aVLVL7X61c Internal Medicine - part 1 - Functional Diagnostics, Occupational Medicine and Geriatrics

Faculty of Medicine
spring 2025
Extent and Intensity
0/4/0. 3 credit(s). Type of Completion: z (credit).
In-person direct teaching
Teacher(s)
prof. MUDr. Petr Brhel, CSc. (lecturer)
prof. MUDr. Petr Dobšák, CSc. (lecturer)
MUDr. Petr Malenka, Ph.D. (lecturer)
prof. MUDr. Pavel Weber, CSc. (lecturer)
prof. MUDr. Ondřej Ludka, Ph.D., FESC (seminar tutor)
MUDr. Jan Smutný (seminar tutor)
Sabina Haasová (assistant)
Ing. Soňa Hanzelková (assistant)
Ing. Miroslava Prokopová (assistant)
Guaranteed by
prof. MUDr. Ondřej Ludka, Ph.D., FESC
Department of General Internal Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine
Contact Person: Sabina Haasová
Supplier department: Department of Occupational Medicine – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (40,00 %), Department of Sports Medicine and Rehabilitation – Institutions shared with St. Anne's Faculty Hospital – Faculty of Medicine (40,00 %), Department of General Internal Medicine – Joint workplaces with the University Hospital Brno - workplaces of the Bohunice and Mater. Hospital – Faculty of Medicine (20,00 %)
Prerequisites
aVLPF0622p Pathophysiology II - lecture && aVLPA0622p Pathology II - lecture && aVLLP0633c Clinical Introduction III - p && ( aVLTZ0631 Theor. Bases of Clinical Med I || aVLTZ0653 Theor.Bases of Clin. Med. III )
Clinical propedeutics, Theoretical background of practical medicine, Pathology, Pathophysiology
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
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.
Learning outcomes
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 the 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.
Syllabus
  • 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
Literature
    recommended literature
  • The Merck Manual of Geriatrics. http://www.merck.com/mkgr/mmg/search.jsp
  • Geraitrie e-learnigový kurz, Portál LF MU
  • MCARDLE, William D., Frank I. KATCH and Victor L. KATCH. Exercise physiology : nutrition, energy, and human performance. Eighth edition. Philadelphia: Wolters Kluwer Health, 2015, lix, 1028. ISBN 9781451193831. info
  • ŠUBRT, Bořivoj and 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 and Pavel WEBER. Geriatrie (Geriatrics). In Vnitřní lékařství. Praha: Grada, 2011, 30 pp. 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 and Helena ONDRÁŠKOVÁ. Akutní stavy v geriatrii (Emergencies in geriatrics). 1st ed. Praha: Galén, 2009, 233 pp. akutní medicína, geriatrie. ISBN 978-80-7262-620-5. info
  • DOBŠÁK, Petr, Jarmila SIEGELOVÁ, Hana SVAČINOVÁ, Pavel HOMOLKA, Leona DUNKLEROVÁ, Michaela SOSÍKOVÁ and Zdeněk PLACHETA. Klinická fyziologie tělesné zátěže (Clinical physiology of body budrden). 2009th ed. Brno: Masarykova univerzita, 2009, 98 pp. <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 and Pavel HOMOLKA. Zátěžová funkční diagnostika a preskripce pohybové léčby ve vnitřním lékařství (Stress functional diagnostics and prescription of physical therapy in internal medicine). 2. přepracované vyd. Brno: Masarykova univerzita Brno, 1995, 156 pp. ISBN 80-210-1170-X. info
Teaching methods
Lessons are taking place in blocks. Participation in block classes is mandatory, in case of absence the lesson must be replaced. The students work in groups of 6-7 members. Expert seminars and simulation methods are the part of education.
Assessment methods
Test, assay as the case report, colloquium.
Language of instruction
English
Further comments (probably available only in Czech)
Information on the extent and intensity of the course: 60.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2017, Spring 2018, autumn 2018, spring 2019, autumn 2019, spring 2020, autumn 2020, spring 2021, autumn 2021, spring 2022, autumn 2022, spring 2023, autumn 2023, spring 2024, autumn 2024.
  • Enrolment Statistics (spring 2025, recent)
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