Internal Diseases with Propedeutics for Dentists
Study Course Implementer
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
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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.
Independent work |
-
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-
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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. |
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
|
1.
Final exam |
100.00% from total grade
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10 points
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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. |
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Study Course Theme Plan
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Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
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E-Studies platform
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2
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Topics
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Basic principles of Medical Communication
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
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2
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Topics
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Propedeutics
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
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2
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Topics
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Cardiology 1.
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
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Cardiology 2.
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
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2
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Topics
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Pneumonology 1.
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-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Pneumonology 2.
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Gastroenterology
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Endocrinology
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
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2
|
Topics
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Nephrology
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
|
Topics
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Rheumatology
|
-
Video Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
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Haematology
|
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Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Study room
|
3
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Topics
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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).
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Study room
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3
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Topics
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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).
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Study room
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3
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Topics
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Cardiology: principles of propedeytics, methods of investigation. Heart auscultation. Practice with patient simulator, team colleagues.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Study room
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3
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Topics
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Cardiology: cardiovascular risks, arterial hypertension, hypertensive crises, acute coronary syndrome, myocardial infarction. Clinic attendance.
|
-
Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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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.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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Pneumonology: principles of propedeytics, methods of investigation. Lung auscultation, percussion. Practice with patient simulator, team colleagues.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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Pneumonology: functional examination of the respiratory system; respiratory failure, bronchial asthma, chronic obstructive pulmonary disease, bronchitis, pneumonia, pleuritis, oral and maxillofacial disease. Clinic attendance.
|
-
Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
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On site
|
Study room
|
3
|
Topics
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Gastroenterology: principles of propedeytics, topographic anatomy, investigative methods, videogastro, videocolonoscopy, US-investigation.
|
-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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Gastroenterology: gastritis, gastrointestinal ulcer, gastrointestinal bleeding; enterocolitis, Crohn’s disease; oral and maxillofacial manifestations of diseases. Clinic attendance.
|
-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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Gastroenterology: hepato-pancreato-biliary disease, biliary colic, jaundices. Clinic attendance.
|
-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
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Study room
|
3
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Topics
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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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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Nephrology: principles of propedeytics, examination methods, nephrolithiasis, renal colic, acute and chronic renal failure, haemodialysis, peritoneal dialysis, renal transplantation. Clinic attendance.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Study room
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3
|
Topics
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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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
3
|
Topics
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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.
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Bibliography
Required Reading
Lejnieks A. Klīniskā medicīna. 1, 2, 3. grāmatas. SIA Medicīnas Apgāds. Rīga 2010, 2012. (akceptējams izdevums)
Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2010. (akceptējams izdevums)
Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2024.Suitable for English stream
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
Allen JF. Health law & medical ethics for healthcare professionals. Boston: Pearson, 2012.Suitable for English stream
Back A, Arnold R, Tulsky J. Mastering communication with seriously ill patients. Cambridge University Press, 2009.Suitable for English stream
Goldman-Cecil. Medicine. W.B.Saunders Company, 2020.Suitable for English stream
Lloyd M, Bor R. Clinical Communication Skills for Medicine. 4th Edition. Churchill Livingstone, 2018.Suitable for English stream