aZLVL7X62 Internal Medicine block 2 - practice

Faculty of Medicine
spring 2020
Extent and Intensity
0/1/0. 1 credit(s). Type of Completion: z (credit).
Teacher(s)
prof. MUDr. Zdeněk Adam, CSc. (seminar tutor)
doc. MUDr. Mojmír Blaha, CSc. (seminar tutor)
MUDr. Alena Buliková, Ph.D. (seminar tutor)
prof. MUDr. Lubomír Elbl, CSc. (seminar tutor)
MUDr. Blanka Fischerová, Ph.D. (seminar tutor)
prof. MUDr. Aleš Hep, CSc. (seminar tutor)
MUDr. Miluše Hertlová, CSc. (seminar tutor)
MUDr. Libuše Hrnčířová, CSc. (seminar tutor)
doc. MUDr. Igor Kiss, Ph.D. (seminar tutor)
doc. MUDr. Milan Kozák, Ph.D. (seminar tutor)
MUDr. Darja Krusová, Ph.D. (seminar tutor)
doc. MUDr. Lubomír Křivan, Ph.D. (seminar tutor)
MUDr. Andrea Křivanová, Ph.D. (seminar tutor)
prof. MUDr. Hana Matějovská Kubešová, CSc. (seminar tutor)
prof. MUDr. Jaroslav Meluzín, CSc. (seminar tutor)
doc. MUDr. Helena Němcová, CSc. (seminar tutor)
doc. MUDr. Miroslav Novák, CSc. (seminar tutor)
MUDr. Ivo Novotný, CSc. (seminar tutor)
prof. MUDr. Miroslav Penka, CSc. (seminar tutor)
MUDr. Yvona Pospíšilová (seminar tutor)
MUDr. Ivan Řiháček, Ph.D. (seminar tutor)
prof. MUDr. Miroslav Souček, CSc. (seminar tutor)
doc. MUDr. Jiří Špác, CSc. (seminar tutor)
prof. MUDr. Jindřich Špinar, CSc. (seminar tutor)
prof. MUDr. Lenka Špinarová, Ph.D., FESC (seminar tutor)
doc. MUDr. Josef Šumbera, CSc. (seminar tutor)
doc. MUDr. Miroslav Tomíška, CSc. (seminar tutor)
prof. MUDr. Jiří Vítovec, CSc. (seminar tutor)
MUDr. Jitka Vlašínová, Ph.D. (seminar tutor)
Lenka Bartlová (assistant)
Eva Kašpárková (assistant)
Lenka Kovářová (assistant)
Jitka Macháčková (assistant)
Alena Stodůlková (assistant)
Libuše Šimečková (assistant)
David Tomášek (assistant)
Hana Zemanová (assistant)
Guaranteed by
prof. MUDr. Miroslav Souček, CSc.
Department of Internal Cardiology Medicine - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine
Supplier department: Department of Internal Cardiology Medicine - Institutions shared with the Faculty Hospital Brno - Adult Age Medicine - Faculty of Medicine
Prerequisites (in Czech)
( aZLIP061p Clin.Introd.to Int.Med.-lect. || ZLIP061p Clin.Introd.to Int.Med.-lect. ) && aZLPA0622p Pathology II - lecture && aZLPF0622p Pathophysiol. II - lect. && aZLFA0621c Pharmacology I - pract. && aZLED061p Restorat. Dent.-Endo.I -lect. && aZLPL0663c Prosthetic Dentistry III-prac. && aZLOC0653c Oral Surgery III -pract. && aZLOR0641c Orthodontics I -pract. && aZLPD0631c Periodontology I - practice
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
The student should know the basic physical examination and functional tests in cardiology. He/she must be able to describe basic examination in cardiology. He/she must be able to describe signs and symptoms of the most frequent cardiovascular disease, namely acute myocardial infarction, arrhythmias, pulmonary embolism. He/she must know essential the cardiovascular pharmacology as well as non-pharmacological treatment including pacing, resynchronisation and defibrillation. He/she must know the cardiovascular risk factors and to describe the pathophysiology of atherosclerosis.
Learning outcomes
The student have to know the basic physical examination and functional tests in cardiology. He/she must be able to describe basic examination in cardiology. He/she must be able to describe signs and symptoms of the most frequent cardiovascular disease, namely acute myocardial infarction, arrhythmias, pulmonary embolism. He/she must know essential the cardiovascular pharmacology as well as non-pharmacological treatment including pacing, resynchronisation and defibrillation. He/she must know the cardiovascular risk factors and to describe the pathophysiology of atherosclerosis.
Syllabus
  • Cardiology

