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

Clinical Medicine I (Clinical Infectology, Anestesiology, Opthalmology)

Main Study Course Information

Course Code
MF_063
Branch of Science
Clinical medicine
ECTS
9.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Faculty of Medicine
Contacts

Riga, 18 Baznicas Street, dvk@rsu.lv, +371 26194765

About Study Course

Objective

Provide insight and acquire knowledge of infectology, anaesthesiology and ophthalmology, including clinical manifestations, potential complications, principles of patient treatment and care.

Preliminary Knowledge

Anatomy, histology, physiology, pathologic anatomy, pathologic physiology, biochemistry, microbiology, propaedeutics, internal diseases, infectious diseases, pharmacology and immunology, types of surgery, topographical anatomy, pathological physiology, clinical laboratory examinations, first aid during patient’s primary and secondary investigation on the site of accident, basic cardiopulmonary resuscitation and basic elements of shock.

Learning Outcomes

Knowledge

1.Clinical infectology: Students will be able to characterise and classify infectious diseases according to their ethyological factor, associations with pathogenesis, clinical manifestations, the possibility of spreading and hazards to the individual and public health; describe and identify specific, typical, pathogenic and other symptoms; explain the investigation programme and systematise laboratory methods; formulate and explain the general principles of therapy; link the steps of the healthcare plan to individualised healthcare; explain today’s specific prevention principles to both the public and the individual.

Individual work and tests

Individual work

2.Ophthalmology: As a result of the study course, students acquire in-depth knowledge and are able to name and show in visual aids the anatomy of the auxiliary mechanisms of the eye, to characterize the physiology of the eye and to describe the etiopathogenesis, epidemiology, clinic, principles of diagnosis and treatment, and prognosis of the most common eye diseases.

Individual work and tests

Independent work

3.Anesthesiology: As a result of the study course, students will be able to name and describe methods of anesthesiology and intensive care, recognize and describe shock (especially hypovolemic, anaphylactic, septic), be able to perform advanced cardiopulmonary resuscitation, be able to name and describe changes in pathophysiological and biochemical processes under the influence of surgical trauma, the destructive effect of pain syndrome on the body and the conduction of nociceptive impulsation to the CNS, characterize types of pain syndrome blockade in the stages of the reflex arc, basic principles of anesthesia, types, their advantages and side effects, features of preoperative examination of the surgical patient, method of assessment of the physical condition of the surgical patient with the ASA scale, as well as basic principles of preoperative preparation and perioperative care of the surgical patient, critical conditions and basics of intensive care.

Individual work and tests

Independent work

Skills

1.Anaesthesiology: Electrical cardiac defibrillation, basic deep cardiopulmonary resuscitation measures, instrumental airway permeability (respiratory ducts, laryngeal mask, laryngeal tube, tracheal intubation, cricotireotomy) will be able to evaluate the condition of a comatose patient.

Individual work and tests

Examination

2.Ophthalmology: Upon completion of the study course, the student will be able to: • check visual acuity without correction • perform fundus examination with ophthalmoscopy; perform eye examination with a slit lamp • act in acute situations in ophthalmology; • examine an eye patient to assess the need and scope of ophthalmological care.

Individual work and tests

Examination

3.Clinical Infectious Diseases: Will be able to create a plan for medical actions aimed at the laboratory and other diagnostics of the individual's disease; specific, etiological and other treatment; will be able to implement the plan created, taking into account epidemiological, life and disease anamnesis, laboratory examinations and other data; will be able to evaluate the data obtained as a result of physical examination; will be able to integrate laboratory examinations into the design of disease diagnostics; plan specific and non-specific prophylaxis measures necessary for the control of disease spread.

