Basic Diagnostic and Therapeutical Methods I.

Lecturer:

Leoš Navrátil, Jozef Rosina (gar.), Věra Adámková, Vítězslav Ducháč, Jaroslav Racek

Tutor:

Leoš Navrátil, Jozef Rosina (gar.), Věra Adámková, Vítězslav Ducháč, Jaroslav Racek, Martina Šliková

Supervisor:

Department of medical branches and humanities

Synopsis:

Scope of the subject

The subject provides a brief, clear and integral concept of medical branches, particularly internal medicine. The purpose of the subject is to acquaint the student with basic diseases, with primary and secondary prevention of internal diseases and to define terms associated with the patient health condition consideration.

The student should be able to compare and differentiate from each other methods of health examination, described procedures for the basic clinical examination and understand its principle and importance. He/she is supposed to know methods of monitoring the patient health condition.

Requirements:

Credit Requirements and tests

Partial requirements:

Active participation in all exercises and seminars. Development of two seminar papers on the subject, to determine, by mutual agreement the teacher.

Credit:

100% attendance and at least one paper at a seminar or training, based on one of two student seminar papers processed, which will be judged on content, method of processing, speech clarity and the listener. The student also submits two written reports, prepared by exhaustive, reviewed by the teacher and, if necessary, invite the listener to the consultation. If a student fails to demonstrate adequate knowledge of the issue, the teacher asks him to essay revision.

Examination:

form of test in the range of literature and reference substances odpřednášené in lectures focusing on the physical examination, history taking skills, indications, principles and suitability of the instrumentation used in the fields of internal medicine (cardiology, gastroenterology, nephrology, Pneumology), in sports medicine, in medical laboratories in surgery, in obstetrics, in obstetrics, rehabilitation medicine, ophthalmology and otorhinolaryngology. The minimum score for meeting the tests 19 points from 30 possible. The test contains 30 questions with three possible answers (the number of correct answers from zero to three).

When evaluating the studies used grading scale, which is in line with the ECTS grading scale.

classification ECTS grade A B C D E F

Spot

from 29 to 30 27-28 24-26 22-23 19-21 <19

numeric

Classification 1.0 1.5 2 2.5 3 4

English excellent very good good satisfactory sufficient failed

The classification is entered in the study. In the student trying to give letter abbreviations, verbal classification level in parentheses, the date of the examination or the date of its last part and sign it. The classification level of F in the student's record.

Topics for the test

health care and patient relationship, communication principles, methods of dialogue, medical confidentiality, secrecy of the law;

medical records conducted in a medical facility, the principles of leadership, various types of requisitions, their purpose, results and archiving of medical records;

types of medical devices, their position in the health care system, the necessary instrumentation and personnel resources, the importance of the diagnostic, therapeutic, and rekonvalescenčním monitoring system of care for the sick;

nutritional therapy as an essential part of the healing process, organization, diet food security in healthcare facilities, diet patient outside a health facility;

types of case histories, the way of history taking, the importance of history in the diagnosis;

principles of patient examination, presens status, knowledge of normal findings on examination of individual organs, the method of their evaluation;

Overview of basic medical examination for entrance examination, knowledge of the physical nature of these methods (blood pressure, pulse);

explain the concept of biological material, its distribution, method of collection, sampling, safety, necessary protective equipment, sampling kits, disposable equipment, method of disposal;

explain basic concepts and procedures with which the student is at work in health care encounters (cannula, drain, infusion set, transfusion set, ....)

an explanation of basic medical services and procedures (puncture, cannulation, drainage, ...), demand nepřístrojové equipment;

the allocation method of protecting a patient against pathogenic agents, methodologies, principles of individual techniques, instrumentation requirements (sterilizer, autoclave), and consumables;

brief description of devices used in laboratory diagnostics (in biochemical, haematological, immunological and microbiological laboratory, their relevance for diagnosis and therapy, principles of work with them, the basic technical parameters, necessary supplies, services;

explanation of the principle of some diagnostic methods with the use of instrumentation, knowledge of basic technical parameters of the instruments, principles of care for these devices, knowledge of required supplies, indications for use of this technique, the expected diagnostic benefits, training medical staff (endoscopy, laparoscopy, sonography);

brief description devices used in diagnostic and therapeutic process in some medical specialties in the range specified by the lecturer, the principles of care for these devices, knowledge of the necessary supplies, indications for use of this technique, the expected diagnostic benefits respectively. therapeutic benefits, training medical staff (in the fields of cardiology, obstetrics and gynecology, otorhinolaryngology, ophthalmology, physiotherapy, balneology, sports medicine);

dialysis, dialysis principle, indication for dialysis, dialysis program instrumentation dialysis units, organizations dialysis treatment, dialysis unit economics;

basic distribution of natural therapeutic resources, their use, indications for spa treatments, spa care organizations, a list of indicator, economic and therapeutic benefits of spa treatments, a major spa centers;

operating system in a hospital, outpatient surgical department, the organization of its work, equipment, tools and equipment, care of tools, logistics, operational tools and utilities, basic consumer information about surgical material, disposable supplies, and disposal of disposable biological material, organization of work in the operating tract, types of surgeries according to the field, delivery room;

care for a pregnant woman in the Czech Republic, the organization visits the prenatal and postnatal periods, methods of assisted reproduction, birth care in terms of health, social and psychological, preparation for childbirth, father involvement at birth.

