WELCOME!

 

 

Syllabus - MEDICAL ENGLISH.docx

 

Schedule - Tanmenet_Orvosi Angol_2017.docx

 

Textbook -

 

Unit One Review - Gastrointestinal System Advanced Medical English Review Guide.docx

 

Nervous System Review - Neuro System Review.docx

 

Study Guide for Final Exam  -- Final Exam Study Guide.docx    

 

Week One - Orientation/Introduction to the Digestive System

 

In addition to the vocabulary noted in the book, I have added two additional documents which you will benefit from. The first document contains medical terms that describe medical conditions. They are used on a routine basis in the clinic. They are specific to the digestive or gastrointestinal tract {GI tract} (inflammation).

 

The second document contains additional terminology that we will discuss in class. They are terms that you should be familiar with because they are used when speaking about the process of digestion, the locations of organs, and various conditions of the digestive tract.

 

Additional Helpful Terminology -  INFLAMMATION.docx

 

More terminology - Additional Useful Vocabularyweekone.docx

 

Introduction Video -  https://www.youtube.com/watch?v=Oh_Pt_UrtEE

 

What is gastroenteritis? - https://www.youtube.com/watch?v=pIDmePznLBo

 

Assignments --

 

Read pages 3 - 9.

Listen to the recording in 1.1.1 and complete the questions.

Review and know the vocabulary in 1.1.2 (fill in the blanks as needed)

Read 1.1.3 "The digestive process" and answer the questions.

 

Passive form? will be discussed in class

 

Prepare a brief presentation as per 1.1.4 (3-4 sentences) to present in class

 

Group think- What is digestive health? section 1.1.5 --> Think about what can be done to improve digestive health, [examples, increase fiber in diet, probiotics, limit alcohol, limited use of certain medications, etc] (we will discuss on Wednesday)

 

 

Imaging the Digestive (Gastrointestinal) System - Ultrasound (U/S)

 

Abdominal ultrasound imaging is performed to evaluate the:

• Liver
• Gall Bladder
• Pancreas
• Appendicitis 
• and kidneys, spleen, peritoneal space, abdominal aorta (aneurysm)

 

Interesting article on the use of  U/S in the evaluation of blunt trauma to the chest and abdomen http://www.sonoguide.com/FAST.html

 

 

 

 

 

 Week Two - Oral Cavity

 

Dental anatomy, chewing, and the beginning of digestion.

 

What are the main parts of the oral cavity anatomy? see pages 10-11 https://www.youtube.com/watch?v=egpicHMYwU4

 

Tooth anatomy--> page 12

 

Digestive Enzyme - amylase (breakdown of starch)--> secreted by parotid, submandibular, sublingual glands

 

Anatomy of salivary glands http://www.sciencedirect.com/science/article/pii/S0263931912002001

 

Dental care:

 

Flouride treatments at well-child visits  https://www.youtube.com/watch?v=U2QRwoWAIpQ

 

Group think - What is good dental care? In your own words, be able to speak about the following topics: role of teeth, dangers of bad teeth or not having teeth, how to keep your mouth clean, problems treated by the dentist, how tooth decay is treated. (see page 15)

 

Assignments: read pages 10- 15, complete the exercises on pages 10, 13, top of 14

 

For group think we will discuss good dental care as above.

 

Periodontal disease and systemic disease  https://www.youtube.com/watch?v=99hIG36SvWk

 

Smoking and periodontal disease https://www.youtube.com/watch?v=t7rRjDDmQU0

 

--------------------------------------------------------

 

For your interest...not an assignment

 

Interesting  video/article on "hand, foot, and mouth disease [virus]" cause of "stomatitis" in children (more common) and adults https://www.youtube.com/watch?v=8T5ON6wR8Pc

 

https://www.cdc.gov/hand-foot-mouth/about/index.html

 

 

 

 

Week Two - The Stomach

 

Oral cavity to the stomach ---> by way of the esophagus

 

Esophagus -- smooth and skeletal muscle, peristalsis

 

Imaging the esophagus - Upper GI study with Barium https://www.youtube.com/watch?v=PiYEy2Rz77s

 

The Stomach --> Know the anatomy and functions page 16

 

Digestive process - enzymes (pepsinogen/rennin/gastric lipase), secretion of Intrinsic Factor (not in the book but very important)

 

Hormone secretion - gastrin

 

Cellular level -- http://slides.uwo.ca/Original%20scans/Digestive%20System%20-%20Part%202/Stomach-1.pdf

 

Assignments:

 

Read pages 16 to 21

 

Do the exercises on pages 17, 18, 19, 20, and 21.