Individual work and tests

Examination

Competences

1.Clinical infectology: Apply the knowledge of the basics of factology, argumentation, logic and rhetoric in order to analyze permissible and detectable situations in theoretical and practical infectology, discuss, justify and explain one's opinion and constructively promote the achievement of professional goals and the performance of specific tasks in ensuring individual and public health; when dealing with patients, relatives of patients and colleagues from other specialties, communicate successfully in the fields of prevention, diagnosis, differential diagnosis and treatment of infectious diseases; to cooperate professionally with patients, relatives of patients, colleagues in a respectful atmosphere, observing the normative basis binding on the medical field, ethical norms, respecting patients' rights and ensuring epidemiological safety; learn independently and constantly and know how to use the electronic environment for communication; demonstrate and improve oneself as a future medical practitioner and health promoter for the individual and society in the context of specific and non-specific prevention of infectious diseases. Ophthalmology: As a result of the acquisition of the study course programme, the student will be competent to work independently with ophthalmological patients in general practice doctors’ practice, as well as be able to continue further education. The student will be able to perform ophthalmological care in the primary care stage and observe ethical and legal aspects, analytically evaluate the conclusion of the ophthalmologist and reasonably plan the examination and treatment of the patient, as well as interpret the results of the visual examination examination, apply them to a specific clinical situation and link them to a common investigative process, interpret the result of the examination performed by the specialist, apply it to a specific clinical situation and link it to a common investigative process. Anaesthesiology: Students will be able to use the knowledge and skills described through in-depth cardiopulmonary resuscitation, analyse types and stages of general and regional anaesthesia, risk of surgery and anaesthesia, analyse intensive care in more common situations, interpret competences for clinical, biochemical, water-electrolyte analysis, blood gas composition and acid-alkali balance indicators, coagulation indicators, attribute them to a specific clinical situation and link it to a common investigative process, to interpret clinical and laboratory signs of renal and hepatic failure by linking them to the general condition and to develop a competent action plan, to attribute central hemodynamic indicators to a specific clinical situation and to link them to a common investigative process, to be able to develop their own immediate action plan and far-reaching action tactics on complex and long-term health problems in patients, and to align them with the activities of other healthcare system actors, to carry out situational analysis, to demonstrate individual treatment of the patient, make arguments-based, verifiable and scientific-minded decisions on patients’ health or life through a balanced application of general operating guidelines and a creative approach in each clinical case.

Individual work and tests

Examination

2.Ophthalmology: Upon completion of the study course syllabus, the student will be competent for independent work with ophthalmological patients in a general practice doctor's practice, as well as will be able to continue further education. The student will be able to provide ophthalmological care at the primary care stage and comply with ethical and legal aspects, analytically evaluate the ophthalmologist's conclusion and plan the patient's examination and treatment in an argumentative manner, as well as interpret the results of the vision examination, relate them to a specific clinical situation and link them to the overall examination process, interpret the result of the specialist's examination, relate it to a specific clinical situation and link it to the overall examination process.

Individual work and tests

Examination

3.Anesthesiology: Students will be able to use the described knowledge and skills in performing advanced cardiopulmonary resuscitation, to analyze the types and stages of general and regional anesthesia, the risk of surgery and anesthesia, to analyze intensive therapy in the most common situations, competences to interpret clinical, biochemical, water-electrolyte analysis, blood gas composition and acid-base balance indicators, coagulation indicators, relate them to a specific clinical situation and link it to the overall examination process, interpret clinical and laboratory signs of renal and hepatic insufficiency, linking them to the general condition and develop a competent action plan, relate central hemodynamic indicators to a specific clinical situation and link them to the overall examination process, be able to develop their own immediate action plan and long-term action tactics for complex and long-term health problems in patients, and coordinate it with the actions of other health care system participants, carry out a situation analysis, demonstrate an individual attitude towards the patient, balancing general action guidelines and a creative approach in each clinical case, make arguments-based, verifiable and scientifically developed decisions regarding the health or life of patients.

Individual work and tests

Examination

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-

Clinical Infectology: Preliminary preparation for each practical class (relevant topic).

2.

Independent work

-
-

Ophthalmology: Independent work with ophthalmology special literature and e-studies materials. Students independently check the visual acuity and perform eye examination with a slit lamp. Students record the results of the examination.

3.

Independent work

-
-

Anesthesiology: Preparation for the topic of the relevant lesson using the recommended literature and Internet sources, with subsequent evaluation and practical application in practical lessons. PowerPoint presentations of topics prepared by students in the study course.

Examination

Title
% from total grade
Grade
1.

