COURSE TOPICS
SI.C1. GENERAL NOTIONS OF MEDICAL SEMIOLOGY. Definition and object of semiology. Symptom and clinical sign, syndrome, disease and diagnosis. Clinical observation sheet, anamnesis and the objective examination. Classic general symptoms in semiology: fever, chills, sweating, headache, dizziness, vertigo, asthenia, fatigue, itching.
SI.C2. GENERAL NOTIONS OF MEDICAL SEMIOLOGY. Constitutional types, facies, patient position and attitude, stature-weight changes, semiology of tegument and mucosa, oedema, adenopathy, splenomegaly.
SI.C3. SEMIOLOGY OF THE MUSCULOSKELETAL SYSTEM. Anamnesis, objective examination, paraclinical exploration, muscle pathology: dystrophies, myopathies, myotonic disorders, polymyositis and dermatomyositis, myasthenia gravis. Bone semiology - history, objective examination, paraclinical examination, bone pathology: osteomyelitis, osteoporosis, osteomalacia, rickets, Paget's disease, bone tumours.
SI.C4. JOINT AND CONNECTIVE TISSUE SEMIOLOGY. Anamnesis, objective examination, paraclinical exploration. Acute rheumatic fever, rheumatoid arthritis, Sjögren's syndrome, spondyloarthropathies seronegative.
SI.C5. JOINT AND CONNECTIVE TISSUE SEMIOLOGY. Behçet's syndrome, systemic lupus erythematosus, dermatomyositis and polymyositis, infectious arthritis, microcrystal-induced arthritis, arthrosis.
SI.C6. HAEMATOLOGICAL SEMIOLOGY. Anamnesis and objective examination: symptoms, objective examination, spleen semiology, lymph node semiology. Paraclinical examination in haematology.
SI.C7. HAEMATOLOGICAL SEMIOLOGY. Anaemic syndromes, porphyrias.
SI.C8. HAEMATOLOGICAL SEMIOLOGY. Haemorrhagic syndromes.
SI.C9. HAEMATOLOGICAL SEMIOLOGY. Acute leukaemias. Myeloproliferative syndrome. Lymphoproliferative syndrome.
SI.C10. RESPIRATORY TRACT SEMIOLOGY. Anamnesis. Physical examination of the respiratory system. Paraclinical examination of the respiratory system.
SI.C11. RESPIRATORY TRACT SEMIOLOGY. Bronchial syndromes: bronchial syndrome, alveolar distension syndrome. Conical obstructive pulmonary disease (acute bronchitis, chronic bronchitis).
Alveolar distension syndrome (bronchial asthma, pulmonary emphysema).
SI.C12. RESPIRATORY TRACT SEMIOLOGY. Pulmonary condensation syndrome (retractile, non-retractile). Bronchopulmonary suppuration syndromes. Cavitation syndromes. Clinical syndrome in interstitial pneumonia. Clinical syndrome in hydatid lung cyst. Clinical syndrome in lung tumours.
SI.C13. RESPIRATORY TRACT SEMIOLOGY. Diffuse fibrosing interstitial pneumonias. Pleural syndromes. Mediastinal syndrome. Diaphragmatic syndrome.
SI.C14. RESPIRATORY TRACT SEMIOLOGY. Respiratory failure. Pulmonary hypertension syndrome. Pulmonary cord.
SII.C1. CARDIOVASCULAR SYSTEM SEMIOLOGY. Anamnesis of the patient with cardiovascular disease. Clinical examination of the patient with cardiovascular disease.
SII.C2. CARDIOVASCULAR SYSTEM SEMIOLOGY. Infectious endocarditis. Valvular syndromes (mitral stenosis, mitral insufficiency, mitral valve prolapse, aortic stenosis, aortic insufficiency,
tricuspid insufficiency, stenosis and pulmonary insufficiency). Semiology of congenital heart diseases.
