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

Clinical Medicine I (Dermatology and venereology, Anestesiology, Ophthalmology)

Main Study Course Information

Course Code
MF_058
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 dermatology and venerology, 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.Dermatology and venereology: Students will be able to define, characterise and classify skin and venereal diseases; describe their etiopathogenesis and clinical manifestations that would allow them to be recognised and distinguished among other diseases. They will be able to express and explain further diagnostic and therapeutic tactics as they will be able to list and systematise modern diagnostic and therapeutic methods. They will know how to organise preventive and epidemiological measures in cases of contagious dermatoses and sexually transmitted diseases. Students will be able to recognise malignant skin formations and organise a further action plan in these cases. Ophthalmology: On successful completion of the study course the students will have acquired in-depth knowledge and will be able to show eye anatomy on visual aids, to describe physiology of the eye, to explain the most frequent eye disease etiopathogenesis, epidemiology, diagnostic and therapeutic principles and the prognosis. Anesthesiology: As a result of the study course, students will be able to name and describe the 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 devastating effect of pain syndrome on the body and the transmission of nociceptive impulses to the CNS, describe the types of pain syndrome blockade in the reflex arc, the basic principles, types, advantages and side effects of anesthesia, the peculiarities of the preoperative examination of a surgical patient, the method of assessing the physical condition of a surgical patient with the ASA scale, as well as the basic principles of preoperative preparation of a surgical patient and perioperative care, critical conditions and the basics of intensive care.

Skills

1.Dermatology and venerology: Student will be taught to acquire a dermatological, venereological and sexual history; investigate specific skin changes in dermatology; diagnosis; draw up a patient examination plan; prescribe different investigative methods, justifying their necessity; draw up a treatment plan; explain to the patient the causes, progress, treatment and prevention possibilities, necessity, prognosis of the disease. Ophthalmology: as a result of learning the study course, the student will be able to: • Test visual acuity without correction • perform an ophthalmoscopy of fundus oculi examination inspect the eye in slitt lamp • take action in acute situations in ophthalmology; • examine the eye patient to assess the need and extent of ophthalmological assistance. Anesthesiology: Will be able to perform electrical defibrillation of the heart, basic measures of advanced cardiopulmonary resuscitation, ensure airway patency with instrumental methods (airway, laryngeal mask, laryngeal tube, tracheal intubation, cricothyroidotomy), will be able to assess the condition of a comatose patient.

Competences

1.Dermatology and venereology: As a result of theoretical and practical knowledge acquired, students are able to cooperate professionally with patients and colleagues in the field of diagnosis, differential diagnosis, treatment and prevention of dermatological and venereal diseases, in accordance with standards of medical ethics and patient rights; to act as a health facilitator in the context of public and individual prevention of skin and venereal diseases; to plan independently the cognitive process to balance the existing knowledge in the compulsory course with the new subject matter, to use literature, e-environment, knowledge of colleagues and teachers, making precise diagnosis and differential diagnosis as well as the issue to be addressed. Ophthalmology: On completion of the course programme the student will be ready to work with ophthalmic patients in General Practitioner’s surgery and to continue their further studies. The student will be able to perform primary ophthalmic care in compliance with ethical and legal aspects, to evaluate the judgement of an ophthalmologist and to plan the examination and treatment of a patient; to interpret the results of ophthalmic examination, to relate these results to the specific clinical situation and to link them with the joint examination process. Anesthesiology: Students will be able to use the described knowledge and skills when performing advanced cardiopulmonary resuscitation, analyze the types and stages of general and regional anesthesia, the risk of surgery and anesthesia, analyze intensive care in more common situations, the competence to interpret clinical, biochemical, water-electrolyte analyses, blood gas composition and acid-base balance indicators, coagulation indicators, relate them to a specific clinical situation and link them to a common investigation process, interpret clinical and laboratory signs of renal and hepatic failure, 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 a common investigation process, be able to develop their own immediate action plan and far-reaching action tactics regarding complex and long-term health problems in patients, and coordinate it with the activities of other participants in the healthcare system, conduct a situation analysis, demonstrate an individual attitude towards the patient, balancedly applying general action guidelines and a creative approach to each clinical case, make evidence-based, testable and scientifically informed decisions regarding the health or life of patients.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-

Dermatology and venerology: Prior preparation for the subject of the relevant lesson. Independent work – medical case report.

