Veidlapa Nr. M-3 (8)
Study Course Description
Differential Diagnostics and Current Issues in Treatment of Internal Diseases
Course Code
ISK_218
Branch of Science
Clinical medicine; Internal medicine
ECTS
4.50
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Jūlija Voicehovska
Structure Unit Manager
Jūlija Voicehovska
Structural Unit
Department of Internal Diseases
Contacts
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
Students learn the latest updates and issues of diagnosis, differential diagnosis and treatment in the field of Internal diseases.
Preliminary Knowledge
Preliminary knowledge of propaedeutics, pathology, pharmacology, immunology, dermatology, biochemistry. Students should know the topics of previous internal diseases courses.
Learning Outcomes
Knowledge
1.The acquisition of study course results in knowledge of the most important etiology of internal diseases, pathogenesis, diagnostic criteria, differential diagnosis and treatment. Students will learn about the principles of filling medical documentation in hospital conditions.
Skills
1.As a result of the study course acquisition students will be able to communicate with patients and colleagues, identify the severity and course of internal diseases listed in the study course description, differentiate them, substantiate the diagnosis, prescribe the necessary examination plan and evaluate results, prescribe treatment for specific patients, draw up necessary medical documentation.
Competences
1.The acquired competencies of the study course will allow purposeful and structured examination of the patient's history, assessment of the patient's vital signs (namely, patient's state of consciousness, breathing, heart rate, central and peripheral pulse, arterial blood pressure, blood oxygen saturation, body temperature, diuresis) the components and symptomatology that affect it will allow the patient's health status to be evaluated, normality and deviation interpreted, and the finding and specific situation to be attributed, and the next tactic to be decided upon. It will allow to recognize acute medical conditions, to organize timely assistance, to interpret the results of various examinations and formulate the appropriate conclusions, to plan treatment tactics. The acquired competencies will allow to perform manipulations appropriate to the respective pathological condition, to write prescriptions, to fill in medical documentation in accordance with the requirements of regulatory enactments.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Individual work with patient – history collection, interpretation of examinations, development of a treatment plan, formulation of a possible diagnosis; establishment of a patient's case under the lecturer's and physician's supervision; presentation and defence of study research work.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Differential Diagnostics and Current Issues in Treatment of Internal Diseases
|
||
|
2.
Examination |
-
|
-
|
|
According to State Exam evaluation criteria.
|
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Study Course Theme Plan
FULL-TIME
Part 1
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Chronic coronary syndrome. Etiology, pathogenesis diagnostics, treatment. Acute coronary syndrome. Diagnosis, pathogenesis, treatment. Definition of myocardial infarction. Complications of acute coronary syndrome, their diagnosis, treatment, prevention, clinical case analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Arterial hypertension. Etiology, pathogenesis, definition, – latest updates. Identification of risk groups, novel biomarkers. Secondary hypertension. Arterial hypertension – treatment options, tactics. Resistant hypertension. Specific cases of arterial hypertension. Clinical case assessment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Heart rhythm disorders – role of electrocardiography. Various diagnostic options. Cardiac blockade. Atrial fibrillation and atrial undulation. Diagnostics, treatment. Recognition and reduction of risk of stroke and thromboembolism. Ventricular arrhythmias. Risk factors, identification. Implantable rhythm correction equipment – PM, ILR, ICD, CRT. Clinical case analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
3
|
Topics
|
Acute conditions in cardiology. Life-threatening arrhythmias.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Pulmonary embolism. Prevention, treatment approach. Risk assessment, prognosis. Clinical case assessment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
The concept of cardiomyopathy. Diagnostics, mechanisms, treatment. Chronic heart failure. Mechanisms, pathophysiology. Treatment options. Multimorbid patients, concept. Clinical case assessment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Differential diagnosis of dyspnoea – clinical case study.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Other
|
3
|
Topics
|
Obstructive and central sleep apnoea. Causes, pathogenesis, diagnostic and treatment options.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Obstructive lung diseases, differential diagnosis and novelties of treatment. Hemoptysis - causes, differential diagnosis, examination and treatment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Abdominal pain differential diagnosis (value of image techniques, nonabdominal causes of abdominal pain). Hepatobiliary and pancreatic diseases: differential diagnosis and treatment approach.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Functional gastrointestinal disorders. Differential diagnosis and treatment possibilities. Differential diagnosis and treatment approach of gut diseases. Clinical case analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Urine syndromes, urine albumin excretion, differential diagnosis; diagnostic and treatment of primary and secondary glomerulopathy. Chronic kidney disease: long time observation, starting the kidney replacement therapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
The most common disorders of acid-base balance, diagnostic approach. Renal syndromes, measures to correct. Emergency cases in kidney patients with coexisting multimorbid conditions, differential diagnosis, treatment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Differential diagnosis of anemia, investigation and treatment plan for anemia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Diffuse connective tissue diseases, vasculitis, diagnostic approach, clinical case analysis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Endocrine hyper- and hypotension, emergencies. Differential diagnosis of thyroid pathology. Clinical case analysis.
|
Total ECTS (Creditpoints):
4.50
Contact hours:
48 Academic Hours
Final Examination:
Test (Semester)
Bibliography
Required Reading
1.
