1
6th year General Medicine
SURGERY- CLERKSHIP
Six weeks block 12.3. – 20.4.2007
9.00- 12.00 a.m.
Office Hours :
Wednesday
10.00 – 12.00
10.00 – 12.00
professor Zeman
Assistant professor Demeš
Two weeks
SEMINARS & WARD BLOCK :
One week
SEMINARS &WARD BLOCK
1th Surgical Department –
ClinicalDepartment of Abdominal,Thoracic Surgery and Traumatology , Praha 2 ,
U nemocnice 2
Official in charge : Assistant professor DEMEŠ
Department of Surgery Thomayer Teaching Hospital ,Praha 4, Vídeňská 800.
Official in charge: Associate professor VISOKAI Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4
Official in charge: Associate professor GÜRLICH
One week
SEMINARS & WARD BLOCK - Cardiovascular surgery :
2th Surgical Department- Clinical Department of Cardiovascular Surgery, Praha 2 , U
nemocnice 2
Official in charge: Associate professor LINDNER
One week
SEMINARS &WARD BLOCK
Department of Surgery Na Bulovce, Praha 8, Budínova 2
One week
Official in charge: Assistant professor ŠTERCLOVÁ
State examination: 1th Surgical Department – Clinical Department of
Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2
Official in charge: professor ZEMAN , Associate professor LINDNER
12.-16.3.07
1th Surg.
19.-23.3.07
1th Surg.
26.-30.3.07
2th Surg.
2.- 5.4.07
Surg..BULOVKA.
10.-13.4.07
Department of
Surgery Thomayer
Teaching Hospital
,Praha 4, Vídeňská
800
16.-20.4.07
STATE EXAM.
1th Surg
Klinika
transplantační
chirurgie IKEM,
Vídeňská 1958/9
Praha 4
Caption
1th Surg :
2th Surg. :
Surg.BULOVKA :
Surg. KRČ :
1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery
and Traumatology , Praha 2 , U nemocnice 2
2th Surgical Department- Clinical Departmant of Cardiovascular Surgery, Praha 2 ,
U nemocnice 2
Department of Surgery Na Bulovce, Praha 8, Budínova 2
Department of Surgery Thomayer Teaching Hospital ,Praha 4, Vídeňská 800.
2
1st week ( 12.- 16.3.2007 ) 1th Surgical Department – Clinical Department of Abdominal,Thoracic
Surgery and Traumatology , Praha 2 , U nemocnice 2
12.3.
OSTEOMYELITIS
9-10.45
ACUTE HEMATOGENOUS OSTEOMYELITIS
CHRONIC OSTEOMYELITIS, POSTRAUMATIC OSTEOMYELITI
13.3
14.3.
15.3.
9-10.45
WARD BLOCK
BASIC PRINCIPLES OF SURGICAL ONCOLOGY
BASIC PRINCIPLES OF EXPERIMENTAL SURGERY
CARCINOMA OF THE FEMALE BREST
ESSENTIALS OF DIAGNOSIS
GENERAL CONSIDERATION
STAGING CLINICAL STAGING, 5-YEAR SURVIVAL(%)
SLINICAL FINDINGS SYMPTOMS, SIGNS
EARLY DETECTION SCREENING PROGRAMS, SELF-EXAMINATION,
SONOGRAPHY, MAMMOGRAPHY, BIOPSY, CYTOLOGY
PATOLOGIC TYPES
HORMONE RECEPTOR SITES
CURATIVE TREATEMENT
SURGICAL TREATEMENT LIMITED PROCEDURES, SEGMENTAL
MASTECTOMY (LUMEPECTOMY, QUADRANT EXCISION,L PARTIAL
MASTECTOMY, MASTECTOMY.
