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 )
SYLABUS
I. Name of the unit offering the course: Department of Gatroenterology and Nutrition Disorders
II. Head of the Unit/ course coordinator: prof. dr hab. Maciej Świątkowski
III. 4th year, number of hours: 32
IV. Form of classes: lecture 2, seminar 15, tutorial 15
VI. Form of crediting: credit with grade
VII. Number of ECTS points: 2
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
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