Veidlapa Nr. M-3 (8)

Course Description Status: Approved

Course Description Version: 24/25.P.1.00

Description Period: 2024./25 academic year pavasara semestris

Study Course Accepted: -

Study Course Description

Basics of Paediatrics I

Main Study Course Information

Course Code
PEK_049
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Valda Staņēviča
Structure Unit Manager
Dace Gardovska
Structural Unit
Department of Paediatrics
Contacts

Riga, 45 Vienības gatve, pk@rsu.lv, +371 67621730

About Study Course

Objective

To provide students with knowledge of structural and functional features of the child’s body, growth and development from birth to 18 years at different stages of the child’s development, as well as frequent childhood illnesses, as well as to develop the necessary skills and attitudes in the work of a doctor with children.

Preliminary Knowledge

Preclinical theoretical knowledge of the structure and function of the human body (disciplines of the 1st, 2nd, 3rd year of studies), clinical medicine: For students of the 4th year of studies – a course of propaedeutics.

Learning Outcomes

Knowledge

1.The acquired knowledge will enable students to characterise the features of healthy children, newborns and the newborn period, cardiovascular, digestive, respiratory, renal and urinary systems, endocrine, hematopoietic characteristics in different age groups, to name and characterise the most common risk factors, aspects of primary prevention, morphology, aetiology, pathology, diagnosis and treatment, including clinical pharmacology, rehabilitation, psychotherapy, intensive care, and secondary prevention in paediatrics.

Skills

1.Will be able to: • to find out the patient’s complaints and medical history; • to perform physical examination of the patient by palpation, percussion and auscultation method; • to perform peripheral pulse, heart rate, respiratory rate, and blood pressure measurements, assign them to a specific clinical situation and link them to the overall examination process; • to apply knowledge of reasoning, logic and rhetoric to analyse practical situations, discuss, explain one’s views, and contribute in a constructive way to the achievement of professional goals and specific tasks; • to be able to communicate with patients, their relatives, colleagues, other people involved in healthcare; • to plan continuous improvement of one’s communication skills, respecting the different levels of knowledge, experience, traditions, culture and other individual characteristics of other people.

Competences

1.Will be able to: • to interpret clinical test results, relate them to a specific clinical situation and link them to the overall examination process; • to compare pathological features with normal morphology and homeostasis parameters using integrative thinking, recognise disease symptoms, explain pathology, formulate diagnosis and differentiate it from other diagnoses, check for the most common complications, predict the course and consequences of the pathological process.

Assessment

Individual work

Title
% from total grade
Grade
1.
Individual work
-
-
The knowledge acquired in the course is tested using multiple-choice tests, which students complete in the e-study environment in each lesson. Before each lesson, the student prepares and familiarizes himself with the current material, using the self-control questions available in the e-environment for each lesson. The student familiarizes himself with the clinical cases sent by the lecturer before the lesson. Using the available literature, prepare answers in the form of a presentation to the questions of a clinical case. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.

Examination

Title
% from total grade
Grade
1.
Examination
-
-
Test performance is automatically graded in the e-study environment and constitutes 50% of the daily lesson grade. The other half of the grade (50%) is made up of the students' involvement in the lesson - the ability to answer the questions asked by the lecturer + analyzes of clinical cases. The final assessment is automatically posted to the student if a grade of 4 or higher is received in each lesson. A student who in the 4th academic year in the course "Fundamentals of Pediatrics I" has obtained a rating of 7 or higher ((lecture test + average grade of classes)/2) automatically gets the opportunity to try to obtain an "automatic" at the end of the course in the course "Fundamentals of Pediatrics II" in the following academic year.

Study Course Theme Plan

FULL-TIME
Part 1

  1. Paediatrics as a medical field. Early stages of human development, their peculiarities and course. Description of childhood periods. Healthy child and criteria of development of a healthy child. Peculiarities of examination of a child by organ systems at different ages. Neonatal screening. Early diagnosis of metabolic disorders. Children’s state of health in Latvia. Ethics of child healthcare. The concept of paediatric palliative care.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Newborn baby – a full term child, preterm birth, post-term birth, the characteristics and the associated complications. Assessment of a newborn according to the gestational age. Description of the newborn period and adaptation period and clinical manifestations. Clinical manifestations of newborn disorders.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Anatomical physiological features of the respiratory system in different age groups of children. Bronchial asthma. Cystic fibrosis.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Anatomically functional features of the digestive organ system. Malabsorption syndrome (cow’s milk protein allergy, celiac disease, cystic fibrosis). Differential diagnosis of vomiting and abdominal pain (colic, constipation, functional abdominal pain).

