Activity = Seminar Assessment = 5 X 6 points = 30 points. It is conducted in written form and consists of: 3 X Clinical Case Discussion - Max. 1 point = Max. 3 points; 10 Tests X 0.3 points = 3 points; Total maximum assessment for one written assignment - 6 points.
The presentation is assessed with 10 points and is held at the end of the clinical rotation.
Thoracic trauma: evaluation and decision making treatment of injuries during the primary survey, breathing, circulation, treatment of injuries during the secondary survey, simple pneumothorax, hemothorax thorax, mediastinum and its organ’s injuries, classification, reasons, clinic, diagnostic, treatment types, difficulties.
Types of mediastinitis and reasons, classification, clinical process, localization, diagnostic, complications and treatment. Pulmonary contusion and parenchymal injuries, tracheobronchial tree injury,blunt cardiac injury,traumatic aortic disruption, traumatic diaphragmatic injury, esophageal rupture, special thoracic trauma issues. Classification, reasons, clinic, diagnostic, treatment types, complications.
Maxillofacial trauma and neck injuries epidemiology, initial evaluation, computed tomographydiagnosis of maxillofacial fractures: the facial buttresses, patterns of injury, timing of definitive repair, classification, reasons, clinic, diagnostic, treatment types, complications.
Neck injuries : anatomy, initial management, selective versus mandatory exploration, operative exploration, management of specific injuries. Classification, reasons, clinic, diagnostic, treatment types, complications.
Abdominal trauma anatomic considerations, penetrating injury, blunt trauma, prehospital care, hospital resuscitation and diagnosis, history and pattern of injury, physical examination, laboratory studies, radiographic evaluation, diagnostic peritoneal lavage and abdominal ultrasound, indications for surgery,
Operative approach, specific injuries. Classification, reasons, clinic, diagnostic, treatment types, complications. Specific injuries classification, reasons, clinic, diagnostic, treatment types, complications
Vascular trauma epidemiology of vascular injury: distribution of injuries, physiologic consequence of vascular injury, physiologic consequence of vascular injury, diagnosis of vascular injury, principles of management, operative management of specific regions, postoperative management, military-specific applications, outcomes. Classification, reasons, clinic, diagnostic, treatment types, complications.
The midterm exam is held on the 10th day of the rotation in written form. It includes 2 theoretical questions and 20 multiple-choice test questionnaires (MCQ). The theoretical question is rated with a maximum of 5 points, tests - 0.5 points, in total - 20 points.
Acute abdomen and appendix approach to the patient with acute abdominal pain, embryologic and physiologic considerations, differential diagnosis, evaluation of the patient with abdominal pain, appendix. Classification, reasons, clinic, diagnostic, treatment types, complications.
Gastroduodenal ulceration epidemiology, pathophysiology, diagnosis, drug treatment of ulcer disease, histamine-receptor antagonists, proton pump blockers, sucralfate, operative treatment of ulcer disease, gastric ulcer, postgastrectomy syndromes, stress gastritis. Classification, reasons, clinic, diagnostic, treatment types, complications.
Acute gastrointestinal hemorrhage patient characteristics, clinical presentation, prognostic factors, initial evaluation and resuscitation, diagnostic approach, common causes of gastrointestinal hemorrhage and treatment, lower gastrointestinal hemorrhage, unusual causes of acute gastrointestinal hemorrhage. Classification, reasons, clinic, diagnostic, treatment types, complications.
Calculous biliary disease. Biliary physiology, gallstone pathogenesis, gallstone incidence and risk factors, natural history of gallstones, diagnostic imaging, treatment, clinical manifestations, choledocholithiasis. Classification, reasons, clinic, diagnostic, treatment types, complications.
Ileus and bowel obstruction, gastrointestinal motility disorders introduction and historical perspective, mechanical obstruction of the intestines, ileus and pseudo-obstruction, disorders affecting the entire digestive tract, disorders affecting specific organs. Classification, reasons, clinic, diagnostic, treatment types, complications.
Ulcerative colitis epidemiology, pathology, clinical features/course, diagnosis, medical management, indications for surgical intervention classification, reasons, clinic, diagnostic, treatment types, complications.
Diverticular disease: classification, incidence, etiology, diagnosis, treatment, management.
Abdominal wall hernias: Anatomy of the abdominal wall and groin, why do human beings develop abdominal wall hernias?, complications of hernias, groin hernias, groin hernias, sports hernia, ventral abdominal wall hernias, umbilical and periumbilical hernias, epigastric hernias, incisional hernias, parastomal hernias, unusual hernias. Classification, reasons, clinic, diagnostic, treatment types, complications.
The presentation is worth 10 points.
Consists of 2 parts:
80 MCQ X 0, 5 points, total - max 40 points.
4 theoretical questions (2 questions from the Emergency Medicine, 1 from the Emergency Surgery, 1 from the Clinical Toxicology course) X 10 points, total 40 points