Surgery - Traumatology

Data

Official data in SubjectManager for the following academic year: 2022-2023

Course director

Number of hours/semester

lectures: 0 hours

practices: 180 hours

seminars: 0 hours

total of: 180 hours

Subject data

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

completed Basic, Pre-clinical and Clinical Modules completed

Course headcount limitations

min. 1 – max. 200

Topic

VI. year students fulfil their famulature in a rotational system lasting 5 weeks touching on all profiles of the clinic. One additional week is calculated for the final exams, so the famulature includes altogether 6 weeks. Gradually they will be fully authorized to receive new patients on admission, write in the files, and participate in theatre activities as a second hand. Participation in outpatient ambulance activities and in the duty service is also required.
Restructuring the traditional trauma curriculum, our students acquire not only the basic theoretical and clinical expertise, they need to become successful physicians and also acquire the adaptability skills, and flexible attitudes to become lifelong learners.
These include:
- a problem-based approach to learning in which fundamental medical concepts are mastered, not only by memorizing textbooks but more through the analysis of real patient cases;
- a strong emphasis on exploring the patient-doctor relationship and locating modern medical practices in its social context;
The curriculum of traumatology is designed to assist students in achieving the following educational goals:
- Establish a knowledge base grounded in scientific principles and apply this knowledge effectively for the benefit of patients and populations.
- Acquire the skills and abilities needed to evaluate and treat his/her patients appropriately.
The course is designed to instruct students in the clinical examination, investigation and management of common injuries so that at the end of their period they will be able to deal with common problems and complications, and will realize when more expert help is needed.
Students will be involved in the assessment and treatment of widespread traumatological problems as part of the team. They will take part in the ward rounds, conferences and discussions of the unit.

Lectures

Practices

  • 1. Assisting nursery and postoperative patient care in the thoracic-surgical unit
  • 2. Installation of wound drainage
  • 3. Change of wound dressing
  • 4. Participation in OP theatre activities
  • 5. Assisting nursery and postoperative patient care in the vascular unit
  • 6. Postoperative care of thoracic surgical patients
  • 7. Examination of peripheral limb circulation (Doppler, colour Doppler, anigograms, etc.)
  • 8. Participation in OP theatre activities, laparoscopic interventions.
  • 9. Assisting nursery and postoperative patient care in general surgery
  • 10. Postoperative pain management, administration of antibiotics and laxatives
  • 11. Catheterism, placing of NG tube and venous cannula
  • 12. Participation in surgical interventions and attendance to daily rounds
  • 13. Assisting nursery and postoperative patient care on the ward for colorectal diseases
  • 14. Preoperative preparation of large bowel
  • 15. Assisting at colostoma care and change of wound dressing
  • 16. Participation at large bowel resection, colectomies
  • 17. Assisting nursery and postoperative patient care on the ward for GI diseases
  • 18. Postoperative care of gastrectomy patients
  • 19. Follow up of the clientel operated on for esophageal cancer and carcinoma of the stomach
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Seminars

Reading material

Obligatory literature

Schwartz: Principles of Surgery. Pre-test Self-assessment and Review, McGrow Hill Company, NY.
Sabiston D.C.: Textbook of Surgery, Elsevier, Philadelphia
Morris-Malt: Oxford Textbook of Surgery, Oxford University Press
J. Crawford Adams: Outline of Fractures, Churchill Livingstone, Edinburgh London
J. Crawford Adams: Practical Fracture Treatment, Churchill Livingstone, Edinburgh London
R. McRea, M. Esser Practical Fracture Treatment, Churchill Livingstone, Edinburgh London
D. Dandy, D. Edwards: Essential Orthopaedics and Trauma, Churchill Livingstone, Edinburgh London

Literature developed by the Department

Notes

Recommended literature

Conditions for acceptance of the semester

The 6 weeks rotational famulature prior to the final exam is obligatory. To perform it on abroad a special consent is needed from the educational office and the head of the clinic, respectively.
Summer practice in surgery during the 6th year may be conducted exclusively at a Department of General (abdominal or visceral) Surgery (for a period of 4 weeks) and Traumatology (orthopedics) (1 week). Accreditation in support of the site of practice should be checked prior to registration, since the practice will be accepted only if the site is listed among the accredited facilities. The official and legible stamp of the department is also required, containing its general surgical or visceral surgical and trauma/orthopedic characteristic.

Mid-term exams

There is none.

Making up for missed classes

Unfulfillment involves loss of the right to sign up for the final exam.
Absences should be compensated in registered fashion.

