TIP603

Internal Medicine

Faculty \ Department
School of Medicine \ Medicine
Course Credit
ECTS Credit
Course Type
Instructional Language
-
10
Compulsory
Turkish
Prerequisites
-
Programs that can take the course
Bachelor's and Master's
Course Description

To provide intern doctors with the necessary skills to take medical history from healthy or sick adults in accordance with the rules, to perform complete system examinations during physical examination, to diagnose and differentiate common diseases, to provide appropriate treatment at the primary care level or to refer necessary patients to a higher level health center by providing appropriate referral conditions.
Textbook and / or References
1. Goldman Cecil Medicine Twxtbook 25th. Edition 2. Harrison's Principles of Internal Medicine 19/Edition 3. Williams Textbook of Endocrinology 4. Türkiye Endokrinoloji ve Metabolizma Derneği Güncel Kılavuzlar 5. Lange Basicd and Clinical Endokrinology 6. Kelley and Firestein's Textbook of Rheumatology, 10 th Edition 7. Oxford Textbook of Rheumatology 4 th Edition Brenner and Rector's " The Kidney" 8. Comprehensi Clinical Nephrology 9. Hypertension "Braunwald" 10. Kaplan's Clinical Hypertension 11. GreenbergerJ. Norton,BlumbergS. Rıchard,BurakoffRobert,CURRENTDiagnosis&TreatmentGastroenterology, Hepatology, Endoscopy, 2nd Edition 12. Hauser c. Stephen, Mayo Clinic Gastroenterolgy and Hepatology Board Rewiew Fifth Edition 13. GreerJP,ArberDA,GladerB,ListAF,MeansRTJr,ParaskevasF,RodgersGM,FoersterJ. Wintrobe’s Clinical Hematology. Wolters Kluwer, Lippincott Williams Wilkins, 13th Edition. 14. HoffbrandAV,HiggsDR,KeelingDM,MehtaAB. PostgraduateHaematology. WileyBlackwell. Seventh Edition, 2016. 15. HoffbrandAV,MossPAH. Hoffbrand’sEssentialHaematology. WileyBlackwell. SeventhEdition,2016. 16. ArberDA,OraziA,HasserjianR,ThieleJ,BorowitzMJ,LeBeauMM,BloomfieldCD,CazzolaM,VardimanJW. The2016revisiontotheWorldHealthOrganization(WHO)classificationofmyeloidneoplasms and acute leukemia. Blood 2016;127(20):2391-405. 17. UpToDate. www. uptodate. com. 18. Brenner and Rector's " The Kidney"19. Braunwald'sHeartDisease:ATextbookofCardiovascularMedicine,2-VolumeSet,10e10thEdition20. Topol,Textbook of Cardiovascular Medicine
Course Objectives
Sağlam ve hasta erişkine yaklaşımı ve koruyucu sağlık hizmetlerini iyi bilen, erişkinde görülen hastalıkların tanısını ve ayırıcı tanısını yapan, birinci basamak düzeyde uygun tedaviyi verebilen ve gerekli hastaları uygun şekilde sevk koşullarını sağlayarak bir üst basamak sağlık merkezine sevk edebilen
mesleki etik kurallara saygılı, araştırıcı sorgulayıcı ve problem çözme becerisine sahip, anamnez alma ve fizik muayene tekniklerini mükemmel öğrenmiş, gerekli uygulamalı becerileri kazanmış hekim yetiştirmektir.
Course Outcomes
1. Takes anamnesis from adult patients, performs a complete physical examination covering all organ systems
2. Knows and applies diagnostic tools (laboratory techniques, imaging methods, other invasive or non-invasive procedures) and indications used for the diagnosis of diseases.
3. Makes differential diagnosis of diseases.
4. Recognizes diseases requiring urgent treatment, and applies emergency treatment.
5. Arrange treatments that a general practitioner can apply, distinguish diseases requiring special expertise and direct them to appropriate centers.
6. Knows the etiopathogenesis, clinical findings and basic treatment principles of the most common system-specific diseases in branches of science such as Endocrinology, Gastroenterology, Hematology, Nephrology and Rheumatology.
7. Nephrology: primary hypertension, acute pyelonephritis; Endocrinology: diabetes mellitus, obesity, impaired glucose tolerance, hyperlipidemia; Gastroenterology: gastrointestinal infections, gastritis, food intoxication, bacillary dysentery, food allergy; Rheumatology: familial Mediterranean fever; Hematology: diagnoses, treats, prescribes iron deficiency anemia, megaloblastic anemia
