semmelweis university 2 0 1 2 / 2 0 1 3

154
SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE
INTERNAL MEDICINE I.
(1 st Dept. of Internal Medicine Tutors: Prof. Dr. Ferenc Szalay, Dr. Margit Abony)
3 rd Dept. of Internal Medicine Tutor: Dr. Katalin Keltai
In 2012/13 Internal Medicine I. and II. are taught by the 3rd Department!
First Semester
Lectures with case presentation (3 hours per week)
Introduction to internal medicine. The sick man. The medical interview. The doctor’s
conductance and attitude towards the patient. Basic rules of the medical interview.
Details of history taking. Questions related to the respiratory, circulatory and
gastrointestinal systems.
The physical examination. Inspection. Palpation.
Percussion. Auscultation.
Fever. Taking the temperature. The types of fever curves.
The main symptoms of pulmonary disease. Cough, sputum production, hemoptysis,
dyspnea, wheezing, cyanosis and chest paint.
Physical diagnosis of the common pleural and pulmonary syndromes.
Examination of the heart. Inspection and palpation of the precardial region. Evaluation of
the apical impulse. Percussion of the heart. ECG. The heart sounds (normal and
pathological findings).
Murmurs (Normal and pathological findings).
he pulse. Examination of the vascular system. The pericardium.
The diagnosis of vascular heart disease (1).
The diagnosis of vascular heart disease (2). Heart failure.
The blood pressure. Hypertensive vascular disease.
General signs and symptoms of
the diseases of abdominal organs (gaseous abdominal distention, ascites, painful acute
abdominal diseases).
Examination of the gastrointestinal tract. General diagnostics of liver diseases.
General diagnostics of biliary tract diseases.
General diagnostics of pancreatic diseases. Metabolic diseases (diabetes mellitus).
The erythrocyte sedimentation rate (ESR). The complete blood count (CBC). General
diagnostics of hematological diseases.
Immunology.
Investigation of the musculoskeletal and the nervous systems.
Practice: Ward rounds (4 hours per week)
Introduction to medical diagnosis. Behaviour in the medical ward. The patient-doctor and the
patient-medical student relationship in practice. Communication with the patient. Medical
confidentiality during medical studies.
The medical documentation. Equipment for physical examination. The practice of medical history
taking.
The technique of physical examination. Inspection. Palpation. Percussion, Auscultation. Continuous
practicing of the basic techniques in history taking and physical examination throughout the
semester.