6Th Year General Medicine 2004/2005

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 : 1th Surgical Department – ClinicalDepartment of Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2 Official in charge : professor Zeman One week SEMINARS &WARD BLOCK 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 Official in charge: Assistant professor ŠTERCLOVÁ One week 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.- 6.4-10.4..09 14.-17.4.09 20.-23.4.09 27.-30.4.09 3.4.09 1th Surg. 1th Surg. 2th Surg. Surg..BULOVKA Department of CREDIT . Surgery Thomayer professor Teaching ZEMAN Hospital ,Praha 4, STATE Vídeňská 800 EXAM. 1th Surg. professor ZEMAN

1th Surg : 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2 2th Surg. : 2th Surgical Department- Clinical Departmant of Cardiovascular Surgery, Praha 2 , U nemocnice 2 Surg.BULOVKA : Department of Surgery Na Bulovce, Praha 8, Budínova 2 Surg. KRČ : Department of Surgery Thomayer Teaching Hospital ,Praha 4, Vídeňská 800. IKEM Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4 2

st 1 week (23.3-27.3.09) 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2 23.3. CARCINOMA OF THE FEMALE BREST ESSENTIALS OF DIAGNOSIS 9- GENERAL CONSIDERATION Assistant professor 10.45 STAGING CLINICAL STAGING, 5-YEAR SURVIVAL(%) SLINICAL FINDINGS SYMPTOMS, SIGNS ŠUK 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 24.3 INJURES SPINE FRACTURES & DISLOCATIONS OF THE CERVICAL SPINE 9- INJURES OF THE UPPER CERVICAL SPINE (OCCIPUT C1-C2 ), 10.45 FUNCTIONAL ANATOMY OF THE UPPER CERVICAL SPINE,ATLAS FRACTURES, TRANSVERSE LIGAMENT RUPTURE, ATLANTOAXIL ROTATORY SUBLUXATION, FRACTURES OF THE ODONTOID Assistant professor PROCESS OF THE AXIS(DENS), INJURES OF THE LOWER CERVICAL BIROŠ 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. Associate professor Glasgow Coma Scale, Clinical examination brain injury KRAUS patient, Surgical Indication in Traumatic Brain Injury, (Associate professor Acute and chonical Suburall Hematoma, Epidural PEKAŘ) Hematoma, Intraparenchymal Lesion, Decompresive Craniectomy,. 26.3 OSTEOMYELITIS ACUTE HEMATOGENOUS OSTEOMYELITIS Associate professor CHRONIC OSTEOMYELITIS, POSTRAUMATIC OSTEOMYELITI KRAUS 9- 10.45 27.3 BURNS DEPT OF BURNS,,PATHOPHYSIOLOGY OF TERMAL Professor INJURES,METABOLIC RESPONSE TO BURNS & METABOLIC ZEMAN SUPPERT, BURN MANAGEMENT, ACUTE RESUSCITATION,POSTRESUSCITATION PERIOD, CARE OF THE BURN WOUND, RESPIRATORY TRACT INJURY IN BURNS. 3

st 2 week 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2

30.3. SPLEEN HYPERSPLENISM (PRIMARY, SECONDARY), SYMPTOMS Associate professor & SIGNS, LABORATORY FINDINGS, EVALUATION OF SPLENIC SIZE, MICHALSKÝ 9- EVALUATION OF SPLENIC FUNCTION, TREATEMENT,INDICATIONS 10.45 FOR SPLENECTOMY, LAPAROSCOPIC SPLENECTOMY, ,PROGNOSIS 31.3. SHOCK DEFINITION OF SHOCK, CAUSES OF SHOCK,PATOPHYSIOLOGY OF Professor SHOCK, EFFECTS ON THE MACROCIRCULATION, EFFECT OF THE ZEMAN MICROCIRCULATION, CLINICAL SYNDROMES OF SHOCK, PRINCIPLES OF MANAGEMENT, PRINCIPLES OF INTENSIVE CARE 9- MANAGEMENT 10.45 1.4. PELVIS INJURES Professor ZEMAN 2.4. THORACIC INJURES DIAGNOSIS &THERAPY CHEST WALL, FLAIL CHEST,PLEURAL SPACE,HEMOTHORAX Assistant professor PNEUMOTHORAX,TENSION PNEUMOTHORAX,LUNG INJURY,LUNG DEMEŠ LACERATION, LUNG HEMATOMAS, TRACHEOBRONCHIAL 9- INJURY,TRACHEOSTOMY, 10.45 3.4. THORACIC INJURES DIAGNOSIS &THERAPY HEART AMD PERICARDIUM INJURY, ESOPHAGUS,THORACIC DUCT, Assistant professor DIAPHRAGM , IATROGENIOC THORACIS INJURIES DEMEŠ

