MINISTRY OF HEALTH OF UKRAINE
Bogomolets National Medical University
Approved
at the meeting of the
Department of Internal Medicine No. 3
dd.___________________2021
Protocol No.
Head of the Department
Professor O. B. Yaremenko
Reviewed and approved by the CMC of therapeutic disciplines
dd. _________________ 2021, Protocol No.
Academic
discipline
Field of study
Module No 4
Content
module No 2
INSTRUCTIONAL GUIDELINES
to practical exercises for students
Internal medicine
General medicine
Contemporary practice in Internal medicine
Management of patients with the main symptoms and
syndromes in rheumatologic practice
Topic
of
class Management of a patient with fever
session No 13
Year
sixth
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Kyiv 2021
2
1. Objective of the class session:
To teach students to conduct an interview and physical examination of
patients with fever of unknown origin (FUO).
To master the identification of FUO depending on the diagnostic criteria.
To introduce students to the diagnostic value of clinical manifestations,
data from additional laboratory and instrumental examination methods in FUO,
and indications for their administration.
To master the algorithm of differential diagnosis and management
approach of a patient with FUO.
To study the algorithm of examination of patients with FUO and methods
of diagnosis and treatment of various pathological conditions and diseases that
occur with FUO.
2. Competencies (development of competencies)
1. Have the knowledge of the main types of fevers that occur in various
diseases.
2. Have the knowledge of the core diseases and conditions accompanied by
FUO: infectious diseases, oncological diseases, systemic connective tissue
diseases, in particular, systemic lupus erythematosus, rheumatic polymyalgia,
rheumatoid arthritis, Still's syndrome in adults; systemic vasculitis, including
Takayasu's arteritis, Horton's giant cell polyarteritis, ANCA-associated
vasculitis, inflammatory bowel diseases (UC and Crohn's disease), and others.
3. Master the key stages of diagnostic examination in FUO.
4. Master the differential diagnostic value of clinical manifestations and data
from additional laboratory and instrumental methods of examination.
5. Be able to prescribe the best possible algorithm of differential diagnosis.
6. Have the knowledge how to manage a patient with FUO.
7. Master the methods of non-drug and drug treatment of major diseases
accompanied by FUO.
8. Have the knowledge of primary and secondary prevention of diseases
accompanied by FUO.
9. Determine the prognosis and performance capability of patients with FUO.
3. Plan and organizational structure of the class session.
Stage name
Stage description
Levels of
understanding
Preparatory stage
Organizational
Methods of controlling
Question
arrangements
theoretical knowledge:
Typical tasks
Checking workbooks
- individual theoretical
Tests
Setting educational
interviewing;
Written
objectives and
- test control;
theoretical
Time
45-60
min.
3
motivation
Control of the initial
level of knowledge:
1. Etiology and
pathogenesis
2. Clinic
3. Diagnostics
4. Differential
diagnosis
5. Treatment
Developing practical
skills
1. Interviewing a
patient, objective
examination of a
patient with FUO.
2. Guidelines for
identifying various
types of fever.
Development of
professional skills
1. Follow-up the
patient
2. Make a plan for
examining the patient.
3. Draw up a
management program
for a patient with FUO.
Control and correcting
the level of practical
and professional skills
- addressing typical issues.
Key stage
Method of developing
practical skills:
Practical training session
Method of developing
professional skills:
training session on
addressing typical and
atypical situational issues
(real clinical, simulated,
text issues)
Final stage
Methods for controlling
practical skills:
Individual control of
practical skills and their
outcome
assignments
Tables
Drawings
Structural and
logical schemes
Audio and video
content.
Algorithm
for 100-150
developing
min.
practical skills.
Professional
algorithms
for
developing
professional
skills;
patients, medical
histories,
situational issues
Outcome
of 45-60
managing
the min.
patient, working
with a medical
history.
Methods of controlling
professional skills: analysis Atypical
and evaluation of students' situational issues.
clinical work outcome
Summing up the
results of the
5-10
min.
4
theoretical, practical
and organizational
class session:
Homework assignment Roadmap for independent
study of the reference
literature. Reference list
(basic and additional)
5 min.