1
3th year General Medicine 2006/2007
Propaedeutics in surgery 19.2.- 1.6.2007 (15 weeks)
SURGERY PRACTISE :
SURGERY
LECTURES :
08.30 – 10.30 a.m.
08.30 – 10.30 a.m
08.30 – 10.30 a.m.
Monday
Tuesday
Wedn.
Tuesday
11.00 – 12.30
Auditorium of the 1 th Dept.of Surgery
1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and
Traumatology , Praha 2 , U nemocnice 2 ( first floor )
Office Hours :
Wednesday
10.00 – 12.00
10.00 – 12.00
professor Zeman
Assistant professor Demeš
20.2. APPROACH TO THE SURGICAL PATIENT
THE HISTORY (BULDING THE HISTORY) PAIN,
THE PHYSICAL EXAMINATION,
LABORATORY AND OTHER EXAMINATIONS
TRAUMA MANAGEMENT OF THE INJURED PATIENT, PARAMEDIC
TREATEMENT FOR TRAUMA VICTIMS, IMMEDIATE AT THE SCENE OF AN
ACCIDENT, HEMMORRHAGE, FRACTURES, TRANSPORTATION
BLOOD REPLACEMENT TRANSFUSION OF RED CELS
CONCENTRATE , PLASMA COMPONENET THERAPY, HUMAN ALBUMIN,
FACTORS VIII. AND IX.,
EMERGENCY & ELECTIVE , MASSIVE TRANSFUSION, INTRAOPERATIVE
AUTOTRANSFUSION, BLOOD TRANSFUSION, COMPATIBILITY TESTING ,
BLOOD ADMINISTRATION, ADVERSE EFFECT OF TRANSFUSION
HERNIAS ABDOMINAL HERNIAS, SURGICAL ANATOMY,INGUINAL
HERNIA, DIRECT AND INDIRECT, INGUINAL HERNIAS REPAIR,
FEMORAL HERNIA,VENTRAL HERNIAS,EPIGASTRIC HERNIAS,
UMBILICAL,PARAUMBILICAL HERNIA. RARE EXTERNAL HERNIAS,
INTERNAL HERNIAS,COMPLICATIONS OF HERNIAS IREDUCTIBILITY,
OBSTRUCTION, STRANGULATION, TREATEMENT
Professor
ZEMAN
27.2. PREOPERATIVE CARE
DIAGNOSTIC WORKUP.PREOPERATIVE ORDERS,SKIN PREPARATION,
DIET,ENEMA,NASOGASTRIC TUBE, BLADER CATHETER,HEMODYNAMIC
MONITORING,PREOPERATIVE HYDRATATION, PROPHYLACTIC
ANTIBIOTICS
Assistant
professor
POSTOPERATIVE CARE
DEMEŠ
MONITORING VITAL SIGNS, CENTRAL VENOUS PRESSURE,OTHER TYPES
OF MONITORING, REPIRATORY CARE,POSITION IN BED AND
MOBILISATION, RENAL AND BLADER FUNCTION, DRAINAGE TUBES,
MEDICATIONS, POSTOPERATIVE PULMONARY CARE,RESPIRATORY
FAILURE,POSTOPERATIVE CARE OF THE GASTROINTESTINAL
TRACT,POSTOPERQATIVE PAIN
POSTOPERATIVE COMPLICATIONS
WOUND COMPLICATIONS, HEMATOMA, SEROMA,
WOUND DEHISCENCE,RESPIRATORY
COMPLICATIONS,ATELECTASIS,PULMONARY
ASPIRATION,POSTOPERATIVE PNEUMONIA,POSTOPERATIVE PLEURAL
EFFUSION AND PNEUMOTHORAX, CARDIAC COMPLICATIONS,
DYSRYTMIAS,POSTOPERATIVE MYOCARDIAL INFARCION,POSTOPERATIVE
CARDIAC FAILURE,PERITONEAL COMPLICATIONS,HEMOPERITONEUM,
2
COMPLICATIONS OF DRAINS,POSTOPERATIVE
PERITONITIS,POSTOPERATIVE ILEUS,GASTRIC
DILATATION,POSTOPERATIVE PANCREATITIS, HEPATIC DYSFUNCTION
,URINARY RETENTION, URINARY,POSTOPERATIVE RENAL INSUFFICIENCY,
INFECTION,CEREBROVASCULAR ACCIDENTS, POSTOPERATIVE
PSYCHOSIS,PHLEBITIS, POSTOPERATIVE FEVER
6.3.
