Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 25/26.R.2.00

Description Period: 2025./26 academic year rudens semestris

Study Course Accepted: -

Study Course Description

Clinical and Outpatient Practice in Paediatric Pneumonology III

Main Study Course Information

Course Code
RBP_022
Branch of Science
Anatomy; Clinical medicine
ECTS
54.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor
Elīna Aleksejeva

Residency Speciality

Speciality
Pediatric pneumologist
Supervisor of Medical Speciality
Elīna Aleksejeva
Contacts

-

About Study Course

Objective

Acquire in-depth knowledge of paediatric pneumonology, diagnosis, differential diagnosis, treatment and prevention of various acquired and congenital respiratory and pulmonary diseases.

Learning Outcomes

Knowledge

1.Know the clinical manifestations, diagnostic principles, differential diagnosis and treatment principles of various diseases (BPD, CF, pertussis, allergic lung aspergillosis, congenital respiratory and lung diseases, chronic lung granulomatosis). Know the pulmonary manifestations of neurological diseases and immunodeficiency syndromes. Know the causes, clinical manifestations, diagnostic and therapeutic principles of various syndromes: hepatopulmonary syndrome, pulmonary-renal syndrome. Know the pulmonary manifestations of neurological diseases and immunodeficiency syndromes.

Skills

1.Be able to draw up a diagnostic and treatment plan for patients with various diseases (BPD, CF, whooping cough, allergic pulmonary aspergillosis, congenital respiratory and pulmonary diseases, chronic pulmonary granulomatosis), hepatopulmonary syndrome, pulmonary-renal syndrome, neurological diseases and immunodeficiency syndromes. Evaluate invasive and non-invasive airway secretion results.

Competences

1.Use the acquired knowledge and skills to perform the functions of a highly qualified specialist and to advise patients with acquired and congenital lung and respiratory diseases at any age of the child.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work
-
-
During each study course, reports are prepared, clinical cases are reviewed, and the latest literature is reviewed. In addition to seminars, residents conduct research and pedagogical work, as well as attend lectures organised by the Centre for Continuing Education on interdisciplinary problems and theoretical guidelines in medicine and other sciences.

Examination

Title
% from total grade
Grade
1.

Examination
-
-
Assess the knowledge, skills and expertise in the 10-point system.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Respiratory diseases in children with cardiovascular disorders, congenital heart diseases, vascular anomalies.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Allergic pulmonary aspergillosis. Chronic pulmonary granulomatous disease.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Foreign bodies in respiratory tract, meaning of patient’s history, early and late characteristics, treatment tactics.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Parasites and pulmonary involvement.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Community-acquired pneumonia: clinical manifestations, diagnosis, principles of therapy depending on the severity of the disease and the age of the child, preventive measures. Atypical pneumonias in children.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Neurological diseases with respiratory manifestation.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Principles of oxygen therapy and monitoring in children.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Treatment of cystic fibrosis. Novel treatment options.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Hepatorenal syndrome in children – causes, clinical manifestation, diagnosis and treatment

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Aspiration syndromes. GERD with respiratory symptoms.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Lung transplantation, indications, evaluation criteria, contraindications (relative, absolute)

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Obliterative (constrictive) bronchiolitis, pathophysiology, clinical manifestations, diagnosis, treatment.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Childhood asthma, diagnosis and treatment.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Congenital respiratory and pulmonary diseases.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Consequences of drowning. Consequences after breathing gases and toxins. Pulmonary edema.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Inhaled medications, description of them, inhalation peculiarity in children depending on age.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Stridor – mechanism, causes, differential diagnosis, diagnosis and treatment.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Mucolytics, mechanisms of action, indications and contraindications.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Novel diagnostic approches of genetics in diagnosing respiratory diseases (CF, α1-Antitrypsin deficiency etc.)

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Congenital immunodeficiency and pulmonary diseases.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute bronchiolitis – etiology, clinical manifestations, diagnosis, treatment. Preventive measures.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pneumonia in immunocompromised children – causes, diagnostic approach, treatment.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Pertussis – clinical manifestations, diagnosis, treatment, prophylaxis.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Obstructive sleep apnea in children – reasons, diagnosis, treatment.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Non-invasive and invasive methods for examination of respiratory secretions in children.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Bronchopulmonary dysplasia, pathogenesis, treatment, late consequences.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Atelectases, causes, classification, radiological findings, principles of therapy.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Haemoptysis. Pulmonary hemosiderosis.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Hepatopulmonary syndrome in children – causes, clinical manifestation, diagnosis and treatment.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

CF neonatal screening, principles, examination algorithm.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Mycosis and pulmonary involvement.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Cystic fibrosis – genetics, mechanisms of disease, clinical manifestations, diagnosis. Newborn screening.

  1. Seminar

Modality
Location
On site
Specialized room

Topics

Adult respiratory distress syndrome. Respiratory insufficiency (acute, chronic).
Total ECTS (Creditpoints):
54.00
Number of Residency Seminars:
33
Length (weeks):
40
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Chernik V., et al. Kendig’s disorders of the respiratory tract in children. 9th Edition. Saunders Elsevier. 2019.

Additional Reading

1.

ERS Handbook of Paediatric Respiratory Medicine. 2nd Edition, Ernst Eber, 2018.

2.

Respiratory Diseases in Infants and Children. Edited by U. Frey and J. Gerritsen

3.

Dounal, L. Pediatric Allergy: Principles and Practice. 4th Edition. Saunders Elsevier, 2021.

4.

Orphan Lung Diseases, J-F. Cordier, 2011.

5.

Paediatric Lung Function. Edited by U. Frey and P. J. F. M. Merkus

Other Information Sources

1.

CF and non-CF bronchiectasis

2.

2022 GINA Report, Global Strategy for Asthma Management and Prevention

3.

Clinical guidelines: Care of children with cystic fibrosis, 2023