Symptom-Based Diagnostics in Internal Medicine

Adatok

A Tantárgybejelentőben megadott hivatalos adatok az alábbi tanévre: 2024-2025

Tematika

The subject goals to deal with a very important issue of internal medicine specialists and general practitioners (family doctors) praxis, the symptom-based and problem-oriented approach to the patients and disorders considering the up-to-date evidences and latest guidelines. We would like to teach a systematic way of thinking and use it in the praxis.

The course has two main goals.

1. To teach how to search up-to-date evidences, guidelines via internet usable for clinical practice.

2. To learn a method to gain diagnosis from symptoms and complaints presented by patients.

The course is based on the systematic discussion of main symptoms and their differential diagnostics, to find the adequate information sources and practice them.

Some of the information found in textbooks are out of date because of the long-lasting process of publications, in the age of internet (even bed-side use is available by smart devices) the immediate knowledge of the latest scientific results is possible in the everyday medical practice, patients of the 21st century are well-informed from the internet, so the doctors of the present and the future cannot miss this knowledge. Our goal is to teach and enhance evidence-based thinking in medicine and differential diagnostics.

50% of course contains interactive lectures that detail the main symptoms of different disciplines of internal medicine, based on etiological, diagnostic and differential diagnostic approaches using up-to-date guidelines, latest evidences and internationally accepted protocols. We would like to share our experience in the field, as well.

50% of the course contains common practices in large group with patient interview together and small (2-5 persons) group practices with personal patient interviews that are the basis of 2 self-tailored case stories that will be the basis of the credit. Practices are good occasions for use of detailed methods and the immediate feed-back from experts and so enhance the process of learning.

We suggest this basic course for every student who are interested in the internal medicine, wants to improve internet usage in future praxis and at least have started propedeutics of internal medicine subject.

This course has 2 main parts:

1st part: 10 interactive seminars about symptom-based management of main symptoms in internal medicine

2nd part: 10 interactive bedside practice for practicing and improving the symptom-based diagnostics skills at the Emergency Dept. and First Dept. of Internal Medicine Wards

Előadások

Gyakorlatok

• 1. Bedside practice at an Internal Medicine Ward: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Czimmer József
• ...

  2. Bedside practice at an Internal Medicine Ward: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Czimmer József

  3. Bedside practice at an Internal Medicine Ward: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Czimmer József
• 4. Bedside practice at an Internal Medicine Ward: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Czimmer József
• 5. Bedside practice at the Department of Emergency Medicine: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Kanizsai Péter László
• 6. Bedside practice at the Department of Emergency Medicine: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Kanizsai Péter László
• 7. Bedside practice at the Department of Emergency Medicine: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Varjú Péter
• 8. Bedside practice at an Internal Medicine Ward or ICU: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Varjú Péter
• 9. Bedside practice at an Internal Medicine Ward: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Gál Roland
• 10. Bedside practice at an Internal Medicine Ward: practice and case demonstration in small groups (max. 5-6 persons / a specialist) - Gál Roland

Szemináriumok

• 1. Anamnesis, Cost-Effective Diagnostics, Special Diagnostics of Severe Acute Dysorders. - Czimmer József
• 2. Evidence Based Medicine - Czimmer József
• 3. Differencialdiagnostics: Acute and Chronic Abdominal Pain (with case-based discussion) - Czimmer József
• 4. Differencialdiagnostics: Dysphagia, Weight Loss (with case-based discussion) - Czimmer József
• 5. Differencialdiagnostics: Diarrhoea, Nausea, Vomiting (with case-based discussion) - Czimmer József
• 6. Differencialdiagnostics: Jaundice, Ascites (with case-based discussion) - Czimmer József
• 7. Differentialdiagnostics: Chest Pain Syndrome / Chest Dyscomfort, Palpitation - Kenyeres Péter
• 8. Differentialdiagnostics: Dyspnea, Pulmonary Edema, Cyanosis, Hypoxaemia, Edema, Cough, Hemoptoe - Kenyeres Péter
• 9. Differentialdiagnostics: Fever, Hyperthermia, Hypothermia, FUO, Skin and Soft-Tissue Infections - Kappéter Ágnes
• 10. Differentialdiagnostics: Anemia, Polycytaemia, Haemofilia, Thrombosis, Lymph Node Disorders, White Blood Cell Dysorders - Kosztolányi Szabolcs

A tananyag elsajátításához szükséges segédanyagok

Kötelező irodalom

Saját oktatási anyag

Jegyzet

Ajánlott irodalom

Harrison's: Principals of Internal Medicine, Up-To-Date webside (www.uptodate.com), www.pubmed.com

A félév elfogadásának feltételei

Up to 2 absences from classes (20%) are acceptable, fulfil of all practices is mandatory (timing is relatively flexible) and submission of 2 case-based essay, that will be the base of the grade.

Félévközi ellenőrzések

Activity and submission of 2 case-based essay using learned methodology for gaining diagnosis, that will be the base of the grade.

Távolmaradás pótlásának lehetőségei

Only small group practices can be held in different dates based on personal discussion.

Vizsgakérdések

No test exam.

Vizsgáztatók

Gyakorlatok, szemináriumok oktatói

• Czimmer József
• Gál Roland
• Kanizsai Péter László
• Kappéter Ágnes
• Kenyeres Péter
• Kosztolányi Szabolcs
• Varjú Péter