WOUNDS HEALING
PRIMARY AND SECONDARY HEALING,CELLULAR COMPONENTS OF
WOUNDS.WOUND SUTURES,GENERAL MANAGEMENT OF THE
CLEAN,CONTAMINATED AND INFECTED WOUNDS
INFLAMATORY, INFECTION & ANTIOBIOTICS
SURGICAL INFECTIONS
SPRED OF SURGICAL INFECTION
Assistant
professor
PAUL
NECROTIZING INFECTIONS,ABSCESS,PHLEGMONA, SPRED OF INFECTION
VIA THE LYPHATIC SYSTEM, -VIA THE BLOODSTREAM
COMPLICATION-SEPSIS, BACTEREMIA, SEPTICEMIA
TREATEMENT-INCISION AND DRAINAGE, EXCISION,
ANTIBIOTICS,NUTRICION SUPPORT,PROGNOSIS
13.3
PRINCIPLES OF WOUND CARE
FURUNCLE,CARBUNCLE & HIDRADENITIS,
CELLULITIS, CLOSTRIDIAL INFECTIONS OTHER
THAN TETANUS CLOSTRIDIUM PERFRINGENS,NOVYI, SEPTICUM,
SIMPLE CONTAMINATION,GAS ABSCESS,CREPITAL CLOSTRIDIAL
CELLILITIS,LOCALIZED CLOOSTRIDIAL MYOSITIS,DIFFUSE CLOSTRIDIAL
MYOSITIS(GAS GANGRENE), EDEMATOSUS GANGRENE, PREVENTION,
TREATEMENT,PROGNOSIS
Assistant
professor
PAUL
TETANUS
ESSENTIAL OF DIAGNOSIS, SYMPTOMS,PREVENTION TREATEMENT,
PROGNOSIS
NECROTIZING FASCIITIS
CLINICAL FINDINGS, TREATEMENT,PROGNOSIS
AMPUTATION TOE & RAY AMPUTATION, TRANSMETATARSAL,
CHOPART S AMPUTATION BELOW-KNEE & ABOVE-KNEE AMPUTATION,
HIP DISARTICULATION, COMPLICATIONS OF AMPUTATION (NONHEALING,
INFECTION, THROMBOSIS, PAIN & FLEXION CONTRACTURE
20.3. THE ACUTE ABDOMEN
ASSESMENT OF THE ACUTE ABDOMEN,
ABDOMINAL PAIN (LOCATION OF PAIN,MODE OF ONSET AND
PROGRESSION OF PAIN,CHARACTER OF PAIN) OTHER SYMPTOMPS
ASSOCIATED WITH ABDOMINAL PAIN ( WOMITING, CONSTIPATION)
DIARRHEA,SPECIFIC GASTROITESTINAL SYMPTOMS CLINICAL
SIGNS/MURPHY,ROVSING/ PHYSICAL EXAMINATION,
EXAMINATION OF THE ABDOMEN, GENERAL
OBSERVATION, SYSTEMIC SIGNS, FEVER, EXAMINATION OF ACUTE
ABDOMEN- INSPECTION,AUSCULTATION,COUGHING TO ELICID PAIN,
PERCUSSION, PALPATION, RECTAL EXAMINATION
ESTABLISHING
DIAGNOSIS- LABORATORY INVESTIGATIONS ,
RADIOLOGICAL INVESTIGATIONS, ENDOSCOPY,
DIFFERENTIAL DIAGNOSIS, INDICATIONS FOR
LAPAROTOMY
SMALL INTESTINE OBSTRUCTION OF THE SMALL INTESTINE ,
MECHANICAL OBSTRUCTION ( SIMPLE OBSTRUCTION , STRANGULATION
OBSTRUCTION , ETIOLOGY
ADHESIONS, HERNIA, NEOPLASMS,INTUSSUSCEPTION, VOLVULUS,
FOREIGN BODIES, GALDSTONE ILEUS,HEMATOMA. SYMPTOMS & SIGNS ,
LABORATORY FINDINGS, TREATEMENT
Assistant
professor
RŮŽIČKA
3
27.3
CROHN’S DISEASE
PATHOLOGY, SYMPTOMS & SIGNS, IMAGING
STUDIES, COLONOSCOPY, DIFF.DIAGNOSIS, COMPLICATIONS,
TREATEMENT
ACUTE APPENDICITIS
SYMPTOMS & SIGNS,LABORATORY SIGNS, IMAGING STUDIES, POSITION
OF THE APPENDIX, APPENDICITIS DURING PREGENANCY,
COMPLICATIONS PEROFORATION, PERITONITIS, ABSCES,PYLEPHLEBITIS,
TREATEMENT
3.4.
Assistant
professor
RŮŽIČKA
CHRONIC APPENDICITIS
SURGICAL BLEEDING
THE HEMOSTATIC PROCESS,EVALUATION OF THE
PATIENT(HISTORY,PHYSICAL EXAMINATION, SCREENING TESTS)
UPPER GASTROITENSTINAL HEMORRHAGE
HAEMATEMESIS, MELENA, INITIAL MANAGEMENT,
EMERGENCY SURGERY
ESOPHAGEAL VARICES, DUODENAL ULCER, GASTRIC, ULCER, GASTRITIS,
MALLORY-WEISS SY., HEMOBILIA
CAUSES OF SURGICAL BLEEDING
BLEEDING ASSOCIATED WITH THE SURGICAL PROCEDURES, BLEEDING
IN THE POSTOPERATIVE PERIOD,
Assistant
professor
RŮŽIČKA
ACUTE VASCULAR LESIONS OF THE SMALL
ITESTINE & MESENTERY MESENTERIC ARTERIAL EMBOLI,
THROMBOSIS OF MESENTERIC ARTERY, THROMBOSIS OF MESENTERIC
VEINS.
