UNIWERSYTET WARMIŃSKO-MAZURSKI W OLSZTYNIE

Wydział Lekarski

 Sylabus przedmiotu – część A

48SJ-INM88

INTERNAL MEDICINE  8/8

2025L

INTERNAL MEDICINE  8/8

ECTS: 10.00

TREŚCI MERYTORYCZNE:

Ćwiczenia

Nephrology (32h - 4 days x 8h 08.00-14.30):
1. Patient with non-infectious complications of hemodialysis. Patient with vascular access complications
2. Ultrasound and other imaging techniques in kidney disease. Preparing patient with CKD prepared for examination with contrast administration. Principles of nephroprotection in imaging studies. Risk factors, symptoms and treatment of contrast nephropathy.
3. Patient with complicated and resistant hypertension. Diagnosis of organ damage in hypertension.
4. Special situations in hypertension: pregnancy, hypertensive crisis, perioperative period.
5. Geriatric nephrology - renal problems in the elderly.
6. Peritoneal dialysis: access to the peritoneal cavity, fluids in peritoneal dialysis, infectious and non-infectious peritoneal dialysis (PD) complications. Long-term PD results and their comparison with HD.
7. Patient with infectious complications of hemodialysis. Patient with peritoneal dialysis-related peritonitis.
Endocrinology (26h - 3 days x 8.6h 07: 30-14.45):
1.Treatment of diabetes (type 1 and type 2), diabetes with known etiology, gestational diabetes.
2. Criteria of metabolic control in diabetes. Long-term monitoring.
3. Nutritional treatment in diabetes. 
4. Physical effort - principles of using exercise in diabetes, depending on the treatment methods.
5. Oral antidiabetic drugs: biguanide derivatives, sulfonylureas, α-glucosidase inhibitors, DPP-4 inhibitors, GLP-1 receptor agonists.
6. Assessment of metabolic control of a diabetic patient. Analysis of nutritional treatment. Activity evaluation. Planning therapy of the patient.
7.Insulin therapy.
8. Hypoglycemia - symptoms, diagnosis and treatment, assessment of the incidence. Reasons of hypoglycemia.
9. Ketoacidosis and non-ketone hyperosmolar hyperglycemia: reasons, diagnosis and proposed treatment.
10. Osteoporosis and neuroendocrine tumors.
11. Adrenal gland incidentaloma - imaging and hormonal diagnostics. Adrenal gland cancer. Multiple endocrine neoplasia. Hyperparathyroidism and hypoparathyroidism.
12. Water-electrolyte and acid-base disorders: dehydration, overhydration, hyponatraemia, hypernatremia, hypokalemia, hyperkalemia, hypomagnesemia, hypermagnesemia, hypocalcaemia, hypercalcemia, hypophosphataemia, hyperphosphataemia; acidosis, alkalosis.
13. Bone metabolic diseases: osteomalacia, osteoporosis - determinants of peak bone mass, diagnosis of osteoporosis (clinical and skeletal risk factors, FRAX); primary and secondary osteoporosis; prevention and treatment of osteoporosis.
14. Hormonal gonadal dysfunction: Ovaries - menstrual disorders (primary and secondary amenorrhea), polycystic ovary syndrome, ovarian tumors, perimenopausal and postmenopausal disorders; Testicles - testicular disorders (cryptorchidism, primary and secondary hormonal testicular failure, seminiferous tubule failure), testicular cancer, gynecomastia.
Gastroenterology / Hepatology (30h - 5 days x 6h 08.00-13.00):
1. Constipation and colon cancer.
2. Diarrhea and irritable bowel syndrome.
3. Diverticular disease.
4. Autoimmune bowel diseases.
5. Malabsorption syndromes.
6. Diarrhea, constipation - diagnosis, differentiation, treatment.
7. Demonstrations of procedures: varicose ligation, nutritional gastrostomy, intrahepatic pressure gradient measurements, polypectomy in the large intestine and stomach.
8. Demonstrations and discussions of classical radiological tests in various digestive tract pathologies.
9. Clinical consequences of digestion and absorption processing, and inadequate and applied nutrition.
10. Primary and metastatic cancers of the digestive system.
Hepatology
1. Inflammation and liver disease: viral, metabolic, toxic and autoimmune.
2. Cholestasis, biliary and gallbladder pathologies, liver and biliary tract cancer.
3. Etiopathogenesis, diagnosis and treatment of acute and chronic liver failure.
4. Patient with liver pathologies - management.
5. Pathologies of intra- and extrahepatic bile ducts.
6. Liver in various pathologies and metabolic disorders - clinical implications.
7. Patient with liver failure - management.
8. Nutrition principles for patients with liver pathologies - diet selection exercises.
Cardiology (50h - 6 days x 8h 08.00-14.30):
1. Acute myocarditis.
2. Sudden cardiac arrest.
3. Basics of arrhythmias' differentiation.
4. Syncope - diagnosis and treatment
5. Conductivity disorders.
6. Long-term ECG recordings
7. Indications for ICD
8. Invasive treatment of supraventricular tachycardias
9. Direct current cardioversion
Rheumatology (12h - 2 days x 6h 08.00-13.00):
1. Taking history and physical examination in rheumatology. Interpretation of diagnostic test results. Rheumatoid arthritis.
2. Seronegative spondyloarthropathies; vascular degenerative disease; gout and other crystallopathies, osteoporosis.
3. Physiotherapy in rheumatic diseases, systemic connective tissue diseases: systemic lupus erythematosus, systemic scleroderma, dermatomyositis, polymyalgia rheumatica.

CEL KSZTAŁCENIA:

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OPIS EFEKTÓW UCZENIA SIĘ PRZEDMIOTU W ODNIESIENIU DO OPISU CHARAKTERYSTYK DRUGIEGO STOPNIA EFEKTÓW UCZENIA SIĘ DLA KWALIFIKACJI NA POZIOMACH 6-8 POLSKIEJ RAMY KWALIFIKACJI W ODNIESIENIU DO DYSCYPLIN NAUKOWYCH I EFEKTÓW KIERUNKOWYCH:

Symbole efektów dyscyplinowych:

Symbole efektów kierunkowych:

EFEKTY UCZENIA SIĘ (Wiedza, Umiejętności, Kompetencje społeczne):

FORMY I METODY DYDAKTYCZNE:

FORMA I WARUNKI WERYFIKACJI EFEKTÓW UCZENIA SIĘ:

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