Management of patient with a heart murmur

The aim of this module is to provide the student with an opportunity to keeping patient in cardiology clinic. Student must know causes of heart murmurs. Etiology, pathogenesis. Haemodynamics. Clinical finding, treatment. Surgical treatment the Heart valve disease. Students should be able to execute assessment, diagnosis and management the patient with a heart murmur. To obtain the skills of interpretation of Doppler echocardioscopy. To obtain the skills of interpretation of the results of stress tests. To obtain the skills of interpretation of electrocardiograms

Management of patients with infiltrative pulmonary darkening

The aim of this module is to provide the student with an opportunity to keeping patient in pulmonology clinic. Students should be able to describe and define: what is mean by the term fever of unknown origin, the basic mechanisms of fever of unknown origin. The student should have an understanding of the pathophysiology of these diseases and be able to develop a comprehensive differential diagnosis. The student will understand the appropriate diagnostic testing, the assessment, diagnosis and management the patient with fever of unknown origin

Module 3. Current practice of internal medicine. Contents module№ 1. Theme 9. Management of the patients with stable angina

Management of the patients with stable angina: introduction, Canadian Cardiovascular Society Angina Classes, main causes of decreased myocardial oxygen supply or increased myocardial oxygen demands, diagnosis, assessment, general measures and treatment

Relationship between peculiarities of atrial fibrillation, body mass index and adipokines levels

Aim: To assess the value of body mass index (BMI) and adipokine levels in predicting development of atrial fibrillation (AF) in the general population.Methods: Three hundred and ninety eight patients were examined for the presence of phenotype metabolically healthy obesity (MHO), according to the Wildman criteria; adipokine levels were assessed by enzyme immunoassay method; AF was assessed by electrocardiography (ECG) and/or by ECG diurnal monitoring.Results: Obesity (group 1) and overweight (group 2) was present in 23.7% and 42.0% of participants; while 21.1% were normal body weight (group 3) and 13.1% had a BMI < 19.9 kg/m2 (group 4). Phenotype MHO was detected in 19.6% patients. At follow-up, 32.4% of participants developed AF. Adiponectin levels were significantly higher in MHO patients as compared to metabolically unhealthy patients with abdominal obesity (AO). High molecular weight adiponectin (HMVAN) levels were significantly decreased in patients of groups 1 and 4, as compared to groups 2 and 3. Correlation between AF and HMWAN was determined by regressive analysis in patients of 1st and 4th groups (β = -0.24, P = 0.003 and β = -0.26, P = 0.002, respectively).Conclusion: The probability of developing AF increases with AO and decreased BMI, which is accompanied by a change in HMVAN levels. In MHO patients, the probability of AF developing is identical with persons having normal BMI

Management of patients with pleural effusion

The students should be able to describe clinical presentation, provide the diagnose, differentials and treatment of pleurisy The aim of this topic is to provide the student with an opportunity to: provide a basic overview of the pathophysiology, history, and the main causes of pleurisy; provide a diagnostic steps for the patients with suspected pleural effusion; provide a classification of transudates and exudates, asses the results of labs and images in different variants of pleural effusion, discuss the procedure of diagnostic and therapeutic thoracentesis(goals, indications, contraindication, techniqueof the procedure),discuss the treatment (medical and surgical care) of different types of pleurisy