Adatok
A Tantárgybejelentőben megadott hivatalos adatok az alábbi tanévre: 2024-2025
Tantárgyfelelős
-
Pál Endre
associate professor,
Department of Neurology
Óraszámok/félév
előadás: 14 óra
gyakorlat: 28 óra
szeminárium: 0 óra
összesen: 42 óra
Tárgyadatok
- Kód: OAK-NA1-T
- 3 kredit
- General Medicine
- Clinical modul
- autumn
OAA-NEA-T finished , OAK-PH2-T finished , OAP-PA2-T finished
Kurzus létszámkorlát
min. 5 fő – max. 100 fő
Tematika
Investigation of patients with different neurological diseases: history taking, neurological physical examination, discovery of common neurological disorders and neurological emergencies. Basic knowledge of the most common neurological d1seases.
Előadások
- 1.
Introduction to neurology
- Komoly Sámuel - 2.
Physical examination I.
- Kovács Norbert - 3.
Physical examination II
- Kovács Norbert - 4.
Transient loss of consciousness
- Janszky József Vladimir - 5.
Disturbances of vigilance: types, etiology. Coma
- Faludi Béla - 6.
Differential diagnosis of Vertigo
- Mike Andrea - 7.
Stroke I.
- Szapáry László (Neurológia) - 8.
Dysimmune peripheral neuropathies, Guillain-Barre syndrome
- Komoly Sámuel - 9.
Parkinson's disease
- Kovács Norbert - 10.
Epilepsy I.
- Janszky József Vladimir - 11.
Polyneuropathies
- Pál Endre - 12.
Extrapyramidal disorders, gait disturbances
- Kovács Norbert - 13.
Multiple Sclerosis
- Illés Zsolt - 14.
Neuroimaging
- Pál Endre
Gyakorlatok
- 1. Reflexes
- 2. Testing of cranial nerves
- 3. Testing of cranial nerves
- 4. Tests of motor functions
- 5. Tests of motor functions
- 6. Testing of sensory functions
- 7. Testing of sensory functions
- 8. Testing of cerebellar and vestibular functions
- 9. Testing of cerebellar and vestibular functions
- 10. Testing of gait and stance
- 11. Testing of gait and stance
- 12. Testing of higher cortical functions
...
- 13. Testing of higher cortical functions
- 14. Testing of higher cortical functions
- 15. Reflexes
- 16. Reflexes
- 17. Testing of cranial nerves
- 18. Testing of cranial nerves
- 19. Tests of motor functions
- 20. Tests of motor functions
- 21. Testing of sensory functions
- 22. Testing of sensory functions
- 23. Testing of cerebellar and vestibular functions
- 24. Testing of cerebellar and vestibular functions
- 25. Testing of gait and stance
- 26. Testing of gait and stance
- 27. Testing of higher cortical functions
- 28. Testing of higher cortical functions
Szemináriumok
A tananyag elsajátításához szükséges segédanyagok
Kötelező irodalom
Saját oktatási anyag
Materials of the lectures are available in POTEPEDIA
Prof. Dr. Samuel Komoly: Patient examination video (PotePedia, Neptun Meet Street)
Jegyzet
Physical-examination
Dr. Norbert Kovács: Neurological physical examination https://kovacsnorbert.eu/download/1335/
Ajánlott irodalom
Fowler's Clinical Neurology (https://www.amazon.co.uk/Clinical-Neurology-4th-T-J-Fowler/dp/0340990708)
