aVLVL7X61c Vnitřní lékařství blok 1 - funkční diagnostika, pracovní lékařství a geriatrie

Lékařská fakulta
podzim 2023
Rozsah
0/4/0. 60. 3 kr. Ukončení: z.
Vyučující
prof. MUDr. Pavel Weber, CSc. (přednášející)
prof. MUDr. Petr Brhel, CSc. (cvičící)
prof. MUDr. Petr Dobšák, CSc. (cvičící)
MUDr. Petr Malenka, Ph.D. (cvičící)
prof. MUDr. Jarmila Siegelová, DrSc. (cvičící)
Ing. Soňa Hanzelková (pomocník)
Ing. Miroslava Prokopová (pomocník)
Jitka Skládaná (pomocník)
Garance
prof. MUDr. Ondřej Ludka, Ph.D., FESC
Všeobecná interní klinika – Společná pracoviště s Fakultní nemocnicí Brno - pracoviště Nemocnice Bohunice a Porodnice – Lékařská fakulta
Kontaktní osoba: Jitka Skládaná
Dodavatelské pracoviště: Klinika pracovního lékařství – Společná pracoviště s Fakultní nemocnicí u sv. Anny v Brně – Lékařská fakulta (40,00 %), Klinika tělovýchovného lékařství a rehabilitace – Společná pracoviště s Fakultní nemocnicí u sv. Anny v Brně – Lékařská fakulta (40,00 %), Všeobecná interní klinika – Společná pracoviště s Fakultní nemocnicí Brno - pracoviště Nemocnice Bohunice a Porodnice – Lékařská fakulta (20,00 %)
Rozvrh seminárních/paralelních skupin
aVLVL7X61c/31: Po 4. 12. 7:30–12:30 KTLR N03329, Út 5. 12. 7:30–12:30 KTLR N03329, St 6. 12. 7:30–12:30 KTLR N03329, Čt 7. 12. 7:30–12:30 KTLR N03329, Pá 8. 12. 8:00–13:00 VIK N01180, Po 11. 12. 8:00–13:00 F01B1/530, Út 12. 12. 13:30–18:30 KPL N02029, St 13. 12. 13:30–18:30 KPL N02029, Čt 14. 12. 13:30–18:30 KPL N02029, Pá 15. 12. 13:30–18:30 KPL N02029
aVLVL7X61c/33: Po 20. 11. 7:30–12:30 KTLR N03329, Út 21. 11. 7:30–12:30 KTLR N03329, St 22. 11. 7:30–12:30 KTLR N03329, Čt 23. 11. 7:30–12:30 KTLR N03329, Pá 24. 11. 8:00–13:00 VIK N01180, Po 27. 11. 8:00–13:00 F01B1/530, Út 28. 11. 13:30–18:30 KPL N02029, St 29. 11. 13:30–18:30 KPL N02029, Čt 30. 11. 13:30–18:30 KPL N02029, Pá 1. 12. 13:30–18:30 KPL N02029
aVLVL7X61c/35: Po 16. 10. 7:30–12:30 KTLR N03329, Út 17. 10. 7:30–12:30 KTLR N03329, St 18. 10. 7:30–12:30 KTLR N03329, Čt 19. 10. 7:30–12:30 KTLR N03329, Po 23. 10. 8:00–13:00 F01B1/530, Út 7. 11. 13:30–18:30 KPL N02029, St 8. 11. 13:30–18:30 KPL N02029, Čt 9. 11. 13:30–18:30 KPL N02029, Pá 10. 11. 13:30–18:30 KPL N02029
Předpoklady
aVLPF0622p Patologická fyziologie II - př && ( aVLTZ0653 Teoret. zákl. klinické med.III || aVLTZ0631 TZKM I - sem )&& aVLLP0633c Propedeutika III - cvičení && aVLPA0622p Patologie II - přednáška
Clinical propedeutics, Theoretical background of practical medicine, Pathology, Pathophysiology
Omezení zápisu do předmětu
Předmět je určen pouze studentům mateřských oborů.
Mateřské obory/plány
Cíle předmětu
Occupational medicine
This course explains the impact of work and working conditions on the health of workers, the prevention diagnostics, treatment, and medicolegal aspects of diseases caused or exacerbated by working conditions: occupational diseases, accidents at work, work-related diseases, occupational health services in the Czech Republic, aims and functions of an occupational health service, types of service
Functional diagnostics and rehabilitation
This course unit provides detailed information about key diagnostic functional tests in clinical medicine, all of which are conducted inside the lab. Students will be able to apply the basic concepts by conducting self-made examinations and recording their own physiological responses to exercise.
