Internal Medicine: Nephrology, Hypertension

Data

Official data in SubjectManager for the following academic year: 2023-2024

Topic

The importance of nephrology and hypertension is increasing among the subspecialties of internal medicine. The topic of this curriculum is to introduce the classical nephrology (nephrotic sy., acute glomerlonephritides, urinary tract infections, hereditary kidney disease etc.) and hypertension. We also focus on the complications of diabetes, hypertension and peripheral arterial diseases which are leading causes of end stage kidney disease all over the world.

Lectures

• 1. The classification of renal diseases. Examination of the kidney 1. - Dr. Wittmann István
• 2. The classification of renal diseases. Examination of the kidney 2. - Dr. Wittmann István
• 3. Acute glomerulonephritis. Rapidly progressive glomerulonephritis. - Dr. Wittmann István
• 4. Chronic kidney disease. - Dr. Wittmann István
• 5. Nephrotic syndrome. - Dr. Wittmann István
• 6. IgA nephropathy. - Dr. Vas Tibor
• 7. Renal involvement in systemic diseases: SLE, HUS (haemolytic uraemic syndrome), Henoch-Schönlein syndrome. - Dr. Molnár Gergő Attila
• 8. Diabetic nephropathy. - Dr. Wittmann István
• 9. Hypertension and the kidney, atheromatous renovascular disease. - Dr. Kovács Tibor József
• 10. Acute and chronic renal tubulonterstitial nephritis. - Dr. Laczy Boglárka
• 11. Electrolyte and acid-base disturbances. - Dr. Sebők Judit
• 12. Acute kidney injury. - Dr. Kovács Tibor József
• 13. End-stage kidney disease. Renal replacement therapy. - Dr. Csiky Botond
• 14. Angiology. - Dr. Sebők Judit

Practices

• 1. Case history taking, physical examination of renal patients. Urinanalysis.
• 2. Case history taking, physical examination of renal patients. Urinanalysis.
• 3. The tests evaluating renal function. How to evaluate the results of renal imaging procedures?
• 4. The tests evaluating renal function. How to evaluate the results of renal imaging procedures?
• 5. The causes, forms and differential diagnosis of hematuria and proteinuria. The differential diagnosis of oedema.
• 6. The causes, forms and differential diagnosis of hematuria and proteinuria. The differential diagnosis of oedema.
• 7. Diagnosis and treatment of primary and secondary forms of glomerulonephritis. Examination of patients with acute and rapidly progressive glomerulonephritis.
• 8. Diagnosis and treatment of primary and secondary forms of glomerulonephritis. Examination of patients with acute and rapidly progressive glomerulonephritis.
• 9. Chronic kidney disease. Follow-up of patients with kidney disease. Specific and non-specific treatment of kidney diseases.
• 10. Chronic kidney disease. Follow-up of patients with kidney disease. Specific and non-specific treatment of kidney diseases.
• 11. Examination of patients with IgA nephropathy.
• 12. Examination of patients with IgA nephropathy.
• 13. Examinaton of patients with nephrotic syndrome.
• 14. Examinaton of patients with nephrotic syndrome.
• 15. Early diagnosis, treatment, follow-up of diabetic nephropathy Examination of patients with microalbuminuria.
• 16. Early diagnosis, treatment, follow-up of diabetic nephropathy Examination of patients with microalbuminuria.
• 17. Diagnosis and treatment of hypertension in renal patients.
• 18. Diagnosis and treatment of hypertension in renal patients.
• 19. Diagnosis, treatment of urinary tract infections.
• 20. Diagnosis, treatment of urinary tract infections.
• 21. Examination of patients with acute and chronic tubulointerstitial nephritis.
• 22. Examination of patients with acute and chronic tubulointerstitial nephritis.
• 23. Inherited kidney diseases 1.
• 24. Inherited kidney diseases 2.
• 25. Acute kidney injury. Electrolyte- and acid- base disorders.
• 26. Acute kidney injury. Electrolyte- and acid- base disorders.
• 27. End-stage kidney diseas. Renal replacement therapy. Drug dose adjustments in patients with renal impairement.
• 28. End-stage kidney diseas. Renal replacement therapy. Drug dose adjustments in patients with renal impairement.

Seminars

Reading material

Obligatory literature

Literature developed by the Department

Notes

NOTES in nephrology and hypertension for medical students (http://aok.pte.hu/en/egyseg/dokumentumok/270)

Recommended literature

Harrisons: Principles of Internal Medicine, 16th edition, McGraw-Hill Medical Publishing Division,
Goldman L., Ausiello D.: Cecil Textbook of Medicine: Single Volume (Cecil Textbook of Medicine), Saunders

Conditions for acceptance of the semester

Maximum of 15 % absence allowed

Mid-term exams

-

Making up for missed classes

The maximum permitted number of absences is 3 lectures and 3 practices. Each further missed practice has to be made up for during the semester period.

Exam topics/questions

The evaluation of renal diseases.
The differential diagnosis of hematuria.
The differential diagnosis of proteinuria.
The differential diagnosis of oedemea.
The methods suitable to measure glomerular function.
The methods suitable to measure tubular function.
The imaging techniques in nephrology.
Indications/contraindications of renal biopsy.
Acute glomerulonephritis.
Rapidly progressive glomerulonephritis.
Nephrotic syndrome.
Asymptomatic diseases - the importance of screening.
Urinary tract infection, acute and chronic pyelonephritis.
Acute and chronic tubulointerstitial nephritis.
Follow-up of renal diseases.
Hypertension and the kidney.
Diabetic nephropathy.
Renal involvement in systemic diseases: SLE, vasculitides, atherosclerosis, HUS.
Acute kideny injury. End-stage kidney disease. Renal replacement therapy.
Inherited kidney diseases.

Examiners

• Dr. Csiky Botond
• Dr. Édel Zsófia
• Dr. Kovács Tibor József
• Dr. Laczy Boglárka
• Dr. Molnár Gergő Attila
• Dr. Pető Andrea
• Dr. Sági Balázs
• Dr. Sebők Judit
• Dr. Sütő Gábor
• Dr. Vas Tibor
• Dr. Wittmann István
• Okoriené Dr. Bekő Viktória

Instructor / tutor of practices and seminars

• Dr. Csiky Botond
• Dr. Kovács Tibor József
• Dr. Kun Szilárd János
• Dr. Laczy Boglárka
• Dr. Molnár Gergő Attila
• Dr. Sági Balázs
• Dr. Sebők Judit
• Dr. Sélley Eszter
• Dr. Vas Tibor
• Dr. Wittmann István
• Okoriené Dr. Bekő Viktória