 

Be prepared to discuss the words on page 19 (bottom) and on page 20.

 

 

 

 

Extra interesting information not testable... metaplastic (early cancerous) changes of the esophagus --> Barrett's Esophagus

 

https://www.youtube.com/watch?v=tQ6a4arjFdE

 

https://www.niddk.nih.gov/health-information/digestive-diseases/barretts-esophagus

 

Pain Assessment Mnemonic - http://theemtspot.com/2009/08/22/understanding-opqrst/

 

 

Note----> Esophageal Varices - expansion/dilation of the blood vessels at the base of the esophagus secondary to cirrhosis of the liver (alcohol related, non-alcohol related conditions), parasites in the liver, thrombis (blood clot), and other conditions. I spoke briefly about this in class. It is a fairly common condition seen in the hospital because of the serious nature and risk of bleeding. These patients who bleed typically end up in the ICU.

http://www.mayoclinic.org/diseases-conditions/esophageal-varices/home/ovc-20206457

 

 

 

Week Three -- Diseases of the Stomach (Part One)

 

"Heartburn" https://www.youtube.com/watch?v=Td

K0jRFpWPQ

 

Differential Diagnosis -- cardiac origin?

 

Other terms --> dyspepsia https://gi.org/guideline/management-of-dyspepsia/

 

Over the counter (OTC) medications available in the USA --- Tums/Rolaids (antacids), H2 blockers (ranitidine), Proton pump inhibitors (PPI's); avoid aspirin/Nonsteroidal Anti-inflammatory Drugs (NSAIDs)

 

Diet modifications -- avoid foods/beverages that contain caffeine, acidic foods, spicy foods (hot chiles), fatty foods, alcoholic beverages; beneficial foods-->some probiotics (yogurt, Kefir), BRAT diet (banana, rice, applesauce, toast), papaya/apples

 

https://www.youtube.com/watch?v=4w0GfjgNEmY

 

 

"Gastritis"

 

acute vs chronic ---> symptoms ---> nausea, vomiting, epigastric pain (burning, aching, dull),

 

Diagnosis --> usually by endoscopy, can do testing for H. pylori, check for occult blood in stool

 

H. pylori -- bacteria that invades the mucosal lining, treatable with antibiotic regimen and an acid reducing medication

 

Treatment -- eliminate cause if possible, treat with H2-blocker or PPI

 

"Peptic Ulcer"

 

gastric or duodenal or both

 

Diagnosis -- endoscopy or in the old days--> barium

 

"Indigestion"

 

 

"Endoscopy" (EGD-- esophago-gastro-duodenoscopy)

 

allows for visualization, biopsy, or intervention

 

Answering the "patient's email" -- will review in class

 

Assignment: Read pages 23 to the top of page 27; do the exercises 1.4.3 and the fill-ins on 24, 25, 26. We will go over the doctor-patient communication on page 22 in class. I will provide a handout for page 22.

 

For Wednesday class-- Finish reading the chapter to page 31; please complete the exercises 1.4.6 , 1.4.7(parts 1 & 2); review the key terms on page 31.

 

Doctor- Patient Communication Doctorpatientcommunications.docx

 

 

 

 

Week Three -- Diseases of the Stomach (Part Two)

 

See assignment above

 

Hiatal Hernia --> http://my.clevelandclinic.org/health/articles/hiatal-hernia 

 

Video of Endoscopy procedure - https://www.youtube.com/watch?v=TQZwLH9u578

 

protonszivattyú-gátlók - proton pump inhibitors are the most frequently used medication for GERD http://www.aboutgerd.org/medications/proton-pump-inhibitors-ppis.html

 

Very good descriptive video on Peptic Ulcer Disease and H. pylori / NSAID's https://www.youtube.com/watch?v=Luo5B_tNsCo

 

Review article on H. pylori https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1539101/

 

 

 

Week Four -- Small and Large Intestines

 

Assignment for Monday

 

Read pages 36 to 42; complete the exercises in sections 2.1.2,  2.1.2 , 2.1.3 , and 2.1.4; we will review the information in the book; there will be 2 quizzes this next week.

