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Education

Internal Medicine

Data

Official data in SubjectManager for the following academic year: 2024-2025

Course director

Number of hours/semester

lectures: 0 hours

practices: 284 hours

seminars: 16 hours

total of: 300 hours

Subject data

  • Code of subject: OAS-BEL-T
  • 10 kredit
  • General Medicine
  • Final/Rotational (year) modul
  • both
Prerequisites:

OAAPKR-all finished

Course headcount limitations

min. 5 – max. 300

Topic

Responsible faculty of the course: Professors Kálmán Tóth and István Wittmann.

The aim of the practice is that students of the 6th year, who have already achieved theoretical excellence in significant components of Internal Medicine, synthesize their knowledge during daily bedside practice and use it independently yet under proper supervision. Students work at accredited departments of Medicine of University Hospitals, Teaching Hospitals or at Teaching Divisions, as trainees similarly to residents, ward physicians or doctors in training, they gain empirical, hands-on experiences with patients. Practical requirements for students during and after the practice:

1. Students should take case histories and perform detailed physical examination of patients at the ward. The preparation of a written documentation of each case is expected (at least 2 patients weekly).

2. Students should write a diagnostic and therapeutic plan after the admission of the patient. The preparation of a written documentation of each case is expected (at least 2 patients weekly).

3. Students should summarize diagnostic test results and clinical course as a written discharge summary upon patient?s discharge (at least 2 patients weekly).

4. Students should be prepared to present detailed anonymized patient documentations from each week of the practice (in the end at least 8) at the final examination. The documentations should consist of the above mentioned items, they should indicate the date, the ward specifications, the name of the tutor, the name of the student and they should also be signed by both the student and the tutor. The case history should be composed in the language that was used at the ward, the rest of the documentation in the study language of the student or in English. A patient documentation should be at least one, and a maximum of four typed (A/4) pages long.

5. A regular presence of students is required at medical workshops, consultations, graduate and postgraduate teaching programs of the ward. The practice period is optimally supported by consultations and case presentations.

6. The practice should be performed on regular working days, during usual working hours (6-8 hours a day). Night duties, public/bank holidays, outpatient care, scientific work cannot be accepted as part of the practice.

7. Students should take part in activities of residents, ward doctors and doctors in training under supervision according to the applicable local professional, safety and legal regulations. These should include taking medical history, performing physical examination, admitting new patients, planning diagnostic and therapeutic measures, fulfilling tasks required by the ward-round, regularly reporting to the staff, participating in writing discharge summaries and giving account of their patients during the professorial grand-rounds. They should also accompany their patients to see special examinations and therapies (e.g. endoscopy, biopsy, echocardiography, exercise stress test, operations).

8. Students get certification of the gained clinical skills that they acquire during the practice (at least 4 signatures are required each week). They will be entered into the Booklet of Clinical Skills by the leader of the subject on the basis of the certificate.

http://aok.pte.hu/docs/th/file/GBofCS.pdf

Internal medicine practice can be spent in a foreign country after approval of the Registrars Office at an Internal Medicine Ward in a University Hospital, in a Teaching Hospital or County Hospital with 24-hour patient admission. The student is required to speak the language of the host country. The head of the ward should certify the fulfilment of the practice according to the criteria of the University of Pécs (this should include signature, readable name of head and stamp of the department).

Lectures

Practices

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  • 278. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ
  • 279. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ
  • 280. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ
  • 281. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ
  • 282. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ
  • 283. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ
  • 284. Practice (depending upon current medical attendance) - FELKÉRT OKTATÓ

