aZLVL7X62c Internal medicine part 2 - Pneumology

Faculty of Medicine
spring 2024
Extent and Intensity
0/1.5/0. 1 credit(s). Type of Completion: z (credit).
Teacher(s)
doc. MUDr. Kristián Brat, Ph.D. (lecturer)
MUDr. Vladimír Herout, Ph.D. (lecturer)
MUDr. Zdeněk Merta, CSc. (lecturer)
MUDr. Monika Bratová, Ph.D. (seminar tutor)
doc. MUDr. Martina Doubková, Ph.D. (seminar tutor)
MUDr. Anna Hrazdirová (seminar tutor)
MUDr. Lenka Jakubíková, Ph.D. (seminar tutor)
MUDr. Zuzana Lennerová (seminar tutor)
MUDr. Marek Plutinský (seminar tutor)
MUDr. Eva Pokojová (seminar tutor)
prof. MUDr. Jana Skřičková, CSc. (seminar tutor)
prof. MUDr. Milan Sova, Ph.D. (seminar tutor)
MUDr. Yvonne Staňková, Ph.D. (seminar tutor)
MUDr. Martin Ščurek, Ph.D. (seminar tutor)
MUDr. Ondřej Venclíček (seminar tutor)
MUDr. Marianna Štefániková (assistant)
Guaranteed by
doc. MUDr. Martina Doubková, Ph.D.
Department of Pulmonary Diseases and Tuberculosis – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Supplier department: Department of Pulmonary Diseases and Tuberculosis – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Timetable
Tue 2. 4. 7:30–12:30 KNPT N01176, Wed 3. 4. 7:30–12:30 KNPT N01176, Thu 4. 4. 7:30–12:30 KNPT N01176
Prerequisites (in Czech)
aZLIP061p Clin.Introd.to Int.Med.-lect. && aZLPA0622c Pathology II - practice && aZLPF0622c Pathophysiol. II - practice && aZLFA0621c Pharmacology I - pract. && ( aZLKED061p Restor. dent.II-Endo. I -lect. || aZLED061p Restorat. Dent.-Endo.I -lect. ) && aZLPL0663c Prosthetic Dentistry III-prac. && aZLOC0653c Oral Surgery III -pract. && aZLOR0641c Orthodontics I -pract.
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
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 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 has 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 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
The course is organized as an internship at cardiological clinics. The course is composed of collective seminars on 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 the final test.
Language of instruction
English
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 22,5.
The course is also listed under the following terms spring 2021, spring 2022, spring 2023, spring 2025.
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