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Lecturer(s)
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Zadražil Josef, prof. MUDr. CSc.
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Ščudla Vlastimil, prof. MUDr. CSc.
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Horák Pavel, prof. MUDr. CSc.
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Bačovský Jaroslav, doc. MUDr. CSc.
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Fryšák Zdeněk, doc. MUDr. CSc.
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Karásek David, prof. MUDr. Ph.D.
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Faber Edgar, prof. MUDr. CSc.
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Galuszková Dana, MUDr. Ph.D., MBA
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Hluší Antonín, MUDr. Ph.D.
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Metelka Rudolf, MUDr. Ph.D.
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Jakubec Petr, MUDr. Ph.D.
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Vymětal Jiří, MUDr.
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Hubáček Jaromír, MUDr. Ph.D.
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Minařík Jiří, prof. MUDr. Mgr. Ph.D.
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Schovánek Jan, MUDr. Ph.D.
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Krystyník Ondřej, MUDr.
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Cibičková Ľubica, doc. MUDr. Ph.D.
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Course content
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The content of the subject are selected chapters differential diagnosis, emergency events from the perspective of the view of the dental specialist. In practical training the examination methods are taught.
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Learning activities and teaching methods
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Lecture, Training in job and motor Skils
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Learning outcomes
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Differential diagnosis of selected symptoms occurring in internal medicine, especially in orofacial area and neck area faced by a dentist. Diagnosis and therapy of emergency situations in internal medicine occurring in dental practice (acute cardiovascular accidents, including cardiopulmonary resuscitation, respiratory insufficiency, aspiration of a foreign body, bleeding from airways, unconsciousness, most frequent types of intoxication, acute complications of diabetes mellitus, bleeding into the gastrointestinal tract, fever, prophylactic and targeted therapy with antibiotics, problems of patients treated with corticoids, immunosuppressive and cytotoxic therapy ). Differential diagnosis of hepatitis, diarrhea, viral hepatitis and other viral infections related to dentists. Examination of patients, elaboration of working diagnosis, diagnostic and therapeutic program, analysis of patients related to specificity of dental practice.
Students will be able to elaborate history, assess working diagnosis and propose diagnostic and therapeutic program. They should recognize major symptoms of severe states in internal medicine that could occur in dental practice and propose their solution including first aid. They will be capable of performing cardiopulmonary resuscitation. Graduates should be able to consider relationship between the abovementioned diseases and states occurring in dental practice, relation to risks of dental interventions and also assess complications induced by dental interventions in case of internal diseases.
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Prerequisites
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Not specified.
IN1/ZAA11 and IN2/ZAB13
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Assessment methods and criteria
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Mark, Oral exam
The content of the practical exercise is the elaboration of a complete medical record, including anamnesis, design of a diagnostic and treatment plan. The practice also includes a written description of the EKG curve or X-ray image. The practical exercise is divided into an individual part devoted to the processing of the above documents and a part devoted to the analysis of patients with the teacher and associated with the control of findings presented by the student. Participation in the practical exercise is recognized only on the basis of meeting the above prerequisites and an active approach in the analysis of the patient. Within the practical exercise, it is possible to use professional literature - but not to make an extract from the official medical record. The condition for granting the credit is active completion of a given number of practical exercises in a given block. Missing practice can be completed in justified cases (illness, exam) after agreement with the teaching doctor during a further block in due time. Part of each practical exercise is a check of the findings as well as a check of the student's skills and knowledge. During the practical part of the exam, the student's ability to take the anamnesis, perform a physical examination of the patient in full, as well as the elaboration of a medical record, a working diagnostic conclusion and a plan of examination and treatment procedure is verified. Part of the test is also the evaluation of the description of the ECG curve and the image taken by conventional radiological techniques, or some other imaging method (CT, MRI). Clinical scenario simulators in Cent Centessimo are also used to verify practical skills. Absence from the lessons the has to be apologized to the tutor. From 28 seminars one day of absence is tolerated in the case of serious personal matter, two days of absence are tolerated in the case of illness. Longer absence has to be substituted upon an appointment with the tutor (vice tutor). The substitution can contain the work at the department as well as the elaboration of the seminar. It´s strongly recommended to resolve the longer and expected absence as soon as possible.
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Recommended literature
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Andreoli T.E. (2010). Cecil Essentials of Medicine.
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Boon AN., Colledge NR, Walker BR. (2009). Davidson´s Principles and Practice of Medicine. 21th edition, Churchil - Livingstone, Edinburg.
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Davey, P. (2006). Medicine at a Glance. Wiley-Blackwell.
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Fauci, A.S. et al. (2012). Harrison´s Principles of Internal Medicine. MC Craw-Hill, New York.
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Kumar, P., Clark, M. L. (2012). Kumar and Clark´s Clinical Medicine. Saunders.
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Raftery, A. T., Lim, E., Östör, A. J. K. (2009). Churchill´s Pocketbook of Differential Diagnosis. Churchill Livingstone.
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