Course: Internal Medicine 3

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Course title Internal Medicine 3
Course code IN3/VA012
Organizational form of instruction Lecture + Practice + Seminar
Level of course Master
Year of study not specified
Semester Winter and summer
Number of ECTS credits 10
Language of instruction English
Status of course Compulsory
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Course availability The course is available to visiting students
Lecturer(s)
  • Šimková Klára, Bc.
  • Ševčovičová Růžena, MUDr.
  • Lysková Lucie, MUDr.
  • Štěpán Jakub, MUDr.
  • Kramolišová Kristína, MUDr.
  • Hrušková Andrea, MUDr.
  • Kostelníková Pavlína, MUDr.
  • Kurašová Ester, MUDr.
  • Karásek David, prof. MUDr. Ph.D.
  • Orság Jiří, MUDr. Ph.D.
  • Krhovská Petra, MUDr. Ph.D.
  • Hanáčková Veronika, MUDr.
  • Machová Renata, MUDr.
  • Kubová Zuzana, MUDr.
  • Pekařová Klára, MUDr.
  • Hrubý Miroslav, MUDr.
  • Simanová Adéla, MUDr.
  • Videman Jakub, MUDr.
  • Čerňan Martin, MUDr. Ph.D.
  • Palová Miroslava, MUDr. Ph.D.
  • Petejová Naděžda, doc. MUDr. Ph.D., M.Sc.
  • Smržová Andrea, MUDr. Ph.D.
  • Dudková Markéta, MUDr.
  • Klementa Viktor, MUDr.
  • Skácelová Martina, MUDr. Ph.D.
  • Vymětal Jiří, MUDr. Ph.D.
  • Horák Pavel, prof. MUDr. CSc.
  • Zadražil Josef, prof. MUDr. CSc.
  • Faber Edgar, prof. MUDr. CSc.
  • Papajík Tomáš, prof. MUDr. CSc.
  • Rohoň Peter, doc. MUDr. Ph.D.
  • Galuszková Dana, MUDr. Ph.D., MBA
  • Hluší Antonín, MUDr. Ph.D.
  • Raida Luděk, doc. MUDr. Ph.D.
  • Krejčí Karel, prof. MUDr. Ph.D.
  • Žamboch Kamil, MUDr. Ph.D.
  • Minařík Jiří, prof. MUDr. Mgr. Ph.D.
  • Metelka Rudolf, MUDr. Ph.D.
  • Pika Tomáš, MUDr. Ph.D.
  • Szotkowski Tomáš, doc. MUDr. Ph.D.
  • Procházka Vít, prof. MUDr. Ph.D.
  • Schovánek Jan, doc. MUDr. Ph.D.
  • Ščudla Vlastimil, prof. MUDr. CSc.
  • Indrák Karel, prof. MUDr. DrSc.
  • Doupal Vlastimil, MUDr. Ph.D.
  • Cibičková Ľubica, doc. MUDr. Ph.D.
  • Krystyník Ondřej, MUDr. Ph.D.
Course content
The content of the subject is dedicated mainly, but not exclusively, to hematology, nephrology issues in the context of the whole internal medicine. The teaching concentrates in the field of hematology on anemia, leukopenia, thrombocytopenia of basic types and forms, acute and chronic leukemia, lymphomas and bleeding disorders, both from the point of view of diagnostics and therapy. In the field of nephrology, the content is focused on acute and chronic kidney failure and its metabolic a cardiovascular impact, indication and replacement of kidney function, including hemodialysis and transplantation, and basic diseases of the kidneys and urinary tract, including glomerulonephritis, interstitial nephritis, secondary kidney damage (diabetic nephropathy and damage caused by systemic diseases of the connective tissue and vasculitis, etc.). The teaching concentrates in the field of rheumatology on rheumatoid and psoriatic arthritis, spondyloarthritis, autoimmune systemic diseases, vasculitis, metabolic diseases of the joint and bone. In the endocrinology the content is focused on dysfunction of endocrine organs and their metabolic impact, diabetes type I and II, metabolic syndrome, obesity and hyperlipoproteinemia. In all parts of the subject students are introduced to the principles of modern pharmacotherapy and they acquire practical skills in approaching patients with these conditions.