ESC Clinical practice guidlines
2.
Klīniskā medicīna. prof. A.Lejnieka redakcijā. Medicīnas Apgāds, 785-914, 2010
3.
S.Lejniece. Klīniskā hematoloģija. Nacionālais Medicīnas Apgāds, 2020.
4.
S.Lejniece. Klīniskā hematoloģija. Nacionālais Medicīnas Apgāds, 2002.
5.
S.Lejniece Dzselzs deficīta anēmija. Medicīnas Apgāds, 2015.
6.
S.Lejniece, A.Lejnieks, B.Janicka-Kupra. Dzelzs deficīts. Absolūts vai funkcionāls. Medicīnas Apgāds, 2018.
7.
Conn's Current Therapy. Kellerman, Rick D. Rakel, David P. 2019, Elsevier Inc
8.
The Merc Manual
9.
A.Kalvelis. Kardioloģija. Rīga, 2018.
10.
Braunwalds Heart Disease: A textbook of cardiovascular medicine
11.
Harrison’s Principles of Internal Medicine. 19th Edition
12.
E. Vēverbrants, A. Pētersons. Nephrology in your pocket. e-textbook, iBooks Store, Apple, 2015.
13.
Oxford Textbook of Clinical Nephrology. 3rd Edition, 2005.
14.
Imboden J., Hellmann D., Stone J. Current Diagnosis & Treatment in Rheumatology. 3rd Edition (LANGE CURRENT Series)
15.
Kelley’s Textbook of Rheumatology, current edition
16.
Safron Whitehead, John Miell. „Clinical endocrinology”. Scion Publishing.com, 2013.
17.
Williams Textbook of Endocrinology. 12th Edition, 2011.
18.
J. Pokrotnieks. Gastrointestinālā endoskopija. Rīga, 2000, „Pilatus”, 144 lpp.
19.
A.Danilāns. Hroniskas aknu slimības I, II un III daļa. Medicīnas apgāds, 2009-2013.
20.
E. Vēverbrants, A. Pētersons. Nefroloģija kabatā. e-grāmata, iBooks Store, Apple, 2015.
21.
A. Pētersons, E. Vēverbrants, I. Lazovskis. „Kā atklāt un ārstēt nieru slimības”. 1998, Rīga.
22.
A.Kalvelis, A.Lejnieks. Galveno kardiovaskulāro slimību un izpausmju klīniskas formas un diagnozes formulējumi. Rīga, 2017.
23.
ESC Guidelines for the diagnosis and treatment
Additional Reading
1.
Hoffbrand's Essential Haematology (Essentials). 7th Edition by A. Victor Hoffbrand and Paul A. H. Moss, Willey Blackwell, 2015.
2.
Postgraduate Haematology. A. Victor Hoffbrand and Douglas R. Higgs, 2016.
3.
Blood Cells: A Practical Guide. Barbara J. Bain. 5th Edition, Wiley Blackwell, 2015.
4.
Haematology: A Core Curriculum. 1st Edition. Barbara Jane Bain, 2010.
5.
Tytgat G.N.J., Tytgat S.H.A.J. Grading and Staging in Gastroenterology. Thieme Stuttgart. N.Y., 2009.
6.
Oxford Textbook of Rheumatology, current edition
7.
A.Kalvelis. Elektrokardioloģijas pamati. Nacionālais apgāds, 2009
8.
Gerd Herold and colleagues. Internal Medicine. 2nd Edition
9.
Disease Management : a guide to clinical pharmacology / Michael D. Randall, Karen E. Neil. 2016
Other Information Sources
1.
EHA mājas lapa (http://www.ehaweb.org/)
2.
ASH mājas lapa (http://www.hematology.org/)
3.
Rome Fundation http://www.romecriteria.org/.
4.
First Principles of Gastroenterology
5.
World Endoscopy Organization
6.
Gastroenteroloģijas Atbalsta biedrības mājas lapa