SEMESTER V

Lectures:   10 hours 

1. Consciousness disorders; Edema. Jaundice and other skin color disorders;
2. History taking and physical assessment in ascites. Differential diagnosis of ascites
3. Enlargement of lymph nodes, liver and spleen (lymphadenopathies, hepatomegaly, splenomegaly); Arterial hypertension and Hypotension.
4. Signs and symptoms of life threatening conditions; Fever
5. Thirst;
6. Cough and hemoptysis
7. Pain as a disease alarm;
8. Dyspnoea. Weight changes (underweight, overweight)
9. Signs, symptoms, laboratory findings and clinical diagnosis: theory and practice;
10. Methods of clinical examination

Seminars:   10 hours

1. How to communicate with patient and his family during consultation. Confidentiality, informed consent and patient’s autonomy.
2. Physical examination: inspection, percussion, auscultation and palpation. General health status assessment.
3. HT and PE of head and neck. HT and PE in pathology of skin, lymph nodes, nails, mucosa.
4. HT and PE in cardiovascular disorders. The heart. Peripheral vascular and venous system.
5. HT and PE in respiratory system
6. HT and PE in gastrointestinal system (part I).
7. HT and PE in gastrointestinal system (part II) and in renal system.
8. HT and PE in musculosceletal system. Basics of neurological examination
9. HT and PE in endocrine system. HT and PE in hematological disorders.
10. Medical records. Medical documentation

Classes:     40 hours

1. Communication with the patient. Verbal communication and body language. How to start? Principles of history taking (HT).  HT in patients with consciousness disorders. HT from family or relatives. Asking the right questions and asking the questions right. Writing notes (how, what and when?) HT from young, adult and elderly patients. “Difficult patient” (deaf, angry or aggressive patient; different language or culture).
2. Physical examination (PE). Approaching to PE (conduct, setting). General examination [first impressions, conscious level, nutritional status (weight, height), temperature, colour, hydration, body balance, gait. Patient’s interview – practice (student as a physician).
3. HT and PE in skin, hair, nails and lymph nodes disorders. HT and PE in head and neck disorders.
4. HT and PE in cardiovascular disorders. The heart. Peripheral vascular and venous system.
5. HT and PE in respiratory system
6. HT and PE in gastrointestinal system (part I).
7. HT and PE in gastrointestinal system (part II) and in renal system.
8. HT and PE in musculosceletal system. Basics of neurological examination
9. HT and PE in endocrine system. HT and PE in hematological disorders.
10. Clinical examination.