    Chronic coronary artery disease

    stable angina pectoris, silent ischemia angina pectoris inversa, etiology, pathophysiology, differential diagnosis of the chest pain, methods of examination, risk factors, primary and secondary prevention, complications, therapy, prognosis, classification (CCSC)

    Acute coronary artery disease

    nonstable angina pectoris, acute myocardial infarction, sudden death, etiology and pathophysiology, methods of examination, complications, therapy, prognosis

    Myocarditis

    virus, bacterial and parainfectious etiology, pathophysiology, methods of examination, complications, relation to dilated cardiomyopathy, prognosis, therapy

    Endocarditis

    noninfectious, bacterial endocarditis , etiology and pathophysiology, typical forms, high risk population ( valvular disease, after valvular replacement, intravenous drug users, imunocompromised patients ), methods of exmaination, differential diagnosis, surgical vs. nonsurgical treatment, indications, prognosis.

    Tachyarrhythmias

    supraventricular ( atrial fibrillation, atrial flutter, other supraventricular tachcardias ), ventricular ( ventricular tachycardia, fast ventricular tachycardia, ventricular fibrillation ), premature beats, etiology, pathophysiology, differentila diagnosis, farmacologic, nonfarmacologic treatment including radiofrequency catether ablations and implantable cardiovertors-defbillators.

    Bradyarrhythmias

    sinus bradycardia, rythm of AV junction, sinoatrial arrest and block, AV block II. and III. ventricular asystole, etiology and pathophysiology, differential diagnosis, syncope, methods of examination, HUT test, farmacologic treatment, cardiac pacemaker implantation.

    Left ventricular insufficiency

    acute ( Killip classiffication) etiology, pathophysiology, therapy, chronic, NYHA classiffication, etiology, pathophysiology, treatment ( including heart transplantation ), prognosis.

    Cor pulmonale

    acute ( incl. acute pulmonary embolism ), chronic, etiology, pathophysiology, differential diagnosis primary pulmonary hypertension, therapy, prognosis

    Heart valvular disease

    etiology and pathophysiology, congenital, febris rheumatica, single valvular disease, multiple valvular disease, differential diagnosis, complications, farmacologic, surgical, cathetrization therapy, prognosis

    Congenital valvular disease in adults

    defect of atrial septum, defect of ventricular septum, Fallot tetralogy, Ebstein's anomalia, transpozition of main vessels, dustus arteriosus perzistens, etiology, pathophysiology, therapy, prognosis

    Venous disease

    acute vein thromboflebitis ( flebothrombosis ), etiology and pathophysiology, extraordinary forms ( phlegmasia alba and coerulea dolens ) differential diagnosis, methods of examination, complications, therapy, prevention, varicous complex, consequencies of recurrent thromboflebitis, superior and inferior vena cava syndrome.

    Arterial disease

    ischemic arterial disease, thrombangitis obliterans, acute peripherial artery strokes ( embolisation and thrombosis ). coarctation of the aorta, aortal dissection, etiology, pathophysiology, diferential diagnosis, methods of examination, complications, therapy, prognosis.

    Arterial hypertension

    essential and secondary hypertension, etiology, pathophysiology, classiffication methods of examination, complications, therapy, prognosis

    Pericarditis and pericardial effusion

    virus, bacterial malignant and noninfectious etiology, pathophysiology, differential diagnosis, methods of examination, complications, therapy, prognosis

    Cardiomypathy

    deffinition, primary ( idiopathic ), secondary ( specific ), morfologic stratification, hypertrofic, dilated and restrictive ), arrhythmogenic right ventricle dysplazia, etiology pathophysiology, differential diagnosis, methods of examination, complications, therapy, prognosis

    Methods of examination in cardiology

    anamnesis, laboratory assesment, noninvasive methods ( electrocardiography, X ray methods, NMR, echocardiography, radionuclear methods, stress examinations, signal averaged ECG, Holter monitoring, heart rate variability, baroreflex senzitivity ), invasive ( right and left heart cathetrization, coronary angiography, eledtrophysiology, heart biopsy )

Literature
Teaching methods
Course is organized as intership at cardiological clinics. Course is composed of collective seminars to the given topics and practical bed-side demonstrations in small groups.
Assessment methods
The condition for giving course unit credit is full attendance and completition of final test.
Language of instruction
English
Further comments (probably available only in Czech)
The course is taught annually.
The course is taught: every week.
Information on the extent and intensity of the course: 15.
The course is also listed under the following terms Spring 2018, spring 2019.
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