Veidlapa Nr. M-3 (8)
Study Course Description
Surgical Diseases I
Course Code
KK_039
Branch of Science
Clinical medicine; Surgery
ECTS
6.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Jānis Gardovskis
Structure Unit Manager
Jānis Gardovskis
Structural Unit
Department of Surgery
Contacts
Riga, 13 Pilsoņu Street, VSIA P.Stradiņa KUS, block No 24, kk@rsu.lv, +371 67069745
About Study Course
Objective
Students will acquire knowledge of urgent and elective abdominal, breast and endocrine surgical diseases, their aetiology, pathogenesis, clinical picture, diagnostics, principles of treatment and prevention.
Preliminary Knowledge
Anatomy, physiology and pathology of the abdominal cavity, breast and endocrine organs; basics of propaedeutics.
Learning Outcomes
Knowledge
1.Describe the etiology, pathogenesis and prevention of surgical diseases covered in lectures and classes.
Individual work and tests
Self-control test
2.Recognise the clinical presentation of the disease and possible complications.
Individual work and tests
Clinical case for self-assessment
3.Describe surgical treatment methods for diseases and indications for their use.
Individual work and tests
Clinical case for self-assessment
4.List modern clinical, laboratory and instrumental examination methods.
Individual work and tests
Clinical case for self-assessment • Self-control test
Skills
1.To take the patient's complaints and history.
2.Perform physical examination of the patient using palpation, percussion and auscultation methods and methods derived from them.
3.Perform palpatory examination of the mammary glands.
Competences
1.Analyze a specific surgical situation.
2.Students draw up a plan of laboratory and instrumental examinations necessary for the patient.
3.Interpret investigation result data.
4.Argue, reason and formulate a surgical extended clinical diagnosis.
5.Develop a tactic for action in a specific surgical clinical situation.
6.Formulate indications for conservative and surgical treatment.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Self-control test |
-
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Test
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A multiple choice test is attached to each topic. The number of questions and time limit depends on the topic. Each test is graded. The student must pass all tests and have 100% attendance in order to receive a pass in the study course. |
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2.
Clinical case for self-assessment |
-
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Test
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Complete the self-assessment clinical case test attached to the relevant topic in E-studies. Each test is graded. The student must complete all the clinical case tests attached to the lessons in E-studies and have 100% attendance to receive a "pass" assessment in the study course. Time limit 30 min. |
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Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
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On site
|
Other
|
2
|
Topics
|
Breast diseases. Clinical signs, diagnostics, treatment.
Breast cancer. Clinical signs, diagnostics, principles of complex treatment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Rectal diseases: haemorrhoids, fissures, paraproctitis. Pathogenesis, clinical signs and diagnostics, principles of surgical treatment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Acute and chronic appendicitis. Clinical signs, differential diagnostics and diagnostics. Complications and treatment tactics.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Large bowel diseases. Crohn’s disease, nonspecific ulcerative colitis, diverticulosis, polyposis. Clinical signs, diagnostics, principles of surgical treatment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Primary abdominal wall hernias. Clinical signs, differential diagnostics and diagnostics. Complications of hernias. Different options of surgical treatment methods.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Acute pancreatitis. Classification. Pathogenetic peculiarities in different types of patients. Basics of conservative treatment. Indications for surgical treatment, treatment tactics for different clinical forms of acute pancreatitis.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
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Peritonitis. Etiology, pathogenesis, classification, clinical signs, diagnostics, principles of complex treatment.
|
-
Lecture
|
Modality
|
Location
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Contact hours
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|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Liver disease (tumors, echinococcus, alveococcus). Liver cirrhosis. Portal hypertension. Clinical signs, diagnostics, treatment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Gallstone disease. Acute and chronic cholecystitis. Pathogenesis, clinical signs and diagnostics. Complications of gallstone disease. Treatment tactics in case of gallstone disease and different clinical forms of cholecystitis.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
2
|
Topics
|
Complications of ulcer disease (perforation, bleeding, stenosis, penetration, malignisation); clinical signs, diagnostics, differential diagnostics. Surgical treatment tactics and methods.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
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Other
|
2
|
Topics
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Surgical diseases of thyroid and parathyroid glands.
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-
Lecture
|
Modality
|
Location
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Contact hours
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|---|---|---|
|
On site
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Other
|
2
|
Topics
|
Ileus. Classification. Differential diagnosis. Principles of conservative and surgical treatment.
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Lecture
|
Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Other
|
2
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Topics
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Mechanical jaundice. Cholangitis. Postcholecystectomy syndrome. Gallbladder and bile duct tumours. Clinical signs, diagnostics, treatment algorithm.
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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
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Other
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2
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Topics
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Minimally invasive surgery.