Seminars

  • 1. Heart failure (Dr. Tamás Habon) - FELKÉRT OKTATÓ
  • 2. Acid related gastrointestinal diseases (Dr. Áron Vincze / Dr. Imre Szabó) - FELKÉRT OKTATÓ
  • 3. Dyslipidemia and obesity (Dr. László Bajnok) - FELKÉRT OKTATÓ
  • 4. Chronic liver diseases (Dr. Gabriella Pár) - FELKÉRT OKTATÓ
  • 5. Disorders of blood coagulation (Dr. Ágnes Nagy/Dr. Hussain Alizadeh ) - FELKÉRT OKTATÓ
  • 6. Malignant hematologic diseases (Dr. Hussain Alizadeh /Dr. Árpád Szomor) - FELKÉRT OKTATÓ
  • 7. Endocrinology (Dr. Emese Mezősi) - FELKÉRT OKTATÓ
  • 8. Clinical immunology (Dr. László Czirják/Dr. Gábor Kumánovics) - FELKÉRT OKTATÓ
  • 9. Pulmonology (Dr. Veronika Sárosi) - FELKÉRT OKTATÓ
  • 10. Infectology (Dr. Zoltán Péterfi) - FELKÉRT OKTATÓ
  • 11. Nephrology (Dr. Judit Nagy, Dr. Tibor Kovács) - FELKÉRT OKTATÓ
  • 12. Diabetes (Dr. István Wittmann) - FELKÉRT OKTATÓ
  • 13. Hypertension (Dr. Tibor Kovács) - FELKÉRT OKTATÓ
  • 14. Case presentation (Dr. Mária Figler/Dr. Gergő Molnár) - FELKÉRT OKTATÓ
  • 15. Cardiac arrhythmias (Dr. Kálmán Tóth) - FELKÉRT OKTATÓ
  • 16. Coronary artery disease (Dr. László Czopf) - FELKÉRT OKTATÓ

Reading material

Obligatory literature

Literature developed by the Department

Educational resources of 1st Department of Medicine and lecture slides.

Notes

NOTES in diabetology for medical students.

NOTES in nephrology and hypertension for medical students.

(http://aok.pte.hu/en/egyseg/dokumentumok/270)

Recommended literature

- Andreoli, T. E., Carpenter, C. C. J., Griggs, R., Loscalzo, J. (eds.): Cecil Essentials of Medicine, 9th edition, Elsevier 2015,

- Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J.: Harrisons Principles of Internal Medicine, 20th ed., New York: McGraw-Hill Medical Publishing Division, 2018. ISBN 978-0-07-146633-9 or newer

- Kumar and Clarks Clinical Medicine, International Edition with STUDENT CONSULT online access, 8th edition;

- Ballinger: Essentials of Kumar and Clark?s Clinical Medicine, 5th edition;

- Swartz: Textbook of Physical Diagnosis, History and Examination with STUDENT CONSULT Online Access, 7th edition;

- Davidsons Principles and Practice of Medicine with STUDENT CONSULT Online Access, 22nd edition;

- Macleods Clinical Examination with STUDENT CONSULT Online Access, 13th edition;

- Dehn and Asprey: Essential Clinical Procedures Expert Consult - Online and Print, 3rd

Conditions for acceptance of the semester

Exam: Final exam (oral) with a practical part consisting of history taking, physical examination and evaluation of the test results of the patient. At the theoretical part detailed discussion of topics (proposal: 3 topics including cardiology and gastroenterology).

The final exam may contain written or oral entry questions of the most important simple facts relevant in the diagnostics and treatment of internal medicine patients.

15% or more absences are not tolerated during the practice.

Mid-term exams

N/A

Making up for missed classes

It is possible to make up justified absences.

At least 300 hours and at least 8 weeks practice has to be certified.

The certificate of the practice should be accepted by the Registrar's Office 24 hrs before signing up for the exam. No assignment of examination date can be given without accepted certificate.

Exam topics/questions

Exam questions (theses):

1. Supraventricular arrhythmias, diagnosis and therapy

2. Ventricular arrhythmias, diagnosis and therapy

3. Blocks and conduction disorders, diagnosis and drug treatment

4. Preexcitation syndromes, diagnosis and treatment

5. Non-pharmacological therapy of arrhythmias and conduction disorders (cardioversion, pacemakers, automatic implantable cardioverter defibrillator, catheter ablation)

6. Treatment of syncope and sudden cardiac death. Diagnosis and treatment.

Cardiopulmonary resuscitation

7. Epidemiology, risk factors and primary prevention of ischemic heart disease

8. The syndromes of ischemic heart disease and their differential diagnostics

9. The types of acute coronary syndromes, their clinical features, complications, diagnosis and treatment

10. The non-pharmacological treatment of ischemic heart disease (percutaneous coronary interventions, stent implantation, coronary bypass operation)

