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3rd Department of Internal Medicine

Address
H-1125 Budapest, Kútvölgyi út 4.
Phone: +36 1 325-1100
Fax: +36 1 355-8251
E-mail: titkarsag.3bel@med.semmelweis-univ.hu
Website: semmelweis.hu/belgyogyaszat3

Director
Professor Tamás Masszi, Ph.D.

About the Department
3rd year Medicine
4th year Medicine
5th year Medicine
6th year Medicine
Dentistry

University: Semmelweis University, Budapest
Department: 3rd Department Of Internal Medicine
Course director: Dr. Tamás Masszi

1st Semester of the 3rd Academic Year

Course: Internal Medicine Propedeutics
Type: compulsory
Code: AOKBL3307_1A
Total weeks: lecture 14, seminar 0, practical 14
Hours per week: lecture 3, seminar 0, practical 4
Form of tuition: lecture, bedside practice
Mode of assessment: practical course grade (semi-final)
Aim: The teaching offers the essential information required in performing the most comprehensive and diagnostic type of patient history and physical examination (an introduction to internal medicine).
The syllabus: The course is concerned with the clinical approach to evaluation of the patient including history taking and bedside physical examination (inspection, palpation, percussion, auscultation, taking vital signs). General symptoms and signs of the respiratory and cardiovascular diseases, the most common abdominal syndromes.

2nd Semester of 3rd Academic Year

Course: Internal Medicine
Type: compulsory
Code: AOKBL3029_1A
Total weeks: lecture 14, seminar 0, practical 14
Hours per week: lecture 3, seminar 0, practical 4
Form of tuition: lecture, bedside practice
Mode of assessment: theoretical exam (semi-final)
Aim: Acquiration of the basic principles of endocrinology. Diagnostic and therapeutic approach to the endocrine diseases. The neuroendocrine regulation and its disorders. Acquiration of knowledge of medical toxicology.
Syllabus: Disorders of hypothalamus causing disturbances of the neuroendocrin system. Disorders of the adenohypophysis and the neurohypophysis. Regulation of thyroid gland. The laboratory evaluation of the thyroid function. Hyperthyreosis. Disorders of the thyroid gland accompanied with decreased function. Thyreoidites. The question of sporadic and endemic goiter. Tumors of the thyroid gland. Laboratory evaluation of the adrenal cortex and medulla in their disorders. Adrenocortical hypofunction. Disorders causing hyperfunction of the andrenal cortex. Disorders of the adrenal medulla and the sympathetic nervous system. Disorders of the parathyroid glands. Disorders of the gonads of clinical importance. Etiology, pathomechanism and classification of the diabetes mellitus. Its clinical presentation, complications and therapy. Diseases producing hypoglycaemia. Disorders of the endocrin pancreas. Hyperlipoproteinaemias. Nutritional diseases. Malnutrition. Obesity. Anorexia nervosa and bulaemia. Disorders of the purine metabolism (gout). Medical aspects of the vitamin deficiency states. Disturbances of the water and electrolyte metabolism. Special forms of poisonings: consequences of narcotic drug-abuse, the question of drug-dependency. Prophylactic measures. Food poisonings, differential diagnosis of  the diarrhea. 

1st Semester of the 4th Academic Year

Course: Internal Medicine
Type: compulsory
Code: AOKBL3029_2A
Total weeks: lecture 14, seminar 0, practical 14
Hours per week: lecture 1, seminar 0, practical 3
Form of tuition: lecture, bedside practice
Mode of assessment: theoretical exam (semi-final)
Aim: Diagnosis and treatment of the kidneys and the urinary tract, the medical aspect. Pathomechanism of the connective tissue diseases, The relevant steps in the differential diagnostic evaluation of the connective tissue diseases. Acquiration of knowledge of the diseases and functional disturbances of the immune system.
Syllabus: Morphological and functional examination of the kidney. The clinical presentation, morphological characteristics and classification of the glomerulopathies. Possibilities of the medical treatment in the different types of the glomerulopathies. The pathomechanism of the acute renal failure. Vascular disorders of the kidneys. Tubulopathies and interstitial nephritis. Chronic pyelonephritis. Urinary tract infections. Uraemia syndrome. The clinical picture nad treatment of the end-stage renal failure. The kidney in systemic diseases. Cystic and neoplastic diseases of the kidney and urinary tract. The immunodeficiency states. Allergic diseases. SLE and rheumatoid arthritis (RA). Sjögren syndrome. Polymyositis, dermatomyositis, progressive systemic sclerosis (PSS), overlap syndrome. Vasculitides and their differential diagnosis. Spondylarthropathies (M. Bechterew, Reiter syndrome). Osteoarthritis. Ricketts and osteomalacia. Osteoporosis. M.Paget. Crystal-induced arthropathies. Congenital disorders of the connective tissue.

