Propaedeutics
Study Course Implementer
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
Preliminary Knowledge
Learning Outcomes
Knowledge
1.To name the subjective parts of the examination and the parameters characterising the most frequent patient complaints. To name the signs of the patient’s general condition (consciousness, nutritional state), the most frequent skin changes. To describe the relative position of organs in relation to the body surface. To name and describe the most common signs of lung, cardiovascular, digestive, excretory and haematological problems. To name the values of critical indicators of heart rate, breathing and kidney function. To describe the basic principles of load and functional testing. To name the most common functional disorders of endocrine organs, the hormone level changes that characterise them, and the most common signs of these changes. To name the indicators and normal values of glucose metabolism. To name the most commonly used tests for the clinical and biochemical composition of blood. To describe the standards, functions and roles of the nursing profession. To describe the principles and importance of drawing up a patient care plan.
Skills
1.To know how to question the patient about their complaints and anamnesis. To know how to assess the patient’s level of consciousness, orientation, nutritional state, fluid balance, skin and mucous membrane changes. To know how to perform basic examinations of the pulmonary, cardiovascular, digestive, excretory, endocrine and haematopoietic systems and determine the boundaries of organs. To know how to perform a muscle and joint check. To know how to perform a 12-lead ECG recording and assess its basic findings (rhythm pattern, heart rate). To be able to apply Maslow’s hierarchy of needs to formulate priority problems and draw up a care plan.
Competences
1.To formulate patient problems (nursing diagnoses) by independently questioning the patient. To verify the formulated problems by performing an objective examination of the patient by organ system – pulmonary, cardiovascular, digestive, excretory and haematopoietic. By evaluating the most frequent clinical examinations – electrocardiography, spirometry, blood and biochemical tests –, to summarise the obtained results as disease syndromes. To draw up a patient care plan and set goals for solving problems. To know how to assess the signs and complications of the most common diseases.
Assessment
Individual work
Examination
Study Course Theme Plan
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Principles and methods of patient examination. Patient complaints, anamnesis. Patient survey.
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General examination of the patient: characteristic external signs of diseases (changes in the physique, face, skin and nails, lymph nodes).
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The most characteristic signs of cardiovascular diseases. Signs of acute heart diseases. Principles of electrocardiography.
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The most characteristic manifestations and anamnesis of diseases of the respiratory system.
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Cardiac patient complaints, anamnesis. Arterial pulse palpation, cardiac auscultation, blood pressure measurement.
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Evaluation of the main parameters of an electrocardiogram. Electrocardiographic signs of acute coronary pathologies.
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Check-up and examination of a lung patient (palpation, percussion and auscultation techniques). Principles of spirometry.
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Methods of examination of the digestive organ system.
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Methods of kidney and urinary tract examination. The role of the GFR and the formulae for calculating it. Urine test analysis (erythrocytes, leukocytes, cylinders, bacteria).
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Syndromes of endocrine diseases.
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The most characteristic signs and anamnesis of musculoskeletal diseases.
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Evaluation and interpretation of laboratory blood tests. Signs of diseases of the hematopoietic system (anaemias, leucosis, lymphomas).
Bibliography
Required Reading
Propedeitika. 5.izdevums, Prof. G.Orļikova redakcijā, 2014
Rudzītis Kristaps. Diagnostikas pamati un terapijas preambula. Nacionālais Apgāds, 2010 (akceptējams izdevums)
Medicīniskās aprūpes rokasgrāmata, Jumava, 2001. (akceptējams izdevums)
Propedeitika. Klīniskie uzdevumi. Prof. G.Orļikova redakcijā, 2004. (akceptējams izdevums)
S. Lejniece. Klīniskā hematoloģija. Nacionālais Apgāds, 2020
Hutchinson's Clinical Methods. 24th edition. By Michael Swash and Michael Glynn. Saunders Ltd, 2018
A. Lejnieks . Klīniskā medicīna. Pirmā, Otrā un Trešā grāmata. Rīga: Medicīnas apgāds, 2010-2012. (akceptējams izdevums)
Ārvalstu studentiem/For international students
Hutchinson's Clinical Methods. 24th edition. By Michael Swash and Michael Glynn. Saunders Ltd, 2018
Additional Reading
Siegenthaler W. Differential Diagnosis in Internal medicine: From Symptom to Diagnosis. NY: Thieme Medical Publishers, 2007
Duale Reihe Anamnese und Klinische Untersuchung. Middeke M, Füeßl HS. Thieme, 2010
Bates Guide to Physical Examination and History Taking. 12th edition. Lippincott Williams & Wilkins, 2017
Kalvelis A. Klīniskā elektrokardioloģija. Rīga, Nacionālais Medicīnas apgāds. 2008.
Ārvalstu studentiem/For international students
Duale Reihe Anamnese und Klinische Untersuchung. Middeke M, Füeßl HS. Thieme, 2010
Siegenthaler W. Differential Diagnosis in Internal medicine: From Symptom to Diagnosis. NY: Thieme Medical Publishers, 2007
Bates Guide to Physical Examination and History Taking. 12th edition. Lippincott Williams & Wilkins, 2017