. 11:00–13:55 M1-Vm-L, Fri 25. 10. 10:00–12:55 N13191a, Fri 1. 11. 10:00–12:55 N13191a, Mon 4. 11. 11:00–13:55 N03901, Fri 8. 11. 10:00–12:55 N13191a, Mon 11. 11. 11:00–13:55 M1-Vm-L, Fri 15. 11. 7:30–10:00 N02144, Mon 18. 11. 11:00–13:55 M1-Vm-L, Fri 22. 11. 9:30–12:25 N09184, Mon 25. 11. 11:00–13:55 M1-Vm-L, Fri 29. 11. 10:00–12:55 N13191a, Mon 2. 12. 11:00–13:55 M1-Vm-L, Fri 6. 12. 10:00–12:55 N13191a, Mon 9. 12. 11:00–13:55 M1-Vm-L, Fri 13. 12. 10:00–12:55 N13191a, Mon 16. 12. 11:00–13:55 M1-Vm-L, Fri 20. 12. 10:00–12:55 N13191a
aVLLP0532c/35: Mon 16. 9. 11:00–13:55 N04001, Thu 19. 9. 10:00–12:55 C-6.034, Mon 23. 9. 11:00–13:55 N04001, Thu 26. 9. 10:00–12:55 C-6.034, Mon 30. 9. 11:00–13:55 N03005, Thu 3. 10. 10:00–12:55 C-6.034, Mon 7. 10. 11:00–13:55 N04001, Fri 11. 10. 10:30–13:25 N09184, Mon 14. 10. 11:00–13:55 N04001, Thu 17. 10. 7:30–10:25 063, Mon 21. 10. 11:00–13:55 N03901, Thu 24. 10. 10:00–12:55 C-6.034, Thu 31. 10. 10:00–12:55 C-6.034, Mon 4. 11. 11:00–13:55 N04001, Thu 7. 11. 10:00–12:55 C-6.034, Mon 11. 11. 11:00–13:55 N04001, Thu 14. 11. 10:00–12:55 C-6.034, Mon 18. 11. 11:00–13:55 N04001, Thu 21. 11. 10:00–12:55 C-6.034, Mon 25. 11. 11:00–13:55 N04001, Thu 28. 11. 10:00–12:55 C-6.034, Mon 2. 12. 11:00–13:55 N04001, Thu 5. 12. 10:00–12:55 C-6.034, Mon 9. 12. 11:00–13:55 N04001, Thu 12. 12. 10:00–12:55 C-6.034, Mon 16. 12. 11:00–13:55 N04001, Thu 19. 12. 10:00–12:55 C-6.034
aVLLP0532c/36: Thu 17. 10. 10:00–12:55 N04001, Tue 22. 10. 10:00–12:55 N13191a, Thu 24. 10. 10:00–12:55 N04001, Tue 29. 10. 10:00–12:55 N13191a, Thu 31. 10. 10:00–12:55 N04001, Tue 5. 11. 7:30–10:00 N02144, Thu 7. 11. 10:00–12:55 N03005, Tue 12. 11. 10:00–12:55 N13191a, Thu 14. 11. 10:00–12:55 N04001, Tue 19. 11. 10:00–12:55 N13191a, Thu 21. 11. 10:00–12:55 N04001, Thu 28. 11. 10:00–12:55 N04001, Tue 3. 12. 9:30–12:25 N09184, Thu 5. 12. 10:00–12:55 N04001, Thu 12. 12. 10:00–12:55 N04001, Thu 19. 12. 10:00–12:55 N04001
aVLLP0532c/37: Tue 17. 9. 10:00–12:55 C-6.034, Thu 19. 9. 12:30–15:25 N02901, Tue 24. 9. 10:00–12:55 C-6.034, Thu 26. 9. 12:00–14:55 N03005, Tue 1. 10. 10:00–12:55 C-6.034, Thu 3. 10. 12:00–14:55 N03901, Tue 8. 10. 10:00–12:55 C-6.034, Thu 10. 10. 12:30–15:25 N02901, Tue 15. 10. 10:00–12:55 C-6.034, Thu 17. 10. 12:30–15:25 N02901, Tue 22. 10. 10:00–12:55 C-6.034, Thu 24. 10. 12:30–15:25 N02901, Tue 29. 10. 10:00–12:55 C-6.034, Thu 31. 10. 12:30–15:25 N02901, Tue 5. 11. 9:30–12:25 N09184, Thu 7. 11. 12:30–15:25 N02901, Tue 12. 11. 10:00–12:55 C-6.034, Thu 14. 11. 12:30–15:25 N02901, Tue 19. 11. 10:00–12:55 C-6.034, Thu 21. 11. 12:30–15:25 N02901, Tue 26. 11. 10:00–12:55 C-6.034, Thu 28. 11. 12:30–15:25 N02901, Tue 3. 12. 10:00–12:55 C-6.034, Thu 5. 12. 12:30–15:25 N02901, Thu 12. 12. 7:30–10:25 063, 12:30–15:25 N02901, Tue 17. 12. 10:00–12:55 C-6.034, Thu 19. 12. 12:30–15:25 N02901
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 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)
Study Materials
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.
  • Enrolment Statistics (recent)
  • Permalink: https://is.muni.cz/course/med/autumn2019/aVLLP0532c