Approved
Department of Propaedeutics of Internal
Medicine №1
Head of the chair Professor Dutka R.J.
_______________________________________
Discussed and approved
at the department meeting
Thematic plan of practical classes on autumn semester of 2014- 2015 academic year.
For English-speaking Students of Medical Faculty (3-d Year of Study).
Module I «Main methods of patients examination in the clinic of internal diseases».
N
1.
Topics
Basis of clinical diagnostics. Diagnostics value of symptoms
and syndromes. Clinical examination methods: subjective
examination (inquiry, present complaints, anamnesis morbi,
anamnesis vitae), objective examination (general inspection,
palpation, percussion, auscultation). Deontological ethics.
General inspection of the patient (general patient’s condition,
consciousness, posture of the patients, gait, habitus, face of the
2. patient, skin, edema, subcutaneous fat, lymph nodes, muscular
system, bones system, joints system, examination of the spine,
head, eyes, mouth, neck, thyroid gland).
The main complaints of the patients with disease of the
3. respiratory system. Inspection of the chest. Static and dynamic
inspection of the chest. Palpation of the chest.
4. Percussion of the lungs. The technique of comparative
percussion. The technique of topographic percussion.
5. Auscultation of the lungs. The main respiratory sounds
(vesicular and bronchial breath sounds). The adventitious
sounds (rales, crepitation, pleural friction sounds).
6. Instrumental (tests of ventilatory function. bronchoscopy,
roentgenography) and laboratory (collection of the sputum,
study of the pleural fluid) methods of examination the patients
with respiratory system disease.
Final lesson on methods of examination of patients with
respiratory system disease.
7. Inquiring (specific and nonspecific complaints) and general
inspection of the patients with cardiovascular system disorders.
Inspection and palpation of the heart region and peripheral
vessels.
Percussion of the heart: determination of the borders of the
relative and absolute cardiac dullness. Transverse length of the
8.
heart. The borders of the vascular bundle. Configuration of the
heart. Study of pulse and blood pressure.
9. Auscultation of the heart. Technique and points of auscultation.
Normal heart sounds. Splitting and additional heart sounds.
Cardiac murmurs: systolic murmur and diastolic murmur.
Clinical electrocardiography. Basic physiological principles.
10. Cardiac automaticity function Cardiac conductivity function
Depolarization, repolarization. Recording ECG. The ECG leads.
Hours
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
Date
Basic ECG principles. The electrical axis of the heart.
Examination of waves, intervals. Interpretation of the ECG.
ECG-signs of atrial and ventricular hypertrophy. ECG-signs of
the coronary heart disease and myocardial infarction.
11. ECG in abnormalities of the impuls formation.
ECG in abnormalities of conduction. Echocardiography.
12. The final lesson on methods of examination of patients with
cardiovascular system disorders.
Inquiry of the patients with gastrointestinal disorders. Inspection
13. and palpation (superficial tentative, penetrative, deep sliding
systematic) of the abdomen. Methods of ascites detection.
Laboratory (studies of gastric secretions, coprological study)
14. and instrumental (X-ray examination, Fibrogastroscopy)
methods of examination of digestion system.
Inquiring and clinical examination of the patients with
pathology of liver and gallbladder.
Percussion and palpation of the liver according Kurlov.
15. Palpation of gallbladder.
Laboratory (functional study of the liver and bile ducts) and
instrumental (cholecyctography, ultrasound examination)
methods of examination of pathology of liver and gallbladder.
16. Inquiring and clinical examination of the patients with
pathology of pancreas. Percussion of pancreas. Laboratory
(coprological study) and instrumental (ultrasound examination)
methods of examination of pancreas.
The final lesson on methods of examination of patients with
gastrointestinal disorders.
Inquiring (disorders of urination) and general examination of the
17.
patients with pathology of urinary system. Palpation and
percussion of kidneys.
Laboratory (urine analysis) and instrumental (ultrasound,
excretion urography) methods of examination of urinary system.
18.
The final lesson on methods of examination of patients with
urinary disorders.
Inquiring and clinical examination of the patients with blood
19.
system disorders. Palpation of spleen.
Laboratory (clinical blood analysis, tests for plasma factors
involved in coagulation and fibrinolisis.) and instrumental
20. methods of examination of blood system. Sternal puncture.
The final lesson on methods of examination of patients with
blood system disorders.
Clinical, laboratory and instrumental methods of examination of
21.
patients with endocrine pathology.
Clinical, laboratory and instrumental methods of examination of
22.
patients with musculoskeletal and connective tissues disorders.
The final module. Control test of theoretical knowledge. Control
23. of practical skills. Analysis skills of laboratory and instrumental
methods of examination in therapeutic clinic.
