1
6th year General Medicine
SURGERY- CLERKSHIP
Six weeks block 23.3. – 30.4.2009
08.30- 11.30 a.m.
Examination period : 8.6.- 3.7.2009( 4 weeks)
State Exam : 4.5.- 7.5.2009
Prolonged examination period : 1.9.- 12.9.2009
Deans day 10.4.2009
Rectors day : 13.5.2009
Office Hours I st Surgery Clinic: Friday 9.00- 11.00 a.m.: professor Zeman
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 : professor Zeman
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:
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
SEMINARS &WARD BLOCK : 1th Surgical Department – Clinical
Department of Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2
Official in charge: professor ZEMAN , Associate professor LINDNER
23.3-27.3.09
30.3.3.4.09
6.4-10.4..09
14.-17.4.09
20.-23.4.09
27.-30.4.09
1th Surg.
1th Surg.
2th Surg.
Surg..BULOVKA.
Department of
Surgery Thomayer
Teaching Hospital
,Praha 4, Vídeňská
800
CREDIT
professor
ZEMAN
STATE
EXAM.
1th Surg.
professor
ZEMAN
1th Surg :
2th Surg. :
Surg.BULOVKA :
Surg. KRČ :
IKEM
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.
Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4
2
1st week (23.3-27.3.09) 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery
and Traumatology , Praha 2 , U nemocnice 2
23.3.
9-10.45
24.3
9-10.45
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
Assistant professor
ŠUK
INJURES 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
25.3.
Tramatic brain injury.
26.3
Glasgow Coma Scale, Clinical examination brain injury
patient, Surgical Indication in Traumatic Brain Injury,
Acute and chonical Suburall Hematoma, Epidural
Hematoma, Intraparenchymal Lesion, Decompresive
Craniectomy,.
OSTEOMYELITIS
ACUTE HEMATOGENOUS OSTEOMYELITIS
CHRONIC OSTEOMYELITIS, POSTRAUMATIC OSTEOMYELITI
Assistant professor
BIROŠ
Associate professor
KRAUS
(Associate professor
PEKAŘ)
Associate professor
KRAUS
9-10.45
27.3
BURNS
DEPT OF BURNS,,PATHOPHYSIOLOGY OF TERMAL
INJURES,METABOLIC RESPONSE TO BURNS & METABOLIC
SUPPERT, BURN MANAGEMENT, ACUTE
RESUSCITATION,POSTRESUSCITATION PERIOD, CARE OF THE
BURN WOUND, RESPIRATORY TRACT INJURY IN BURNS.
Professor
ZEMAN
3
2st week
1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and Traumatology ,
Praha 2 , U nemocnice 2
30.3.
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
31.3.
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
1.4.
PELVIS INJURES
2.4.
THORACIC INJURES DIAGNOSIS &THERAPY
9-10.45
3.4.
CHEST WALL, FLAIL CHEST,PLEURAL SPACE,HEMOTHORAX
PNEUMOTHORAX,TENSION PNEUMOTHORAX,LUNG INJURY,LUNG
LACERATION, LUNG HEMATOMAS, TRACHEOBRONCHIAL
INJURY,TRACHEOSTOMY,
THORACIC INJURES DIAGNOSIS &THERAPY
HEART AMD PERICARDIUM INJURY, ESOPHAGUS,THORACIC DUCT,
DIAPHRAGM , IATROGENIOC THORACIS INJURIES
Associate professor
MICHALSKÝ
Professor
ZEMAN
Professor
ZEMAN
Assistant professor
DEMEŠ
Assistant professor
DEMEŠ
9-10.45
3st week
Cardiovascular surgery : 2th Surgical Department- Clinical Department of Cardiovascular
Surgery, Praha 2 , U nemocnice 2
6.4.
ARTERIES,ATHEROSCLEROSIS, PERIPHERAL ARTERIAL
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
7.4..
LINDNER
ARTERIES,
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
8.4.
Associate professor
Associate professor
LINDNER
THE VEINS FUNCTIONAL & SURGICAL ANATOMY, PRIMARY
&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
Associate professor
LINDNER
4
CARDIOSURGERY
9.4.
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,
PERICARDITIS , SYMPTOMS & SIGNS M LABORATORY FINDINGS,
SPECIAL EXAMINATION , COMPLICATIONS ( CARDIAC TAMPONADE
, CONSTRICTIVE PERICARDITIS ) SURGICAL TREATMENT, CARDIAC
TUMORS .
10.4
Associate professor
LINDNER
Deans day
4st week
14.4
SEPSIS, BACTEREMIA&SEPTICEMIA-I.
