1. SylabUZ
2. Wydział Lekarski i Nauk o Zdrowiu
3. semestr zimowy 2023/2024
4. WLiNZ - oferta ERASMUS / Lekarski - jednolite magisterskie sześcioletnie
5. Propedeutics of Internal Medicine

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Propedeutics of Internal Medicine - opis przedmiotu

Cel przedmiotu

The aim of the education is:

C1. Mastering the skills of collecting and interpreting medical history in an adult patient

C2. Mastering the ability to assess the patient's general condition, state of consciousness and awareness, paying attention to the diagnosis of life-threatening conditions requiring immediate medical intervention

C3. Mastering the technique of physical examination of an adult patient with the interpretation of the overall disease picture and planning the basic diagnostic process

C4. Getting to know the causes, symptoms and principles of differential diagnosis of the most common disease entities occurring in internal diseases, including the basis for the interpretation of additional tests

C5. Learning about the environmental and epidemiological conditions of the most common internal diseases, taking into account the specificity of the elderly and oncological vigilance

C6. Application of ethical, social and legal determinants of the medical profession and the principles of health promotion, based on scientific evidence and the philosophy of humanization of medicine

Wymagania wstępne

Zapisz zmiany

Use of knowledge from subjects related to basic sciences, such as knowledge of anatomy, physiology, pathophysiology, pathomorphology and ebm, ethics, patient rights and humanization of medicine

Zakres tematyczny

1.. Assessment of the patients general condition, consciousness of the patient

2. Conducting and interpreting the anamnesis

3. Carry out and interpret a physical examination of the head, chest and abdomen

4. Etiopathogenesis, symptomatology, differential diagnosis and prevention of diseases of the circulatory, respiratory, hematology, digestive, urinary, endocrine and movement systems, with particular emphasis on the specificity of the elderly and in oncological vigilance, in particular:

- cardiovascular diseases, including ischemic heart disease, heart defects, endocardial diseases, heart muscle, pericardium, heart failure (acute and chronic), arterial and venous diseases, arterial hypertension - primary and secondary, pulmonary hypertension,

- respiratory diseases, including chronic obstructive pulmonary disease, bronchial asthma, bronchiectasis, cystic fibrosis, respiratory tract infections, interstitial lung diseases, pleura, mediastinum, obstructive and central sleep apnea, respiratory failure (acute and chronic), cancers of the respiratory system,

- diseases of the digestive system, including diseases of the oral cavity, esophagus, stomach and duodenum, intestines, pancreas, liver, bile ducts and gall bladder,

- diseases of the endocrine system, including diseases of the hypothalamus and pituitary, thyroid, parathyroid, cortex and adrenal medulla, ovaries and testes and neuroendocrine tumors, multi-glandular syndromes, various types of diabetes and metabolic syndrome - hypoglycaemia, obesity, dyslipidemia,

- diseases of the kidneys and urinary tract, including acute and chronic renal failure, diseases of the renal glomeruli and interstitial kidneys, kidney cysts, kidney stones, urinary tract infections, cancers of the urinary system, in particular of the bladder and kidney,

 - diseases of the hematopoietic system, including bone marrow aplasia, anemia, granulocytopenia and agranulocytosis, thrombocytopenia, acute leukemias, myeloproliferative neoplasms and myelodysplastic-myeloproliferative neoplasms, myelodysplastic syndromes, tumors from mature b and t lymphocytes, life-threatening hemorrhagic states hematology, blood disorders in diseases of other organs,

- rheumatic diseases, including systemic connective tissue diseases, systemic vasculitis, arthritis involving the spine, metabolic bone diseases, in particular osteoporosis and osteoarthritis, gout,

- allergic diseases including anaphylaxis and anaphylactic shock and angioedema,

- water-electrolyte and acid-base disorders: states of dehydration, fluid-overload states, electrolyte disturbances, acidosis and alkalosis

5. The process of making a diagnosis based on the results of anamnesis and physical examination, differential diagnosis, selection and interpretation of the results of additional tests using evidence-based medicine and the philosophy of humanization of medicine

6. Keeping medical records.

7. Basics of epidemiology and environmental and occupational conditions occurring in internal diseases

8. Characteristics of hospital treatment.

Metody kształcenia

Exercises in groups of 5-6 people conducted in the internal medicine ward with particular emphasis on skillful interviewing and accurate and targeted physical examination. Lectures in multimedia form.

Efekty uczenia się i metody weryfikacji osiągania efektów uczenia się

Opis efektu	Symbole efektów	Metody weryfikacji	Forma zajęć

Warunki zaliczenia

The student's knowledge and practical skills will be verified in the form of preliminary tests, observation of the student's work, evaluation of preparation for classes, evaluation of activity during classes, case reports, partial credits and final credit.

 

Preparation for exercises is verified in oral or written form. The mastery of individual batches of material is verified in the form of descriptive and / or test tests (a mix of single and multiple choice questions) after the end of a given thematic block. The condition for passing the semester is obtaining a credit for the exercises and knowledge tests as well as the attendance at lectures. The condition for admission to the final credit is to pass both semesters.

Final credit consists of a practical part in direct contact with the patient and a theoretical part (test). The practical part is assessed for the ability to communicate with the patient, carefully collect an interview, and properly interpret subjective ailments and abnormalities found in the physical examination. In the event of receiving an unsatisfactory grade, the student is entitled to correct it within the time limit agreed with the person conducting the classes or authorized by the head of the teaching unit by the end of the academic year.

The assessment from the practical part is the assessment from the exercises. The final grade is the grade obtained by the student in the theoretical part of the final exam.

Passing the theoretical part will be conducted in the form of a test consisting of 100 single-choice and multiple-choice questions (1 question - 1 point). Duration of the exam - 100 minutes (1 question - 1 minute). The threshold for passing the theoretical part is 65% (the minimum number of points to pass - 65). Scoring - grades:

<65>

65-71 points - 3.0

72-78 points - 3.5

79-85 points - 4.0

86-92 points - 4.5

93-100 points - 5.0

 

In the event of receiving an unsatisfactory grade, the student is entitled to correct it by the end of the academic year, within the time limit agreed with the person conducting the classes or authorized by the head of the teaching unit.

 

Other conditions, not mentioned in this point, are specified in the study regulations at the University of Zielona Góra https://www.uz.zgora.pl/index.php?regulamin-studiow

Literatura podstawowa

Basic literature:

Macleod - Clinical examionation authors Douglas G, Nicol F Robertson C. Edra Urban & Partner Wrocław 2017, 2nd edition

Literatura uzupełniająca

Additionary literature:

1. Stuart H, Ralston SH, Penman ID Internal Diseases vol 1, 2 and 3. Edra Urban & Partner Wrocław 2020, 23rd edition

2. Journals available in the university library of the University of Zielona Góra, digital databases - medical sciences and health sciences; http://www.bu.uz.zgora.pl/

Uwagi

Zmodyfikowane przez dr hab. n. med. Józef Haczyński, prof. UZ (ostatnia modyfikacja: 21-05-2023 10:19)