Veidlapa Nr. M-3 (8)
Study Course Description

Internal Diseases

Main Study Course Information

Course Code
ISK_196
Branch of Science
Clinical medicine; Internal medicine
ECTS
3.00
Target Audience
Public Health
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Internal Diseases
Contacts

Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338

About Study Course

Objective

To introduce students to the aetiology of the most common internal diseases, mechanisms of development, clinical symptoms, main complications and principles of primary prevention thereof.

Preliminary Knowledge

Normal anatomy, physiology and biochemistry in the course volumes provided in the programme of the Faculty of Public Health. In addition to the current course, students learn the basics of pharmacology, pathoanatomy and pathophysiology.

Learning Outcomes

Knowledge

1.To demonstrate an understanding of the latest medical technologies, examination techniques and scientific trends. To take anamnesis, arrange it sequentially, recognise the possible risk factors of the disease. To recognise the possible pathology taking into account the obtained examination data. As a result of completing the study course, students acquire basic knowledge and key competences in patient examination, diagnosis of diseases, complications and prevention thereof.

Skills

1.Students will know basic and advanced methods of patient examination, how to diagnose diseases, analyse their causes, prevent possible complications and take preventive measures.

Competences

1.Evaluate the symptoms identified, relate them to pathological processes in the patient’s body. To be able to analyse situations, substantiate, logically formulate and explain one’s opinion. To communicate with people of different competences and with different experience on professional issues, achieving solutions that benefit their health, society or the environment.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Work with educational literature.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Exam – standardised and formalised tasks (MCQ): • theoretical questions (5 groups) – 60% of the total grade; • practical questions (one “clinical case”: assessment, diagnosis, prescription of treatment if necessary) – 40% of the total grade.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Basic principles of professional communication in medicine
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Propaedeutics
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Cardiology
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Pulmonology
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Gastroenterology
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Endocrinology, nephrology
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Rheumatology, haematology
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Introduction to the clinic: Definition of communication, regulations of the clinic and ward, image of a medic (role play). Ethical aspects. Deontology. Academic integrity. Doctor-patient relationship, regulations, legal aspects, design of the doctor’s office, role of the assistant, medical documentation, Historia morbi (subjective part), “first patient” (role play).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Basic techniques for general examination of patients. Measuring blood pressure, pulse, auscultation, palpation. Practice with a patient simulator, group colleagues. Historia morbi (objective part).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Cardiology: diagnostic principles, examination methods. Cardiac auscultation. Practice with a patient simulator, group colleagues. Cardiovascular risks, arterial hypertension, hypertensive crises, acute coronary syndrome, myocardial infarction, arrhythmias, acute and chronic heart failure, infective endocarditis. Prevention, complications, work capacity. Visit to the clinic.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Pulmonology: diagnostic principles, examination methods. Lung auscultation. Practice with a patient simulator, group colleagues. Bronchial asthma, chronic obstructive pulmonary disease, bronchitis, pneumonia, pleurisy. Prevention, complications, work capacity. Visit to the clinic.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Gastroenterology: diagnostic principles, examination methods, cholangiopancreatographic diseases, biliary colic, jaundice; gastritis, gastric and duodenal ulcer, gastrointestinal bleeding; enterocolitis, Crohn’s disease. Prevention, complications, work capacity. Visit to the clinic.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Endocrinology: diagnostic principles, examination methods, diabetes mellitus, coma, metabolic syndrome, hypothyroidism, hyperthyroidism, osteoporosis. Prevention, complications, work capacity. Visit to the clinic.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Nephrology: diagnostic principles, examination methods, nephrolithiasis, renal colic, acute and chronic renal failure, haemodialysis, peritoneal dialysis, kidney transplantation. Prevention, complications, work capacity. Visit to the clinic.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Rheumatology: diagnostic principles, examination methods, rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis; vasculitis; metabolic arthropathy: gout. Prevention, complications, work capacity. Visit to the clinic.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Haematology: diagnostic principles, examination methods, acute and chronic leukaemias, anaemia (B12 and iron deficiency), coagulopathy, haemorrhagic diathesis, haemophilia, thrombocytopenia. Prevention, complications, work capacity.
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Orļikovs G., Pičkurs K., Voicehovska J. Propedeitika, 5. izdevums. Rīga, RSU, 2014, 367 lpp.

2.

Klīniskā medicīna prof. A.Lejnieka redakcijā. Pirmā grāmata. Nacionālais Medicīnas apgāds, 2010. (akceptējams izdevums)

3.

Klīniskā medicīna prof. A.Lejnieka redakcijā. Otrā grāmata. Nacionālais Medicīnas Apgāds, 2012. (akceptējams izdevums)

4.

Klīniskā medicīna prof. A.Lejnieka redakcijā. Trešā grāmata. Nacionālais Medicīnas Apgāds, 2012. (akceptējams izdevums)

5.

Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2005. (akceptējams izdevums)

6.

Lynn S. Bickley. BATES' Guide to Physical Examination and History Taking. 11th edition. Lippincott, Williams & Wilkins, 2013.

Additional Reading

1.

Манджони С. Секреты клинической диагностики (пер. с англ.). Москва: БИНОМ, 2004.

2.

Kalvelis A. Klīniskā elektrokardiogrāfija. Rīga, Nacionālais Medicīnas apgāds. 2008.

Other Information Sources

1.

Мурашко В. В., Струтынский А. В. Электрокардиография. Москва: Медицина, 1994 – 2005