LF:aVLLP0532c Clinical Introduction II-prac.

aVLLP0532c Clinical Introduction II - practice

Faculty of Medicine
Autumn 2017

Extent and Intensity

0/7/0. 5 credit(s). Type of Completion: z (credit).

Teacher(s)

Guaranteed by

MUDr. Milan Sepši, Ph.D.
Department of Internal Medicine and Cardiology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Supplier department: Department of Internal Medicine and Cardiology – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine

Timetable of Seminar Groups

aVLLP0532c/30: Tue 9:05–12:00 I.IKAK N01908, Fri 10:45–13:40 I.CHK N01002
aVLLP0532c/31: Tue 10:00–12:55 IKII N04001, Fri 10:45–13:40 II.CHK N04001
aVLLP0532c/32: Tue 9:30–12:25 IGEK N15190, Fri 10:45–13:40 CHK N07191
aVLLP0532c/33: Wed 9:30–12:25 IHOK N14190, Thu 7:15–10:10 I.CHK N01002
aVLLP0532c/34: Thu 13:00–15:55 CHK N07191, Fri 10:45–13:40 IKK N13191a
aVLLP0532c/35: Mon 8:55–11:50 II.CHK N04001, Tue 9:30–12:25 IKK N13191a
aVLLP0532c/36: Tue 9:30–12:25 IHOK N14190, Wed 8:00–10:55 CHK N07191

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

General Medicine (eng.) (programme LF, M-VL)

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). 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 of 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

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. Traditional methods are complemented by objective clinical evaluation that verifies clinical knowledge and other skills such as communication, physical examination, performance, performance interpretation, etc. This evaluation method provides students with objective and specific feedback.

Language of instruction

English

Further comments (probably available only in Czech)

Study Materials

Listed among pre-requisites of other courses

The course is also listed under the following terms autumn 2018, autumn 2019, autumn 2020, autumn 2021, autumn 2022, autumn 2023, autumn 2024.

Enrolment Statistics (Autumn 2017, recent)
Permalink: https://is.muni.cz/course/med/autumn2017/aVLLP0532c

LF:aVLLP0532c Clinical Introduction II-prac. - Course Information

aVLLP0532c Clinical Introduction II - practice

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