LF:VLLP0633c Clinical Introduction III - pr

VLLP0633c Clinical Introduction III - practice

Faculty of Medicine
spring 2025

Extent and Intensity

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

Teacher(s)

Guaranteed by

Prerequisites (in Czech)

VLLP0532c Clinical Introduction II && ( VLAN0222p Anatomy II l || VSAN0333p Anatomy III - lec. ) && VLHE0322p Histology and embryology II -l && VLBC0422p Biochemistry II - lecture && VLFY0422p Physiology II - lecture

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 (programme LF, M-VL) (2)

Course objectives

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. Student will be able to perform and evaluate the ECG, will be able to recognize basic pathological ECG findings. He will be able 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.

Syllabus

A student completes 7 hours of practical exercises weekly, divided into two instructional sessions of 3.5 hours each. One instructional block focuses on internal medicine, supplemented with a rotation at the Anesthesiology and Resuscitation Clinic. The second block focuses on surgery, with one rotation in pediatric surgery and one in plastic surgery. During the 13th and 14th weeks, instruction takes place only in SIMU, where the focus is on practicing practical skills.
• **Internal Medicine:** Instruction is conducted in study groups, with the following topics for each rotation: 1. Basic clinical and auxiliary examinations, laboratory, imaging, and functional diagnostic methods (X-rays of the chest and abdomen, principles of ultrasound, fibroscopy, and other auxiliary examinations). 2. Special medical history and examination for pulmonary diseases. 3. Special medical history and examination for heart diseases. 4. Basic pathological patterns on ECG curves. 5. Special medical history and examination for kidney and urinary tract diseases. 6. Special medical history and examination for gastrointestinal and liver diseases. 7. Special medical history and examination for endocrine diseases and diabetes. 8. Special medical history and examination for hematological diseases. 9. Special medical history and examination for peripheral artery and vein diseases. 10. Special medical history and examination for rheumatological and immunological diseases. 11. ARK/KARIM/KDAR – General and local anesthesia, the role of the anesthesiologist/workplace. 12. Review. 13. and 14. SIMU – Practicing practical skills. 15. Review.
• **Surgical Part:** Instruction is conducted in study groups, with the following topics for each rotation: 1. Metabolism and nutrition in surgery – Enteral and parenteral nutrition, diets, fluid balance, replacement solutions, internal environment – ions and acid-base balance in surgery. 2. Infections in surgery – Wounds, GIT, urinary, respiratory, sepsis, tetanus, rabies, antibiotics in surgery, purulent diseases of the hand. 3. Injuries to joints, muscles, tendons – Open and closed injuries, characteristics, diagnosis, treatment principles. Wound care – Review. 4. Nerve and vascular injuries, hemorrhage control, blood loss replacement, blood transfusion, shock and its types, drowning, hanging, electric shock injury. 5. Fractures – Healing and treatment, fracture healing disorders, rehabilitation, prosthetics, forensic assessment. 6. Surgeries – Types, indications, preoperative preparation, postoperative response, intraoperative and postoperative risks and complications, prevention of venous thromboembolism, antibiotic prophylaxis. 7. Basic surgical approaches and procedures: Approaches – Head, thoracic cavity, abdominal cavity, pelvis (including scopic approaches), limbs, basic surgical procedures – Terminology. 8. Trauma surgery – Polytrauma, combined injuries, mass casualties, trauma plan, war injuries (triage and evacuation of the wounded + treatment principles) including blast syndrome, crush syndrome. 9. Oncologic surgery – Tumor classification and spread, prevention, organization of oncological care. Introduction to transplants. 10. KPECH – Plastic surgery – Scope of plastic surgery, flaps, treatment of traumatic amputation, frostbite, burns. 11. KDCHOT – Pediatric surgery – Specifics of pediatric patients. 12. Review. 13. and 14. SIMU – Practicing practical skills. 15. Review.

Literature

required literature

ŠPINAR, Jindřich and Ondřej LUDKA. Propedeutika a vyšetřovací metody vnitřních nemocí. 2., přeprac. a dopl. vyd. Praha: Grada, 2013, 336 pp. ISBN 978-80-247-4356-1. URL info
ZEMAN, Miroslav and Zdeněk KRŠKA. Chirurgická propedeutika. Třetí, přepracované a do. Praha: Grada Publishing, 2011, 512 stran. ISBN 9788024737706. info

recommended literature

ŠTOURAČ, Pavel, Josef BEDNAŘÍK, Milan BRÁZDIL, Zdeněk KADAŇKA, Petr KAŇOVSKÝ, Marek MECHL, Jiří PRÁŠEK, Ivan REKTOR, Irena REKTOROVÁ and Radomír ŠLAPAL. Učebnice obecné neurologie (Textbook of General Neurology). 2., přepracované. Brno: Masarykova universita v Brně, 2003, 197 pp. ISBN 80-210-3309-6. info

Bookmarks

https://is.muni.cz/ln/tag/LF:VLLP0633c!

Teaching methods

Practical teaching of patient bedside care in clinics (in the scope of about 50% of the total volume of Propedeutics I to III) is supplemented by a comprehensive spectrum of simulation teaching methods on simulators with varying degrees of fidelity, simulators and virtual patients. Simulation teaching culminates in a debriefing (feedback to the student). Problem-based learning, where the student learns by solving a presented problem, is also at the forefront, as well as team-based learning, where students discuss and select a solution to a given problem together in smaller groups. Emphasis is also placed on the development of soft skills, including "21st century skills", i.e. in particular communication, decision-making skills, critical thinking, crisis communication and teamwork.

Assessment methods

Students' knowledge and skills are continuously monitored. Students must meet attendance requirements at each clinic and v SIMU. The course is completed by an examination, which has a practical part that takes place in SIMU (OSCE exam) and a theoretical part that is divided into internal and surgical. The theoretical parts of the exam are conducted at the individual surgical and internal departments by appointment.
All the details of taking the OSCE exam are placed in the interactive course syllabus and the student is required to read them.

Language of instruction

Czech

Further comments (probably available only in Czech)

Information on the extent and intensity of the course: 105.

Listed among pre-requisites of other courses

aVLPI101 Palliative care in the intensive Care Unit
aVLLP0633c || VLLP0633c
BMBS051 Biostatistics - basic course
VLLM0522p && VLIM051p && (VSBC041p || VSBC0422p || VLBC0422p) && (VSIP0622c || VLLP0633c)
VLDI7X1c Diagnostic Imaging - practice
VLLP0633c && VLPF0622c && VLPA0622c
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VLLP0633c && VLPF0622c && VLPA0622c
VLDV7X1c Dermatovenerology I - practice
VLPF0622p && VLPA0622p && VLLM0522p && VLIM051p && VLLP0633c
VLDV7X1p Dermatovenerology I - lecture
VLPF0622p && VLPA0622p && VLLM0522p && VLIM051p && VLLP0633c
VLCH0731c Surgery I -practicals
VLPF0622p && VLPA0622p && VLLP0633c
VLCH0731p Surgery I - lectures
VLPF0622p && VLPA0622p && VLLP0633c
VLIN7X21c Infectious diseases - practice
VLPF0622p && VLPA0622p && VLLP0633c && VLLM0522p && VLIM051p

Zobrazit další předměty

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

Enrolment Statistics (spring 2025, recent)
Permalink: https://is.muni.cz/course/med/spring2025/VLLP0633c

LF:VLLP0633c Clinical Introduction III - pr - Course Information

VLLP0633c Clinical Introduction III - practice

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