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Class/Seminar
|
Modality
|
Location
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Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
The gallstone disease. Acute and chronic cholecystitis. Pathogenesis. Clinical picture and diagnostics. The surgical tactics in case of different forms of the disease. Complications of the gallstone disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Liver disease (tumors, echinococcus, alveococcus). Liver cirrhosis. Portal hypertension. Clinical signs, diagnostics, treatment. Surgical diseases of spleen. Mechanical jaundice. Cholangitis. Postcholecystectomy syndrome. Gallbladder and bile duct tumors.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Acute pancreatitis. Classification. Peculiarities of pathogenesis in different types of patients. Basics of conservative treatment. Indications for surgery, treatment tactics for different clinical forms of acute pancreatitis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Complications of ulcer disease (perforation, bleeding, stenosis, penetration, malignization), diagnostics, differential diagnostics.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Large bowel diseases. Crohn’s disease, nonspecific ulcerative colitis, diverticulosis, polyposis. Rectal diseases: haemorrhoids, fissures, paraproctitis. Pathogenesis, clinical signs and diagnostics; surgical treatment tactics and methods.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Primary external abdominal wall hernias. Clinical signs, differential diagnostics and diagnostics. Complications of hernias. Different options of surgical treatment methods.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Acute and chronic appendicitis. Clinical presentation, diagnosis and differential diagnosis. Complications and treatment tactics.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Breast diseases: cancer. Diagnostics, principles of complex treatment. Precancerous diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Surgical diseases of thyroid, parathyroid and adrenal glands.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Test (Semester)
Bibliography
Required Reading
1.
Lekciju materiāli e-vidē/ Lectures in E-studySuitable for English stream
2.
Gardovskis, J. 2013. Ķirurģija. 2.izd. Rīga: Rīgas Stradiņa universitāte (akceptējams izdevums).
3.
Townsend, C.M. 2022. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st ed. Elsevier.Suitable for English stream
4.
Zollinger, R.M., Ellison, E.C. 2022. Zollinger's Atlas of Surgical Operations. 11th ed. New York: Mc Graw Hill.Suitable for English stream
Additional Reading
1.
Raftery, A.T., Delbridge, M.S., Wagstaff, M.J.D. 2017. Churchill's Pocketbook of Surgery. 5th ed. Churchill Livingstone , ElsevierSuitable for English stream
2.
Henry, M., Thompson, J. 2012. Clinical Surgery. 3rd ed. Saunders, Elsevier (akceptējams izdevums).Suitable for English stream
3.
Paterson-Brown, S. 2023. Core Topics in General & Emergency Surgery. 7th ed. ElsevierSuitable for English stream
4.
Lennard, T., Lennard, T. 2013. Endocrine Surgery. 5th ed. Saunders Ltd, Elsevier (akceptējams izdevums).Suitable for English stream
5.
Phillips, R., Clark, S. 2023. Colorectal Surgery. 7th ed. ElsevierSuitable for English stream
6.
Dixon, J.M., Garden, O.J., Paterson-Brown, S. 2023. Breast Surgery. 7th ed. ElsevierSuitable for English stream
7.
Garden, O.J. 2023. Hepatobiliary and Pancreatic Surgery. 7th ed. ElsevierSuitable for English stream
8.
Garden, O.J., Bradbury, A.W., Forsythe, J.L.R., Parks, R.W. 2022. Principles and Practice of Surgery. 7th ed. ElsevierSuitable for English stream
9.
Brunicardi, F., et al. 2019. Schwartz's Principles of Surgery, 11th ed. McGraw-Hill.Suitable for English stream
10.
Bittner, R., et al. 2018. Laparo-endoscopic Hernia Surgery, Evidence Based Clinical Practice. Springer.Suitable for English stream
11.
Campanelli, G. 2018. The Art of Hernia Surgery, A Step-by-Step Guide. Springer.Suitable for English stream
12.
Campanelli, G. 2017. Inguinal Hernia Surgery. SpringerSuitable for English stream
13.
Davis, S.S., Dakin, G., Bates, A. 2019. The SAGES Manual of Hernia Surgery. Springer.Suitable for English stream
14.
Mulholland, M.W., Lillemoe, K.D., Doherty, G.M., Maier, R.V., Upchurch, G.R. 2017. Greenfield's Surgery: Scientific Principles & Practice. 6th ed. Lippincott Williams & Wilkins.Suitable for English stream
15.
Docherty, G.M. 2024. Current Diagnosis & Treatment: Surgery, 16th ed. McGraw-Hill Education.Suitable for English stream
16.
Novitsky, Yuri W. 2016. Hernia Surgery: Current Principles. Springer.Suitable for English stream
17.
Hope, W.W., Cobb, W.S., Adrales, G. L. 2017. Textbook of Hernia. Springer.Suitable for English stream