11. Secondary prevention of ischemic heart disease, medical follow-up of patients after a myocardial infarction or coronary revascularisation

12. Epidemiology, pathophysiological background, types and clinical syndromes of heart failure

13. Diagnosis and therapy of heart failure

14. The importance of essential hypertension, epidemiology, diagnosis and treatment

15. Secondary hypertension, types, differential diagnosis and therapy

16. The cardiomyopathies. Types, pathophysiological background, diagnostics and therapy

17. Inflammatory diseases of the heart (endocarditis, myocarditis, pericarditis) and cardiac tamponade

18. Infective endocarditis. Rheumatic fever and its consequences

19. Valve diseases. Diagnosis and therapy

20. The differential diagnostics and acute management of chest pain

21. Platelet inhibition, anticoagulant and fibrinolytic treatment in internal medicine, methods for monitoring their efficacy

22. Types of anemia. Etiology of iron deficiency anemia, clinical picture and treatment

23. Megaloblastic and other macrocytic anemias. Etiology, types and diagnostics of hemolytic anemias

24. Immune thrombocytopenia. Diagnostics and treatment. Thrombotic thrombocytopenic purpura and the hemolytic uremic syndrome, clinical picture and treatment

25. The aplastic anemia

26. Acute myeloid and lymphoid leukemia. Diagnostics, clinical picture and principles of treatment

27. Classification of myeloproliferative disorders, general characteristics. Polycythemia vera, essential thrombocytemia and osteomyelofibrosis. Clinical picture, possibilities of treatment

28. Chronic myeloid leukemia. Diagnostics, clinical picture and treatment

29. Chronic lymphocytic leukemia. Diagnostics, clinical picture and possibilities of treatment

30. Malignant lymphomas. Classification, diagnostics and clinical features. Hodgkin's disease. Classification, diagnostics, treatment possibilities

31. Non-Hodgkin malignant lymphomas (NHL). Classification, clinical characteristics of indolent and aggressive NHL, possibilities of treatment