8. Gastroenterology: fatty liver;, Nephrology: diabetic nephropathy, acute glomerulonephritis; Medical Oncology: infection in immunocompromised patients, shock; Hematology: lymphadenopathies, hypersplenism, leukemias, plasma cell diseases, hemolytic anemia, aplastic anemia, disseminated intravascular coagulation, ITP, polycythemia; Gastroenterology: liver cirrhosis, malnutrition, ileus, acute abdomen, acute pancreatitis, upper GI bleeding, lower GI bleeding, anorectal diseases, diverticulitis, volvulus, cholangitis, peptic ulcer, acute viral hepatitis, GERD, esophagitis, esophageal bleeding, drug toxications, hepaticoma, alcoholic liver disease, fungal toxication; Nephrology: glomerular diseases with nephrotic syndrome, acute renal failure, chronic renal failure, hypercalcemia and hypocalcemia, hyper and hypokalemia, hyponatremia and hypernatremia, secondary hypertension, chronic pyelonephritis, renal involvement due to secondary amyloidosis; Allergy and immunology: drug allergy, insect allergy, latex allergy, food allergy, immune deficiencies seen in adults; Endocrinology: acute and chronic complications of diabetes, adrenal insufficiency, hypoglycemia; Rheumatology: acute rheumatic fever, systemic lupus erythematosus, inflammatory myositis, other connective tissue diseases, infectious arthritis, systemic vasculitis, Behçet's disease, diagnoses, initiates immediate first treatment and refers to the appropriate center.
9. Hematology: hemoglobinopathies, thalassemias, sickle cell anemia, chronic disease anemia; Rheumatology: rheumatoid arthritis, spondyloarthropathies, Sjögren syndrome; Endocrinology: goiter, Hashimoto's disease, hypo- and hyperthyroidism, thyroid nodule, osteoporosis; Gastroenterology: Makes initial diagnosis and refers patients with motility disorders, IBS and functional GI diseases, parasitosis, cholelithiasis
10. Makes differential diagnosis in patients presenting with chest pain, recognizes heart attack and directs to emergency treatment
11. Interprets ECG
12. Makes differential diagnosis of cardiac diseases in patients presenting with shortness of breath
13. Starts emergency hypertension treatment
14. Performs minor medical interventions and applications (canalization, intramuscular and intravenous injection, catheterization, fingertip glucose measurement, ECG, etc. )
15. Knows legal responsibilities regarding informing patients and their relatives and obtaining their consent.
16. Know the conditions and methods of requesting consultation.
17. Evaluates peripheral blood smear and urine microscopy.
18. Takes venous blood samples and cultures from body fluids.
19. Performs intradermal, subcutaneous, intramuscular, intravenous and subcutaneous injections
20. Communicates well with colleagues, assistants and faculty members
21. Knows the approach that complies with ethical rules and protects patient rights
Tentative Course Plan
Week 1: Medical practices in Internal Medicine polyclinics and wards
Week 2: Medical practices in Internal Medicine polyclinics and wards
Week 3: Medical practices in Internal Medicine polyclinics and wards
Week 4: Medical practices in Internal Medicine polyclinics and wards
Week 5: Medical practices in Internal Medicine polyclinics and wards
Week 6: Medical practices in Internal Medicine polyclinics and wards
Week 7: Medical practices in Internal Medicine polyclinics and wards
Week 8: Medical practices in Internal Medicine polyclinics and wards
Week 9: Medical practices in Internal Medicine polyclinics and wards
Week 10: Medical practices in Internal Medicine polyclinics and wards
Week 11: Medical practices in Internal Medicine polyclinics and wards
Week 12: Medical practices in Internal Medicine polyclinics and wards
Tentative Assesment Methods
• Attitudes and Behaviors: 30 %
• Application: 50 %
• Applications that must be attended as observations: 20 %

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