Hankey's Clinical Neurology 2014
Neurology : A Queen Square Textbook 2009
Oxford Handbook of Neurology 2014
A félév elfogadásának feltételei
-
Félévközi ellenőrzések
According to study and examination regulations
Távolmaradás pótlásának lehetőségei
Extra scheduled practices
Vizsgakérdések
"A" Neurological physical examination
1. Examination of the skull, spine and meningeal signs
2. Examination of first and second cranial nerves (smell sensation, vision)
3. Examination of ocular movements (cranial nerves III, IV and VI)
4. Examination of the trigeminal nerve
5. Examination of the facial nerve. Types of facial palsy.
6. Examinations in case of vertigo (n. VIII, central vs. peripheral vestibular lesions)
7. Dix-Hallpike and Halmágyi-maneuver, alternation cover test and Epley – reposition maneuver
8. Examination of nerves IX, X, XI and XI
9. Examination of deep tendon reflexes
10. Examination of the pyramidal signs
11. Examination of the muscle tone and strength. Signs of central vs. peripheral lesion
12. Examination of Parkinsonism (muscle tone, hypo- and bradykinesia, alternating movements, gait, postural instability)
13. Examination of the cerebellar symptoms
14. Examination of the sensation
15. Examination of the limb- and trunk ataxia
16. Examination of the speech and the main types of disturbances
17. Examination of the unconscious patient
18. Examination of the patient after a transient loss of consciousness
19. Examination of the confused patient
20. Examination of a patients with acute dizziness and acute headache
B" Theoretical background of physical examination
21. Typical symptoms of peripheral and central type weakness
22. Symptoms of anterior circulation stroke
23. Symptoms of posterior circulation stroke
24. Symptoms of brainstem alternating syndromes (Weber’s and Wallenberg’s syndrome)
25. Symptoms of dissociative sensory loss
26. Types of visual field defects
27. Types of gaze palsies: nuclear and supranuclear gaze palsy, internuclear ophthalmoplegia
28. Symptoms of peripheral and central facial palsy
29. Characteristic appearance of harmonic and disharmonic vestibular syndromes
30. Pyramidal signs and assessment
31. Alterations of muscle tone, types and clinical appearance
32. Pathological tremors, types and examinations
33. Types of gate disturbances
34. Types of aphasia
35. Neglect syndromes
36. Characteristic signs of Parkinsonism
37. Signs of cerebellar lesions
38. Horner’s syndrome
39. Types of spinal cord lesions (complete cross section, dorsal column lesion, anterior spinal artery syndrome)
40. Conus and cauda syndrome
41. Clinical signs of plexus lesions
42. Signs of cervicobrachial radicular lesions
43. Signs of lumbosacral radicular lesions
44. Signs of ulnar nerve lesion
45. Signs of medial nerve lesion, typical tunnel syndrome
46. Signs of radial nerve lesion
47. Signs of peroneal nerve lesion, typical tunnel syndrome
48. Common signs of polyneuropathy
49. Examination of alertness. Types of unconsciousness
50. Signs of raised intracranial pressure, types of intracranial herniations
51. The Glasgow coma scale (GCS) and assessment
"C" Theoretical questions from lectures
52. Symptoms of acute stroke
53. Diagnostic steps in acute stroke
54. Management of acute stroke
55. Diagnostic test in case of TIA, clinical significance
56. Primer and Secondary prevention of stroke
57. Differential diagnostics of unconsciousness
58. Convulsive syncope
59. Grand mal seizure
60. Status epilepticus, definition and management
61. Differential diagnostics of vertigo
62. The common features of peripheral vertigo
63. The common features of central vertigo
64. Diagnostics and differential diagnostics of Parkinson’s disease
65. Multiple sclerosis, diagnostic steps and differential diagnostics
66. Investigations in case of polyneuropathy
67. Guillain-Barre syndrome
Vizsgáztatók
- Ács Péter
- Bosnyák Edit
- Faludi Béla
- Horváth Réka
- Janszky József Vladimir
- Komoly Sámuel
- Kovács Norbert
- Pál Endre
- Pfund Zoltán
- Sebők Ágnes
- Tóth Márton Tamás
Gyakorlatok, szemináriumok oktatói
- Ács Péter
- Bosnyák Edit
- Faludi Béla
- Horváth Réka
- Juhász Annamária
- Kovács Norbert
- Pál Endre
- Pfund Zoltán
- Sebők Ágnes
- Tóth Márton Tamás