Syllabus of lectures:

Clinical propaedeutic I (relationships between healthcare professionals and patients, method of the communication with patients, importance of the anamnesis, methods of establishing the anamnesis)

Clinical propaedeutic II (the attitude to patients, basic physical examinations)

Instrumental techniques in laboratories, organization of work in laboratories (biochemical, haematological, immunological and bacteriological laboratories; obligatory documentation)

The dialysis unit (history, development, principle and indication of the dialysis, dialysis instruments, perspectives)

Endoscopy (the principles of endoscopic examinations, indications for use, instrumental technique, taking care of instruments)

Diagnostic sonography (physical principle of sonographic imaging, instrumental techniques used in medicine, suitable indications, diagnostic yield)

Laparoscopy (historical development, principle, instrumental technique, diagnostic and therapeutic use)

Organization of work at operating theatre (principles, surgical set, logistics of surgical tools, instrumental equipment)

Instrumental techniques in cardiology (outline of examinations employed in diagnostics of cardiovascular diseases, suitable indications, their contribution to the subsequent therapeutic procedure)

Instrumental techniques in sport medicine (outline of functional examinations employed in sport medicine, contemporary diagnostic techniques)

Instrumental techniques in gynaecology and obstetrics (diagnostic and therapeutic procedures employed in gynaecology and obstetrics, outline of diagnostic and instrumental techniques, indications for use, diagnostic and therapeutic yield)

Instrumental techniques in ophthalmology (diagnostic and therapeutic procedures employed in ophthalmology, outline of diagnostic and instrumental techniques, indications for use, diagnostic and therapeutic yield)

Instrumental techniques in otorhinolaryngology (diagnostic and therapeutic procedures employed in otorhinolaryngology, outline of diagnostic and instrumental techniques, indications for use, diagnostic and therapeutic yield)

Physical principles of the use of instrumental techniques in physiotherapy (electrotherapy, thermotherapy, mechanotherapy, hydrotherapy, phototherapy, radiotherapy)

Note - the order of lectures can be varied; the students will be timely informed about these changes

Syllabus of tutorials:

1.st week - Medical documentation (case report, documentation in hospital, applications for laboratory examinations, types of laboratory examinations, applications for further types of examinations and subsequent treatment, method of management, safety, protection)

2.nd week - Principles of work with biological material (principles of taking samples, handling with biological material, handling with used sampled material, liquidation of infectious material, sampling systems)

3.rd week - Aseptic and antiseptic principles, types of sterilization, disinfection

4.th week - Rules of interviews with patients. Exercise in establishing the anamnesis, analysis of knowledge acquired

5.th week - Physical examination of patients I (attitude to patients, contact with patients, methodology of in their examination, suitable background, physical examination by inspection, palpation, auscultation, preliminary neurological examination, indirect measurement of the blood pressure)

6.th week - Physical examination of patients II (attitude to patients, contact with patients, methodology of their examination, suitable background, physical examination by inspection, palpation, auscultation, preliminary neurological examination, indirect measurement of the blood pressure)

7.th week - Surgical consumables and instruments (distribution, principles of storing, principles of taking care of surgical tools, principles of economic handling)

8.th week - Basic surgical interventions (punctions, drainages, drains, cannulation, cannulas)

9.th week - Principles of taking care of endoscopic instruments

10.th week - Types of medical facilities (acute hospital care, ambulatory care, subsequent care, rehabilitation institutes, rehabilitation departments)

11.th week - Principles of catering in healthcare institutions (types of diets, organization of catering, nutritional therapy)

12.th week - Principles of taking care of pregnant women (prenatal units, medical examinations, preparation to delivery, physical exercise in pregnancy, participation of the father)

13.th week - Spa care (classification of spas, principles and importance of balneology, indication list)

14.th week - Repeating, varia, credit

The scope of exercises:

control of knowledge of the still presented themes (oral or written)

assays concerning the problems, note

order of practical exercises can be varied depending on the order of lectures; the students will be timely informed about the change

Study Objective:

This subject provides students with a comprehensive interpretation of the diagnostic process in healthcare, pathology units and also health related aspects.

Study materials:

Literatura referenční1)Navrátil,[1]. Leoš a kol.: Vnitřní lékařství pro nelékařské zdravotnické obory. GRADA, Praha 20082)[2].Zima, Tomáš a kol.: Laboratorní diagnostika. Galén, Praha 20023)[3].Bártová, Jarmila: Patologie pro bakaláře. Praha, Karolinum 20044)[4].Pacovský, Vladimír, Sucharda, Petr: Úvod do medicíny. Učebnice pro bakalářské a magisterské studium zdravotnických, paramedicínských a sociálních oborů. Praha, Karolinum 20025)[5].Pacovský, Vladimír: Klinická propedeutika pro magisterské a bakalářské studium ošetřovatelství. Praha, Karolinum 19996)[[6].Zeman Miroslav: Chirurgická propedeutika, Grada, Praha 2003Literatura doporučená1)Adámková Věra. : Úvod do problematiky epidemiologie a prevence kardiovaskulárních chorob - Jihočeská univerzita České Budějovice, 20032)Ferko Alexandr: Chirurgie v kostce, Grada, Praha 20023)Chrobák Ladislav: Propedeutika vnitřního lékařství, Grada, Praha 2007

Note:

Time-table for winter semester 2011/2012:

	06:00–08:0008:00–10:0010:00–12:0012:00–14:0014:00–16:0016:00–18:0018:00–20:0020:00–22:0022:00–24:00
Mon
Tue
Fri
Thu
Fri	roomKL:B-507 Rosina J. Navrátil L. 08:00–19:50 (lecture parallel1) Kladno FBMI Učebna

Time-table for summer semester 2011/2012:

Time-table is not available yet

The course is a part of the following study plans:

• Navazující magisterský studijní obor Systémová integrace procesů ve zdravotnictví - kombinované (compulsory course)