Veidlapa Nr. M-3 (8)
Study Course Description
Propedeutics, Essentials of Internal Diseases
Course Code
ISK_232
Branch of Science
Clinical medicine; Internal medicine
ECTS
5.00
Target Audience
Medical Services
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Vineta Antiņa-Dukule
Structure Unit Manager
Jūlija Zepa
Structural Unit
Department of Internal Diseases
Contacts
Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338
About Study Course
Objective
To introduce and provide a basic understanding of internal medicine by analysing the history, physical examination findings and the role and results of laboratory and radiological investigations. To introduce common internal diseases and the role of nutrition in its treatment.
Preliminary Knowledge
Normal anatomy, physiology, biochemistry, pathology.
Learning Outcomes
Knowledge
1.Will know: Aspects of medical history, principles of physical examination. Will be able to recognize the basics of internal diseases: COPD, pneumonia, bronchitis, bronchial asthma, lung cancer, coronary heart disease (incl. acute coronary syndrome), chronic heart failure, arterial hypertension, gastric and duodenal ulcer, inflammatory bowel disease, liver disease, urinary tract infection, chronic kidney disease, osteoarthritis, crystal arthropathy, rheumatoid arthritis, spondyloarthritis, key findings on systemic connective tissue diseases and vasculitis.
Skills
1.To make a diagnosis, differentiate between different internal diseases, justify own opinion. Decide whether a patient needs to consult another specialist. Provide assistance in the area of own competence, including treatment.
Competences
1.Differentiate between various internal diseases, argue own point of view. Decide whether the patient needs to consult another specialist. Provide assistance in own area of expertise, including medication.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
10 points
|
|
Individual work with medical literature. Analysis of clinical cases (communication with patients, taking of history, physical examination, working diagnosis, principles of diagnostics and therapy). Active participation in discussions on theoretical issues (knowledge before the lesson) and analysis of clinical cases. To evaluate the quality of the study course as a whole, the student must fill out the study course evaluation form in the Student Portal, which is anonymous. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
10 points
|
|
Exam - three written essay questions. |
||
|
2.
Examination |
-
|
10 points
|
|
Attendance (5%); Participation in discussions (15%); Analysis of clinical cases (30%); Assessment of answers to exam questions (50%) (presentation of the topic included in the question, answer to all sub-questions of the question). |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Principles of history taking and basics of physical examination.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
A concept of symptom and syndrome, their role in a diagnosis and differential diagnosis of a disease.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cardiovascular diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Signs and methods of investigation of cardiovascular disease. Aspects of history and physical examination in cardiovascular disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Coronary heart disease, myocardial infarction, arterial hypertension: risk factors, causes, clinical picture, laboratory changes, treatment methods, complications and prevention.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Heart arrhythmia, valvular heart diseases, heart failure: risk factors, causes, clinical presentations, treatment options, complications and prevention.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Respiratory diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Signs and investigation methods of respiratory diseases. Aspects of history and physical examination in a patient with respiratory disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Bronchitis, pneumonia, COPD, bronchial asthma: risk factors, causes, clinical presentations, treatment options, complications and prevention.
Description
Applying the acquired knowledge in the interpretation of clinical cases. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Gastrointestinal diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Clinical presentations and investigations for abdominal pathology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Gastritis, peptic ulcer, cholecystitis, pancreatitis, gastric and intestinal cancer: risk factors, causes, clinical picture, possible laboratory findings, treatment methods, complications and prevention.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Urinary tract infection, glomerulonephritis, kidney stones, chronic kidney disease: risk factors, causes, clinical presentations, treatment options, complications and prevention.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Endocrine diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Diabetes mellitus, thyroid pathology: risk factors, causes, clinical presentations, treatment options, complications and prevention.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Thyroid diseases. Osteoporosis.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Aspects of rheumatic disease clinical course and management. The story of a patient with rheumatic disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Joint and back pain. Arthritis - osteoarthritis, crystalline arthropathy, rheumatoid arthritis, spondyloarthritis (psoriatic arthritis, ankylosing spondylitis): definition, main aspects of pathogenesis, clinical picture, principles of diagnostics and therapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Rare rheumatic diseases. Systemic connective tissue diseases (systemic lupus erythematosus, systemic sclerosis, inflammatory myopathies), vasculitis - key disease aspects. The role of nutrition in the management of rheumatic patients.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Diseases of the blood system. Anaemia: risk factors, causes, clinical picture, laboratory findings, treatment methods, complications and prevention.
Description
Clinical case studies, discussion of possible diet as a therapeutic element. |
Total ECTS (Creditpoints):
5.00
Contact hours:
53 Academic Hours
Final Examination:
Exam (Written)
PART-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Principles of history taking and basics of physical examination.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
A concept of symptom and syndrome, their role in a diagnosis and differential diagnosis of a disease.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cardiovascular diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Signs and methods of investigation of cardiovascular disease. Aspects of history and physical examination in cardiovascular disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Coronary heart disease, myocardial infarction, arterial hypertension: risk factors, causes, clinical picture, laboratory changes, treatment methods, complications and prevention.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Heart arrhythmia, valvular heart diseases, heart failure: risk factors, causes, clinical presentations, treatment options, complications and prevention.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Respiratory diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Signs and investigation methods of respiratory diseases. Aspects of history and physical examination in a patient with respiratory disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Bronchitis, pneumonia, COPD, bronchial asthma: risk factors, causes, clinical presentations, treatment options, complications and prevention.
Description
Applying the acquired knowledge in the interpretation of clinical cases. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Gastrointestinal diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Clinical presentations and investigations for abdominal pathology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Gastritis, peptic ulcer, cholecystitis, pancreatitis, gastric and intestinal cancer: risk factors, causes, clinical picture, possible laboratory findings, treatment methods, complications and prevention.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Urinary tract infection, glomerulonephritis, kidney stones, chronic kidney disease: risk factors, causes, clinical presentations, treatment options, complications and prevention.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Endocrine diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Diabetes mellitus, thyroid pathology: risk factors, causes, clinical presentations, treatment options, complications and prevention.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Thyroid diseases. Osteoporosis.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Aspects of rheumatic disease clinical course and management. The story of a patient with rheumatic disease.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Joint and back pain. Arthritis - osteoarthritis, crystalline arthropathy, rheumatoid arthritis, spondyloarthritis (psoriatic arthritis, ankylosing spondylitis): definition, main aspects of pathogenesis, clinical picture, principles of diagnostics and therapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Rare rheumatic diseases. Systemic connective tissue diseases (systemic lupus erythematosus, systemic sclerosis, inflammatory myopathies), vasculitis - key disease aspects. The role of nutrition in the management of rheumatic patients.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Diseases of the blood system. Anaemia: risk factors, causes, clinical picture, laboratory findings, treatment methods, complications and prevention.
Description
Clinical case studies, discussion of possible diet as a therapeutic element. |
Total ECTS (Creditpoints):
5.00
Contact hours:
53 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Propedeitika. 5. izdevums /G.Orļikova un K.Pičkura red./ Rīga, 2014.
2.
Klīniska medicīna prof. A.Lejnieka reakcijā, 1.-3. grāmatas. Nacionālais Medicīnas apgāds, 2010-2012
3.
E-studiju materiāli - docētāju izveidotās lekcijas un palīgmateriāli
Additional Reading
1.
UpToDate
2.
Medscape