SII.C3. CARDIOVASCULAR SYSTEM SEMIOLOGY. Semiology of rhythm and conduction disorders: sinus arrhythmias, atrial arrhythmias, ventricular arrhythmias, paroxysmal tachycardias, pre-excitation syndrome, sinoatrial blocks, atrioventricular blocks, intraventricular conduction disorders, fascicular blocks.
SII.C4. CARDIOVASCULAR SYSTEM SEMIOLOGY. Myocardial syndromes. Myocarditis. Semiology of myocardial ischemia: ischemic heart disease, exertional angina pectoris, unstable angina, acute heart attack. Cardiomyopathies (dilated, hypertrophic, restrictive, arrhythmogenic right ventricular, unclassified).
SII.C5. CARDIOVASCULAR SYSTEM SEMIOLOGY. Pericardial semiology. Acute pericarditis syndrome, cardiac tamponade, chronic pericarditis. Essential and secondary arterial hypertension. Hypotension. Heart failure (left, right and global).
SII.C6. CARDIOVASCULAR SYSTEM SEMIOLOGY. Semiology of the aorta (aneurysms, dissections, aortitis, occlusions). Semiology of peripheral arteries. Arterial syndromes: acute peripheral arterial obstruction,
Obliterative ateriopathy of the lower limbs, thrombangiitis obliterans, functional vascular disorders. Semiology of peripheral veins: deep vein thrombosis, superficial thrombophlebitis, syndrome postthrombotic syndrome, varicose veins, chronic venous insufficiency.
SII.C7. DIGESTIVE SYSTEM SEMIOLOGY. Symptomatology, objective clinical examination of the digestive tract and adnexal glands.
SII.C8. DIGESTIVE SYSTEM SEMIOLOGY. Paraclinical exploration of the digestive tract and adnexal glands. Semiology of the oesophagus.
SII.C9. DIGESTIVE SYSTEM SEMIOLOGY. Semiology of the stomach and duodenum. Semiology of the small intestine, colon and anorectal region. Semiology of the peritoneum.
SII.C10. DIGESTIVE SYSTEM SEMIOLOGY. Semiology of the liver, gallbladder and bile ducts.
SII.C11. DIGESTIVE SYSTEM SEMIOLOGY. Pancreas semiology. Diabetes mellitus.
SII.C12. RENAL-URINARY SYSTEM SEMIOLOGY. Anamnesis, objective clinical examination, paraclinical exploration.
SII.C13. RENAL-URINARY SYSTEM SEMIOLOGY. Main clinical renal syndromes. Glomerular nephropathy syndrome. Interstitial nephropathy syndrome.
SII.C14. RENAL-URINARY SYSTEM SEMIOLOGY. Main clinical renal syndromes. Tubular syndromes. Vascular nephropathies. Hereditary nephropathies. Acute and chronic renal failure.
PRACTICAL WORKS TOPIC
SI.LP1. Anamnesis. Drawing up the observation sheet - practical demonstration. Temperature sheet - temperature, pulse, blood pressure, diuresis curves. Method of drawing curves. Practical applications.
SI.LP2. General symptoms: fever, chills, headache, asthenia, sweating, itching, thirst, balance disorders, pain. Examples at the patient's bedside.
SI.LP3. Objective examination methods - practical demonstration. Current investigations. General inspection, statutory changes, constitutional types. Face examination and some face types. Examples at the patient's bedside.
SI.LP4. Examination of teguments, mucous membranes and flanks. Skin pallor and redness, cyanosis, jaundice, pigmentary disorders and elemental skin lesions. Changes in hair and nails. Subcutaneous cellular tissue examination. Generalised, regional and localised oedemas. Body weight changes:obesity and weight loss. Examples at the patient's bedside.
SI.LP5. Objective examination of striated muscles, bones and joints - practical demonstration. Clinical presentations of patients with rheumatic diseases: acute rheumatic fever, rheumatoid arthritis, spondylitis seronegative, gout, psoriatic arthritis, arthrosis.
