Veidlapa Nr. M-3 (8)

Study Course Description

Diabetic Nephropathy and Renal Replacement Therapy

Main Study Course Information

Course Code

REN_003

Branch of Science

Clinical medicine; Internal medicine

ECTS

13.95

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Vitolds Mackēvičs

Residency Speciality

Speciality

Endocrinologist

Supervisor of Medical Speciality

Vitolds Mackēvičs

Contacts

About Study Course

Objective

To ensure the acquisition of theoretical knowledge and practical skills in the diagnosis of kidney problems, evaluation of their functional condition and performance of various treatment methods in patients with diabetes.

Learning Outcomes

Knowledge

1.Will obtain basic knowledge of kidney disorders in case of diabetes mellitus. Will learn to assess kidney function and determine the necessary treatment tactics. Will be competent in prevention of renal impairment.

Skills

1.Will be able to draw up a long-term examination and treatment plan in patients with diabetic nephropathy. Will be able to correct anaemia with Erythropoietin and intravenous iron administration upon necessity.

Competences

1.Competence in theoretical and practical matters regarding diabetic nephropathy. Ability to select a method of renal replacement therapy and to prepare for peritoneal or haemodialysis. Selection and application of the central venous catheter and prevention of complications.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
A medical resident shall monitor at least 10 patients, take part in 10 peritoneal dialysis (APD and CAPD) and 5 haemodialysis sessions, 2 kidney biopsies and 2 CVC insertion manipulations. A medical resident shall examine 5 patients using ultrasonoscopy and shall participate in at least 5 patient consultations in other clinics.

Examination

Title	% from total grade	Grade
1. Examination	-	-
2. Examination	-	-
A medical resident is able to explain the action strategy at early and late stage diabetic nephropathy, eight theoretical seminars passed successfully and the planned manipulations seen.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
On site	Specialized room

Topics

Renal examinations, their interpretation: microalbuminuria, clinical proteinuria, renal functional tests, incl. GFR, kidney biopsy, serological tests (Prof. A. Petersons)

Seminar

Modality	Location
On site	Specialized room

Topics

Typical and alternative activation and blockade of the RAA system, primary and secondary association with hypertension and renal impairment. (Assoc. Prof. H. Chernevsky)

Seminar

Modality	Location
On site	Specialized room

Topics

Anemia is associated with kidney damage. Erythropoietin, importance of early initiation, principles of use and control of efficacy. (Assoc.prof. V.Kuzema)

Seminar

Modality	Location
On site	Specialized room

Topics

Diabetic nephropathy: pathogenesis, stages, therapy in dynamics. Upcoming differential diagnoses, including renal amyloidosis. (Prof. A. Pētersons).

Seminar

Modality	Location
On site	Specialized room

Topics

Association of renal tubular dysfunction with endocrine pathology (Prof. A. Pētersons).

Seminar

Modality	Location
On site	Specialized room

Topics

Renal replacement therapy options, selection principles, types of initiation and basics of methods. Place of kidney transplantation in patients with diabetes in the range of kidney replacement therapy (Prof. A. Pētersons).

Seminar

Modality	Location
On site	Specialized room

Topics

Monitoring of predialysis patients (HNS IV) (Assoc.prof. V. Kuzema).

Total ECTS (Creditpoints):

13.95

Number of Residency Seminars:

Length (weeks):

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

Diabetic Nephropathy: Pathophysiology and Clinical Management English edition, by Robin Wayne, 2022

Vergleich zwischen Cystatin C und Kreatinin: Zur Früherkennung der diabetischen Nephropathie, by Atteaya Zaman, 2021

Diabetic Nephropathy: Pathophysiology and Clinical Aspects. English edition, by Joris J. Roelofs and Liffert Vogt, 2018

Diabetic Nephropathy. English edition, by Barbara Mayer, 2015

Diabetic Nephropathy: Strategy For Therapy (Developments in Nephrology, 9, Band 9). English edition, by E.A. Friedman, 2013

Additional Reading

Glycosylation Of Proteins In Diabetic Nephropathy: Protein Glycosylation An Analytical Aspect. English edition, by Kinnari N. Mistry and Kiran Kalia, 2012

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

Haptoglobin Phenotype Polymorphism in Diabetic Nephropathy: Diabetes, Haptoglobin. English edition, by Sheelu S. Siddiqi, 2012

Role of Tribulus terrestris in the treatment of Diabetic Nephropathy: Tribulus terrestris in the treatment of Diabetic Nephropathy. English edition, by Rajesh Mandade, 2011