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Кафедра внутренних болезней с курсом кардиологии и функциональной диагностики

Introduction into internal diseases

08.02.2017 г.

The department of internal diseases with the course of cardiology and functional diagnostics of RUDN University

Heart failure congress– 2016

«Education is a way as long as life, a student is just making his first steps on it while acquiringthe university course»

«I taught medical students in hospital wards»

W. Osler

What will you learn today?

How the medicine is changing at the turn of the century?

What are the most common illnesses and why?

Subject «propaedeutics of internal diseases»

History of physical examination and main diagnostic methods

Physical examination vs modern medical technologies

Medicine at the turn of the century

Splitting of medical specialities

General physician/

Specialist

Narrow specialist

 

internist

 

 

General medical knowledge

Specialized medical knowledge

Medicine at the turn of the century

Splitting of medical specialities

«By organs»

«By disease»

By diagnostic

 

 

method

Pulmonology

Hypertensiology

Functional diagnostics

Cardiology

Arrhythmology

Laboratory

Gastroenterology

Lipidology

Radiology

Hepatology

Diabetology

 

Nephrology

 

 

Endocrinology

 

 

Haematology

 

 

«Internal medicine was and still is a rich source from which other specialities branch like streams. In case of their separation from this source they risk being lost in the sands and dry up»

F.T. Freriks

Medicine at the turn of the century

Medicine at the turn of the century

Change in mortality structure

Cardiovascular disease– 614 348

Tumors – 591 699 Accidents – 136 053

Alzheimer`s disease– 93 541 Flu and pneumonia– 55 227

Strokes – 133 103

Diabetes mellitus – 76 488

Kidney disease– 48 146

= 31% of world wide mortality

Health, USA, 2015, table 19

Causes of death in Russia, %

MI

Strokes

Cardio-vascular

diseases

Oncology

External causes (traumas, murders,

poisoning

Other diseases

GIT diseases

Diseases of

 

 

 

respiratory tract

Infections

Tuberculosis

Минздрав России, 2016