Examination

33.00% from total grade
10 points

Clinical infectology: Assessment is based on the following components: the average grade across all classes (50%) and clinical case interpretation (50%). The assessment is conducted using a points-based grading system. Detailed assessment criteria and requirements are available in the e-studies platform.

2.

Examination

33.00% from total grade
10 points

Ophthalmology: A test at each class, a pass/fail test at the end of the course (assessment depending on knowledge: pass/fail). Upon completion of the OSKE study course – assessment in a 10-point system.

3.

Examination

34.00% from total grade
10 points

Anesthesiology: Assessment criteria for advanced cardiopulmonary resuscitation, including defibrillation on a mannequin - knowledge and practical implementation of the basic resuscitation algorithm, assessment of the safety of the environment, checking the reaction, calling for help, opening the airway, checking the breathing, chest compression, artificial lung ventilation with a manual ventilator, further preparation of the defibrillator for work, analysis of the heart rhythm, charging the defibrillator, checking the safety of defibrillation, practical defibrillation, 2 minutes of cardiopulmonary resuscitation, repeated analysis of the heart rhythm, checking the pulse and breathing, intravenous administration of drugs, as well as a description of the further tactics. When ensuring the patency of the airway, the practical use of the devices used, rapid and atraumatic insertion into the correct airway, control and provision of ventilation, as well as fixation of the inserted tube, must be known.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Clinical infectology: Neuroinfections: classification, clinical course, diagnosis, approaches to therapy, prognosis.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Clinical infectology: Specific prophylaxis (prevention): vaccines, immunoglobulins, sera etc.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: HIV/AIDS – diagnostics, clinical manifestations, selection of treatment, prophylaxis. HIV indicator conditions, related opportunistic diseases. Simulation of HIV/AIDS patient.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: Infections caused by herpes viruses. Relationship of clinical manifestations to a specific herpesvirus. Chronic fatigue syndrome: facts and hypotheses. Simulation of meningococcal infection.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: Infections with lymphadenopathy. Simulation of bubonic plague.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: Infectious processes in soft tissues. Bone and joint infections. The implant related infections in traumatology. Mechanisms of biofilm formation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: The course of infectious diseases in special patient groups in immunocompetent contexts – seniors, childhood infections in adults, mixed infections (co-infections). Rabies simulation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: Tick-induced infections.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Clinical infectology: Final test - interpretation of the clinical case.
  1. Lecture

Modality
Location
Contact hours
Off site
Study room
2

Topics

Ophthalmology: cataract.
Description

Abstract: Students will acquire knowledge of cataract ethiopatogenesis, classification, clinic, diagnostic methods, treatment methods, types of intraocular surgery, characteristics of the post-operative period. Lesson questions: 1. Cataract ethiopatogenesis, classification, clinic, diagnostic methods, treatment methods. 2. Cataract surgical treatments. 3. Afacia, correction methods. 4. Types of intraocular correction. 5. Secondary cataract, klìnika, treatments. 6. Patient preparation methods for cataract surgery - analyses, additional ophthalmological examination - principles for calculating the intraocular lens, ultrasonic examination of the eye. 7. Characteristics of the post-operative period in a cataract patient. 8. Visiting the operating theatre. 9. Viewing the lens in the gap lamp – 2 voluntiers or patients. 1 Literature: 1. Eye diseases, G.Laganovsk, National supply, 2008 2. Clinical Ophthalmology A systematic approach/Jack J Kanski. - Elsevier limited 2012 - 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

  1. Lecture

Modality
Location
Contact hours
Off site
Study room
2

Topics

Ophthalmology: refraction.
Description

Students will learn the methods of subjective and objective examination of clinical refraction in the eye. - basic principles for use with a foropter. - determination of the strength of glasses. - myopia, ethiopatopenesis, clinic, correction methods. - Hypermetropic clinic, correction methods. - astigmatism, causes, clinic, correction methods. - acomodation disorders. - Presbiopia, ethiopatogenesis, klìnika, correction methods. 1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