9- 10.45

st 3 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, Associate professor PALLOR, RUBOR, RESPONSE, TEMPERATURE, ULCERATION, LINDNER NECROSIS, ATROPHY, NONIVANSIVE VASCULAR TESTS , IMAGING STUDIES , SURGICAL TREATMENT

7.4.. ARTERIES, ACUTE ACCLUSION OF MAJOR PERIPHERAL ARTERIES, EMBOLISM & TROMBOSIS M TRAUMATIC ARTERIAL OCCLUSION, DIABETIC Associate professor VASCULAR DISEASE , TROMBANGOITIS OBLITERANS. ARTERIAL LINDNER ANEURYSMS, SYMPTOMS & SIGNS, IMAGING STUDIES, TREATMENT, PROGNOSIS, THORACIC OUTLET SYNDROME, ARTERIOVENOUS FISTULA, CEREBROVASCULAR DISEASE, CHRONIC GASTROINTESTINAL ISCHEMIA SYNDROMES 8.4. 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 Associate professor DEEP VENOUS THROMBOSIS , DRUG & OPERATIVE PROCEDURES , LINDNER 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 , 4

TREATMENT CARDIOSURGERY 9.4. EXTRACORPOREAL CIRCULATION, MYOCARDIAL PRESERVATION, VALVULAR HEART DISEASE, THORACIC AORTIC ANEURYSM, AORTIC DISSECTION, ISCHEMIC HEART DISEASE, ANGINA Associate professor PECTORIS, SYMPTOMS & SIGNS, LABORATORY A SPECIAL STUDIES, LINDNER TREATMENET,PROGNOSIS FOLLOW SURGICAL TREATMENT, PERICARDITIS , SYMPTOMS & SIGNS M LABORATORY FINDINGS, SPECIAL EXAMINATION , COMPLICATIONS ( CARDIAC TAMPONADE , CONSTRICTIVE PERICARDITIS ) SURGICAL TREATMENT, CARDIAC TUMORS . 10.4 Deans day

4st week 14.4 SEPSIS, BACTEREMIA&SEPTICEMIA-I. ENDOTOXIN,PHYSICAL EXAMINATION, LARATORY FINDINGS Professor (GENERAL ,BLOOD CULTURES), IMAGING STUDIES, SOURCE OF ANTOŠ INFECTION,. 15.4. SEPSIS, BACTEREMIA&SEPTICEMIA-II. Professor TREATMENT( INCISISON AND DRAINAGE, EXCISION, CIRCULATORY ANTOŠ ENHANCEMENT,ANTIBIOTICS,NUTRICION SUPPORT,PROGNOSIS 16.4. NOSOCOMIAL INFECTIONS & INFECTION CONTROL SURGICAL TEAM AS A SOURCE OF INFECTION, Professor OPERATIONG ROOM, THE PATIENT, ANTIOBIOTIC PROPHYLAXIS 2 ANTOŠ 17.4 INTRA-ABDOMINAL ABSCESSES SITES OF ABSCESSES, ( RIGHT LOWER QUADRANT, LEFT LOWER Professor QUADRANT, PELVIS, SUBPHRENIC , INTERLOOP ) ANTOŠ SYMPTOMS AND SIGNS, LABORATORY FINDINGS, IMAGING STUDIES, TREATEMENT