Geriatrics
Students will understand main diferences between seniors and younger patients, especially in diseases diagnostics, specificities of objective findings, laboratory parameters and treatment targets as well.
Výstupy z učení
Occupational medicine
Student knows occupational preventive measures including the evaluation of working ability, health risks of ionization, physical factors, industrial toxins. Student can describe basic obligatories of employers in relationship to the employee, basic rules for evaluation of occupational diseases, risks of occupational diseases or risks of accidents at work. Student is able to describe the duties of attending physician, injured employee and employer in the event of the accident of work.
Functional diagnostics and rehabilitation
After completing the course the student will know: principles of implementation, indications and contraindications of CPX (cardiopulmonary exercise testing) in clinical and outpatient practice (especially spiroergometric testing, basic principles of functional diagnostics of respiratory functions and investigation of autonomic nervous regulations), reactions of the organism to various types of exertion and the differences between the physiological and pathological reactions of the basic functional parameters to the physical load, the importance of prescribing exercise therapy in internal medicine, especially in patients with cardiovascular or respiratory diseases, and metabolic disorders, the importance of different training types for cardiac patients (phase I. - IV. of cardiovascular rehabilitation)
Geriatrics
Student knows the complex geriatric assessment Student is able to plan the diagnostics with regard to specific features of older patients Student is able to prepare the therapeutic scheme with regard to specific features of older patients Student is able to formulate the régime and diet measures with regard to specific features of older patients Student is able to plan and assure the aftercare with regard to interdisciplinary syndromes.
Osnova
  • Occupational medicine
  • 1 Introduction: The impact of work and working conditions on the health of workers.
  • The prevention diagnostics, treatment, and medicolegal aspects of diseases caused or exacerbated by working conditions: occupational diseases, accidents at work, work-related diseases.
  • 2 Occupational health services in the Czech Republic. Aims and functions of an occupational health service, types of service
  • Occupational health ethics
  • Knowledge of the work environment, specific workplace hazards
  • Medical examinations: pre-placement, periodic and special medical examinations, occupational history, biological monitoring, medical records
  • Rehabilitation and resettlement
  • 3 Occupational diseases and toxicology List of occupational diseases (appendix of government decree no. 290/1995)
  • Occupational diseases due to chemical agents, poisoning by lead or a compound of lead, poisoning by a nitro- or amino- or chloroderivate of benzene or of a homologue of benzene, poisoning by organophosphates, poisoning by chemical asphyxiants (carbon monoxide, hydrogen cyanide)
  • Occupational diseases due to physical agents, work-related cumulative trauma disorders of the hand and arm, hand-arm vibration syndrome, noise induced hearing loss, non-stochastic and stochastic health effects of ionizing radiation, dysbarism, disorders due to heat
  • Occupational lung disorders, pneumoconioses (silicosis, coal workers´ pneumoconiosis, asbestosis), asthma, extrinsic allergic alveolitis- farmer´s lung), acute inflammation, malignancy Occupational dermatoses, primary irritant contact dermatitis, allergic contact dermatitis, neoplasms
  • Occupational infections, infections due to exposure to infected humans or their tissues, infections transmitted from animals to humans (zoonoses), travel-associated infectious diseases
  • 4 Mental health at work
  • 5 The main areas of law relevant to occupational health , workers compensation law
  • FUNCTIONAL DIAGNOSTICS AND REHABILITATION
  • 1 Introduction
  • 2 Reaction and adaptation to physical stress
  • Gas transport systém, respiration, circulation, energy metabolism, body fluids and ions, acid - base balance, neuromuscular system
  • 3 Stress tests
  • Characteristics, indications and contraindications
  • Stress testing procedure, criteria of evaluation and interpretation
  • Methods, special approaches to stress testing
  • 4 Fundamentals of exercise therapy and rehabilitation
  • Exercise therapy as a part of rehabilitation
  • Definition and division into constituent parts
  • Therapeutical rehabilitation
  • Prescription of exercise therapy, principles, physiologic efficiency of physical activitie, kinds of physical activities, stress intensity, frequency and duration of stress
  • 5 Stress testing and exercise therapy in selected diseases
  • Cardiovascular and haematologic diseases
  • Functional disorders of circulation
  • Congenital heart diseases, valvular heart diseases, acute inflammatory diseases. Cardiomyopathy, atherosclerosis, coronary artery diseases, heart failure, arrhythmias, arterial hypertension, chronic ischaemic arterial obstructive disease of lower limbs, respiratory, haematological diseases, diabetes mellitus and other endoctinology diseases
  • GERIATRICS
  • 1 Specificity of disease symtpoms in elderly, diagnostic approach, complex geriatric assessment
  • 2 Different disease course in elderly, complications, chronicity
  • 3 Immobilization, complication cascade
  • 4 Necessarity of emergent approach to elderly to accelerate the healing process and to keep the independency od the elderly
  • 5 Giants of geriatrics, multidisciplinary approach
  • 6 Social context of diseases in elderly
  • 7 The influence of senzoric, cognitive and motoric deterioration on the independence and abiolita to live in own environment
  • 8 Theriatric maldaptation syndrom
  • 9 Sleeping disorders in elderly, behavioral disorders in elderly
  • 10 Psychical disturbances in elderly, communication basics, stress situation management
Literatura
    doporučená literatura
  • BORIKOVÁ, A. et al. Selected Chapters from occupational medicine. First edition. Olomouc: UPOL, 2020, 153 p. ISBN 978-80-244-5647-8.
