General medicine, 5th year, winter term

Internal Medicine IV
Introduction in rheumatology. Rheumatoid arthritis. Systemic connective tissue diseases Gout Fundamentals in spondylarthropathies. Ankylosing spondylitis, psoriatic arthropathy and enteropatic arthropathies. Infectious arthritis. Principles of the diagnosis and therapy of acute intoxications. Injuries resulting from heat, cold and electrity. Radiation infury. Hypoglycemia. Principles of geriatric medicine Enteral and parenteral nutritiontherapy. Atherosclerosis. Disorders of lipoprotein metabolism. Obesity. Disorders associated with high and low temperature.Electrical and radiation injuries

Microlectures Non-invasive examination methods in cardiology - ECG - bundle branch bloks Electrophysiological methods in cardiology - ECG - arrhytmias. Invasive methods in cardiology - ECG - myocardial infarction. Occupational diseases Approach to rheumatological patients. Laboratory methods in rheumatology.

Rehabilitation Medicine
Rehabilitation - definition, goals, classification of WHO-IDH. Reflexive concept of pain, function and dysfunction of movement system. Physical therapy - theory. Kinesiological analysis, methods of rehabilitation-theory.

Psychiatry II
Schizophrenia. Organic mental disorders. Affective disorders. Anxiety and neurotic disorders. Disorders due tu psychoactive substance abuse. Disorders of sleep and eating disorders. Personality disorders.

 Ophthalmology
Anatomy and physiology of the visual system. Optical requirements for optimal vision, refractive errors, accomodation, color vision. Central and peripheral vision. Orbit, lids, lacrimal system. Conjunctiva. Cornea, sclera, uvea, vitreous Ocular trauma Cataract, glaucoma Posterior segment diseases, neuroophthalmology

Microlectures Infectious diseases and the eye. Patient examination. The eye and the nervous system. Patients examination. Ophthalmosurgery. The red eye. Patient examination. Ocular manifestation of systemic diseases. Patient examination.

Otorhinolaryngology
ORL/HNS. History and development, current horizons in diagnostics and treatment. Endoscopy, new surgical technology (laser, electrosurgery, harmonic scalpel, Computer assisted surgery (CAS). Imaging methods in ORL/HNS. RHINOLOGY. Patophysiology of the rhinosinusitis, types of rhinosinusitis, management of rhinosinusitis. Functional endonasal sinus surgery (FESS). United airways, international consensus in rhinosinusitis. Asthma and allergic rhinitis. Orbital and intracranial complications. WALDAYERS RING - anatomy, pathophysiology, inflammation and complication. Tonsillectomy, adenoidectomy current indication and operation procedures. Deep neck infection. Sleep apnoea syndrome, rhonchopathy - diagnostic assessment and treatment. Laryngology. Croup syndromes (suffocation). Supraglottic vers. Subglottic laryngitis. Dyspnoea staging dif. dg. and management. Phonosurgery, speech specialists. Laryngeal carcinoma. Oncology of Head and Neck. Type of tumors, therapy, neck dissection. Dif. diagnostics of the neck tumors. Factors affecting choice of treatment. Neck dissection - types. Sentinel lymph node, metastasis of the neck. Thyroid gland surgery, thyroid nodule, diagnostics and surgery. Otology - AOM, OME = SOM, cholesteatoma, otosclerosis, neurootology. Vertigo, tinnitus - vestibulology. Acoustic neuroma. Skull base surgery.

Infectious Diseases and Epidemiology I

Infectology: General therapy of infectious diseases. Antimicrobial therapy of infectious diseases. Microbial resistance. Effect of antibiotic therapy. Empirical antibiotic therapy. Antibiotics combinations. General concept of antibiotic use. Epidemiology: Epidemic process, conditions for spread of infectious diseases, types of epidemics, pandemics, endemics. Infectology:Changing patterns of infectious diseases. Pathogenesis of infectious diseases. Principles of infectious diseases diagnostics, laboratory diagnosis. Epidemiology: Influenza and its prevention by vaccination. Epiodemiology of rabies, vaccination. Infectology: Acute diarrhoea. Respiratory infections.

 Surgery III
Cardiosurgery and thoracic surgery actual notes. Urological surgery. Urological examination. Genitourinary anomalies. Surgery of cardiac ischemia. Neurosurgery. Neurosurgical examination. Neurosurgical symptomatology. Ortopedics history and special chapters. Cardiosurgery - special chapters. Urinary calculi, testicular tumors. Specific and nospecific urological infections. Renal insufficiency, transplantation. Prostate tumors. Benign prostate hypertrophy. Inflammations in urology. Genitourinary injuries. Renal insufficiency. Renal transplantation. Urological tumors. Renal carcinoma, carcinoma of the bladder. Neurogenic bladder. Bladder dysfunction. Pediatric orthopedics. Congenital diseases of the hip, foot deformities. Aseptic bone necroses. Orthopedic tumors. Head trauma. Craniocerebral injuries. Complications of craniocerebral injuries. Intracranial hypertension. Injuries of peripheral nerves. Tumors of CNS. Supratentorial tumors, tumors of the sellar region. Infratentorial tumors. Spinal cord tumors. Lesions of the intervertebral disc. Inflammations in central nervous system.