SI.LP6. Clinical presentations of patients with major collagenosis. Lymph node examination - practical demonstration. Types of adenopathy and methods of exploration.
SI.LP7. Anamnesis, objective examination and exploratory methods in blood diseases - practical demonstration. Clinical presentations of patients with various types of anaemia.
SI.LP8. Spleen examination, splenomegaly - practical demonstration. Clinical presentations of patients with leukaemia, chronic myeloproliferative syndromes, lymphoproliferative syndromes and various haemorrhagic syndromes..
SI.LP9. Clinical presentations of patients with various blood diseases.
SI.LP10. Anamnesis and local symptoms in respiratory diseases. Particular features of the anamnesis: chest pain, dyspnoea, cough, expectoration, haemoptysis. Objective examination of the respiratory system - practical demonstration (inspection, palpation, percussion, listening).
SI.LP11. Presentation of the methods of exploration in respiratory diseases: radiological examination, pleural puncture, bronchoscopy, pleuroscopy, pulmonary scintigraphy. Functional exploration of the respiratory system. Clinical presentations of patients with bronchial syndrome, alveolar distension syndrome (bronchial asthma, pulmonary emphysema).
SI.LP12. Clinical presentations of patients with pulmonary condensation syndrome (retractile, non-retractile), benign and malignant bronchopulmonary tumors.
SI.LP13. Clinical presentations of patients with pleural syndromes. Pleural puncture - practical demonstration. Pleural fluid examination - examples.
SI.LP14. Clinical presentations of patients with bronchopulmonary suppuration syndromes, cavitation syndrome, acute and chronic respiratory failure. Clinical manifestations and methods of exploration in the
mediastinal syndrome and pulmonary hypertension.
SII.LP1. Anamnesis and local symptoms in cardiovascular disease. Objective examination and exploration methods of the cardiovascular system - practical demonstration.
SII.LP2. Clinical presentations of patients with valvular and congenital heart disease. EKG reading and interpretation.
SII.LP.3. Clinical presentations of patients with rhythm and conduction disorders. EKG reading and interpretation.
SII.LP4. Clinical presentations of patients with painful ischemic heart disease (exertional angina pectoris, unstable angina, heart attack) and cardiomyopathies.
SII.LP5. Clinical presentations of patients with pericardial syndromes. Pericardial puncture.
SII.LP.6. Clinical presentations of patients with hypertension and hypotension.
SII.LP.7. Clinical presentations of patients with heart failure, arterial syndromes and venous syndromes.
SII.LP8. Anamnesis and local symptoms in digestive diseases. Objective examination and methods of exploration of the digestive system - practical demonstration. Clinical presentations of patients with oesophageal syndrome, dyspeptic syndrome, gastritis syndrome and ulcerative syndrome.
SII.LP9. Clinical presentations of patients with constipation syndrome, diarrhea syndrome and ano-rectal syndrome.
SII.LP10. Anamnesis in liver disease. Objective examination of the liver - practical demonstration. Hepatomegaly, atrophic liver, methods of exploration - patient bedside examples.
SII.LP11. Jaundice syndrome, portal hypertension syndrome, ascites, liver failure syndrome and portal encephalopathy - patient bedside examples. Abdominal puncture - practical demonstration.
SII.LP12. Anamnesis in biliary disorders, objective examination and methods of exploration; anamnesis in pancreatic disorders, objective examination and methods of exploration - practical demonstration. Clinical presentations of patients with biliary and pancreatic syndromes.
SII.LP13. Anamnesis and local symptoms in renal diseases. Objective examination and exploration methods of the renal apparatus - practical demonstration.
SII.LP14. Clinical presentations of patients with various renal diseases: acute glomerular nephropathy syndrome; acute poststreptococcal glomerulonephritis, chronic glomerular nephropathy, nephrotic syndrome; acute and chronic pyelonephritis ; acute and chronic renal failure; renal lithiasis; renal cancer.
BIBLIOGRAPHY