Internal Diseases
Study Course Implementer
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
Preliminary Knowledge
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
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Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Work with educational literature.
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||
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.
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||
Study Course Theme Plan
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Lecture
|
Modality
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Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Basic principles of professional communication in medicine
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Propaedeutics
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cardiology
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Pulmonology
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Gastroenterology
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Endocrinology, nephrology
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Rheumatology, haematology
|
-
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).
|
-
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).
|
-
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.
|
-
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.
|
-
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.
|
-
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.
|
-
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.
|
-
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.
|
-
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.
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Bibliography
Required Reading
Orļikovs G., Pičkurs K., Voicehovska J. Propedeitika, 5. izdevums. Rīga, RSU, 2014, 367 lpp.
Klīniskā medicīna prof. A.Lejnieka redakcijā. Pirmā grāmata. Nacionālais Medicīnas apgāds, 2010. (akceptējams izdevums)
Klīniskā medicīna prof. A.Lejnieka redakcijā. Otrā grāmata. Nacionālais Medicīnas Apgāds, 2012. (akceptējams izdevums)
Klīniskā medicīna prof. A.Lejnieka redakcijā. Trešā grāmata. Nacionālais Medicīnas Apgāds, 2012. (akceptējams izdevums)
Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2005. (akceptējams izdevums)
Lynn S. Bickley. BATES' Guide to Physical Examination and History Taking. 11th edition. Lippincott, Williams & Wilkins, 2013.
Additional Reading
Манджони С. Секреты клинической диагностики (пер. с англ.). Москва: БИНОМ, 2004.
Kalvelis A. Klīniskā elektrokardiogrāfija. Rīga, Nacionālais Medicīnas apgāds. 2008.
Other Information Sources
Мурашко В. В., Струтынский А. В. Электрокардиография. Москва: Медицина, 1994 – 2005