3. - 5. class

TIME: 

PLACE:

1.    Introduction into the study of internal medicine. Subspecialties of internal medicine, their basic diagnosis. History of internal medicine. Documentation of a patient. Ethics of the doctor. History taking, basic components how to speak with the patient. (LINK)

   2.       Documentation of a patient. Ethics of the doctor. History taking, basic components how to speak with the patient.(LINK)

   3.       Internal examination of the patient. Status praesens generalis.

   Examination of the head, neck and limbs.

   4.        Symptomatology and syndromology (the most common symptoms in internal medicine).

   5.      ECG – basic parts of a normal ECG. How to describe the ECG. (LINK)

   6.        Imaging examinations in internal medicine (X-ray of the chest and abdomen, abdominal ultrasound, CT, MRI and other imaging techniques). Laboratory tests in internal medicine (biochemical tests, blood count and urine examination). (LINK)

   7.        Cardiology an angiology – symptoms, medical history, clinical examination, syndromes.

   8.        Pneumology – symptoms, medical history, clinical examination, syndromes.

   9.        Gastroenterology – symptoms, medical history, clinical examination, syndromes.(LINK)

   10.       Endocrinology and metabolic disorders – symptoms, medical history, clinical examination, syndromes.

   11.        Nephrology – symptoms, medical history, clinical examination, syndromes.(LINK)

   12.     Rheumatology – symptoms, medical history, clinical examination, syndromes.(LINK)

   13.       Haematology – symptoms, medical history, clinical examination, syndromes.

                 

The content of Internal Propedeutics :

1.  

   Week	Problematic of the lecture
   1.	Presentation and training in conversing with patient and obtaining medical history. Basic principles and terms explanation, analysis of the clinical status from symptoms to the diagnosis. Documentation of the patient care and medical reports.
   2.	Principles of the physical examination. Status praesens generalis (general present status). Examination of the head, neck. Repeating the conversation with the patient and taking medical history.
   3.	Examination of the chest and heart I – inspection, percussion, palpation. Practical presenting of the examination, individual training. Presenting special cases. Examination of the patient together with the teacher. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   4.	Examination of the chest and heart II – auscultation. Practical presenting of the most common findings, individual training of auscultation. Presenting special cases. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   5.	Basic principles of electrocardiography. Evaluation of the normal and pathologic electrocardiograms. Presenting pathological ECGs with the brief explanation of the clinical status. Other examination methods in cardiology – basic principles of echocardiography, invasive methods in cardiology and angiology. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   6.	Examination of the abdomen. Practical presenting of the examination, individual training. Presenting special cases. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   7.	Examination of the limbs, musculoskeletal apparatus and vessels. Practical presenting of the examination, individual training. Presenting special cases. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   8.	Basic principles of radiology methods in internal medicine – X-ray of the chest and abdomen. Individual reading of the radiographs. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   9.	Diagnostic procedures in internal medicine – endoscopy, functional test, ultrasonography, spirometry, bronchoscopy. Repeating the conversation with the patient and taking medical history. Individual examination of the patient, writing clinical status.
   10.	Blood tests (biochemistry and hematology), urine-analysis. Individual examination of the patient and writing clinical notes.

    

   Credit test is written before the exam in internal medicine, at the department, where the exam will take place.

The content of Internalmedicine 1 - cardiology :

1.  

   Week	Problematic of the lecture
   1.	Ischemic Heart Disease – signs and symptoms, clinical examination, basic principles of treatment.
   2.	Heart Valve Diseases, Heart Auscultations, Peri-, Myo- and Endocarditis – signs and symptoms, clinical examination, basic principles of treatment.
   3.	Disorders of Rhythm – signs and symptoms, clinical examination, basic principles of treatment.
   4.	Heart Failure – signs and symptoms, clinical examination, basic principles of treatment and management.
   5.	Electrocardiogram – ischemic findings on ECG, rhythm-disorders on ECG.
   6.	Other Examination Methods in Cardiology – X-ray, Echocardiography, Ergometry, HUT.
   7.	Edema – lymphatic, cardiac, veno-occlusive..
   8.	Arterial hypertension – signs and symptoms, clinical examination, basic principles of treatment. Basic Differential Diagnosis of Secondary Hypertension. Summary examination and elaboration of a patient with arterial hypertension and peripheral vessel disease, with recommendation of relevant examination methods and basic treatment.
   9.	Summary examination and elaboration of a patient with cardovascular disease, with recommendation of relevant examination methods and basic treatment.