POSTOPERATIVE CAREWOUND COMPLICATIONS, FOLLOW-UP
CARE , LOCAL RECURENCE, EDEMA OF THE ARM
PROGNOSIS
CARCINOMA OF THE MALE BREST CLINICAL
FINDINGS, TREATEMENT, PROGNOSIS
16.3
LIVER
9-10.45
SURGICAL ANATOMY, VENOUS BLOOD SUPPLYARTERIAL BLOOD
SUPPLY, PREOPERATIVE EVALUATION , PRIMARY LIVER CANCER,
METASTATIC NEOPLASMS OF THE LIVER HEPATIC RESECTION ,
PROGNOSIS
BENIGN TUMORS & CYSTS OF THE LIVER, HEPATIC ABSCESS
PORTAL HYPERTENSION ANATOMY OF THE PORTAL
CIRCULATION , INCRESED RESISTENCE TO FLOW
(
PREHEPATIC, HEPATIC, POSTHEPATIC ) INCRESED PORTAL
BLOOD FLOW ( ARTERIAL-PORTAL VENOUS FISTULA, INCRASED
SPLENIC FLOW ) BUDD- CHIARI SYNDROME , ACUTALY BLEEDING
VARICES, NONBLEEDING VARICES
Professor
ZEMAN
Professor
VANNUCI
Assistant professor
ŠUK
Associate professor
GÜRLICH
PORTOSYSTEMIC SHUNTS
ASCITES, PERITONEAL-JUGULAR SHUNT, HEPATIC
ENCEPHALOPATHY
2st week (19.-23.3.2007) 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery
and Traumatology , Praha 2 , U nemocnice 2
19.3.
SPLEEN HYPERSPLENISM (PRIMARY, SECONDARY), SYMPTOMS
9-10.45
& SIGNS, LABORATORY FINDINGS, EVALUATION OF SPLENIC SIZE,
EVALUATION OF SPLENIC FUNCTION, TREATEMENT,INDICATIONS
FOR SPLENECTOMY, LAPAROSCOPIC SPLENECTOMY,
,PROGNOSIS
20.3.
SHOCK
9-10.45
DEFINITION OF SHOCK, CAUSES OF SHOCK,PATOPHYSIOLOGY OF
SHOCK, EFFECTS ON THE MACROCIRCULATION, EFFECT OF THE
MICROCIRCULATION, CLINICAL SYNDROMES OF SHOCK,
PRINCIPLES OF MANAGEMENT, PRINCIPLES OF INTENSIVE CARE
MANAGEMENT
BURNS
DEPT OF BURNS,,PATHOPHYSIOLOGY OF TERMAL
INJURES,METABOLIC RESPONSE TO BURNS & METABOLIC
Associate professor
GÜRLICH
Professor
ZEMAN
3
SUPPERT, BURN MANAGEMENT, ACUTE
RESUSCITATION,POSTRESUSCITATION PERIOD, CARE OF THE
BURN WOUND, RESPIRATORY TRACT INJURY IN BURNS.
21.3.
22.3.
9-10.45
23.3.
9-10.45
WARD BLOCK
THORACIC INJURES DIAGNOSIS &THERAPY
CHEST WALL, FLAIL CHEST,PLEURAL SPACE,HEMOTHORAX
PNEUMOTHORAX,TENSION PNEUMOTHORAX,LUNG INJURY,LUNG
LACERATION, LUNG HEMATOMAS, TRACHEOBRONCHIAL
INJURY,TRACHEOSTOMY, HEART AMD PERICARDIUM INJURY,
ESOPHAGUS,THORACIC DUCT, DIAPHRAGM
Assistant professor
DEMEŠ
INJURES PELVIS, SPINE
FRACTURES & DISLOCATIONS OF THE CERVICAL SPINE
INJURES OF THE UPPER CERVICAL SPINE (OCCIPUT C1-C2 ),
FUNCTIONAL ANATOMY OF THE UPPER CERVICAL SPINE,ATLAS
FRACTURES, TRANSVERSE LIGAMENT RUPTURE, ATLANTOAXIL
ROTATORY SUBLUXATION, FRACTURES OF THE ODONTOID
PROCESS OF THE AXIS(DENS), INJURES OF THE LOWER CERVICAL
SPINE (C3-C7),NEUROLOGICMCERVICAL SPINE INJURES,
NEUROLOGIC EXAMINATION,CLASSIFICATION OF THE
NEUROLOGIC INJURY, TREATMENT
FRACTURES & DISLOCATIONS OF THE THORACOLUMBAL SPINE
SPINAL CORD, REFLEX ARC, SPINAL SHOCK, NEUROGENIC SHOCK,
PATTERNS OF NEUROLOGIC INJURY,COMPLET & INCOMPLET
DEFICIT, CLASSIFICATION , INITIAL EVALUATION
& MANAGEMENT
Assistant professor
BIROŠ
3st week (26.3.-30.3.07) Cardiovascular surgery : 2th Surgical Department- Clinical Department
of Cardiovascular Surgery, Praha 2 , U nemocnice
26.3.