Gynecology and Obstetrics I

Introduction to gynaecology and obstetrics. History. Vital statistics, perinatal morbidity and mortality. Physiology, woman life cycles. Anatomy of female pelvis. Anatomy and physiology of the fetus.Diagnosis of pregnancy. Normal pregnancy. Antenatal care. Obstetrical examination. Fetal loss in early pregnancy, abortion, ectopic pregnancy. Intercurrent diseases during pregnancy. Diabetes mellitus. Heart and renal disease. Tromboembolism. Intrauterine development of fetus. Embryology. Maternal physiology. Placenta, cord and membranes. Hormonal changes in pregnancy, placental abnormalitis. Gestational trophoblastic disease, ultrasound examination in pregnancy. The fetus at risk in late pregnancy. Multiple pregnancy, intrauterine death, postmaturity, growth retardation. Hypertensive disorders in pregnancy, eclampsia, polyhydramnios and oligohydramnios. Kostal 2 Normal labour. Physiology, stages, mechanism. Abnormal labour. Fetal malposition and malpresentation. Pelvic abnormalities and disproportion. Premature labour. Fetal distress during labour. Traumatic lesions. Postpartum haemorrhage. Cardiotocography. Problems of the newborn. Tosner 2 Obstetrics procedures. Episiotomy. Forceps, cesarean section. Puerperium, disorders of haemostasis in pregnancy. Breast disorders. Sexual and reproductive health. Infertility, contraception, sterilization.

 Pediatrics I
Development of the immunity in childhood. Immunological investigation. Paediatrics. Growth and development of a child. Inborn defects of metabolism, clinical picture. Gastroesophageal reflux. Acute abdomen in childhood and its specificity. Ileus. Vomiting and its causes. GIT inborn defect of development. Respiratory distress syndrome of the newborn. Critical congenital heart disease Screening methods in paediatrics. Clinical examination of a child. Communication with child and family. Gastroesophageal reflux. Acute abdomen in childhood and its specificity. Ileus. Vomiting and its causes. GIT inborn defect of development. Cardiomyopathy and myocarditis; Endocarditis; pericarditis; Cardiac insuficiency and it is treatment in infancy Praematurity and it is consequencies; Seizures in neonate; Perinatal asphyxia

Microlectures Biliary obstructin in infants Bronchial asthma, anaphylaxys Hypercholesterolaemia and dyslipidaemias in children Perinatal hypoxia Changes in red blood count - physiology and pathology. Anaemia Haematuria and differential dg. Proteinuria and diff. dg. Fat soluble vitamins Infant nutrition - basics Inborn musculosceletal defects, osteoporosis Tuberculosis - diagnostics and prevention

General medicine, 5th year, summer term

Differential Diagnosis in Internal Medicine
Approach to the patient with thyroid nodule. Approach to the patient with hirsuitism, virilization. Approach to the patient with syncope. Approach to the patient with enlargment of the lymph nodes (lymphadenopathy). Approach to the patient with hypercalcaemia. Approach to the patient with metastates of unknown origin, palliative therapy. Approach to the patient with hemorrhagic disorders. Approach to the patient with malnutrition. Aproach to the patient dirrhea. Approach to the patient with low-back pain. Differencial diagnosis of the edema. Approach to the patient with chronic cough. Approach to the patient with hypokalaemia hyperkalamenia. Approach to the pacient with metabolic acidosis. Approach to the patient with ascites. Approach to the patient with immunodeficiency. Approach to the patient with acute poisoning.

General Medicine
Position and roles of general medicine among medical branches in the Czech Republic. Possibilities of primary care organisation. Medical guidelines (recommended diagnostic and therapeutic methods) for primary care: why use them? Practice Guidelines For Primary Care Physicians ESF/WSC Hypertension Guidelines 2007 (EU guidelines). Two virtual model patients on the PC. Roles and tasks of general medicine in prehospital acute medicine in the Czech Republic. Organisation and tasks of prehospital medical care in the EU. Emergency medical centre in Hradec Kralove The position of general medicine in chosen areas in the EU and world. Systems of financial sources for primary care and organisation charts. Cooperation between the GP and the specialist and home nursing care. National guidelines for general practice.

Infectious Diseases and Epidemiology II

Epidemiology: Topical problems and news in epidemiology of infectious diseases (a new emerging infectious diseases, imported diseases) Epidemiology. Current possibilities in vaccination. Vaccination before travelling to abroad. Infectology: Infection HIV/AIDS. Infectology: Bacteraemia, sepsis, septic shock. Invasive meningoccocal infection. Infectious diseases in pregnancy. Infectology: Viral hepatitis. Chemoprophylaxis. Infectology: Neuroinfections. Streptococcal infections.