  1. Lecture

Modality
Location
Contact hours
Off site
Study room
2

Topics

Ophthalmology: red eye
Description

Abstract: students will learn how to clinically and identify the diagnosis and treatment principles of eyelid, conjunctival and corneal diseases with additional investigative methods. Students will know the reasons for a reddened eye and the principles of treatment questions in the lesson: 1-eyelid diseases - eyelid skin diseases, blefarites, barley grain, hail grain, ethiopatogenesis, clinic, treatments. 2. Tear apparatus diseases - methods for testing the production and reflux of tears. Neonatal dacriocystitis, acute and chronic dacriocystitis - ethiopatogenesis, clinic and treatment. 3. Conjunctival diseases - types of injections of the eyeball, their difdg. Etiology of conjunctivitis, clinic, treatment. 4. Keratites - corneal syndrome, diagnostic methods for corneal epithelial lesions. Keratite ethiopatogenesis, clinic, treatment methods. Consequences of corneal diseases. Corneal transplant, indications, prognosis. Literature: 1. Clinical Ophthalmology A systematic approach/Jack J Kanski. - Elsevier limited 2012 - 931 p. 2. https://en.wikipedia.org/wiki/Ophthalmology 3. https://aci.health.nsw.gov.au/__dat

  1. Lecture

Modality
Location
Contact hours
Off site
Study room
2

Topics

Ophthalmology: glaucoma.
Description

Annotation: Students will learn how to diagnose glaucoma clinically and with additional examination methods and to evaluate the principles of glaucoma treatment. Topics covered during the class: 1. Mechanisms of intraocular fluid production and reflux 2. Glaucoma etiopathogenesis, reflux disease blocks. 3. glaucoma diagnostic methods 4. open angle glaucoma clinic. 5. closed-angle glaucoma clinic, acute glaucoma attack 6. congenital glaucoma. 7. glaucoma treatment methods. 8 eye hypotension. Literature: 1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 2. https://en.wikipedia.org/wiki/Ophthalmology 3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf 4. http://emedicine.medscape.com/ophthalmology 5. http://www.freebooks4doctors.com Ophthalmology

  1. Lecture

Modality
Location
Contact hours
Off site
Study room
2

Topics

Ophthalmology: Uveitis.
Description

Abstract: Students will learn how to clinically and with additional investigative methods to install a diagnosis of vascular sheath diseases and evaluate treatment principles and Orbita disease diagnosis and treatment principles. Lesson questions: 1. Uveitis ethiopatogenesis, clinic, treatment. 2. Diagnostic methods for general diseases characterised by Uveitis. 3. Subjective and objective symptoms of acute iridocyclitis. 4. Epidemiology of the melanoma of the eye, clinic, diagnostic methods, treatment methods, availability thereof in Latvia. 5. Orbit tumor Clinic and treatment principles 11. Exophthalm reasons, differential diganostic literature: 1. . Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

  1. Lecture

Modality
Location
Contact hours
Off site
Study room
2

Topics

Ophthalmology. Retinal diseases.
Description

Annotation: Students will learn how to diagnose retinal, vitreous and optic nerve diseases clinically and with additional examination methods and how to evaluate the principles of treatment of retinal, vitreous and optic nerve diseases. Topics covered during the class: 1. Retinal changes caused by various diseases;   in case of hypertensive disease,   in case of diabetes. 2. Acute retinal vascular oclusion etiopathogenesis, clinic, diagnostic methods, treatment. 3. Retinal dystrophies - clinic, diagnostics, prognosis. 4. Retinal detachment - etiopathogenesis, clinic, diagnostic methods, treatment methods. 5. Retinoblastoma - clinic, diagnosis, treatment methods. 6. Vitreous body diseases, clinic, treatment methods. 7. Inflammation of the optic nerve. 8. Congestion of the optic nerve. 9. OCT and fundus camera Literature: 1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 2. https://en.wikipedia.org/wiki/Ophthalmology 3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf 4. http://emedicine.medscape.com/ophthalmology 5. http://www.freebooks4doctors.com Ophthalmology

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Ophthalmology: cataract.
Description