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Cardiovascular and ECG peculiarities in children. The most common rhythm disorders in children.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. The most common hemato-oncological diseases in children and description thereof. Peculiarities of leucosis in children.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. The most common urinary tract diseases in children and differential diagnosis thereof. Glomerulonephritis with nephritic and nephrotic syndrome in children. Acute renal failure. Chronic kidney disease. Pediatric hypertension.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Peculiarities of the endocrine system in different age groups. Specifics of hormonal analyses evaluation. Evaluation of children's bone health.;

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Possibilities and peculiarities of radiological examination of children.

EventType
Modality
Location
Contact hours
1.
Lecture
On site
Auditorium
2

  1. Conversation and contact with the child, for parents of the child – understanding the anamnesis, evaluation of the obtained data. Practical skills of child examination by organ system.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Peculiarities of diagnostic laboratory tests in children of different age groups.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Child feeding principles up to 18 years. Overweight, obesity. Vitamin deficiency in children.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Child growth and development: physical, motor, sexual development. Period of puberty.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Newborn period – clinical examination and evaluation of a newborn by the time of birth, weight / height, establishing the gestational age, manifestations of the adaptation period. Newborn reflexes. Most common disorders of the newborn period (disorders of bilirubin metabolism, hemorrhagic disease, hyaline membrane disease).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Anatomically functional features of the hematopoietic system. Peculiarities of blood count in different age groups of children. Iron deficiency anaemia, aetiology, pathogenesis clinical peculiarities at different ages, diagnostics, differential diagnosis, treatment and prevention.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Perinatal asphyxia, resuscitation measures. Posthypoxic perinatal encephalopathy and differential diagnosis with postpartum traumatic injury. Other birth injuries.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Acute bronchitis, bronchitis with wheezing. Terms - wheezing and stridor, causes in children (acquired and congenital). Community-acquired pneumonia in children

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Acyanotic congenital heart diseases: Atrial septal defect (ASD), ventricular septal defect (VSD), atrioventricular septal defect (AVSD), patent ductus arteriosus (PDA), coarctation of the aorta (CoA).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Cyanotic congenital heart diseases: Tetralogy of Fallot, transposition of the great vessels, hypoplastic left heart syndrome.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Cardiomyopathies. Acute and chronic heart failure in children. Peculiarities of taking blood pressure in children. Description of arterial hypertension (AH). Features of ECG.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Growth disorders in children. Vitamin D deficiency. Rickets differential diagnosis.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Thyroid pathologies in children.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Anatomical physiological features of the urinary tract system. Urinary tract infections (complicated, uncomplicated).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Child abuse as a problem in medicine. Shaken baby syndrome. Sudden infant death syndrome.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3

  1. Anatomical and physiological properties of child’s skin and subcutaneous layer. Atopic and seborrheic dermatitis. Local infections during neonatal period (skin, umbilicus, eyes).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
Total ECTS (Creditpoints):
6.00
Contact hours:
66 Academic Hours
Final Examination:
Test (Semester)

Bibliography

Required Reading

1.

E - studijās ievietotie mācību materiāli./E - learning materials placed in the studios.

2.

Kliegman, Robert M., St Geme, Joseph W., Blum, Nathan J., et.al. Nelson Textbook of Pediatrics. 2020, Elsevier Inc.

3.

RSU tiešsaistes datu bāzes: brīvpieejas datubāzes (PubMed), uz pierādījumiem balstītas medicīnas datubāzes- ClinicalKEY, DynaMedPlus./RSU online databases: open access databases (PubMed), evidence-based medical databases - ClinicalKEY, DynaMedPlus.

Additional Reading

1.

Kliegman, Robert M., Lye, Patricia S., Bordini, Brett J., et.al. Nelson Pediatric Symptom-Based Diagnosis. 2022, Elsevier, Inc.

2.

Marcdante, Karen J., Kliegman, Robert M. Nelson Essentials of Pediatrics. 2023, Elsevier, Inc.

;