1st Semester of the 5th Academic Year

Course: Internal Medicine
Type: compulsory
Code: AOKBL3029_4A
Total weeks: lecture 14, seminar 0, practical 14
Hours per week: lecture 1, + block system practical
Form of tuition: lecture, bedside practice
Mode of assessment: theoretical exam (semi-final)
Aim: Presentation and indications of the diagnostic examination of the gastrointestinal tract. An in-depth discussion of the gastrointestinal disorders and the therapeutic choices. Medical aspects of the hepatic diseases and the biliary tract disorders. Basic approach to the oncology patient. Therapeutic principles of the oncologic emergencies. Strategic principles of combined anti-tumor therapy.
Syllabus: The role of the diagnostic imaging in the gastro-enterology, its application in the interventive therapy. Disorders of the oesophagus. Secretory diseases of the gastric juice. The peptic ulcer. Chronic inflammatory bowel diseases. Ischaemic colitis. Diverticulitis. A functional disorders of bowels. Tumours of the gastrointestinal tract. Diseases of the exocrin pancreas. The diagnostic approach to jaundice. Acute and chronic hepatitis. The clinical picture and therapy of the liver failure. Complications of the cirrhotic state. Hepatic tumours. Drug-induced liver disorders. Granulomatous and vascular diseases of the liver. Diseases of the biliary tract. The differential diagnosis of the abdominal pain. The acute abdomen. Gastrointestinal bleeding. Malabsoption and maldigestion. Differential diagnosis of the diarrhea. Special solid organ tumors. Clinical importance of the paraneoplastic changes. Therapeutic principles of the oncologic emergencies. Strategic principles of combined anti-tumor therapy. Palliative therapy.

 2nd Semester of the 5th Academic Year

Course: Internal Medicine
Type: compulsory
Code: AOKBL3029_5A
Total weeks: lecture 14, seminar 0, practical 14
Hours per week: lecture 1, + block system practical
Form of tuition: lecture, bedside practice
Mode of assessment: theoretical exam (semi-final)
Aim: Integrated discussion of the haematological disorders and consideration of the therapeutic approaches. Differential diagnosis of infectious disorders.
Syllabus: Regulation of the haemopoesis. Iron deficiency anaemia, anaemia of the chronic disorders, megaloblastic anaemias. Disorders of the iron utilisation. Aplastic anaemia. Haemolytic anaemias. Disorders of the haemoglobin synthesis. Cytopenic states. Myelodysplasia syndrome. Acute leukaemias. Chronic myeloproliferative diseases (CML, myelofibrosis, polycytaemia rubra vera (PV), essential thrombocytosis (ET). Lymphomas (M. Hodgkin, NHL). Plasma cell dyscrasias (multiple myeloma, Waldenström macroglobulinaemia, heavy chain diseases, amyloidosis). Congenital and acquired disorders of the haemostasis. Fever of unknown origin (FUO). Nosocomial infections. Viral infections: human herpes virus infections. Acute upper airways viral infections. Pneumonia. Infective endocarditis. Septic shock. Influenza. Neurotop viral infections. Systemic viral infections. Systemic mycotic diseases (candidiasis, aspergillosis). Helminthiases. Protozoon caused diseases: amoebiasis, giardiasis, malaria, leishmaniasis, pneumocystosis, toxoplasmosis, trypanosomiasis). The principles of antibiotic therapy.