Clinical Propaedeutic

Course guarantor:

Jana Votrubová

Lecturer:

Jana Votrubová

Tutor:

Supervisor:

Department of Dosimetry and Application of Ionizing Radiation

Synopsis:

Making students familiar with the basics of anamnesis, physical examination, examinational methods of different organs, hematological and biochemical examinations and anaesthesia

Requirements:

Syllabus of lectures:

1. History: Family - cars - employment - pharmacological, physiological function, history of present illness and the importance of history to reduce the radiation dose.

2. Physical examination methods (view, percussion, palpation, listening, rectal examination, total patient examination - consciousness, body proportions, skin temperature, pulse, breathing) versus imaging.

3. Examination of the head and neck, respiratory tract examination - listening, lung function, sputum, X-ray, bronchoscopy, broncho alveolar lavage, CT, HRCT, and cardiovascular system examination - listening to heart sounds, ECG, echocardiography, x-ray, invazivbí cardiac, cardiac function , examination of the arteries, the examination of the venous system.

4. Examination of the abdomen, digestive system tests - ultrasound, endoscopic methods, X-ray, CT, puncture methods, isotope testing, functional testing, kidneys and urinary tract - the physical examination, laboratory methods, sonography, TRG, CT, isotope testing, functional testing.

5. All foundations, including hematological and biochemical tests.

6. Acute abdominal hernia, pancreatitis acuta, symptoms of obstructive jaundice, intestinal obstruction, appendicitis.

7. Examination of the locomotive system - joints, spine, skeleton, muscles, ligaments - the basics of neurological examination, an investigation in endocrinology.

8. Fractures, head injuries, intracranial bleeding, chest injuries, spinal injuries and spinal injuries, abdominal injuries, catheters, cannulae, drains, surgical wound healing complications, postoperative complications.

9. Local and general anesthesia, instrumentation for small performances, preparing a patient for surgery, the body response to trauma and surgery, postoperative complications.

10. Fundamentals of Percutaneous Techniques - venipuncture, the possibility of venous access, chest puncture, pericardial biopsy, abdominal puncture, lumbar puncture, joint puncture, bone marrow biopsy, trepanobiopsy, splenic puncture, puncture of the lymph nodes.

Syllabus of tutorials:

Study Objective:

Knowledge:

Making students familiar with the basics of anamnesis and physical examination.

Abilities:

Creating a history based on data collected during standard examinations of individual organs.

Study materials:

Key references:

[1] Ladislav Chrobak et al, Propaedeutics Internal Medicine, Grada, 1. edition, 1997. (in Czech)

[2] Pavel Klener et al, Internal Medicine - Propaedeutics, Galen, 2003. (in Czech)

Recommended references:

[3] Way L.W., Current surgical diagnosis and treatment, Prague, Grada, 1998 (ISBN: 80-7169-397-9)(in Czech)

Note:

Time-table for winter semester 2024/2025:

	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
Wed	roomBR:215 Votrubová J. 08:00–11:50 (lecture parallel1) Břehová 7
Thu
Fri

Time-table for summer semester 2024/2025:

Time-table is not available yet

The course is a part of the following study plans:

• Jaderné inženýrství - Aplikovaná fyzika ionizujícího záření (elective course)
• Radiologická technika (compulsory course in the program)
• jaderné inženýrství - Radioaktivita v životním prostředí (elective course)