  • Geraitrie e-learnigový kurz, Portál LF MU
  • The Merck Manual of Geriatrics. http://www.merck.com/mkgr/mmg/search.jsp
  • MCARDLE, William D., Frank I. KATCH a Victor L. KATCH. Exercise physiology : nutrition, energy, and human performance. Eighth edition. Philadelphia: Wolters Kluwer Health, 2015, lix, 1028. ISBN 9781451193831. info
  • ŠUBRT, Bořivoj a Milan TUČEK. Pracovnělékařské služby : povinnosti zaměstnavatelů a lékařů. 2. doplněné vydání. Olomouc: ANAG, 2015, 351 stran. ISBN 9788072639441. info
  • PELCLOVÁ, Daniela. Nemoci z povolání a intoxikace. 3., doplněné vydání. Praha: Karolinum, 2014, 316 stran. ISBN 9788024625973. info
  • MATĚJOVSKÁ KUBEŠOVÁ, Hana a Pavel WEBER. Geriatrie. In Vnitřní lékařství. Praha: Grada, 2011, 30 s. Vnitřní lékařství 1. ISBN 978-80-247-2110-1. info
  • MATĚJOVSKÁ KUBEŠOVÁ, Hana, Pavel WEBER, Pavel ŠEVČÍK, Michal MAŠEK, Zdeněk KADAŇKA, Blanka VEPŘEKOVÁ, Vlasta POLCAROVÁ, Roman GÁL, Dagmar SEIDLOVÁ a Helena ONDRÁŠKOVÁ. Akutní stavy v geriatrii. 1. vyd. Praha: Galén, 2009, 233 s. akutní medicína, geriatrie. ISBN 978-80-7262-620-5. info
  • DOBŠÁK, Petr, Jarmila SIEGELOVÁ, Hana SVAČINOVÁ, Pavel HOMOLKA, Leona DUNKLEROVÁ, Michaela SOSÍKOVÁ a Zdeněk PLACHETA. Klinická fyziologie tělesné zátěže. 2009. vyd. Brno: Masarykova univerzita, 2009, 98 s. <AA-9,10>. ISBN 978-80-210-4965-9. info
  • Pracovní lékařství : základy primární pracovnělékařské péče. Edited by Petr Brhel - Marta Manoušková - Evžen Hrnčíř. 1. vyd. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2005, 338 s. ISBN 8070134143. info
  • Textbook of clinical occupational and environmental medicine. Edited by Linda Rosenstock. 2nd ed. Philadelphia: Elsevier Saunders, 2005, xviii, 133. ISBN 0721689744. info
  • KALVACH, Zdeněk. Geriatrie a gerontologie. 1. vyd. Praha: Grada, 2004, 861 s. ISBN 8024705486. info
  • PLACHETA, Zdeněk, Ilona DOHNALOVÁ, Jan NOVOTNÝ, Břetislav ZATLOUKAL, Karel ČECHOVSKÝ, Vladimír DRAŽIL a Pavel HOMOLKA. Zátěžová funkční diagnostika a preskripce pohybové léčby ve vnitřním lékařství. 2. přepracované vyd. Brno: Masarykova univerzita Brno, 1995, 156 s. ISBN 80-210-1170-X. info
Výukové metody
Lessons are taking place in blocks. Attendance at the tuition is obligatory. The students work in groups of 6-7 members. Expert seminars and simulation methods are the part of education.
Metody hodnocení
Test, assay as the case report, colloquium.
Vyučovací jazyk
Angličtina
Další komentáře
Studijní materiály
Nachází se v prerekvizitách jiných předmětů
Předmět je zařazen také v obdobích podzim 2017, jaro 2018, podzim 2018, jaro 2019, podzim 2019, jaro 2020, podzim 2020, jaro 2021, podzim 2021, jaro 2022, podzim 2022, jaro 2023, jaro 2024, podzim 2024, jaro 2025.