27.3.
28.3.
2
ARTERIES,ATHEROSCLEROSIS, PERIPHERAL ARTERIAL
Associate professor
INSUFFICIENCY,SYMPTOMS- INTERMITENT CLAUDICATION,- REST
PAIN,INABILITY, SENSATION SIGNS –ARTERIAL PALPATION ,BRUITS,
PALLOR, RUBOR, RESPONSE, TEMPERATURE, ULCERATION,
NECROSIS, ATROPHY, NONIVANSIVE VASCULAR TESTS , IMAGING
STUDIES , SURGICAL TREATMENT
ACUTE ACCLUSION OF MAJOR PERIPHERAL ARTERIES, EMBOLISM
& TROMBOSIS M TRAUMATIC ARTERIAL OCCLUSION, DIABETIC
VASCULAR DISEASE , TROMBANGOITIS OBLITERANS. ARTERIAL
ANEURYSMS, SYMPTOMS & SIGNS, IMAGING STUDIES, TREATMENT,
PROGNOSIS, THORACIC OUTLET SYNDROME, ARTERIOVENOUS
FISTULA, CEREBROVASCULAR DISEASE, CHRONIC
GASTROINTESTINAL ISCHEMIA SYNDROMES
LINDNER
THE VEINS FUNCTIONAL & SURGICAL ANATOMY, PRIMARY
Associate professor
&SECONDARY VARICOSITIES, COMPLICATIONS , TREATMENT ,
VENOUS THROMBOSIS, - SYMPTOMS & SIGNS – PHLEGMASIA
CERULEA DOLENS , PHLEGMASIA ALBA DOLENS, DIAGNOSTICS
TESTS,THE DOPPLER ULTRASOUND, DUPLEX ULTRASOUND,
BLOOD TESTS, COMPLICATIONS, PREVENTION, TREATMENT OF
DEEP VENOUS THROMBOSIS , DRUG & OPERATIVE PROCEDURES ,
VENOUS INTERRUPTION
PULMONARY THROMBOEMBOLISM , SYMPTOMS & SIGNS, BLOOD
TESTS, IMAGING STUDIES, PREVENTION SUPERFITIAL
THROMBOPHLEBITIS, AXILLARY-SUBCLAVIAN VENOUS
THROMBOSIS, CHRONIC DEEP VENOUS
INSUFFICIENCY(POSTPHLEBITIC SYNDROME ) CLINICA FINDINGS –
EDEMA, -DERMATITIS,-INDURATION, ULCERATION, -PAIN ,
TREATMENT
LINDNER
CARDIOSURGERY
Associate professor
EXTRACORPOREAL CIRCULATION, MYOCARDIAL PRESERVATION,
VALVULAR HEART DISEASE, THORACIC AORTIC ANEURYSM,
AORTIC DISSECTION, ISCHEMIC HEART DISEASE, ANGINA
PECTORIS, SYMPTOMS & SIGNS, LABORATORY A SPECIAL STUDIES,
TREATMENET,PROGNOSIS FOLLOW SURGICAL TREATMENT,
LINDNER
4
PERICARDITIS , SYMPTOMS & SIGNS M LABORATORY FINDINGS,
SPECIAL EXAMINATION , COMPLICATIONS ( CARDIAC TAMPONADE
, CONSTRICTIVE PERICARDITIS ) SURGICAL TREATMENT, CARDIAC
TUMORS .
29.3.
WARD BLOCK
Associate professor
30.3.
