Veidlapa Nr. M-3 (8)
Study Course Description
Gynaecology
Course Code
DUGK_005
Branch of Science
Clinical medicine; Obstetrics and gynaecology
ECTS
3.00
Target Audience
Midwifery
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Elizabete Ārgale
Structure Unit Manager
Dace Rezeberga
Structural Unit
Department of Obstetrics and Gynaecology
Contacts
Riga, Miera street 45, Riga Municipality Ltd. Riga Maternity Hospital, dzgk@rsu.lv, +371 67293837
About Study Course
Objective
To promote the acquisition of knowledge about the main gynaecological pathologies in different periods of a woman’s life, symptoms, diagnosis and differential diagnosis; as well as to develop an understanding of the application of examination methods and to develop the necessary practical skills for applying this knowledge in midwifery practice.
Preliminary Knowledge
Female anatomy, physiology, genetics, pathological anatomy, propaedeutics, internal diseases, general surgery, pharmacology, laboratory and functional diagnosis, radiology, health care organisation and medical ethics.
Learning Outcomes
Knowledge
1.To name and describe the principles of the organisation of gynaecological assistance, to be able to present and explain the anatomy and physiology of the female genital organs. To describe the main gynaecological diseases of the adolescent period (juvenile bleeding, anorexia, bulimia), the main gynaecological pathologies in the reproductive period (ectopic pregnancy, menstrual cycle disorders, polycystic ovary syndrome, premenstrual syndrome, dysmenorrhea, pelvic inflammatory disease, endometriosis, benign tumours of the genital organs, precancerous diseases and cancer), the main gynaecological pathologies in menopause (climacteric syndrome, genital prolapse, urinary incontinence). Able to perform differential diagnosis in case of acute abdomen in gynaecology. To name contraception methods, explain indications and side effects thereof.
Skills
1.As a result of completing the study course, the student has learned and practically knows how to: - take a woman’s reproductive history; - explain the physiology of the menstrual cycle to a woman; - explain to a woman the reasons for the occurrence of normal and pathological vaginal discharge and the possibilities of differential diagnosis thereof; - examine the cervix in mirrors, perform cervical cytology and take vaginal smears for examination of microflora; - perform breast examination; - advise a healthy woman on the choice of contraceptive methods, their mechanism of action and safety.
Competences
1.As a result of acquiring theoretical and practical knowledge, the student is able to: - perform cytology for the diagnosis of cervical cancer; - take vaginal smears and cultures for determining the microflora; - perform a bimanual examination of the uterus and uterine appendages; - identify the main gynaecological pathologies; - advise women on the choice of contraceptive methods.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
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|---|---|---|
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1.
Individual work |
-
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-
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Independent work – preparation for the topic of the respective class, using recommended literature and Internet sources, with subsequent evaluation thereof and practical application in practical classes. Independent acquisition of practical skills as laboratory work. Collection of reproductive history.
Students should fill out the study course survey questionnaire (for an example, see the video: https://panopto.rsu.lv/Panopto/Pages/Viewer.aspx?id=95582082-00d1-4d94-b033-ae32009e2fac)
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Examination |
-
|
-
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Multiple-choice test results (20%) and practical skills tests (20%). Collection of reproductive history (10%). Final exam consisting of theoretical questions (50%)
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Study Course Theme Plan
FULL-TIME
Part 1
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Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pathological uterine bleeding – diagnostic methods, clinical manifestations, principles of treatment (uterine fibroid, uterine polyp, endometrial cancer, etc.)
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pathological discharge from the genital tract. Genital tract infections (sexually transmitted, endogenous and iatrogenic genital flora). Basic principles of diagnosis and treatment. Pelvic inflammatory disease. Youth-friendly health services.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pathological uterine bleeding – diagnostic methods, clinical manifestations, principles of treatment (uterine fibroid, uterine polyp, endometrial cancer, etc.)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
The main gynaecological diseases of the adolescent period, treatment thereof, anorexia, bulimia, sexual education.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
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Perimenopause, climacteric syndrome, menopause, osteoporosis, hormone replacement therapy (HRT), indications, side effects. Genital prolapse, complications thereof.
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-
Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
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Cervical cancer and its precancerous diseases, screening, prevention. Breast cancer screening.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
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Cervical cancer and its precancerous diseases, screening, prevention. Breast cancer screening.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
-
|
2
|
Topics
|
Examination methods in gynaecology – examination with a mirror, bimanual palpation, taking a vaginal smear, cervical cytology, determining STD agents (class at the METC)
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-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Pathological discharge from the genital tract. Genital tract infections (sexually transmitted, endogenous and iatrogenic genital flora). Basic principles of diagnosis and treatment. Pelvic inflammatory disease. Youth-friendly health services.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Anatomy and physiology of female genital organs. Normal menstrual cycle, regulation thereof. Gynaecology as a specialty. Main examination methods in gynaecology. Reproductive history.
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-
Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Anatomy and physiology of female genital organs. Normal menstrual cycle, regulation thereof. Gynaecology as a specialty. Main examination methods in gynaecology. Reproductive history.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
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Menstrual cycle disorders in reproductive age, reasons, examination methods, treatment thereof. Family planning. Contraception methods, indications and side effects thereof.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Menstrual cycle disorders in reproductive age, reasons, examination methods, treatment thereof. Family planning. Contraception methods, indications and side effects thereof.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
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Termination of pregnancy, legislation, methods at different stages of pregnancy. Spontaneous abortion, missed abortion.
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-
Class/Seminar
|
Modality
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Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Main surgeries in gynaecology, patient preparation for surgery, preoperative examinations, management of the postoperative period.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
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Abdominal pain. Acute abdomen in gynaecology, differential diagnosis. Ectopic pregnancy. Endometriosis. Ovarian cyst formations and ovarian cancer.
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Ginekoloģija, I.Vībergas redakcijā, Nacionālais apgāds, 2013
2.
Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā www.ginasoc.lv
Additional Reading
1.
Williams Obstetrics, atkārtoti izdevumi, 2022
Other Information Sources
1.
Lekciju materiāls.
2.
LR likumdošana
3.
RSU bibliotēkas resursi
4.
www.pubmed.com