Abstract: Students will acquire knowledge of cataract ethiopatogenesis, classification, clinic, diagnostic methods, treatment methods, types of intraocular surgery, characteristics of the post-operative period. Lesson questions: 1. Cataract ethiopatogenesis, classification, clinic, diagnostic methods, treatment methods. 2. Cataract surgical treatments. 3. Afacia, correction methods. 4. Types of intraocular correction. 5. Secondary cataract, klìnika, treatments. 6. Patient preparation methods for cataract surgery - analyses, additional ophthalmological examination - principles for calculating the intraocular lens, ultrasonic examination of the eye. 7. Characteristics of the post-operative period in a cataract patient. 8. Visiting the operating theatre. 9. Viewing the lens in the gap lamp – 2 voluntiers or patients. 1 Literature: 1. Eye diseases, G.Laganovsk, National supply, 2008 2. Clinical Ophthalmology A systematic approach/Jack J Kanski. - Elsevier limited 2012 - 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Ophthalmology: refraction.
Description

Students will learn the methods of subjective and objective examination of clinical refraction in the eye. - basic principles for use with a foropter. - determination of the strength of glasses. - myopia, ethiopatopenesis, clinic, correction methods. - Hypermetropic clinic, correction methods. - astigmatism, causes, clinic, correction methods. - acomodation disorders. - Presbiopia, ethiopatogenesis, klìnika, correction methods. 1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Ophthalmology: glaucoma.
Description

Annotation: Students will learn how to diagnose glaucoma clinically and with additional examination methods and to evaluate the principles of glaucoma treatment. Topics covered during the class: 1. Mechanisms of intraocular fluid production and reflux 2. Glaucoma etiopathogenesis, reflux disease blocks. 3. glaucoma diagnostic methods 4. open angle glaucoma clinic. 5. closed-angle glaucoma clinic, acute glaucoma attack 6. congenital glaucoma. 7. glaucoma treatment methods. 8 eye hypotension. Literature: 1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 2. https://en.wikipedia.org/wiki/Ophthalmology 3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf 4. http://emedicine.medscape.com/ophthalmology 5. http://www.freebooks4doctors.com Ophthalmology

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Ophthalmology: Uveitis.
Description

Abstract: Students will learn how to clinically and with additional investigative methods to install a diagnosis of vascular sheath diseases and evaluate treatment principles and Orbita disease diagnosis and treatment principles. Lesson questions: 1. Uveitis ethiopatogenesis, clinic, treatment. 2. Diagnostic methods for general diseases characterised by Uveitis. 3. Subjective and objective symptoms of acute iridocyclitis. 4. Epidemiology of the melanoma of the eye, clinic, diagnostic methods, treatment methods, availability thereof in Latvia. 5. Orbit tumor Clinic and treatment principles 11. Exophthalm reasons, differential diganostic literature: 1. . Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Ophthalmology. Retinal diseases.
Description

Annotation: Students will learn how to diagnose retinal, vitreous and optic nerve diseases clinically and with additional examination methods and how to evaluate the principles of treatment of retinal, vitreous and optic nerve diseases. Topics covered during the class: 1. Retinal changes caused by various diseases;   in case of hypertensive disease,   in case of diabetes. 2. Acute retinal vascular oclusion etiopathogenesis, clinic, diagnostic methods, treatment. 3. Retinal dystrophies - clinic, diagnostics, prognosis. 4. Retinal detachment - etiopathogenesis, clinic, diagnostic methods, treatment methods. 5. Retinoblastoma - clinic, diagnosis, treatment methods. 6. Vitreous body diseases, clinic, treatment methods. 7. Inflammation of the optic nerve. 8. Congestion of the optic nerve. 9. OCT and fundus camera Literature: 1. Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 2. https://en.wikipedia.org/wiki/Ophthalmology 3. https://aci.health.nsw.gov.au/__data/assets/pdf_file/0013/155011/eye_manual.pdf 4. http://emedicine.medscape.com/ophthalmology 5. http://www.freebooks4doctors.com Ophthalmology

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Ophthalmology: eye injuries
Description