Exam topics/questions

Final exam questions.
------------------------------------
Group A:
1. Postoperative disturbances of wound healing
2. What is the difference between embolism and thrombosis?
3. The operative risk
4. Types of wounds, primary wound management.
5. General symptoms of tumors
6. Asepsis and antisepsis, nosocomial infections
7. Investigation of patients with peripheral occlusive vascular disease in the outpatient ambulance.
8. Indications and contraindications of laparoscopic surgery. About laparoscopic techniques in general.
9. General principles of oncological surgery.
10. Blood transfusion.
11. The routes of spread of malignant tumors.
12. Abdominal ischemia.
13. Treatment modalities of tumor patients in general.
14. Gangrenes.
15. X-ray signs in the abdomen.
16. Classifications of malignant tumors. TNM-grading.
17. Blunt injuries of the abdominal wall. Penetrating trauma to the abdomen.
18. Shock syndrome. Clinical manifestations of shock and its management.
19. Methods of local anesthesia/conduction anesthesia, regional anesthesia/
20. The most frequent pyogenous infections.
21. The use of antibiotics in surgery and ways of administration.
22. Parenteral nutrition.
23. Hemoptoe, hematemesis
24. Precancerosis and its types.
25. Physical signs of the acute abdomen.
26. Differential diagnosis of bloody stool. The significance of rectal digital investigation.
27. Postoperative complications, and their treatment, prevention

B questions (special surgery):
1. Surgical diseases of the anorectum
2. Hyperparathyroidism.
3. Intraabdominal abscesses.
4. Hernias in general.
5. Acute appendicitis.
6. Clinical forms of thyroid cancer. Symptomatology and treatment.
7. Resectable mammary cancer. Surgical and adjuvant treatment.
8. Clinical manifestations of gallstone disease. Laparoscopic cholecystectomy.
9. Traumatic and spontaneous rupture of the spleen.
10. Surgical treatment of adrenal tumors.
11. The acute deep venous thrombosis.
12. Diverticulosis and diverticulitis
13. Nodular disease of the thyroid gland.
14. Colorectal tumors.
15. Benign breast tumors and inflammatory diseases of the mammary gland.
16. Acute gastrointestinal bleeding.
17. Natural history and complications of gastro-duodenal ulcers.
18. Malignant tumors of the stomach.
19. Types of ileus and their symptomatology.
20. Diagnostic work-up of mammary tumors.
21. Squamocellular carcinoma of the oesophagus and its surgical management.
22. Adenocarcinoma of the esophagus.
23. Types of pneumothorax. Treatment options. Indication of surgical intervention.
24. Treatment of gastro-esophageal reflux, its clinical manifestation and etiology.
25. Surgical management of lung cancer
26. Inflammatory bowel disease/IBD/ and surgical treatment options.
27. Frequent complications following thyroid surgery.
28. Clinical manifestation of aortic aneurysm. Aneurysma dissecans. Surgical options.
29. Complications related to postthrombotic syndrome and their management.
30. Symptoms of occlusive vascular disease of the lower extremities. Treatment options.
31. Mesenterial vascular occlusions.
32. Diagnostic modalities of an esoophageal disease.
33. Enterostomies (colostomies, ileostomy) and their indications.
34. Perianal abscesses and fistulae. Surgical management of hemorrhoids.
35. Bilio-digestive anastomoses.
36. Primary varicosity of the lower limbs.
37. Peritonitis: causes, therapy, complications
38. Differential diagnosis of jaundice.
39. Benign tumors and cysts of the liver.
40. Malignant lesions of the liver and their surgical management.
41. Diseases of the chest wall. Tumors of the mediastinum.
42. Acute abdomen, differential diagnosis.
43. Thoracic empyema and infective thoracic disorders
44. Surgery of metastases.
45. On the risk of postoperative pulmonary thromboembolism, its recognition and treatment.
46. Surgical aspects of hyperthyroidism.
47. Palliative surgery in pancreatic and periampullary tumors.
48. The notion and statement of brain death. Medico-legal prerequisites.
49. Donor-conditioning. Preservation of the cadaver kidney.
50. Basic principles of immunosuppressive treatment following organ transplantation.
51. Early and late complications following kidney transplantation.
52. Indications for liver and pancreas transplantation.
53. Treatment options and surgical indications for acute pancreatitis.
54. Surgery for chronic pancreatitis.
55. Symptomatology and surgical management of pancreatic tumors.
56. Morbid obesity, and bariatric surgery


Exam questions of the subject Traumatology:
These questions are compiled by the medical stuff of the Trauma Center and you should browse for them on the WEBSITE of the Traumatology Clinic.

Examiners

  • Dr. Horváth Örs Péter
  • Dr. Illényi László
  • Dr. Kelemen Dezső Tamás
  • Dr. Papp András
  • Dr. Szakály Péter
  • Dr. Szántó Zalán János
  • Dr. Vereczkei András Gábor

Instructor / tutor of practices and seminars

  • Dr. Baracs József
  • Dr. Ember Ágoston
  • Dr. Ferencz Sándor
  • Dr. Kalmár Nagy Károly
  • Dr. Kelemen Dezső Tamás
  • Dr. Kondor Ariella Edina
  • Dr. Kovács Gyula
  • Dr. Papp András
  • Dr. Papp Róbert
  • Dr. Pavlovics Gábor
  • Dr. Szakály Péter
  • Dr. Szántó Zalán János
  • Dr. Vereczkei András Gábor
  • Dr. Zapf István Tamás