 

Review of small intestine anatomy, function, and histology https://www.youtube.com/watch?v=UgnF1w-H8vw

 

Review of large bowel anatomy, function, and histology https://www.youtube.com/watch?v=Lzr9GGjh6YQ

 

 

Assignment for Wednesday

 

Read pages 43 to 48; complete the exercises in 2.2.2 ,  2.2.4,  2.2.5, 2.2.8: we will review 2.2.3 and 2.2.6 in class

 

Peyer's Patches and the immunolgy of the intestinal tract https://www.youtube.com/watch?v=gnZEge78_78

 

Review article on the molecular biology of the interactions within the Peyer's Patches https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3004000/

 

Digestive enzymes (in british english) https://www.youtube.com/watch?v=D0UaBBUFcus

 

Irritable Bowel Syndrome (IBS) https://www.youtube.com/watch?v=eKLqFnAmK6c

 

Colonoscopy https://www.youtube.com/watch?v=wA9QtgVQWOw

 

Removal of a polyp https://www.youtube.com/watch?v=-BZHI98hK1c

 

Colorectal cancer screening begins at age 50 unless there are other indications (family history of Colon CA)

 

Colon Cancer in Magyarorszag http://link.springer.com/article/10.1007%2Fs10198-009-0192-z

 

Diverticular disease in western society https://www.iffgd.org/other-disorders/diverticulosis-and-diverticulitis/diverticula-diverticulosis-diverticulitis-what-s-the-difference.html

 

Diverticular disease seen on colonoscopy https://www.youtube.com/watch?v=Mwa1qu9W2mM

 

Cholera Cot

 

 

Toxin mediated diarrhea (bacterial) - E. coli, Cholera, Shigella

 

Parasites - Giardia, Amoebas

 

Dysentery (fever and mucus,  blood in stool) - Salmonella (Typhoid Fever), E. coli (enteroinvasive/enterohemorrhagic), Shigella, Campylerbacter, Amoebas

 

Viral - Norovirus, Rotavirus, Enteroviruses, adenoviruses

 

 Week Five - The Liver (Monday), Wednesday (Holiday)

 

 

Assignment for Monday  Read pages 49 to 55; do exercises 2.3.2, 2.3.3 (parts 1, 2, 3), 2.3.4, and 2.3.5.

 

 

Portal hypertension https://www.youtube.com/watch?v=Cox6Z5pqMBo

 

Hereditary Hemochromatosis https://www.youtube.com/watch?v=y5h4DnYxFRc

 

Wilson's Disease https://www.youtube.com/watch?v=CkXf3lcAWxQ

 

Week Six - The Central Nervous System

 

 Assignment for Monday - Read pages 59 to 65, Complete the exercises 3.1.1, 3.1.2, 3.13, 3.1.4; we will review in class the pages 59 to 65

 

Brain Anatomy - https://www.youtube.com/watch?v=kMKc8nfPATI

 

Brain Surgery - https://www.youtube.com/watch?v=d47oP9uWzrs

 

Parkinson's Disease and Magyarorszag - http://www.sciencedirect.com/science/article/pii/S1353802009002831

 

 

Viral Encephalitis - VIRAL ENCEPHALITIS.ppt

 

 

Wednesday  March 22nd - Spinal Nerves and Nervous System Disorders

 

Spinal Nerves and Functions - http://teachmeanatomy.info/head/cranial-nerves/summary/

 

Individual Cranial Nerves - http://teachmeanatomy.info/head/cranial-nerves/

 

Spinal Cord - http://teachmeanatomy.info/neuro/structures/spinal-cord/

 

Dermatomes - http://teachmeanatomy.info/the-basics/embryology/dermatomes/

 

Spinal Cord Injury Presentation - http://emedicine.medscape.com/article/793582-clinical

 

 

Lumbar Puncture (NEJM Procedure Video) - https://www.youtube.com/watch?v=weoY_9tOcJQ

 

Disorders (Book) -

 

 

Seizure at 3,000 meters -  https://www.youtube.com/watch?v=55QUQHm2B5A

 

Care for People with Alzheimer's Types of Care for People with Disabling Medical Conditions.docx  

 

 

Peripheral Nervous System -

 

Introduction to PNS/CNS combo - https://www.youtube.com/watch?v=x8DjPqdlUbg

 

