Discussed and approved
Approved
The chief of the Department of
at the department meeting
Propedeutics to Internal Medicine N1
Honoured Doctor of Ukraine
Professor Dutka R.Y.
______________________________________
The plan of practical lessons
“Propedeutics to internal medicine”
for students of second year of dentistry faculty
on spring semester of 2014-2015 academic year
Topics
1.
2.
3.
4.
The subject of propedeutics of internal medicine. The plan of
patients’ examination. The history of the disease. Patients
interviewing. Diagnostics value of symptoms and syndromes.
The concept of "health", "illness", "symptom", "syndrome",
"diagnosis". Types of diagnosis.
General examination of the patient. Percussion and palpation as
a diagnostics tools. General rules and technique of percussion
and auscultation. Diagnostic value.
Interviewing and examination of patients with diseases of the
respiratory system. Palpation of the chest. Percussion as a
method of examination. Comparative and topographical
percussion. Diagnostic value.
Auscultation of the lungs. The main and side breathing noises
formation mechanism. Bronhofoniya. Diagnostic value.
5.
Interviewing and examination of patients with diseases of the
cardiovascular system. Palpation and percussion of the heart.
Configuration heart. Diagnostic value.
6. Auscultation of the heart. Point of auscultation. Mechanism of
formation of sounds. Diagnostic value.
7. Murmurs of a heart. Formation and mechanism of murmurs.
Diagnostic value. Echocardiography.
8. Examination of peripheral pulse. Diagnostic value.
Examination of blood pressure. Basic indicators. Diagnostic
value. Clinical and functional methods of examination (ECG,)
9. Examination of patients with diseases of the digestive
system. Diagnostic value of questioning and examination of
patients, palpation and percussion of the abdomen. Study of
gastric secretion, stool analysis. Changes in the oral cavity in
diseases of the gastrointestinal tract.
10. Examination of patients with diseases of the blood. Enquiry,
inspection, palpation and percussion of the liver and spleen.
Sternal puncture. Clinical analysis of blood. Blood
coagulation. Diagnostic value. The manifestations of blood
diseases in oral mucosa.
11. Examination of patients with diseases of the urinary system.
Questioning and examination of patients, palpation of the
kidneys. Pasternatsky’s symptom. Diagnostic value.
Manifestations of renal diseases in oral mucosa.
12. The final module control.
Test control of theoretical training.
Control of practical skills.
Analysis of instrumental and laboratory studies.
Hours
Groups
Dates
2
2
2
2
2
2
2
2
2
2
2
2
1,0
0,5
0,5
Total 24 hours
The chief of the Department of
Propedeutics to Internal Medicine N1
Honoured Doctor of Ukraine
Professor Dutka R.Y.
Discussed and approved
at the department meeting
Approved
The chief of the Department of
Propedeutics to Internal Medicine N1
Honoured Doctor of Ukraine
Professor Dutka R.Y.
__________________________________
The plan of the lectures
for second year students of dentistry faculty
on spring semester of 2014 -2015 year
Topic of the lecture
1.
Subject and goals of propedeutics of internal
medicine. The famous Ukrainian internal
doctors. The main physical and laboratory and
instrumental methods of examination. Principles
of medical ethics and deontology. History case.
Algorithm on patient examination. Patients
interviewing. General examination of a patient.
Physical methods of examination of pulmonary
and cardio-vascular systems.
2. Methods of examination of patients with
pathology of gastrointestinal and urinary
systems. Diagnostic value of interviewing and
general examination of a patient. Diagnostic
value of palpation of abdomen and kidneys.
Assessing of peptic jus, goal and feces.
Diagnostic values of urinalysis and 24-hours
urinary test (Zymnytskyy test).
3. Methods of examination of patients with blood
disorders, endocrine pathology, allergies.
Laboratory and instrumental methods of
examination.
Hours
Data
Group
Lector
2
Assoc. prof.
Nevzhoda
A.A.
2
Assoc. prof.
Nevzhoda
A.A.
2
Assoc. prof.
Nevzhoda
A.A.
Total 6 hours
The chief of the Department of
Propedeutics to Internal Medicine N1
Honoured Doctor of Ukraine
Professor Dutka R.Y.
Approved
The chief of the Department of
Propedeutics to Internal Medicine N1
Honoured Doctor of Ukraine
Professor Dutka R.Y.
_____________________________________
Discussed and approved
at the department meeting
The homework of students
of second year of dentistry faculty
on spring semester of 2014 -2015 academic year
№
1.
2.
3.
4.
Total
Hours
Topics
Preparation to practical classes – theoretical and practical
опрацювання of method of physical examination of the patient:
- Interviewing of patients with pathology of internal organs
- general examination of a patient, examination of head, neck, trunk,
extremities, abdomen
- palpation of the chest
- comparative and topographic percussion of the chest
- auscultation of the lungs
- palpation of precardiac region
- assessment of properties of a pulse
- percussion of relative and absolute cardiac dullness
- auscultation of the heart
- superficial palpation of the abdomen, deep penetrative palpation of
the bowels, stomach, liver, spleen, kidneys
- determination of sizes of liver and spleen by percussion
Instrumental methods of examination
- spirography
- recordering of ECG
Care of patients in therapeutic department and principles of first care
(hypertension, heart arrest, heart attack, unconciseness, collapse,
asphicsia, bleeding, and anaphylactic shock).
Preparation of history case and preparing for the final module control
The chief of the Department of
Propedeutics to Internal Medicine N1
Honoured Doctor of Ukraine
1
1
0,5
0,5
0,5
0,5
0,5
0,5
1
1
0,5
0,5
0,5
3,5
3
15
Professor Dutka R.Y.