    

    

Date	Content of the talk
	Cardiovascular Diseases .Atherosclerosis.
	Ischemic Heart Disease.
	Heart Failure – acute and chronic.
	Peripheral circulation failure. Dysrhytmias.
	Hypertension. Hypotension.
	Endocarditis. Myocarditis. Pericarditis.
	Acquired valvular diseases.
	Cardiomyopathies.
	Free day
	Diseases of Aorta. Peripheral Arterial Diseases of Extremities.
	Diseases of Venous System. Diseases of Lymphatic System. Lymphedema.

Pneumology 

• Disease of pulmonary tract, Basic examination metthods, laboratory tests, functional tests. Inflammantions of upper respiratory tract. 
• Pneumonia. Pulmonary abscess. Bronchiectasis. 
• Interstitial lung diseases. Cor pulmonale chronicum. 
• Sleep apnea.
• Chronic obstructive pulmonary disease. Pulmonary emphysema. Bronchial asthma. 
• Tuberculosis -epidemiology in the world, classification, pathogenesis, transmission of mycobacterium, diferential diagnosis. pulmonary and extrapulmonary rorms of TBC. 
• Tumours of respiratory tract.Pleural syndrome. Disorders of the  mediastinum. 

Reumatology 

• Arthritis, Ankylosing spondylitis. 
• Systemic diseases of the connective tissue. 
• Osteoporosis. Metabolic bone diseases. Osteoarthrosis. 

The content of Internal Medicine 2 is pneumology and rheumatology.

1. Basic examination methods in pneumology, X-ray reading, chest CT, bronchoscopy. Functional tests of the lungs. Spirometry. Acute respiratory insufficiency.
2. Infections and tumors of the upper respiratory tracts  and lungs. Lung abscess. Eemphysema of the lungs. Pleural puncture. Chronic obstructive pulmonary disease. Asthma bronchiale. Cor Pulmonale chronicum.
3. Tuberculosis. Differential diagnosis of tuberculosis in X-ray. Tuberculosis treatment regimens.
4. Lung tumors.
5. Diseases of joints, bones and connective tissue. Examination of a patient with rheumatic disease. Basic diagnostic approaches.
6. Non-articular manifestations of rheumatic diseases. Basics of treatment, including biological treatment in rheumatology
7. Metabolic bone diseases. Osteoporosis.

At the end of the semester there will be a credit test. We will inform you about the details A.S.A.P.

GASTROENTEROLOGY 

• Esophageal diseases. Gastritis. Peptic ulcer. Gastric tumors. 
• Diarrhea. Constipation. Functional dyspepsia. Diverticulosis. 
• Diseases of the small intestine. Malabsorption syndrome. Celiac disease. 
• Non-specific inflammatory bowel disease (IBD). Crohn's disease. Ulcerative colitis.Diseases of the colon. Colorectal tumor. Ileus. Mesenterial ischemia. 
• Liver diseases. Hepatitis. Metabolic liver disease.
• Liver cirrhosis. Portal hypertension. Hepatocellular carcinoma. 
• Diseases of the pancreas. Acute and chronic pancreatitis. Pancreatic tumors. Diseases of the gallbladder and biliary tract.  

HEMATOLOGY 

• Anemias. Anemic syndrome. Blood transfusion. Polycytemia, polyglobulia.
• Leukemias. Lymphomas. Myeloproliferative syndromes.
• Hemostasis disorders.