Abstract: students will learn how to assess the damage caused by an eye injury as a clinical and additional investigative technique and how to provide emergency care in case of an eye injury. Lesson questions: 1. Eye apple perforating injury Clinic, principles for non-Conditional assistance 2. Clinic of ocular auxiliary wound, Emergency principles 3 Intraocular foreign object Clinic and Diagnostic methods 4. Eye apple and eye assist burns clinic, non-respiratory assistance, treatment principlesLiteratūra:Clinical Ophthalmology A Systematic Approach / Jack J Kanski. – Elsevier Limited 2012. – 931 p. 3. https://en.wikipedia.org/wiki/Ophthalmology 4. https://aci.health.nsw.gov.au/__dat

Ophthalmology: red eye
Description

Abstract: students will learn how to clinically and identify the diagnosis and treatment principles of eyelid, conjunctival and corneal diseases with additional investigative methods. Students will know the reasons for a reddened eye and the principles of treatment questions in the lesson: 1-eyelid diseases - eyelid skin diseases, blefarites, barley grain, hail grain, ethiopatogenesis, clinic, treatments. 2. Tear apparatus diseases - methods for testing the production and reflux of tears. Neonatal dacriocystitis, acute and chronic dacriocystitis - ethiopatogenesis, clinic and treatment. 3. Conjunctival diseases - types of injections of the eyeball, their difdg. Etiology of conjunctivitis, clinic, treatment. 4. Keratites - corneal syndrome, diagnostic methods for corneal epithelial lesions. Keratite ethiopatogenesis, clinic, treatment methods. Consequences of corneal diseases. Corneal transplant, indications, prognosis. Literature: 1. Clinical Ophthalmology A systematic approach/Jack J Kanski. - Elsevier limited 2012 - 931 p. 2. https://en.wikipedia.org/wiki/Ophthalmology 3. https://aci.health.nsw.gov.au/__dat

  1. Class/Seminar

Modality
Location
Contact hours
On site
-
3

Topics

Anesthesiology and intensive care: advanced cardiopulmonary resuscitation. Defibrillation.
  1. Class/Seminar

Modality
Location
Contact hours
On site
-
3

Topics

Anaesthesiology.
Description

Standard anesthesia rules and dossier samples, patient consent to anesthesia, anesthesiologist advice before anesthesia, assessment of patient physical status by ASA scale. The amount of clinically laboratory examinations to be performed on the patient prior to anaesthesia. Respiratory evaluation prior to anaesthesia. Premeditation.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: General anaesthesia
Description

Stages and types of general anaesthesia, practical provision, medicines to be used. Standard and extended monitoring of patient status in anaesthesiology. Evaluation and interpretation of clinical, biochemical, water-electrolyte analysis, blood gas composition and acid-alkali balance indicators. Post-operative analgesia of patients.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: Regional anaesthesia
Description

Anaesthesiology: regional anaesthesia, its types (central neuroaxial blockage – spinal and epidural anaesthesia, peripheral nerve mesh and nerve blockage) and medicinal products used for marketing.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology and intensive care: respiratory permeability methods.
Description

Methods for ensuring respiratory permeability (Manual methods, naso- and oropharyngeal respiratory tract, laryngeal mask, laryngeal tube, tracheal intubation, extreme cricothyroreotomy).

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: artificial pulmonary ventilation.
Description

Artificial pulmonary ventilation. Acute respiratory distress syndrome (ARDS)

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: sepsis
Description

Anaesthesiology: definition of sepsis III, diagnostic criteria, treatment and baseline stabilization.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: examination and evaluation of critically ill patients
Description

Examination and evaluation of critically ill patients (Glazgova, APACHE II, SOFA, and other scales). Monitoring of patients (including blood gas analysis) and principles of intensive care. Practical demonstration of coma patients and their intensive care in ICU.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: shock
Description

Pathogenetic classification of shocks (hypovolemic, cardiogenic, obstructive, distributive shock). Intensive care in case of shock. Infusion therapy. Fundamentals of transfusiology.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: hemostasis
Description

Hemostasis disorder in intensive care and anaesthesiology. Assessment of the coagulation system. Interference correction.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: enteral and parenteral feeding
Description

Enteral and parenteral feeding in intensive care unit practice. MODS. Principles of replacement therapy.