WARD BLOCK
Associate professor
LINDNER
LINDNER
4st week (2.4.- 5.4.07)
2.4
SEPSIS, BACTEREMIA&SEPTICEMIA
ENDOTOXIN,PHYSICAL EXAMINATION, LARATORY FINDINGS
(GENERAL ,BLOOD CULTURES), IMAGING STUDIES, SOURCE OF
INFECTION, TREATMENT( INCISISON AND DRAINAGE, EXCISION,
CIRCULATORY ENHANCEMENT,ANTIBIOTICS,NUTRICION
SUPPORT,PROGNOSIS.
3.4.
NOSOCOMIAL INFECTIONS & INFECTION
CONTROL SURGICAL TEAM AS A SOURCE OF INFECTION,
OPERATIONG ROOM, THE PATIENT, ANTIOBIOTIC PROPHYLAXIS 2
4.4.
INTRA-ABDOMINAL ABSCESSES
SITES OF ABSCESSES, ( RIGHT LOWER QUADRANT, LEFT LOWER
QUADRANT, PELVIS, SUBPHRENIC , INTERLOOP )
SYMPTOMS AND SIGNS, LABORATORY FINDINGS, IMAGING
STUDIES, TREATEMENT
5.4
WARD BLOCK
6.4.
Dean´s day
Surgical Clin. Na Bulovce, Praha 8,
Budínova 2
5st week (10.4.-13.4.07) Surgical Clin. Thomayer Teaching Hospital Praha 4, Vídeňská 800
10.4.
BILIARY
Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4
Associate professor
TRACT. SURGICAL ANATOMY, ENTEROHEPATIC
CIRCULATION, DIAGNOSTIC EXAMINATION OF THE BILARY TREE,
PHYSICAL EXAMINATION, LABORATORY TESTS, PATHOGENESIS OF
GALLSTONES, DISEASES OF THE GALLBLADER & BILE DUCT
ACUTE CHOLECYSTITIS , SYMPTOMPS & SIGNS, LABORATORY
FINDINGS, IMAGE STUDIES,, COMPLICATIONS ( EMPYEMA,
PERFORATION )M TREATEMENT,
CHOLANGITIS , CHOLEDOCHOLITHIASIS SYMPTOMS & SIGNS,
LABORATORY FINDINGSM IMAGING STUDIES, COMPLICATIONS ,
TREATEMENT, CARCINOMA OF THE GALLBLADER, MALIGNANT
TUMOR OF THE BILE DUCT, TREATEMENT , PROGNOSIS.
11.4. ABDOMINAL INJURES DIAGNOSIS &THERAPY
PENETRATING & NONPENETRATING TRAUMA(BLUND TRAUMA),
ABDOMINAL WALL INJURES, LIVER INJURES, BILARY TRACT
INJURES,SPLENIC INJURES,PANCREATIC INJURES, GATROINTE
TINAL TRACT INJURES, GENITOURINARY TRACT INJURES
12.4. CELL AND ORGAN TRANSPLANTATION
Organ donation, Eurotransplant
HEARD and HEARD-LUNG
13.4. LIVER , PANCREAS and REANAL Transplantation,
Visokai
Surgical Clin.
Thomayer Teaching
Hospital Praha 4,
Vídeňská 800
Associate professor
Visokai ¨
Surgical Clin.
Thomayer Teaching
Hospital Praha 4,
Vídeňská 800
Associate professor
GÜRLICH
Klinika transplantační
chirurgie IKEM,
Vídeňská 1958/9 Praha
4
Associate professor
GÜRLICH
Klinika transplantační
chirurgie IKEM,
Vídeňská 1958/9 Praha
4
5
6st week (18.4.-21.4.06) 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery
and Traumatology , Praha 2 , U nemocnice 2
18.4.
19.4.
20.4.
21.4.
State examination
State examination
State examination
State examination
Professor
Professor
Professor
Professor
ZEMAN
ZEMAN
ZEMAN
ZEMAN
Assistant professor
Rudolf DEMEŠ, MD,PhD
Associate professor Jan Šváb,MD,PhD
Chairman of 1st Department of Surgery
1st Medical Faculty Charles University
Prague