The Topics Plan

The topic

Hours

Module 1 Main Methods of Patients Examination in the Clinic of Internal

Diseases.
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Role and place of propaedeutics of internal medicine almond

other subjects of therapeutic profile. Scheme of the history of the
disease. Anamnesis part of the history of the disease.
General inspection of the patient.
Inspection of the separate parts of the body.
Main complaints of the patients with respiratory diseases.
Inspection and palpation of the thorax.
Percussion as a method of physical examination of lungs.
Comparative percussion of lungs.
Topographic percussion of lungs.
Auscultation as physical method of lungs examination. Main
breathing sounds.
Lungs auscultation: additional breathing sounds (vales,
crepitating, noise of pleura friction).
Instrumental and laboratory methods of examination of
respiratory organs.
Physical methods of examination of cardio-vascular system.
Questioning and general inspection of patients with cardiovascular diseases.
Examination of the pulse (arterial, venous, pseudocapillar) and
arterial blood pressure.
Inspection and palpation of cardiac area. Percussion of the
borders of relative and absolute cardiac dullness, determination
of the width of vessel bundle.
Heart auscultation. Normal heart tones, double tones, additional
tone (triple rhythm, quadro-rhythm).
Heart auscultation: organic and functional heart noises.
ECG methods of examination of hearts function. Registration
and reading of ECG.
ECG signs of hypertrophy of ventricles and atriums. ECG
signs of coronary blood supply disorders.
ECG examination of patients with failures of automatism l
excitability.
ECG examination of patients with failures of conductivity
function. Principles of the electro-impulse therapy.
Instrumental methods of examination of the cardio-vascular
system.
Questioning and inspection of patients with gastro-intestinal
diseases. Inspection l superficial palpation of the abdomen.
Deep, sliding, methodical palpation of the intestines l gaster.

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28-29.

The topic
Deep, sliding, methodical palpation of the hepar, spleen l
kidneys.
Instrumental methods of examination of gastro-intestinal tract.
Laboratory methods of examination of gastro-intestinal tract.
Questioning and physical examination of patients with diseases
of the urinary system. Instrumental and laboratory methods of the
investigation of urinary system.
Questioning and physical examination of patients with diseases
of the endocrine system. Instrumentation and laboratory methods
of the investigation of endocrine system.
Curation of patients with writing of the anamnestic part of the
history.
Summary modul control: odule 1 Main methods of patients
examination in the clinic of internal diseases.

Hours
2
2
2
2
2
2
4

Module 2 Symptoms and Syndromes at the Diseases of Internals

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Rheumatism: main symptoms and syndromes basing on clinic

and instrumental methods of investigation.
Mitral and aortal heart failures: main symptoms and syndromes
basing on clinic and instrumental methods of investigation.
Hypertensive disease and symptomatic arterial hypertensions.
Main symptoms and syndromes. Hypertensive crisis.
Ischemic heart disease: main symptoms and syndromes of
stenocardia and myocardial infarction.
Acute and chronic heart and vascular insufficiency.
Chronic bronchitis and bronchial asthma. Chronic obstructive
lungs diseases.
Pneumonias: symptoms and syndromes revealed using clinicoinstrumental and laboratory methods. Pneumosclerosis. Lung
cancer. Main clinical symptoms and syndromes in dry and
exsudative pleurisy. Syndrome of breathing insufficiency in
respiratory diseases.
Clinical, instrumental and laboratory examination of patients
with acute and chronic gastritis. Clinico-instrumental and
laboratory examination of patients with ulcer disease of gaster
and duodenum.
Main symptoms and syndromes in bile duct diseases: chronic
cholecystitis, cholangitis, choletitiasis. Main symptoms and
syndromes in chronic pancreatitis.
Main clinical and laboratory signs of chronic hepatitis and
hepatic cirrhosis.
Curation.
Defense of the history of the disease.
Main symptoms and syndromes in anemia. Hematology blood
test.

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13.
15-16.

The topic
Main symptoms and syndromes in renal diseases: acute and
chronic glomerulonephritis and pyelonephritis.
Summary module control: odule 2 Symptoms and Syndromes
at the Diseases of Internals.

Hours
2
4
90