LF:aZLVL7X62 Int.Med. block 2-practice

aZLVL7X62 Internal Medicine block 2 - practice

Faculty of Medicine
spring 2019

Extent and Intensity

0/1/0. 1 credit(s). Type of Completion: z (credit).

Teacher(s)

Guaranteed by

prof. MUDr. Miroslav Souček, CSc.
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

Mon 4. 3. 7:30–12:30 IKK N13191a, Tue 5. 3. 7:30–12:30 IKK N13191a, Wed 6. 3. 7:30–12:30 IKK N13191a, Thu 7. 3. 7:30–12:30 IKK N13191a, Fri 8. 3. 7:30–12:30 IKK N13191a

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 / plans the course is directly associated with

Dentistry (eng.) (programme LF, M-ZL)
Dentistry (programme LF, M-ZL)

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

required literature

SOUČEK, Miroslav, Jindřich ŠPINAR, Jiří VORLÍČEK, Zdeněk ADAM, Dagmar ADÁMKOVÁ KRÁKOROVÁ, Lenka BABIČKOVÁ, Karola BALŠÍKOVÁ, Drahomíra BARTOŠOVÁ, Otakar BEDNAŘÍK, Richard BERGER, Šárka BOHATÁ, Petr BRHEL, Tomáš BRYCHTA, Yvona BRYCHTOVÁ, Alena BULIKOVÁ, Petr BURKOŇ, Ivan ČAPOV, Aleš ČERMÁK, Eva ČEŠKOVÁ, Milan DASTYCH, Regina DEMLOVÁ, Petr DÍTĚ, Jiří DOLINA, Michael DOUBEK, Martina DOUBKOVÁ, Lenka DUBSKÁ, Ladislav DUŠEK, Pavel FABIAN, Vuk FAIT, Zdeněk FOJTÍK, Lenka FORETOVÁ, Tomáš FREIBERGER, Renata GAILLYOVÁ, Roman GÁL, Ladislav GROCH, Marek HAKL, Jana HALÁMKOVÁ, Aleš HEP, Jitka HILLOVÁ MANNOVÁ, Ota HLINOMAZ, Ivo HOFÍREK, Jan HOLČÍK, Alena HOLČÍKOVÁ, Alena HONDLOVÁ, Anna HRAZDIROVÁ, Jan HRUDA, Petr HUSA, Libuše HUSOVÁ, Richard CHALOUPKA, Václav CHALOUPKA, Josef CHOVANEC, Stanislav JANOUŠEK, Jana JURÁNKOVÁ, Ladislav KABELKA, Zdeněk KADAŇKA, Bohdan KADLEC, Zdeněk KALA, Bohuslav KIANIČKA, Dagmar KINDLOVÁ, Igor KISS, Jarmila KISSOVÁ, Martin KLABUSAY, Ivo KOCÁK, Jiří KÖNIG, Jana KOPTÍKOVÁ, Zdeněk KOŘÍSTEK, Zdeněk KRÁL, Milan KRATOCHVÍL, Lenka KRBKOVÁ, Marta KREJČÍ, Petr KRIFTA, Petr KROUPA, Darja KRUSOVÁ, Lucie KŘIKAVOVÁ, Růžena LÁBROVÁ, Radek LAKOMÝ, Jan LATA, Jolana LIPOLDOVÁ, Jiří LITZMAN, Ondřej LUDKA, Jan MALÁSKA, Hana MATĚJOVSKÁ KUBEŠOVÁ, Jiří MATOUŠEK, Pavel MATUŠKA, Miloslava MATÝŠKOVÁ, Jaroslav MELUZÍN, Hana MELUZÍNOVÁ, Zdeněk MERTA, Blanka MIČÁNKOVÁ ADAMOVÁ, Miroslav MORÁŇ, Vojtěch MORNSTEIN, Jan MUŽÍK, Tomáš NEBESKÝ, Anna NEČASOVÁ, Marta NEDBÁLKOVÁ, Miroslava NEKULOVÁ, Petr NĚMEC, Jiří NEUBAUER, Pavel NOHEL, Jana BĚLOBRÁDKOVÁ, Miroslav NOVÁK, Bronislava NOVOTNÁ, Petr ŠTOURAČ and Vojtěch THON. Vnitřní lékařství (Internal Medicine). 1.vyd. Praha, Brno: Grada, 2011, 1788 pp. Vnitřní lékařství. ISBN 978-80-247-2110-1. info

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.
Information on the extent and intensity of the course: 15.

The course is also listed under the following terms Spring 2018, spring 2020.

Enrolment Statistics (spring 2019, recent)
Permalink: https://is.muni.cz/course/med/spring2019/aZLVL7X62

LF:aZLVL7X62 Int.Med. block 2-practice - Course Information

aZLVL7X62 Internal Medicine block 2 - practice

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