st 5 week Surgical Clin. Thomayer Teaching Hospital Praha 4, Vídeňská 800 Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4 20.4. BILIARY TRACT. SURGICAL ANATOMY, ENTEROHEPATIC CIRCULATION, DIAGNOSTIC EXAMINATION OF THE BILARY TREE, Associate professor PHYSICAL EXAMINATION, LABORATORY TESTS, PATHOGENESIS OF VISOKAI GALLSTONES, DISEASES OF THE GALLBLADER & BILE DUCT Surgical Clin. ACUTE CHOLECYSTITIS , SYMPTOMPS & SIGNS, LABORATORY Thomayer Teaching FINDINGS, IMAGE STUDIES,, COMPLICATIONS ( EMPYEMA, Hospital Praha 4, PERFORATION )M TREATEMENT, Vídeňská 800 CHOLANGITIS , CHOLEDOCHOLITHIASIS SYMPTOMS & SIGNS, LABORATORY FINDINGSM IMAGING STUDIES, COMPLICATIONS , TREATEMENT, CARCINOMA OF THE GALLBLADER, MALIGNANT TUMOR OF THE BILE DUCT, TREATEMENT , PROGNOSIS.

21.4. ABDOMINAL INJURES DIAGNOSIS &THERAPY PENETRATING & NONPENETRATING TRAUMA(BLUND TRAUMA), Associate professor ABDOMINAL WALL INJURES, LIVER INJURES, BILARY TRACT VISOKAI INJURES,SPLENIC INJURES,PANCREATIC INJURES, GATROINTE TINAL TRACT INJURES, GENITOURINARY TRACT INJURES 22.4. CELL AND ORGAN TRANSPLANTATION Associate professor Organ donation, Eurotransplant OLIVERIUS Klinika transplantační HEARD and HEARD-LUNG chirurgie IKEM, Vídeňská 1958/9 Praha 4 23.4. LIVER , PANCREAS and REANAL Associate professor OLIVERIUS Transplantation, Klinika transplantační chirurgie IKEM, Vídeňská 1958/9 Praha 4 5

24.4. LIVER SURGICAL ANATOMY, VENOUS BLOOD SUPPLYARTERIAL BLOOD SUPPLY, PREOPERATIVE EVALUATION , PRIMARY LIVER CANCER, METASTATIC NEOPLASMS OF THE LIVER HEPATIC RESECTION , PROGNOSIS Associate professor BENIGN TUMORS & CYSTS OF THE LIVER, HEPATIC ABSCESS OLIVERIUS 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 PORTOSYSTEMIC SHUNTS ASCITES, PERITONEAL-JUGULAR SHUNT, HEPATIC ENCEPHALOPATHY

st 6 week 1th Surgical Department – Clinical Department of Abdominal,Thoracic Surgery and Traumatology , Praha 2 , U nemocnice 2

27.4 Thyroid and Parathyroid Gland SURGERY: Assistant professor 9-10.45. ANATOMY, THYROID HORMONES, CLASSIFICATION OF THYROID KLOFANDA DISEASES, GRAVES DISEASES, INDICATION FOR SURGERY, SURGICAL TREATEMENT, TYPE OF OPERATIONS, Assistant professor COMPLICATIONS, THYROIDITIS, NODURAL THYROID RATHOUS DISEASE,THYROID CANCER Professor 28.4. Pancreas : SURGICAL ANATOMY, ACUTE ANCREATITIS, 9-10.45 CHRONIS PANCREATITS, SURGICAL TRATMENT, PANCREATIC KRŠKA CYSTM , PANCR. CANCER, STAGING , PROGNOSIS. Assistant professor Ulrych 29.4. Malignant Diseases of the Skin Assistant professor 9-10.45 BASAL CELL AND SQUAMOUS CARCINOMA, HISTOLOG.CHARACTERICS,TREATMENT,PROGNOSIS. ŠUK MELANOMA, EPIDEMIOLOGY,ETIOLOGY, CLASSIFICATION, Assistant professor STAGING(CLARK,BRESLOW) , DIAGNOSIS, TREATMENT FRAŠKO

30.4 CONSULTATION. + CREDIT professor 9-10.45 ZEMAN 25.4. CONSULTATION. + CREDIT professor 9-10.45 ZEMAN

MUDr.Rudolf DEMEŠ ,CSc Prof.MUDr. Zdeněk Krška,CSc English –taught courses Chairman of 1st Department of Surgery 1st Medical Faculty Charles University Prague