Fight or Flight - https://www.youtube.com/watch?v=2DZPIGhL3bY 

 

Kahn Academy - https://www.youtube.com/watch?v=ye28W_OygOw

 

 

Bozeman Fight or Flight - https://www.youtube.com/watch?v=m2GywoS77qc

 

 

 

 

 

• Somatic Nervous System

 

• Motor

 

• Sensory

 

Week Nine - Multiple Sclerosis 

 

Multiple Sclerosis -

 

NEJM Review Article - http://www.nejm.org/doi/full/10.1056/NEJM200009283431307

 

VITAMIN C - Vascular, Infectious/Inflammatory, Trauma/Toxic, Autoimmune, Metabolic, Idiopathic/Iatrogenic, Neoplastic, Congenital

 

Differential Diagnosis -

 

 

 

 

 

Doctors MS - https://www.youtube.com/watch?v=M7O78LvrNSQ

 

Kahn MS - https://www.youtube.com/watch?v=A8ZK4VWmbGc

 

Animated MS - https://www.youtube.com/watch?v=-3sAZ_ZFhBE

 

Guillian-Barre Syndrome - https://www.youtube.com/watch?v=69iEuuWc39o

 

GBS complete - https://www.youtube.com/watch?v=4omfTbiB0kk

 

GBS Mayo Clinic - https://www.youtube.com/watch?v=kDspLPFhkS4

 

New England Journal Review GBS - http://www.nejm.org/doi/full/10.1056/NEJMra1114525 

 

Sensory Exam - https://www.dartmouth.edu/~dons/part_1/chapter_9.html

 

Disorders of the nervous system - https://www.dartmouth.edu/~dons/index.html

 

 

 

Unit 4 - Respiratory System 

 

Assignment for 19 April - Read pages 98 to 103, complete the exercises 4.1.1, 4.1.2, 4.1.3

 

Know the anatomy/vocabulary - nose and nasal cavities (page 99), organs of the respiratory system (pages 99 to 102)

 

Bozeman Respiratory System - https://www.youtube.com/watch?v=MrDbiKQOtlU

 

Australian Lung Society [How lungs work] - https://www.youtube.com/watch?v=Cy1lfZAIojs

 

Respiratory distress in child - https://www.youtube.com/watch?v=FOsxPhJsZrE

 

Nasal Flaring - https://www.youtube.com/watch?v=LJVfErMKRi8

 

Steroids for premature infant lung development - https://www.youtube.com/watch?v=uIuAZNxZPF0

 

Surfactant - https://www.youtube.com/watch?v=x6k6DVg3VdI

 

Pneumonia - https://www.youtube.com/watch?v=3hTsve9jjsQ

 

 

 

 

 

Asthma (nucleus medical media) - https://www.youtube.com/watch?v=4aK76DoxKGk

 

Acute asthma attack - https://www.youtube.com/watch?v=EK8nzKzdnIM

 

Pulmonary Embolism - https://www.youtube.com/watch?v=0PEhvACEROI

 

Symptoms and Causes of Pulmonary Embolism - https://www.youtube.com/watch?v=vvcD0UQ9CfM

 

NEJM Arterial Blood Gas Procedure - http://www.nejm.org/doi/full/10.1056/NEJMvcm0803851

 

Bronchoscopy - https://www.youtube.com/watch?v=XTC3AKmtrcs

 

Sleep Apnea - https://www.youtube.com/watch?v=i6lxO6W2-m8

 

 

Intubation and Ventilator Assist - https://www.youtube.com/watch?v=FtJr7i7ENMY

 

Thoracentesis NEJM - http://www.nejm.org/doi/full/10.1056/NEJMvcm053812

 

 

Unit 5 - The Immune System

 

Immune system branches - https://www.youtube.com/watch?v=rp7T4IItbtM

 

HIV Disease - https://www.youtube.com/watch?v=mzfnxCEsck4

 

Immune boosting foods - https://www.youtube.com/watch?v=FrkOrKPYPSg

 

Introduction to immune system - https://www.youtube.com/watch?v=IWMJIMzsEMg

 

Skin Transplant - https://www.youtube.com/watch?v=lFPHYjjKJVs

 

Pediatric Heart Transplant - https://www.youtube.com/watch?v=4JNPNawfbBA

 

Heart Lung Bypass Machine - https://www.youtube.com/watch?v=Jo6NlBb203k