The content of Internal Medicine 3 is gastroenterology and hematology

1. Physical examination of abdomen. Imaging examination methods in gastroenterology (sonography, irigography, enteroclysis, CT, NMR). Laboratory examination methods in gastroenterology (hematological and biochemical tests.)
2. Emergency conditions (acute complications) in gastroenterology with a focus on acute GI-bleeding.
3. Endoscopic examination of the gastrointestinal tract. Ascites punction.
4. Inflammatory bowel disease (IBD). Colon diseases.
5. Liver disease. Liver cirrhosis - diagnostics, clinical findings and basics of therapy. Liver biopsy.
6. Anemias. Blood transfusion - indication, contraindications, progression, complications.
7. Leukemias. Splenomegaly. Lymphadenopathy. Blood coagulation disorders

At the end of the semester there will be a credit test trough MS Teams. We will inform you about the details A.S.A.P.

Content: endocrinology, diabetology and nephrology.

Students should acquire theoretical knowledge and practical skills in diagnosing and treating the underlying disease units in endocrinology, diabetology and nephrology. Understand the pathophysiologic nature of the disease. 

 Credit test is written before oral exam, during examination period. 

Oral lectures

TIME: Thursday 14:30 – 17:20 (3.-14. week in winter semester)

PLACE:  Hospital Ružinov, Ružinovská 6

                   Hospital Kramare, Lecture room no. 1 (only lectures with Assoc. Prof. Žilinská) 

CONTENT: GERIATRICS, PNEUMOLOGY AND PTHISEOLOGY, OCCUPATIONAL MEDICINE, TOXICOLOGY AND PHYSIATRY.

Students should acquire theoretical knowledge and practical skills in diagnosing and treating the underlying disease units in geriatrics, pneumology and pthiseology, Occupational Medicine, Toxicology and physiatry (physical medicine and rehabilitation). Understand the pathophysiologic nature of the disease. Acquire knowledge for differential diagnostic consideration

PRACTICALS:

Occupational medicine and toxicology 

1. Diagnosis, treatment, evaluation and compensation of work related health damages - occupational diseases and work related diseases. Specification of history taking. Examination methods like functional test, photopletysmography etc.
2. X-ray in diagnostic of occupational lung diseases. Joint and muscle disorders from the view of occupational medicine.
3. National Toxicological Information Center. How to provide information and assistance on diagnosing and treatment of all cases of acute intoxication.

Geriatrics 

1. Seminar on geriatrics - definition, epidemiology, organisation of health care of elderly people. The process of aging. Specifications of clinical picture, diagnostic procedures and treatment in elderly peoples.
2. Summary examination and elaboration of a patient using all the knowledge from geriatrics - repeating and training of the conversing with the patient, clinical examination and writing clinical status, medical documentation.

Physiatry (Physical medicine and rehabilitation) 

1. Physical procedures to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Electrotherapeutical procedures (galvanic currents, diadynamic currents, interference currents, TENS, micro currents, currents for electrostimulation and electrogymnastics). Magnet therapy. Inhalation treatment. Massage. Impact waves. Laser, photo and water therapy.

Acute internal medicine and major symptoms in internal medicine

1. Indication of surgical performance and preoperative preparation from the perspective of internal medicine.
2. Acute internal medicine and major symptoms in internal medicine
3. Acute internal medicine and major symptoms in internal medicine

lecture location

Occupational medicine and toxicology:  Infectious disease pavilion, University Hospital Kramáre,

Limbová 5, lecture hall, 5th floor.

Geriatrics: Lecture hall No. 1 (1st lecture), Lecture hall No. 2 (2nd lecture), L. Dérera Hospital,

Limbová 5, Bratislava Kramáre

Physiatry: 2^nd Clinic of geriatrics, Hospital Milosrdní bratia, SNP square 10

Acute medicine: Meeting room, 8th floor, department 8B, Ružinov Hospital Ružinovská 6

Lecture schedule