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

Internal Diseases with Propedeutics for Dentists

Main Study Course Information

Course Code
ISK_243
Branch of Science
Clinical medicine; Internal medicine
ECTS
3.00
Target Audience
Dentistry
LQF
Level 7
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 develop students’ understanding of the uniqueness of professional medecal communication as an essential component of the practical work of a doctor, to provide knowledge of basic principles of propedeutics, etiology, pathogenesis, clinical scene, laboratory and other investigations, differential diagnosis, diagnostic criteria, investigations, treatment plan and prevention of essential internal diseases, to develop practical skills in the examination of a patient, to familiarise themselves with the expression of internal diseases in the maxillo-facial area and oral cavity, basic principles of medication therapy, their side effects.

Preliminary Knowledge

Knowledge from introduction to medical history, ethics and law; human anatomy and physiology; biochemistry; microbiology; pathological anatomy and pathological physiology, pharmacology.

Learning Outcomes

Knowledge

1.Students will gain knowledge of the most important heart, bronchial, lung diseases, endocrines, haematological, rheumatological, kidney and gastrointestinal tract diseases, their aetiology, pathogenesis, diagnostic criteria, treatment principles.

Skills

1.Students will gain knowledge of filling out hospital and outpatient medical records.

Competences

1.Students will be able to analyse the situation, demonstrate individual treatment of the patient and a creative approach in each clinical case.

Assessment

Individual work

Title
% from total grade
Grade
1.

Independent work

-
-

Meet the lecture and e-study materials for each particular practical class.

Identify unclear questions and problems. Recognize uncertain cases (clinical cases) and tasks.

Familiarize yourself with standardized “clinical cases”: assessment, diagnosis, treatment ordination (if necessary).

In order to evaluate the quality of the study course as a whole, the student must complete the study course evaluation questionnaire on the student portal.

Examination

Title
% from total grade
Grade
1.

Final exam

100.00% from total grade
10 points

Standardised and formalised tasks (MCQs):

• theoretical questions (5 groups) – 60% of the total grade;

• practical questions (one “clinical case”: assessment, diagnosis, treatment ordeal if necessary) - 40% of the total grade.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Basic principles of Medical Communication
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Propedeutics
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Cardiology 1.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Cardiology 2.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Pneumonology 1.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Pneumonology 2.
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Gastroenterology
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Endocrinology
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Nephrology
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Rheumatology
  1. Video Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Haematology
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Introduction to the clinic: Medical communication, clinic and department rules, physician image (role play). Ethical aspects. Deontology. Academic integrity. Doctor-patient relationships, rules, legal aspects, doctor’s office design, assistant role, medical documentation, Historia morbi (subjective part), “first patient” (role play).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Basic methods for general examination of patients. Blood pressure determination, pulse measurement, auscultation, percussion, palpation. Practice with patient simulator, team colleagues. Historia morbi (objective part).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Cardiology: principles of propedeytics, methods of investigation. Heart auscultation. Practice with patient simulator, team colleagues.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Cardiology: cardiovascular risks, arterial hypertension, hypertensive crises, acute coronary syndrome, myocardial infarction. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Cardiology: arrhythmias, heart failure, infectious endocarditis, the role of oral diseases in the development of cardiovascular diseases, the effects of cardiological medications (anticoagulants, diuretics, etc.) on oral abnormality, the expression of diseases in the oral cavity and the maxillofacial region. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Pneumonology: principles of propedeytics, methods of investigation. Lung auscultation, percussion. Practice with patient simulator, team colleagues.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Pneumonology: functional examination of the respiratory system; respiratory failure, bronchial asthma, chronic obstructive pulmonary disease, bronchitis, pneumonia, pleuritis, oral and maxillofacial disease. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Gastroenterology: principles of propedeytics, topographic anatomy, investigative methods, videogastro, videocolonoscopy, US-investigation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Gastroenterology: gastritis, gastrointestinal ulcer, gastrointestinal bleeding; enterocolitis, Crohn’s disease; oral and maxillofacial manifestations of diseases. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Gastroenterology: hepato-pancreato-biliary disease, biliary colic, jaundices. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Endocrinology: principles of propedeytics, investigative methods, diabetes mellitus, comas, metabolic syndrome, hypothyroidism, hyperthyroidism, osteoporosis; manifestations of diseases in the oral cavity and the maxillofacial region. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Nephrology: principles of propedeytics, examination methods, nephrolithiasis, renal colic, acute and chronic renal failure, haemodialysis, peritoneal dialysis, renal transplantation. Clinic attendance.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Rheumatology: principles of propedeytics, methods of investigation. Rheumatoid arthritis, systemic lupus red; vasculitis: Wegener granulomatosis, Henoch-Schoenlein purple, Sjogren syndrome; metabolic arthropathy: gout; manifestations of diseases in the oral cavity and the maxillofacial region.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Haematology: principles of propedeytics, methods of investigation. Acute and chronic leukemias, anaemia (B12 and iron deficiency), coagulopathy, haemorrhagic diaestheses, haemophilia. Manifestations of diseases in the oral cavity and the maxillofacial region.
Total ECTS (Creditpoints):
3.00
Contact hours:
64 Academic Hours
Final Examination:
Exam (OSCE)

Bibliography

Required Reading

1.

Lejnieks A. Klīniskā medicīna. 1, 2, 3. grāmatas. SIA Medicīnas Apgāds. Rīga 2010, 2012. (akceptējams izdevums)

2.

Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2010. (akceptējams izdevums)

3.

Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2024.Suitable for English stream

4.

Kumar P, Clark M. Kumar and Clark's Clinical Medicine. A Textbook for Medical Students and Doctors. W.B.Saunders, London. 11th Edition, 2025.Suitable for English stream

Additional Reading

1.

Allen JF. Health law & medical ethics for healthcare professionals. Boston: Pearson, 2012.Suitable for English stream

2.

Back A, Arnold R, Tulsky J. Mastering communication with seriously ill patients. Cambridge University Press, 2009.Suitable for English stream

3.

Goldman-Cecil. Medicine. W.B.Saunders Company, 2020.Suitable for English stream

4.

Lloyd M, Bor R. Clinical Communication Skills for Medicine. 4th Edition. Churchill Livingstone, 2018.Suitable for English stream