32. Multiple myeloma. Diagnostics, symptoms, treatment

33. Deep venous thrombosis and pulmonary embolism. Diagnostics and treatment

34. Inherited and acquired thrombophilias

35. Etiology and types of hemorrhagic disorders

36. Hemophilias. Clinical characteristics, principles of substitution therapy

37. Tumors of the hypophysis. Diabetes insipidus

38. Hyperthyroidism. Hypothyroidism

39. Thyroid tumors. Inflammatory disorders of the thyroid gland

40. Conn's syndrome. Prolactinoma

41. Cushing's disease and syndrome. Addison's disease

42. Hypoparathyroidism. Hyperparathyroidism

43. Pheochromocytoma

44. Acromegaly. Hypopituitarism

45. Congenital adrenal hyperplasia. Osteoporosis

46. Basic symptoms of systemic autoimmune diseases. Primary and secondary Raynaud's syndrome

47. Rheumatoid arthritis (RA). Clinical and laboratory features, treatment

48. Systemic lupus erythematosus (SLE). Characteristics, diagnosis, therapy

49. The antiphospholipid syndrome. Polymyositis, dermatomyositis

50. Main clinical characteristics of Sjögren's syndrome. Extraglandular manifestations

51. Basic features and treatment of systemic sclerosis

52. Systemic vasculitis syndromes. Temporal arteritis

53. Types of vomiting. Diarrhea

54. Gastro-esophageal reflux disease

55. Tumors of the esophagus, stomach and small intestine

56. Peptic ulcer disease. Helicobacter pylori infection

57. Acute and chronic gastritis

58. Functional bowel diseases

59. Celiac disease. Malabsorption syndromes

60. Crohn's disease and ulcerative colitis. Precancerous states of the gastrointestinal tract

61. Colonic polyps and cancer. Diverticulosis and diverticulitis of the colon

62. Appendicitis. Differential diagnostics of abdominal pain

63. Acute and chronic pancreatitis. Functional diagnostics of pancreas insufficiency

64. The ileus. Types of peritonitis. The acute abdomen

65. Classification and differential diagnostics of jaundice. Acute and chronic viral hepatitis

66. Alcoholic liver disease. Liver cirrhosis

67. Autoimmune hepatitis. Primary biliary cirrhosis

68. Primary sclerosing cholangitis

69. Gall stone disease

70. Tumors of the liver and the biliary system. Pancreas cancer

71. Hemochromatosis and Wilson's disease

72. Diagnostics and therapy of gastrointestinal bleeding

73. Differential diagnostics of hematuria

74. Differential diagnostics of proteinuria

75. Differential diagnostics of edema

76. Examination of the kidney (function, morphology, histology)

77. Acute glomerulonephritis

78. Rapidly progressive glomerulonephritis

79. Nephropathies associated to systemic illnesses (SLE nephropathy, vasculitis, atherosclerosis, hemolytic uremic syndrome)

80. Nephrotic syndrome (minimal change, focal segmental glomerulosclerosis, membranous glomerulonephritis)

81. IgA nephropathy

82. Urinary tract infections

83. Acute tubulointerstitial nephritis, analgesic nephropathy

84. Acute renal failure

85. Chronic renal failure

86. Renal replacement therapies

87. Impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and diabetes mellitus. Diagnostics. Treatment of IFG and IGT

88. Clinical picture of type 1 diabetes mellitus in adults. Types of insulin, techniques and regimens of insulin treatment, blood sugar monitoring

89. Gestational, pancreatoprive diabetes and the maturity onset diabetes in the young (MODY). Their clinical picture and treatment, preoperative management of diabetic patients

90. The clinical picture of type 2 diabetes. Dietary, oral antidiabetic and insulin treatment

91. Clinical picture of the metabolic syndrome. Primary prevention of atherosclerosis

92. Hyperglycemia, ketoacidosis, hypoglycemia, diabetic neuropathy, diabetic foot. Their diagnosis and treatment

93. Diabetic nephropathy. Diagnosis and treatment

94. The primary dyslipidemias. Clinical picture and treatment

95. The secondary dyslipidemias. Clinical picture and treatment

96. Treatment of hypertension in patients with metabolic diseases (diabetes mellitus, dyslipidemia, metabolic syndrome)

97. Types of pneumonia, symptoms and therapy

98. Symptoms of bronchial asthma. Its differentiation from chronic obstructive pulmonary disease (COPD) and cardiac asthma. Therapy of bronchial asthma

99. Chronic obstructive pulmonary disease (COPD). Diagnostics, types, therapy

100. Tuberculosis, a differential diagnostic problem

101. Importance of pneumoconiosis and its complications

102. Infectious diseases with bloody stool

103. The anthropozoonoses

104. Lyme's disease

105. Influenza

106. Human immunodeficiency virus (HIV) infection and its consequences

Examiners

  • Alizadeh Hussain
  • Bajnok László Zoltán
  • Csiky Botond
  • Czimmer József
  • Czopf László József
  • Figler Mária
  • Habon Tamás
  • Halmosi Róbert
  • Hunyady Béla
  • Késmárky Gábor Róbert
  • Kovács Tibor József
  • Mezősi Emese
  • Molnár Gergő Attila
  • Nagy Judit (II. Bel)
  • Péterfi Zoltán
  • Sarlós Patricia
  • Sütő Gábor
  • Szabados Eszter
  • Szabó Imre (I. Bel)
  • Tóth Kálmán
  • Vincze Áron Endre
  • Wittmann István

Instructor / tutor of practices and seminars

  • Alizadeh Hussain
  • Bajnok László Zoltán
  • Czirják László István
  • Czopf László József
  • Figler Mária
  • Habon Tamás
  • Kovács Tibor József
  • Kumánovics Gábor
  • Laczy Boglárka
  • Márkné Sárosi Veronika
  • Mezősi Emese
  • Mohás Márton
  • Molnár Gergő Attila
  • Nagy Ágnes (IBel)
  • Okoriené Bekő Viktória
  • Pár Gabriella
  • Péterfi Zoltán
  • Sebők Judit
  • Sütő Gábor
  • Szabó Imre (I. Bel)
  • Szomor Árpád
  • Tóth Kálmán
  • Vincze Áron Endre
  • Wittmann István
Rólunk