Veidlapa Nr. M-3 (8)
Study Course Description
Diabetic Nephropathy and Renal Replacement Therapy
Course Code
REN_015
Branch of Science
Clinical medicine; Internal medicine
ECTS
14.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Vitolds Mackēvičs
Residency Speciality
Speciality
Endocrinologist
Supervisor of Medical Speciality
Vitolds Mackēvičs
Contacts
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About Study Course
Objective
To ensure the acquisition of theoretical knowledge and practical skills in the diagnosis of kidney problems, the evaluation of their functional condition and the performance of various treatment techniques in patients with diabetes mellitus.
Learning Outcomes
Knowledge
1.Will obtain basic knowledge about kidney damage in case of diabetes. Will learn to evaluate kidney function and determine the necessary treatment tactics. Will know how to prevent kidney damage.
Skills
1.Will be able to draw up a long-term examination and treatment plan for patients with diabetic nephropathy. Will be able to correct anaemia with erythropoietin and IV iron infusion when needed.
Competences
1.Knows the theoretical and practical aspects of diabetic nephropathy. Able to choose the method of renal replacement therapy and prepare for peritoneal dialysis or hemodialysis. Selection of a central venous catheter, application, and prevention of complications.
Assessment
Individual work
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Title
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% from total grade
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Grade
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1.
Individual work |
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-
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The medical resident shall participate in the care of endocrine patients with kidney pathology, acquiring knowledge and skills in a specialised nephrology department, hemodialysis department and outpatient nephrologist’s offices.
The resident must treat at least 10 patients, participate in 10 peritoneal dialysis (APD and CAPD) and 5 hemodialysis sessions, 2 kidney biopsies and 2 CVC insertion manipulations. Must examine 5 patients with ultrasonoscopy and take part in at least 5 patient consultations in other clinics.
To participate in procedures when diagnostic and treatment manipulations are performed on patients with kidney diseases, to participate in planned seminars. To prepare clinical presentations for seminars, to get acquainted with the latest literature and prepare literature reviews. To understand the diagnostic and treatment features of endocrine diseases with kidney pathology. Preparation for the examination test.
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Examination
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Title
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% from total grade
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Grade
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1.
Examination |
-
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-
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2.
Examination |
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-
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Eight seminars successfully completed, the planned practical work with patients performed and the intended manipulations learned.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Kidney examinations, interpretation thereof: microalbuminuria, clinical proteinuria, kidney function tests, incl. GFR, kidney biopsy, serological tests (Prof. A. Pētersons)
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Typical and alternative activation and blockade of the RAAS, primary and secondary relation to hypertension and renal injury. (Assoc. Prof. H. Čerņevskis)
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Anaemias related to kidney damage. Erythropoietin, the importance of timely initiation thereof, principles of use and efficiency control. (Assoc. Prof. V. Kuzema)
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Diabetic nephropathy: pathogenesis, stages, therapy in dynamics. Closest differential diagnoses, including renal amyloidosis. (Prof. A. Pētersons).
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Relation of renal tubular dysfunctions to endocrine pathology (Prof. A. Pētersons).
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Possibilities of renal replacement therapy, principles of selection, methods of commencement and fundamentals of methods. Place of kidney transplantation in the range of renal replacement therapy in patients with diabetes (Prof. A. Pētersons).
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Seminar
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Modality
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Location
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On site
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Specialized room
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Topics
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Monitoring of predialysis patients (CKD IV) (Assoc. Prof. V. Kuzema).
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Total ECTS (Creditpoints):
14.00
Number of Residency Seminars:
7
Length (weeks):
10
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Diabetic Nephropathy: Pathophysiology and Clinical Management English edition, by Robin Wayne, 2022
2.
Vergleich zwischen Cystatin C und Kreatinin: Zur Früherkennung der diabetischen Nephropathie, by Atteaya Zaman, 2021
3.
Diabetic Nephropathy: Pathophysiology and Clinical Aspects. English edition, by Joris J. Roelofs and Liffert Vogt, 2018
4.
Diabetic Nephropathy. English edition, by Barbara Mayer, 2015
5.
Diabetic Nephropathy: Strategy For Therapy (Developments in Nephrology, 9, Band 9). English edition, by E.A. Friedman, 2013
Additional Reading
1.
Glycosylation Of Proteins In Diabetic Nephropathy: Protein Glycosylation An Analytical Aspect. English edition, by Kinnari N. Mistry and Kiran Kalia, 2012
2.
Diabetic Nephropathy: Micro And Macro Vascular Complications In Diabetic Nephropathy In Different Stages Of Chronic Kidney Disease. English edition, by Momtaz Hossain and Md. Nizamuddin Chowdhury, 2012
3.
Haptoglobin Phenotype Polymorphism in Diabetic Nephropathy: Diabetes, Haptoglobin. English edition, by Sheelu S. Siddiqi, 2012
4.
Role of Tribulus terrestris in the treatment of Diabetic Nephropathy: Tribulus terrestris in the treatment of Diabetic Nephropathy. English edition, by Rajesh Mandade, 2011