TOTAL
Head of the chair
Honoured Doctor of Ukraine
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
2,5
1
1
0,5
57,5
___________________________________ Prof. MD Dutka R.J.
Approved
Department of Propaedeutics of Internal
Medicine №1
Head of the chair Professor Dutka R.J.
_______________________________________
Discussed and approved
at the department meeting
Thematic plan of lectures on autumn semester of 2014- 2015 academic year.
For English-speaking Students of Medical Faculty (3-d Year of Study).
Module I «Main methods of patients examination in the clinic of internal diseases».
№
Topics
Propedeutics to internal medicine as an
introduction to the internal medicine.
Subjective and objective examination of the
1.
patient. The concept of "health", "illness",
"diagnosis", types of the diagnosis. Medical
history.
Introduction of the student to the hospital - the
2. basis of medical ethics and medical
deontology. The concept of bioethics.
Enquiring of the patient as a method of
examination.
The
term
"simulation",
3.
"aggravation." Diagnostic value of the
method.
General examination of patients as a method
of
examination.
Diagnostic
value.
4.
Examination of different body parts: head,
neck, trunk, and extremities.
Examination of the patients with pathology of
the respiratory tract (interviewing; inspection,
5.
palpation and percussion of the chest).
Diagnostic value.
Examination in the pathology of the
respiratory system
(lung
auscultation,
6.
instrumental and laboratory data). Diagnostic
value.
Examination of the patients with pathology of
the cardiovascular system (intervuvering,
7. general examination, inspection and palpation
of the heart region, relative and absolute
dullness of heart). Diagnostic value.
Auscultation of the heart, heart sounds and
8.
murmurs.
Examination in the pathology of the
9. gastrointestinal tract (questioning, inspection
and palpation of the abdomen).
Examination of the patients with pathology of
10.
liver, pancreas, biliary tract.
11. Examination in the pathology of urinary
Hours
Date
Lector
Associate professor
Nevzgoda A.A.
2
2
2
2
2
2
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
2
2
2
2
2
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
system.
Examination in the pathology of endocrine
12.
system.
Examination in blood system patologies.
13.
Methods of examination of systemic lesions in
the clinic of internal medicine.
Laboratory and instrumental methods of
15.
examination in the internal medicine.
Functional disorders of the cardiovascular
16.
system.
Syndromes of the pathology of the
myocardium (myocarditis, myocardiopathy),
17. endocardium (endocarditis, valvular defects)
and the pericardium (dry and exudative
pericarditis).
Syndromes of hypertension, ischemic heart
18. disease (angina, myocardial infarction), heart
failure.
Syndromes of compression of the lung tissue,
bronchial patency disorders, cavities in the
19.
lungs, fluid in the pleural cavity, respiratory
failure.
Syndromes of pneumonia, bronchitis, asthma,
20.
pleurisy.
TOTAL
14.
Head of the chair
Honoured Doctor of Ukraine
2
2
2
2
2
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
2
2
2
2
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
Associate professor
Nevzgoda A.A.
40
__________________________________ Prof. MD Dutka R.J.
Approved
Department of Propaedeutics of Internal
Medicine №1
Head of the chair Professor Dutka R.J.
_______________________________________
Discussed and approved
at the department meeting
Thematic plan of individual work on autumn semester of 2014 - 2015 academic year.
For English-speaking Students of Medical Faculty (3-d Year of Study).
Module I «Main methods of patients examination in the clinic of internal diseases».
№
Topics
Preparation for practical classes - theoretical and practical methods of
1.
physical examination of the patient:
- questioning of patients with pathology of internal organs
- general inspection of the patient, examination of body parts (head, neck,
limbs, thorax, abdomen)
- palpation of the chest
- comparative and topographic percussion of the lungs
- auscultation of the lungs
- palpation of the heart region
- determining the properties of the pulse
- percussion of the absolute and the relative cardiac dullness
- auscultation of the heart
- superficial and deep methodical palpation of the abdomen, intestine,
stomach, liver, spleen, kidneys
- determining the size of the liver and spleen by percussion
2. The skills of instrumental examinations:
- spirography
- Recordering of ECG
3. Mastering the ability to analyze:
- results of respiratory function
- electrocardiographic and phonocardiographic results
- results of gastric content probe and duodenal probing
Self study topics not included in the plan of classes:
4.
ECG in combined cardiac arrhythmia
Curation of patients with writing the anamnestic part of the history of the
5.
disease
Individual work:
- Research of respiratory function in patients, data processing and reporting
6. - ECG registration, data processing and reporting
- Examination of a patient and Проведення обстеження показового
хворого та the review of the scientific literature on case study
7. Preparing for the final module N1.
TOTAL
Head of the chair
Honoured Doctor of Ukraine
Hours
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
20
___________________________________ Prof. MD Dutka R.J.