ENDOTOXIN,PHYSICAL EXAMINATION, LARATORY FINDINGS
(GENERAL ,BLOOD CULTURES), IMAGING STUDIES, SOURCE OF
INFECTION,.
15.4. SEPSIS, BACTEREMIA&SEPTICEMIA-II.
TREATMENT( INCISISON AND DRAINAGE, EXCISION, CIRCULATORY
ENHANCEMENT,ANTIBIOTICS,NUTRICION SUPPORT,PROGNOSIS
16.4. NOSOCOMIAL INFECTIONS & INFECTION
CONTROL SURGICAL TEAM AS A SOURCE OF INFECTION,
OPERATIONG ROOM, THE PATIENT, ANTIOBIOTIC PROPHYLAXIS 2
17.4
20.4.
22.4.
23.4.
Professor
ANTOŠ
Professor
ANTOŠ
Professor
ANTOŠ
Surgical Clin. Thomayer Teaching Hospital Praha 4, Vídeňská 800
Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4
BILIARY 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.
21.4.
ANTOŠ
INTRA-ABDOMINAL ABSCESSES
SITES OF ABSCESSES, ( RIGHT LOWER QUADRANT, LEFT LOWER
QUADRANT, PELVIS, SUBPHRENIC , INTERLOOP )
SYMPTOMS AND SIGNS, LABORATORY FINDINGS, IMAGING
STUDIES, TREATEMENT
5st week
Professor
ABDOMINAL INJURES DIAGNOSIS &THERAPY
Associate professor
VISOKAI
Surgical Clin.
Thomayer Teaching
Hospital Praha 4,
Vídeňská 800
PENETRATING & NONPENETRATING TRAUMA(BLUND TRAUMA),
ABDOMINAL WALL INJURES, LIVER INJURES, BILARY TRACT
INJURES,SPLENIC INJURES,PANCREATIC INJURES, GATROINTE
TINAL TRACT INJURES, GENITOURINARY TRACT INJURES
Associate professor
CELL AND ORGAN TRANSPLANTATION
Associate professor
VISOKAI
Organ donation, Eurotransplant
HEARD and HEARD-LUNG
OLIVERIUS
LIVER , PANCREAS and REANAL
Transplantation,
Associate professor
24.4. LIVER
Klinika transplantační
chirurgie IKEM,
Vídeňská 1958/9 Praha
4
OLIVERIUS
Klinika transplantační
chirurgie IKEM,
Vídeňská 1958/9 Praha
4
5
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
Associate professor
OLIVERIUS
PORTOSYSTEMIC SHUNTS
ASCITES, PERITONEAL-JUGULAR SHUNT, HEPATIC
ENCEPHALOPATHY
6st week
1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and Traumatology ,
Praha 2 , U nemocnice 2
27.4
Thyroid and Parathyroid Gland SURGERY:
9-10.45.
ANATOMY, THYROID HORMONES, CLASSIFICATION OF THYROID
DISEASES, GRAVES DISEASES, INDICATION FOR SURGERY,
SURGICAL TREATEMENT, TYPE OF OPERATIONS,
COMPLICATIONS, THYROIDITIS, NODURAL THYROID
DISEASE,THYROID CANCER
28.4.
9-10.45
Pancreas : SURGICAL ANATOMY, ACUTE ANCREATITIS,
CHRONIS PANCREATITS, SURGICAL TRATMENT, PANCREATIC
CYSTM , PANCR. CANCER, STAGING , PROGNOSIS.
Assistant professor
KLOFANDA
Assistant professor
RATHOUS
Professor
KRŠKA
Assistant professor
Ulrych
29.4.
9-10.45
30.4
Malignant Diseases of the Skin
BASAL CELL AND SQUAMOUS CARCINOMA,
HISTOLOG.CHARACTERICS,TREATMENT,PROGNOSIS.
MELANOMA, EPIDEMIOLOGY,ETIOLOGY, CLASSIFICATION,
STAGING(CLARK,BRESLOW) , DIAGNOSIS, TREATMENT
CONSULTATION. + CREDIT
9-10.45
25.4.
9-10.45
CONSULTATION.
+ CREDIT
MUDr.Rudolf DEMEŠ ,CSc
English –taught courses
Assistant professor
ŠUK
Assistant professor
FRAŠKO
professor
ZEMAN
professor
ZEMAN
Prof.MUDr. Zdeněk Krška,CSc
Chairman of 1st Department of Surgery
1st Medical Faculty Charles University
Prague