Ophthalmology: independent work with specialised ophthalmology literature and e-study materials. Students independently check the visual acuity and perform an eye inspection in the gap lamp. Students record the results of the examinations.

Anesthesiology: Preliminary preparation for the topic of the respective lesson, using recommended literature and internet sources, with their subsequent evaluation and practical application in practical lessons. PowerPoint presentations of the topics prepared by students in the study course.

Examination

Title
% from total grade
Grade
1.

Examination

-
10 points

Dermatology and venereology: Academic history of disease (case report or historia morbi), assessment criteria: justification and arguments for final clinical diagnosis; student's personal contribution and performance in the work with the patient; compliance of the content and form with methodological guidelines; assessment of student’s knowledge and comprehension of the patient’s clinical diagnosis. The final grade is formed cumulatively from the mark for Academic history of disease (50%) and the mark in Examination (50%): assessment of the multiple-choice test (40%); assessment of the interpretation of the clinical case (30%); assessment of the written part – a theoretical question on the acquired topics (30%).

Ophthalmology: A test during each practical class, a test at the end of the course (assessment depending on the knowledge: pass / fail). The end-of-course examination: OSCE.

Anesthesiology: Evaluation criteria when performing advanced cardiopulmonary resuscitation, including defibrillation on a mannequin - the basic resuscitation algorithm must be known and practically performed, assessing the safety of the surroundings, checking the reaction, calling for help, clearing the airway, checking breathing, chest compressions, artificial lung ventilation with a manual ventilator, further preparing the defibrillator for work, heart rhythm analysis, charging the defibrillator, checking the safety of defibrillation, practical defibrillation, 2 minutes of cardiopulmonary resuscitation, repeated heart rhythm analysis, checking pulse and breathing, intravenous administration of medications, as well as a description of further tactics. When ensuring airway patency, the practical application of the devices to be used must be known, rapid and atraumatic insertion into the correct airway, monitoring and ensuring ventilation, as well as fixation of the inserted tube.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Dermatology and venereology: The skin and its diseases. Morphological, physiological and histological changes of the skin and its derivatives in cases of different dermatoses. Principles of classification of dermatoses, initiating and predisposing factors. The role of skin care in the prevention of skin diseases.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Dermatology and venereology: Symptoms of internal diseases expressed on the skin and its derivatives. The most frequent cases: manifestations of metabolic and endocrinological disorders, gastrointestinal tract, cardiovascular and oncological diseases on the skin. General itch, the most frequent causes.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Dermatology and venereology: The concept of the skin immune and autoimmune disorders, aetiological and pathogenic aspects. Skin allergic vasculitis, its kinds, clinical characteristics, treatment principles. Alopecia, its types, clinical characteristics and treatment methods. Clinical signs, differential diagnosis and treatment options of vitiligo.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Dermatology and venereology: Syphilis, gonorrhoea and other specific genital diseases – general characteristics, clinical symptoms, diagnostic methods and treatment principles.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Symptoms of skin diseases. Basic principles of patient investigation in dermatology and venereology. Description of the local state. Principles and methods for the diagnosis of skin diseases. The concept of regional dermatology. Principles and options for the treatment of skin diseases. Principles of topical and systemic therapy. The academic scheme of medical history.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Sebaceous and sweat gland disorders: acne, perioral dermatitis, hidradenitis, rosacea. Their epidemiology, etiopathogenesis, pathogenetic role of Demodex folliculorum, clinical manifestations, diagnosis, differential diagnosis and treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Eczematous reactions and dermatitis. Their kinds, epidemiology, etiopathogenesis, clinical manifestations, diagnosis, differential diagnosis and treatment. Adverse cutaneous drug reactions (ACDR), etiopathogenesis, kinds, clinical manifestations, most common medications causing such reactions and complications: Stevens-Johnson syndrome and Lyell’s syndrome. Management of ACDR. Infectious-toxic erythema, their kinds, clinical characterisation and treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: dermatoses: psoriasis, parapsoriasis, lichen ruber planus, seborrheic dermatitis. Their epidemiology, etiopathogenesis, clinical manifestations, diagnostics, differential diagnosis and treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Parasitic infections (scabies, pediculosis, insect bites). Superficial bacterial infections of the skin, their complications and staphylococcal scalded skin syndrome (SSSS). Epidemiology, pathogenesis, clinical manifestations, diagnosis, treatment. Clinical manifestations, diagnosis, and treatment of Lyme disease on the skin. Superficial and subcutaneous fungal infections of the skin, epidemiology, etiopathogenesis, clinical manifestations, diagnosis, treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Most common blistering disorders: pemphigus, pemphigoid, dermatitis herpetiformis. Their epidemiology, etiopathogenesis, clinical manifestations, diagnosis, differential diagnosis and treatment. Most common connective tissue diseases: scleroderma, dermatomyositis and lupus erythematosus. Their epidemiology, etiopathogenesis, clinical manifestations, diagnosis, differential diagnosis and treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Most common benign skin tumours, malignant skin tumours, their differential diagnosis and treatment options.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Dermatology and venereology: Sexually transmitted venereal diseases.
  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:
98 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Vīksna L., Sidhoma E., Bantauska D. Dermatoloģijas pamati. Medicīnas apgāds, 2021, 295 lpp. (latviešu plūsmas studijām)

