The subject and problems of internal diseases/faculty therapy A. P. Shcyokotova

of the Department of Faculty Therapy No. 2, Occupational Pathology

and Clinical Laboratory Diagnostics Perm, 2020

03.10.2013

Perm State Medical University named after Academician E.A. Wagner Ministry of Health of the Russian Federation

nonsurgical

medical specialty concerned with diseases of internal organs in adults.

The term "internal diseases" came into use in the 19th century to stand alongside with the then-popular term "therapy". The etymology of the term internal medicine in English is rooted in the German term Innere Medizin.

Internal medicine/therapy is the medical specialty dealing with the prevention, diagnosis, and treatment of internal diseases. Physicians specializing in internal medicine are called internists/or physicians/or therapeutist

Greek physician, who is considered one of the most outstanding

figures in the history of medicine. He is often referred to as the "Father of Medicine".
Historically, some of the oldest traces of internal medicine can be traced from Ancient India and Ancient China.
Charaka (चरक, 100 BCE - 200 CE) was one of the principal contributors to Ayurveda, a system of medicine in Ancient India.
Авиценна (980-1037) - персидский врач и философ. Основной медицинский труд - «Канон врачебной науки».

methods:
subjective symptoms, history of the development of the disease (interview:

complaints, anamnesis);
objective symptoms (examination, palpation, percussion);
additional examination methods (instrumental - ECG, radiography, etc., laboratory - blood, urine, etc.).
The task of propaedeutics is to combine the symptoms obtained with different methods of examining the patient into syndromes (complexes of symptoms).

2. Faculty therapy (4

course)
The task of the faculty therapy is to combine the syndromes isolated from the patient with a common etiology and general pathogenesis into a nosological form and establish a primary diagnosis of the disease.
3. Hospital therapy (5/6 course)
The task of hospital therapy: to make a differential diagnosis of similar diseases according to the leading syndrome (to exclude similar diseases) and establish the final diagnosis of the disease.

formation of narrow specialties
“Daughter subjects“:
Cardiology (dealing with disorders of the

heart and blood vessels)

Gastroenterology (concerned with the field of digestive
diseases)



Pulmonology (dealing with diseases of the lungs and
the respiratory tract)
Rheumatology (devoted to the diagnosis and therapy of rheumatic diseases)
Hematology (concerned with blood, the blood-forming organs and its disorders)
Nephrology (dealing with the study of the function and diseases of the kidney)
Endocrinology (dealing with disorders of the endocrine system and its specific secretions called hormones)
Infectious disease (concerned with disease caused by a biological agent such as by a virus, bacterium or parasite)
Occupational diseases
and a number of other specialties.

complex or multisystem disease conditions that single-organ-disease specialists may not

be trained to deal with.
They may be asked to tackle undifferentiated presentations that cannot be easily fitted within the expertise of a single-organ specialty, such as dyspnoea, fatigue, weight loss, chest pain, confusion in conscious state. They may manage serious acute illnesses that affect multiple organ systems at the same time in a single patient, and they may manage multiple chronic diseases or "comorbidities" that a single patient may have.

pathology
Biochemistry
Microbiology
Epidemiology
Pharmacology

etc.

pathomorphology
Classification of the disease (stage, severity, etc.)
Clinical presentation (symptoms and

syndromes detected during patient examination)
Diagnostics (additional examination methods)
Differential diagnosis
Treatment
Prevention

The study of diseases of internal organs is carried out taking into account the modern Clinical Recommendations (Russian, European, American, etc.).

PSMU
The founder of the first department of therapy at Perm

State University in 1920 was Professor V.F. Simonovich, a prominent Russian cardiologist.
Professor P.A. Yasnitsky headed the department for more than 30 years, was engaged in research in cardiology, gastroenterology, founded the Perm Scientific Society of Physicians, founded the Ust-Kachka resort of the Russian level.
Professor A.I. Levin created the faculty of postgraduate education of therapists at the department.

Professor N.G. Khoroshavin, a general practitioner, an outstanding balneologist, headed the department from 1957 to 1969.

For about 30 years, the department was headed by an outstanding Russian gastroenterologist Professor Ya.S. Zimmermann, Academician of the New York Academy of Sciences.
From 1995 to the present, the department of Faculty therapy number 2 is headed by Professor N.N. Malyutina.

Pathology and Clinical Laboratory Diagnostics

Malyutina Natalya Nikolaevna - Doctor of

Medical Sciences, Professor, Honored Doctor of Russia.
Research interests - hypertension, bronchial asthma, occupational pathology (health risk when working with vibration, dust, computers, on railway transport, etc.).
480 scientific publications, 10 monographs, 12 inventions, 23 dissertations were prepared.
Member of the Russian Scientific Medical Society of Physicians, член президиума ассоциации специалистов труа, член межд комисси по медицине труда, главный профпатолог Пермского края.

of 2020
Cardiology. Atherosclerosis.
Ischemic heart disease. Stable angina.
Ischemic heart disease. Acute

coronary syndrome.
Ischemic heart disease. Acute myocardial infarction, complications.
Arterial hypertension.
Rheumatic fever. Acquired heart defects.
Myocarditis. Cardiomyopathy.
Pericarditis.
Infective endocarditis.
Heart rhythm disoders.
Chronic heart failure.
Pulmonology. Pneumonia
Chronic obstructive pulmonary disease (CORD).
Bronchial asthma.
Credit lesson on cycle «Cardiology. Pulmonology».

of Medical Sciences, Professor.
Teaches internal medicine and clinical laboratory diagnostics,

teaching experience for 30 years.
Research interests - diseases of the biliary tract, liver, more than 180 scientific publications, 13 inventions, 5 monographs, 3 dissertators prepared.
Member of the European Association for Liver Diseases, the Russian Scientific Medical Society of Physicians, the Russian Association for Medical Laboratory Diagnostics, the Association of Cytologists of Russia, the Federation of Laboratory Medicine of Russia.

Medical Sciences, Associate Professor.
Teaches internal medicine and clinical laboratory diagnostics,

teaching experience for 15 years.
Research interests - professional pathology, hepatology. Scientific publications 60, inventions - 3.
Member of the Russian Scientific Medical Society of Physicians.