semmelweis university 2 0 1 2 / 2 0 1 3

The common medical syndromes demonstrated with patients. Examination of the heart, the
vascular system, the respiratory system, the abdominal organs. Jaundice. Ascites. Diseases of the
liver and the biliary tract. Gastrointestinal and renal syndromes. Examination of the urine.
Examination of patients with endocrine diseases and diabetes mellitus. The diet. The practice of
the most important laboratory tests. Examination of the spleen, the musculoskeletal and the
nervous systems. Examination of patients with hematological and immunological diseases.
INTERNAL MEDICINE II.
Second Semester
Lectures with case presentation (1,5 hours per week)
Principles of medical endocrinology. Clinical assessment of endocrine status.
Neuroendocrine
regulation and its disorders. Hypothalamic disease with neuroendocrine disturbances.
Disorders of the anterior pituitary. Disorders of the posterior pituitary.
Thyroid physiology. Tests of thyroid function and thyroid regulation. Hyperthyroidism.
Hypothyroidism. Thyroiditis. Sporadic and endemic goiter. Benign and malignant tumors
of the thyroid.
Disorders of the adrenal cortex. Laboratory evaluation of adrenocortical function. Adrenocortical
hypofunction.
Cushing’s syndrome. Mineralocorticoid excess states.
The adrenogenital syndromes. The adrenal medulla and the sympathetic nervous system.
The parathyroid glands. Hypercalcemia and hypocalcemia.
Gonadal diseases. Hirsutism. Diseases of the breast. Polyglandular disorders.
The carcinoid syndrome.
Diabetes mellitus (1). Etiology, pathogenesis, clinical forms.
Diabetes mellitus (2). Complications. Treatment.
Hypoglycemic disorders. Pancreatic islet cell tumor The hyperlipoproteinemias.
Nutritional diseases. Nutritional assessment. Protein-caloric undernutrition.
Anorexia nervosa. Obesity.
Disorders of purine metabolism. Gout. Alcoholism.
Disorders of vitamin metabolism: deficiencies, metabolic abnormalities and excesses. Disordered
fluid and electrolyte homeostasis. Inborn errors of metabolism in the adult.
Practice Ward rounds (3 hours per week)
SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE
Examination of patients with the following endocrine diseases: Diabetes insipidus, inappropriate
secretion of ADH, acromegaly, hyperprolactinemia, Cushing’s hyperthyroidism, hypothyroidism,
thyroiditis, goiter, solitary thyroid nodule, Addison’s disease, Cushing’s syndrome, Conn’s
syndrome, adrenogenital syndromes, phaeochromocytoma, parathyroid hyperfunction, parathyroid
hypofunction, hyper- and hypocalcaemic states, gonadal diseases, hirsutism, carcinoma of the
breast, carcinoid syndrome, diabetes mellitus, diabetic ketoacidosis, complications of diabetes
mellitus, hypoglycemic disorders, anorexia nervosa, gout, alcoholism, vitamin deficiencies,
metabolic and respiratory acidosis, metabolic and respiratory alkalosis, and inborn errors of
metabolism.
Faculty of Medicine
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