SYMPTOMS & SIGNS, LABORATORY FINDINGS, IMAGING STUDIES,
TREATEMENT,
10.4. LARGE INTESTINE
DISEASES OF THE COLON & RECTUM
OBSTRUCTION OF THE LARGE INTESTINE
CANCER OF THE LARGE INTESTINE
POLYPS OF THE COLON & RECTUM
DIVERTICULAR DISEASE OF THE COLONCOLOVESICAL FISTULA
ACUTE LOWER GASTROINTESTINAL HEMORRHAGE,VOLVULUS
COLITIS,CROHNS COLITIS,INTESTINAL STOMAS ( ILEOSTOMY &
COLOSTOMY
17.4. ANORECTUM
SURGICAL ANATOMY , ARTERIES , VEINS, LYPHAATICS, NERVES,
PROCTOLOGIC EXAMINATION
HAEMORRHOIDS, ANORECTAL ABSCESS,
ANORECTAL FISTULAS, PILONIDAL DISEASE, RECTAL PROLAPS
MALIGANAT TUMORS
16.5.
Associate
professor
GÜRLICH
Associate
professor
GÜRLICH
Rector´s day
15.5.
THORACIC WALL, PLEURA, MEDIASTINUM & LUNG
I.
ANATOMY OF THE CHEST WALL & PLEURA,PHYSIOLOGY OF THE CHEST
WALL & PLEURA,ANATOMY OF THE MEDIASTINUM ,ANATOMY OF THE
LUNG,
DISEASES OF THE CHEST WALL,CHEST WALL TUMORS,DISEASES OF THE
PLEURA,PLEURAL EFFUSION FOR NONPULMONARY DISEASES, PRIMARY
PLEURAL TUMORS,
DISEASES OF THE LUNG
EMPHYSEMA,LUNG INFECTIONS OF THE LUNGS –LUNG ABSCESS,BRONCHIECTASIS – MIDDLE LOBE SYNDROME, SARCOIDOSIS ( SYMTOMS
AND SIGNS, LABORATORY FINDINGS, IMAGING, STUDIES MEDICAL,
BIOPSY TREATMENT PROGNOSIS
Assistant
professor
DEMEŠ
4
22.5.
THORACIC WALL, PLEURA, MEDIASTINUM & LUNG
II,PARAPEUMONIC EFFUSIONS, EMPYEMA THORACIC–
VIDEOTHORACOSCOPY, DRAINAGE, DECORTICATIO OF THE LUNG &
EMPYECTOMY.SURG.THER. OF ACUTE MEDIASTINITIS
MEDIASTINITIS ACUTE MEDIASTINITIS ,CHRONIC MEDIASTINITIS
Assistant
professor
SURGICAL INVESTIGATION AND THEHRAPY
DEMEŠ
29.5. THORACIC WALL, PLEURA, MEDIASTINUM & LUNG
III. NEOPLASMS OF THE LUNG – WHO CLASSIFICATION., DIAGNOSIS ,
STAGE GROUPING OF TMN, ASSESSMENT FOR SURGERY, TREATEMENT–
SURGERY,
BILUNINAL INTUBACTION, PATIENT POSITION, VIDEOTHORACOSCOPY,
VIDEOASISTATED THORACIC SURGERY. THORACOTOMY,
THORACOPHRENOLAPAROTOMY, THORACOSTOMY , DRAINAGE PLEURAL
CAVITY &MEDIASTINI, PARASTERNAL MEDIASTINOTOMY,
MEDIASTINOSCOPY. THYMECTOMY,
SURGIACL THERAPY TUMOR OF THE THORACIC WALL, THERAPY OF THE
MALIGNANT PLEURAL EFFUSIONS, PNEUMOTHORAX SPONTANEUSSURGICAL THERAPY ( PLEURODESIS), SURGICAL THERAPY EMPHYSEMA
BULLOSUM ( VOLUM REDUCT.OPERATION), LUNG BIOPSY,
SURG.THERAPY CARCINOMA OF THE LUNG VIDEOTHORACOSCOPY,
LOBECTOMY,BILOBECTOMY,PNEUMONEC TOMY, COMPLICATIONS ,
PROGNOSIS.
Assistant
professor
DEMEŠ
+ CREDIT
Assistant professor
Rudolf DEMEŠ,MD,PhD
Associate professor MUDr.Šváb,PhD
Chairman of 1st Department of Surgery
1st Medical Faculty Charles University
Prague