Veidlapa Nr. M-3 (8)
Study Course Description
Rheumatology
Course Code
ISK_207
Branch of Science
Clinical medicine; Internal medicine
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Anda Kadiša
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
The aim of the course is to provide students with additional knowledge in rheumatology of major but less common rheumatic diseases: their definition, prevalence, pathogenesis, clinical picture, diagnosis and differential diagnosis, treatment and prognosis; to teach the principles of treatment of rheumatic diseases, indications of possible medications and possible side effects; be able to apply laboratory and imaging diagnostic techniques correctly; be able to develop differential diagnosis of rheumatic diseases; to teach the course of rheumatic diseases during pregnancy; to acquire knowledge of extra-articular damage in rheumatic diseases; to teach common syndromes and diseases in cardiology and rheumatology.
Preliminary Knowledge
Basic knowledge in propedeutics, physiology, pathology, pharmacology, immunology, dermatology, pulmonology, cardiology, nephrology, biochemistry, imaging.
Learning Outcomes
Knowledge
1.Upon successful course completion student is able to recognize congenital rheumatic diseases; knows the medications used in the treatment of rheumatic diseases, their indications and possible side effects; is able to apply the most appropriate laboratory and imaging diagnostic methods for different rheumatic diseases; knows the extra-articular manifestations of rheumatic diseases; knows systemic forms of rheumatoid arthritis; has acquired course of rheumatic diseases during pregnancy; has acquired boundary conditions of cardiology and rheumatology.
Skills
1.As a result of the course acquisition, students will be able to communicate with patients and colleagues, determine the diseases listed in the study course description, their severity and course, differentiate them, justify the diagnosis, prescribe the necessary examination plan and evaluate their results and assign treatment to specific patients.
Competences
1.As a result of the study course acquisition students will be able to apply the acquired knowledge in the diagnosis process using the latest diagnostic methods, according to the latest clinical guidelines, apply the latest treatment methods, distinguish clinical symptoms, evaluate the results of diagnostic finding in a particular patient.
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.
Individual work |
-
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-
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Individual work with medical literature, with a patient – history collection, interpretation of examinations, preparation of a treatment plan, formulation of a possible diagnosis.
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Examination
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Title
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% from total grade
|
Grade
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|---|---|---|
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1.
Examination |
-
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-
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During the last lesson, students answer one of the following questions in writing:
1. Principles of drug therapy, drug use, indications, contraindications and side effects:
a. Non-steroidal anti-inflammatory drugs
b. Glucocorticoids
c. Synthetic disease-modifying antirheumatic drugs
d. Biological disease modifying antirheumatic drugs.
2. Application of laboratory and imaging diagnostic methods in diagnostics of rheumatic diseases and determination of differential diagnoses.
3. Differential diagnosis of acute and chronic arthritis.
4. Differential diagnosis of back pain.
5. Osteoporosis.
6. Soft tissue inflammation: tendinitis, tendovaginitis, enthesitis, bursitis: etiology, pathogenesis, clinic, diagnostics, basic principles of therapy.
7. Congenital connective tissue and skeletal disorders: Morphan's syndrome. Elers-Danlos Syndrome. Congenital skeletal systemic diseases.
8. Other joint and spine diseases: pigmented vilonodular synovitis, Paget's disease.
9. The course and management of rheumatological diseases during pregnancy.
10. Heart, kidney and lung damage in rheumatic diseases.
11. Types of systemic rheumatoid arthritis: Felty syndrome and Still's disease: etiology, epidemiology, pathogenesis, clinic, diagnostics, basic principles of therapy.
12. Pericarditis, myocarditis, endocarditis.
13. Heart valve diseases.
14. Cardiovascular aspects of systemic diseases.
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Study Course Theme Plan
FULL-TIME
Part 1
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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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|---|---|---|
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On site
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Auditorium
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2
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Topics
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Application of imaging diagnostic methods in rheumatic diseases diagnosis and differential diagnosis.
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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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Specialized room
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3
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Topics
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Treatment options in rheumatology. Principles of drug therapy, drug use, indications, contraindications and side effects.
a) Non-steroidal anti-inflammatory drugs
b) Glucocorticoids
c) Synthetic disease modifying anti-rheumatic drugs
d) Biologic disease modifying anti-rheumatic drugs
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-
Class/Seminar
|
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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Specialized room
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3
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Topics
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a. Application of laboratory methods in rheumatology. Autoantibodies: detection methods, sensitivity and specificity, diagnostic application.
b. Pathological examinations and findings in rheumatological diseases: scleroderma, systemic lupus erythematosus, polymyositis / dermatomyositis, gout, inflammatory arthritis.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Differential diagnosis of acute and chronic arthritis. Differential diagnosis of back pain.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Soft tissue inflammation: tendinitis, tendovaginitis, enthesitis, bursitis: etiology, pathogenesis, clinic, diagnostics, basic principles of therapy. Congenital connective tissue and skeletal disorders: Morphan's syndrome. Elersa-Danlos Syndrome. Other joint and spine diseases: pigmented vilonodular synovitis, Paget's disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
The course and management of rheumatological diseases during pregnancy. Heart, kidney and lung damage in rheumatic diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
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3
|
Topics
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Types of systemic rheumatoid arthritis: Felt syndrome and Stille's disease: etiology, epidemiology, pathogenesis, clinic, diagnostics, basic principles of therapy. Overview of clinical cases.
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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
|
Specialized room
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3
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Topics
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Cardiology: pericarditis, myocarditis, endocarditis.
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-
Class/Seminar
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Modality
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Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
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3
|
Topics
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Cardiology: heart valve disease.
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-
Class/Seminar
|
Modality
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Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Cardiovascular aspects of systemic diseases.
|
-
Class/Seminar
|
Modality
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Location
|
Contact hours
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|---|---|---|
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On site
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Specialized room
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3
|
Topics
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Final examination: written exam with 3 questions from the following sections: cardiology, basic principles of diagnosis, treatment, management of rheumatic diseases and rheumatic diseases covered during the study cycle. Assessment with a mark.
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Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
A. Lejnieks. Klīniskā medicīna. 3. grāmata. SIA Medicīnas apgāds, 2012 (akceptējams izdevums) (latviešu plūsmai)
2.
Current Diagnosis & Treatment in Rheumatology. 3rd Edition (LANGE CURRENT Series) eBook: John Imboden, David Hellmann, John Stone. 2021
3.
The Merck Manual of diagnosis and therapy, current edition. 2018
4.
Harrison`s Rheumatology by Anthony S. Fauci, current edition. 2016 (akceptējams izdevums)
Additional Reading
1.
Marc C. Hochberg. Rheumatology, current edition. 2023
2.
Firestein & Kelley's Textbook of Rheumatology. 2021
3.
Oxford Textbook of Rheumatology, current edition. 2013