Learning activities and teaching methods
Lecture, Demonstration
Learning outcomes
The course focuses on providing the theoretical and practical foundations of the fields of hematology, nephrology, rheumatology, endocrinology, diabetology and selected metabolic disorders. The pathophysiology of diseases, their clinical picture, laboratory findings and examination methods leading to the diagnosis of these conditions, modern treatment and prognosis of these diseases are discussed. In the practical part, attention is paid to the expansion of practical skills in clinical examination, the preparation of medical reports, the interpretation of findings, established working and differential diagnoses and designing effective therapy and reducing the risk of their side effects.
Theoretical fundaments of hematology, nephrology a selected metabolic diseases. Widening of practical skills in clinical examination, elaboration of the reports, and construction of the diagnostic process. Interpretation of laboratory tests and diagnostic methods with the formulation of working and final diagnosis, effective disease management.
Prerequisites
Knowledge of pathology, physiology, pathophysiology, pharmacology according to requirements of the subject.
IN1/VA022
----- or -----
IN1/VA042 and FAR/VAB32

Assessment methods and criteria
Mark, Student performance

Active attendance at exercises and seminars, continuous assessment of the student's performance. Evaluation of the level of preparation. Final credit interview. Exam. Consistent preparation for lessons and active student participation are required. In the lessons, the issues of the lectured material are discussed. Practical exercises then take place in the Department of Internal Medicine III, the Department of Hemato-oncology and the Transfusion station. The practical training consists of the instruction of the teacher, the taking of patient's history, the physical examination of the patient, the compilation of documentation, the proposal of a diagnostic procedure and treatment plan. The part of practical teaching is also a description of X-ray findings, EKG curves and interpretation of available imaging and laboratory examinations. After the independent and teacher-supervised part of the work, there is a part dedicated to the discussion and analysis of the findings and issues of the patients with the teacher. Preparation for the practical training includes the study of recommended literature, reflecting the content discussed in the lessons. The participation in the activity is mandatory, excused absence 2 of 20 practical training and 4 of 40 seminars/lectures is tolerated, longer absence has to be substituted. Course is completed with an exam.
Recommended literature
  • Andreoli, Thomas E., Cecil, Russell L. (2016). Cecil Essentials of Medicine. Philadelphia, PA : Saunders/Elsevier.
  • Číhalík, Č., Táborský, M. (2013). EKG v klinické praxi. Olomouc: Solen.
  • Goldmann, L., Schafer, A.I. (2020). Goldman-Cecil Medicine, volume 2. Elsevier.
  • Chrobák, L., Gral, T., Kvasnička, J. (2003). Physical Examination Internal Medicine. Grada Publishing Praha, Czech Republic.
  • Kinirons M.T., Ellis H. (2012). French's Index of Differential Diagnosis. London/New York: CRC Press.
  • Kumar, P., Clark, M. (2016). Kumar and Clark's Clinical Medicine. Elsevier Books.
  • Longo, D., Fauci, A., Kasper, D., Hauser, S., Jameson, J., Loscalzo, J. (2018). Harrison's Principles of Internal Medicine. McGraw-Hill Professional.
  • Loscalzo, J. et al. (2022). Harrison's Principles of Internal Medicine. McGraw Hill Education & Medic.
  • Raftery, A.T. et al. (2021). Churchill's Pocketbook of Differential Diagnosis. Elsevier Health Sciences.
  • Ralston, S. et al. (2018). Davidson's Principles and Practice of Medicine. Elsevier.
  • Wilkonson, I.B. (2017). Oxford Handbook of Clinical Medicine. Oxford University Press.


Study plans that include the course
Faculty Study plan (Version) Category of Branch/Specialization Recommended year of study Recommended semester
Faculty: Faculty of Medicine and Dentistry Study plan (Version): General Medicine (2021) Category: Medical sciences 5 Recommended year of study:5, Recommended semester: -
Faculty: Faculty of Medicine and Dentistry Study plan (Version): General Medicine (2021) Category: Medical sciences 5 Recommended year of study:5, Recommended semester: -
Faculty: Faculty of Medicine and Dentistry Study plan (Version): General Medicine (2025) Category: Medical sciences 5 Recommended year of study:5, Recommended semester: -