Total number of hours (per semester) from

the curricula
( 248 hours)

DISCIPLINE FILE

Name of the discipline

Year of study

INTERNAL MEDICINE-EMERGENCY-TOXICOLOGY
IV

Semester *

Evaluation system (E / V / C)

E1

Discipline regime (Ma mandatory, Op optional)

Ma

ECTS number

13

Total number of hours from the

curricula

75

Total number of
hours per semester

323

Discipline manager

248

Total number of hours for

individual study

Assoc. Prof. Laureniu orodoc

Total
248
Faculty

L**

PL

66

182

Medicine

Department

1st Medical

Profile

Medicine

Specialization

Medicine

** L lecture, PL practical laboratories, P

project

Minimal theoretical knowledge necessary to understand and learn subjects approached in lectures
and practical laboratories
Medical semiology, fiziopathology, and pharmacology

Discipline objectives

Theoretical and practical knowledge regarding patients chart: history of the disease (anamnesis)
clinical examination, diagnostic hypothesis, and management plan
Basic laboratory investigation interpretation: hematological tests, biochemistry tests, biological fluids
(pleural, pericardial, and peritoneal fluid analysis), cardiac ultrasound, and vascular Doppler US
report, spirometry, blood gases analysis, general ultrasound report, ECG, chest X ray, funduscopic
examination, and their role, together with clinical examination, in achieving the positive diagnosis.
Prescription for the diseases enlisted in the discipline sillabus.

SYLLABUS (analitical program)

No. hours
66

Lecture ( hours)
RESPIRATORY SYSTEM

18

1.
2.
3.
4.
5.
6.
7.
8.
9.

3
3
3
1
1
1
2
2
2

Bronchial asthma
Chronic obstructive pulmonary disease (COPD)
Viral and bacterial pneumonia
Bronchiectasis
Pulmonary abscess
Primitive pulmonary fibrosis
Non-tuberculosis pleural effusions
Bronchopulmonary cancer
Cor pulmonale

CARDIOVASCULAR SYSTEM:
1.
2.
3.
4.
5.
6.
7.

Rheumatic fever
Mitral and aortic valve disease
Infectious endocarditis
Acute and constrictive pericarditis
Myocarditis
Cardiomyopathies (dilatative, hypertrofic and restrictive)
Congenital cardiopathy in adults: atrial septal defect, ventricular septal
defect, patent arterial ductus, pulmonary artery stenosis, Fallot tetralogy.
8. Essential and secondary hypertension
9. Arrhythmias and conduction disturbances
10. Preventive cardiology, cardiogenesis, cardio-vascular risk factors,
dyslipidemia, primary and secondary prevention
11. Stable and unstable angina pectoris
12. Myocardial infarction
13. Acute heart failure
14. Chronic heart failure
15. Arteries diseases dissection of the aorta, acute and chronic peripheral
ischemia
16. Venous diseases superficial and deep venous thrombosis
17. Pulmonary thromboembolism
HEMATOLOGIC DISEASES :
1. Iron-deficiency anemia
2. Megaloblastic anemia
3. General diagnosis and management principles in hemolytic anemias.
TOTAL CURSURI
Practical laboratories (hours)

42
1
3
2
2
2
2
4
3
4
2
3
2
2
3
2
2
3
6
2
2
2
66 ore
182

1. The analysis of the observation chart and representation of the main clinical
parameters (temperature, pulse, blood pressure, diuresis etc.)
2. Drawing blood for biochemichal and hematological tests (technique, normal
values, interpretation): erythrocite sedimentation rate, bleeding time,
coagulation time, PTT (activated partial thromboplastin time), prothrombine
index / INR
3. Knowledge of normal values of the main biological tests (blood and urine)
and interpretation of these tests in dyslipidemias, inflammatory sybdromes,
metabolic diseases, liver diseases, and renal diseases, anemias, leukemias,
hemorrhagic syndromes, urine, pleural, pericardial and peritoneal fluids
4. Interpretation of microbiological tests. Blood culture: indications, technique,
and results
5. Pleural puncture: indications, counterindications, methods, technique, results,
patients followup
6. Pericardial puncture: indications, counterindications, methods, technique,
results, patients followup
7. Gasometry interpretation
8. Spirometry: indications, technique, diagnosys of main changes in respiratory
diseases
9. Venous pressure: indications, technique, results
10. Ankle brachial index - technique, results
11. Chest X ray interpretation: heart, lung
12. Normal and pathological ECG (heart rate, electrical axis, hypertrophy,
arrhythmias, blocks, WPW syndrome, myocardial infarction)
13. Analysis and interpretation of ECG stress test
14. Holter ECG
15. Ambulatory BP monitoring
16. Interpretation of an echocardiography (M mode, 2D) in mitral stenosis, aortic
valve diseases, mitral valve prolapse, pericarditis, obstructive hypertrophic
cardiomyopathy, dilation cardiomyopathy, infectious endcraditis, atrial septal
defect, ventricular septal defect, Fallots tetralogy.
17. CPR: cardiac massage, mouth-to-mouth breathing, external electrical shock,
intracardiac injection, Kwoledge of drugs used in resuscitation, postresuscitation conduct, rescuer riscks
18. Electric cardioversion: indication, preparation, technique, complications,
counterindications
19. Oxigenotherapy
20. Carotid sinus massage: indications, counterindications, methods, technique,
results
21. Performing and indications of therapeutical bleeding
22. Blood transfusion
23. Medical prescription for diseases studied
24. Recongition and emergency management of bronchial asthma attack
25. Cardiovascular patient evaluation
26. Emergency conduct and patients evaluation in acute pulmonary edema

6
6

12

2
2
2
2
3
2
2
18
32
6
3
3
16

12

6
2
2
2
2
24
3
3
3

27. Initial evaluation of hypertensive patient

28. Practical conduct in the case of anemic syndrome
TOTAL PRACTICAL LABORATORIES

3
3
182 hours

Abilities aquired in the end:

1. Theoretical and practical knowledge of the patients chart: anamnesis, clinical examination, diagnosis
hypothesis, and management plan
2. Correct interpretation of the usual paraclinical investigations: hematological and biochemichal tests,
biological fluids (pleural, pericardial and peritoneal liquid), echocardiography, vascular Doppler
ultrasonography, spirometry, arterial gases, general ultrasound, ECG, chest X ray, funduscopic
examination
3. Interpretation of the Holter ECG and ABPM
4. Performing ABI and results
5. Correct prescribing of a medical prescription for the diseases incuded in the syllabus

In establishing the final grade it is taken into

consideration

Percentages
(Total = 100%)

- group assistants evaluation

30%

- practical exam

35%

- MCQ

35%

Mandatory refferences:
1. Le Book des ECN, red. L. Kirila, ediia n limba romn, Ed. Medical
Universitar Iuliu Haieganu Cluj
2. Georgescu G.I.M., Arsenescu C.: Tratamentul raional al bolilor cardiovasculare
majore, Ed. Polirom, 2001
3. Ungureanu G, Covic M.: Terapeutica Medical, Ed. Polirom, 2000.
01 oct 2012
Assoc. Prof. LAURENIU ORODOC