 Forensic Medicine
Asphyxia. Carbon monoxide poisoning. Carbon dioxide poisoning. Motor vehicle collisions. Sudden and unexpected deaths from natural causes in adults. Sudden natural death in childhood Identification. Hypothermia. Hyperthermia. Electrocution. Forensic radiology and photography. Child abuse. Elder abuse. Sex crimes. Rape, examination of victim.

Oncology and Radiotherapy

Epidemiology of cancers. Biology and etiology of cancers. Screening, early detection, follow up and prevention of the malignant diseases. TNM classification, role of treatment modalities in complex treatment of malignancies. The National Cancer Registry. Radiotherapy of cancers. Chemotherapy and biological therapy of cancers. Breast cancer. Gastrointestinal tract (GIT) cancers. Gynecologic malignancies. Lung cancer.Skin cancers. Bone sarcomas. Soft-tissue sarcomas. Cancers of the head and neck region. Genitourinary malignancies. Tumours of central nervous system. Palliative and supportive care in cancer patients.

Surgery IV
Orthopedic infections. Acute and chronic osteomyelitis. Septic arthritis. Bone tuberculosis. Vertebral column diseases. Scoliosis. Orthopedic emergencies. Orthopedic operations. Degenerative joint diseases. Congenital lesions of the nervous system. Hydrocephalus, etiology, clinical findings, treatment. Cerebrovascular disease. Central nervous system infections. Spine and spinal cord injuries. Surgical therapy of pain. Erectile dysfunction and priapismus. Tumors of the penis and the retroperitoneal space. Urgent cases in urology. Cardiosurgery - special chapters. Tumors of kidney, proximal urologic ways and urinary bladder. Cardiosurgery - special chapters.

 Gynecology and Obstetrics II

Assessment of the patient. Inflammation. Benign gynaecological tumours, premalignant disease. Malignant gynecological tumours, prevention of neoplasia. Pelvic pain. Endometriosis. Acute states in gynaecology. The menstrual cycle and its hormone control. Urogynecology. Anatomy of pelvic floor. Infertility . Assisted reproduction. Sexually transmited diseases. HIV infections, veneral diseases. Gynecological surgery. Menstrual disorders, amenorrhoea, dysmenorrhoea, premenstrual tension. Gynaecology of children and adolescency. Developmental embryology. Management of climacteric syndroma. Osteoporosis. HRT. Medicolegal and psychological aspects of gynecology. Rape.

Microlectures Abdominal gynaecology operation. Endoscopy. Cytology, colposcopy, HPV testing, vaccinations. Urogynecology. Oncology.

Social Medicine
Social Medicine, Public Health. Health and disease. The determinants of health and disease. Sources and critical use of health information. Measuring the frequency of health problems. Health care. Types of health care. Priorities in health care. Health care systems. Common issues in health policy. Sociological issues in medicine. Health needs assessment. Tackling health inequalities. Health policy. Health care planning and evaluation. Medical ethics. An overview. Health and culture. Cultural conceptions and health belief. Cross-cultural approach to health behavior.

 Pediatrics II
Diabetology, endocrinology&dyslipidaemias Pediatric Nephrology Hepatology Diseases of moving apparatus, Screening, Febrile seizures, NutritionBayer 2 Diseases of blood, Oncology Genetic counselling and Engeneering Allergology Acid - Base Balance Gastroenterology Diseases of the Respiratory Tract Pediatric Rheumatology

Microlectures Inborn disorders of the metabolism, symptoms and clinical signs Neurotic disorders in childhood, behaviour disorders Hepatomegaly and Splnomegaly in Childhood Acute, Chronic renal insufficiency Basic resuscitation in children Prolonged fevers and subfebrily, causes and investigation Vaccination and its complications

Hygiene and Preventive Medicine

Introduction to the study of Hygiene and Preventive Medicine. Health situation in the Czech Republic. Determinants of the health situation. " Outdoor air pollution Health effects of outdoor air pollution, possibilities of their monitoring and prevention. Principles and scope of environmental medicine. Relationship between chemical exposure and disease. Environmentally induced diseases. Internal and external factors. Risk assessment procedure. Environmental and occupational exposure. Environmental exposure and body defence. Important exposure agents. Hygienic control of exposure. Enhanced susceptibility. Hazardous wastes. Adverse effects of chemical substances. Mechanisms of adverse effects. Classification of toxic agents. Interaction of adverse effects of chemicals. Environment and carcinogenesis. Environmental/life style factors and cancer. Sources, identification and classification of carcinogens. Basic principles for work with carcinogens. Drinking water. Contamination of drinking water. Drinking water quality control. Recommendations. Air pollution. Outdoor sources (including radon), indoor sources (building and its furnishing formaldehyde and other volatile organic compounds), indoor sources generated by human activities. Building-related illness. Sick-building syndrome. Mental hygiene and its importance in the occupational psychology application. Psychological hazards and stress. Evaluation of neuropsychical load. Work and resting. Fatigue and overwork. Night duties and their health effects. Intervention of "risky habits" in life style. Anti-smoking activities. Occupational preventive medicine. Categories of risky work places. Occupational preventive medicine. Ways of prevention - collective and individual. Medical prevention - periodical preventive check-ups.