Internal medicine - Gastroenterology
Students become aware in such issues as definition, incidence, etiology, pathogenesis, clinical
symptoms, differential diagnosis and application of additional diagnostic tests in proper diagnosis
and planning treatment of gastrointestinal system diseases. Practicals (clinical classes) are dedicated
to improve student’s skills in medical history obtaining, physical examination, endoscopic
examinations interpretation, planning and interpretation
of additional diagnostic laboratory,
biochemical and radiographic tests, planning of therapy, including pharmacological and dietetic
treatment in patients with gastrointestinal diseases. Students will be trained in performing
ultrasonographic examinations, paracentesis in cases of ascites. Students should have enough
knowledge from basic sciences, like anatomy, physiology, biochemistry, pathology, biochemical
diagnostic procedures and radiographic methods of gastrointestinal tract diseases diagnosis.
Teachers: Jarosław Koza
Contact: (kikgast@cm.umk.pl, jaroslaw.koza@cm.umk.pl )
Syllabus
I. Chair and Clinic of Gastroenterology, Vascular Diseases and Internal Diseases
II. Head of the Unit: prof. dr hab. Maciej Świątkowski
III. Faculty of Medicine, Medical Program, fourth year
IV. Course coordinator: prof. dr hab. Maciej Świątkowski
V. Form of classes: seminar, exercise
VI. Form of crediting: credit with grade, 1 p. ECTS
VII. Number of hours: 16 hours of seminars, 30 hours of exercises , total: 46 hours
VIII. Aim of the course:
Seminars:
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of esophageal diseases, including functional diseases
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of gastric and duodenum diseases
Improvement of diagnostic methods in functional gastrointestinal diseases; high resolution
manometry and pH-impedance measure
The main subject is the presentation of small bowel diseases as the reason of malabsorption
syndrome, with the explanation of anatomic, physiologic and pathologic basis, as well as the results
of radiologic and other additional examinations results
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of colon diseases. Screening for colorectal cancer.
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Functional gastrointestinal tract diseases, healthcare costs, medical point of view
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of liver diseases
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of gallbladder and biliary tract diseases
Definition, classification, epidemiology, etiology, pathogenesis, symptoms, diagnosis,
treatment, follow-up and prevention of pancreas diseases
Interventional procedures in gastrointestinal bleeding from upper and lower part of the
digestive tract, chronic bleeding and secondary anemia
Indications, contr-indications and side effects or endoscopic examinations og the lower and
upper part of the digestive tract
Indications, contr-indications and side effects or endoscopic retrograde
cholangiopancreatography, as the diagnostic and therapeutic method in pancreatic and biliary tract
diseases in comparison with surgery methods. Fine needle aspiratory biopsy from changes in
gastrointestinal organs
Repetition of main symptoms and reasons of abdominal pain, dysphagia, nausea, diarrhea,
constipation, jaundice and ascites
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Interpretation and practical application of laboratory test results in digestive tract diseases
Role of additional oral and intravenous nutrition in the treatment of gastrointestinal tract
diseases
Classes (practicals) conducted in gastroenterology and interventional medicine departments,
outdoor patient department and laboratories are dedicated to:
Examinations of patients with upper gastrointestinal tract diseases, diagnostic procedures,
treatment, observation, follow-up in outpatient department
Examinations of patients with lower gastrointestinal tract diseases, diagnostic procedures,
treatment, observation, follow-up in outpatient department
Examinations of patients with liver diseases, diagnostic procedures, treatment, observation,
follow-up in outpatient department
Examinations of patients with pancreatic and biliary tract diseases, diagnostic procedures,
treatment, observation, follow-up in outpatient department
Taking part in endoscopic examinations of upper and lower gastrointestinal tract, taking care
of patient during the whole procedure
Methods of biological treatment (anty-TNF) of gastrointestinal tract diseases, screening of
colorectal cancer: indications, compliance
After completing the course of gastrointestinal tract diseases (lectures, seminars) student is able to:
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Name, define and diagnose diseases and syndromes of gastrointestinal tract
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Plan and interpret the results of additional tests
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Plan additional invasive examinations of the digestive tract
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Recognize patients with alarm symptoms
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Recognize acute cases which should be hospitalized
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Plan screening procedures to recognition and follow-up of pre-cancer cases
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Plan out-patient treatment and follow-up
Student is able to:
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Use theoretical knowledge to take care of patients with gastrointestinal tract diseases
Plan and interpret additional examinations (laboratory, radiographic) to prepare proper
diagnosis
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Discus about differential diagnosis of typical symptoms of gastrointestinal symptoms diseases
Conduct interpretation of medical history and medical documentation to propose a proper
diagnosis
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Use data from carefully conducted anamnesis to the final diagnosis
Use all methods of physical examination in gastrointestinal tract diseases diagnostic
procedures
Present all obtained data and discuss the case report, diagnostic procedures and treatment
strategies
Rules and regulations
Student is obliged to:
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Wear medical gown, shoes and have stethoscope during clinical trainings
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Pass the initial test checking the knowledge from the previous learning years
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Pass the exam of theoretical knowledge and physical examination
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Work out and present one medical case
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Pass final test
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Attend every lecture, class and workshops during entire course and show adequate activity
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Absence with the written excuse will be executed by additional activity
The final credit (credit with grade) depends on all above mentioned components.
Literature
Harrison’s Principles of Internal Medicine - 18th Edition, editors Dan L. Longo et al., Mc Graw Hill
Medical