  1. Class/Seminar

Modality
Location
Contact hours
On site
Study room
3

Topics

Anaesthesiology: solving clinical situational tasks. Preparing for the exam.
Total ECTS (Creditpoints):
9.00
Contact hours:
91 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Maxine A. Papadakis, Stephen J. McPhee, Michael W. Rabow Lange. 2022. Current Medical Diagnosis and Treatment. 61th ed. USA: McGraw Hill. Access Medicine. Iegūts no: via Access MedicineSuitable for English stream

2.

Ferri's. 2022. Clinical Advisor Elsevier. ClinicalKey. Iegūts no via: ClinicalKeySuitable for English stream

3.

Bennett J.E., Dolin R.l., Blaser Mandell M. J., Douglas, and Bennett's. 2019. Principles and Practice of Infectious Diseases. 8th ed. Elsevier. ClinicalKey. Iegūts no via: ClinicalKeySuitable for English stream

4.

Infekcijas slimības. L. Vīksnas redakcijā. 2026. Rīga: Medicīnas apgāds.

5.

Arash Aalirezaie, Afshin Anoushiravani, James Cashman, et.al. 019.General Assembly, Prevention, Host Risk Mitigation – Local Factors: Proceedings of International Consensus on Orthopedic Infections. The Journal of Arthroplasty. Feb;34(2S):S37-S41.Suitable for English stream

6.

Acu slimības , G.Laganovskas redakcijā, Nacionālais apgāds, 2008 (latv. val jaunāka izdevuma nav)

7.

OphthalmologySuitable for English stream

8.

Klīniskā anestezioloģija un intensīvā terapija. I. Vanaga un A. Sondores redakcijā. Medicīnas Apgāds, 2017, 1295 lpp.

9.

V. Liguts. Intensīvās terapijas rokasgrāmata. Rīga: Medicīnas apgāds. 2008. (akceptējams izdevums)

10.

Miller's Anesthesia, 2-Volume Set. 10th Edition, October 7, 2025. Elsevier.Suitable for English stream

11.

EsahqSuitable for English stream

Additional Reading

1.

A. Sondore. Anestezioloģijas pamati vairāk kā 1000 jautājumos un atbildēs. Rīga: Nacionālais Apgāds, 2016.

2.

B. Mamaja. Anestēzija pediatrijā. Rīga, RSU, 2008.

3.

E. Vasiļevskis. Reģionālās anestēzijas ABC. Nacionālais Apgāds, 2008.

4.

I. Vanags, E. Daugulis, P. Tominš. Anestezioloģija, reanimatoloģija un intensīvā terapija. Rīga: Nacionālais Apgāds, 2002.

5.

Smith and Aitkenhead's Textbook of Anaesthesia: Expert Consult. Online & Print, 7th Edition, Kindle Edition, by Jonathan Thompson (Author, Editor), Iain Moppett (Author, Editor), Elsevier; 7th edition, April 9, 2019Suitable for English stream

6.

Morgan and Mikhail's Clinical Anesthesiology. 7th Edition, by John Butterworth, David Mackey, John Wasnick. McGraw Hill / Medical; June 3, 2022.Suitable for English stream

7.

Clinical Anesthesia. 8th Edition, by Paul G. Barash, Michael K. Cahalan MD, Bruce F. Cullen MD, et.al. LWW; May 19, 2017.Suitable for English stream

8.

Textbook of Critical Care. 7th Edition - November 27, 2016. Editors: Jean-Louis Vincent, Frederick Moore. Elsevier.Suitable for English stream

9.

European Resuscitation Council Guidelines for Resuscitation 2021. Resuscitation (Elsevier), 2021, 161.Suitable for English stream

Other Information Sources

1.

AmbossSuitable for English stream

2.

EbrarySuitable for English stream

3.

Accessmedicine.mhmedicalSuitable for English stream

4.

ClinicalkeySuitable for English stream

5.

Search.ebscohosSuitable for English stream

6.

Anest

7.

AnaesthesiologistsSuitable for English stream

8.

EsicmSuitable for English stream

9.

IntensiveSuitable for English stream