2.

Kang S., Amagai M., Bruckner A.L., Enk A.H., Margolis D.J., McMichael A.J., Orringer J.S. Fitzpatrick's Dermatology: 2-Volume Set, 9th Ed. McGraw-Hill Education / Medical, 2019, 1866 p.Suitable for English stream

3.

Saavedra A.P., Roh E.K., Mikailov A. Fitzpatrick's Color Atlas and Synopsis of Clinical Dermatology, 9th Ed. McGraw-Hill Education / Medical, 2023, 992 p.Suitable for English stream

4.

Bolognia J.L., Schaffer J.V., Cerroni L. Dermatology: 2-Volume Set, 5th Ed. Elsevier, 2024, 2928 p.Suitable for English stream

5.

Griffiths C.E.M., Barker J., Bleiker T.O., Hussain W., Simpson R.C. Rook's Textbook of Dermatology: 4-Volume Set, 10th Ed. Wiley-Blackwell, 2024, 4864 p.Suitable for English stream

6.

Dinulos J.G. Habif's Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 7th Ed. Elsevier, 2021, 1086 p.Suitable for English stream

7.

Acu slimības , G.Laganovskas redakcijā, Nacionālais apgāds, 2008

8.

OphthalmologySuitable for English stream

9.

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

10.

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

11.

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

12.

EsahqSuitable for English stream

Additional Reading

1.

Shimizu H. Shimizu's Dermatology, 2nd Ed. Wiley Blackwell, 2017, 664 p.Suitable for English stream

2.

Lebwohl M., Heymann W., Berth-Jones J., Coulson I. Treatment of Skin Disease: Comprehensive Therapeutic Strategies, 6th Ed. Elsevier, 2022, 912 p.Suitable for English stream

3.

Alikhan A., Hocker T.L.H. Review of Dermatology, 2nd Ed. Elsevier, 2024, 560 p.Suitable for English stream

4.

Huang W.W., Feldman S.R., Ahn C.S., Lewallen R.S. Dermatology: Illustrated Clinical Cases, 1st Ed. CRC Press, 2016, 273 p.Suitable for English stream

5.

Callen J.P., Jorizzo J.L., Zone J., Piette W., Rosenbach M., Vleugels R.A. Dermatological Signs of Systemic Disease, 5th Ed. Elsevier, 2017, 480 p.Suitable for English stream

6.

Markowitz O. A Practical Guide to Dermoscopy, 7th Ed. Wolters Kluwer, 2017, 292 p.Suitable for English stream

7.

Edwards L., Lynch P.J. Genital Dermatology Manual, 4th Ed. Wolters Kluwer, 2022, 448 p.Suitable for English stream

8.

Rubins A. Dermatoveneroloģija. Latvijas Dermatovenerologu asociācija un Latvijas Dermatoveneroloģijas fonds, 2020, 592 lpp. (latviešu plūsmas studijām)

9.

Vasariņš P., Miltiņš A. Klīniskā dermatoveneroloģija. Zvaigzne ABC, 1999, 476 lpp. (latviešu plūsmas studijām)

10.

Branta D., Froļenko J., Gūtmane R., Rožkalns V. Dermatoloģija un veneroloģija, I un II daļa. Zvaigzne, 1975, 232 lpp. (latviešu plūsmas studijām)

11.

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

12.

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

13.

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

14.

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

15.

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

16.

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

17.

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

18.

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

19.

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

20.

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

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.

DermatologySuitable for English stream

7.

Anest

8.

AnaesthesiologistsSuitable for English stream

9.

EsicmSuitable for English stream

10.

IntensiveSuitable for English stream