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

Internal Diseases and Propaedeutics

Main Study Course Information

Course Code
ISK_063
Branch of Science
Clinical medicine; Internal medicine
ECTS
6.00
Target Audience
Dentistry
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Internal Diseases
Contacts

Riga, 2 Hipokrata Street, isk@rsu.lv, +371 67042338

About Study Course

Objective

To develop the students' understanding of professional communication as an essential part of medical practice. To provide knowledge about the principles of propaedeutics, etiology, pathogenesis, clinics, lab tests and other examinations, diagnosis criteria, differential diagnosis, treatment plan and prophylactics of the most important internal diseases. To develop practical skills of patient examination. To introduce basic principles of therapy (main groups of medications), its side effects.

Preliminary Knowledge

Basic knowledge of medical ethics, history, legislation, human anatomy and pathological anatomy, physiology, pathological physiology, biochemistry, microbiology, and pharmacology.

Learning Outcomes

Knowledge

1.Students will have acquired the knowledge of the most important cardiac, bronchial, lung diseases, endocrine, hematologic, rheumatologic, renal and gastrointestinal tract diseases, its aetiology, pathogenesis, diagnostic criteria, treatment principles. The students will have acquired knowledge of the hospital and outpatient medical documentation completion.

Skills

1.The students will have acquired skills to diagnose the studied diseases, to evaluate severity, pattern, prophylaxis and treatment before the dentistry manipulations.

Competences

1.The students will be able to analyse the situation, to demonstrate individual therapeutical relationship with the patient in every clinical case.

Assessment

Individual work

Title
% from total grade
Grade
1.
Individual work
-
-
To learn reccomended and optional literature for every class. To identify unclear cases (clinical situations) and problems. Standardised “clinical cases” evaluation, diagnostics, treatment ordination (if necessary) – MCQ. 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
-
-
Standardised and formalised MCQ: • theoretical questions (5 groups of questions) – 60% from the final grade; • practical questions – a “clinical case” evaluation, diagnostics, treatment ordination (if necessary) – 40% from the final grade.

Study Course Theme Plan

FULL-TIME
Semester 1
  1. Basic principles of doctor’s professional communication

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Propaedeutics

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Cardiology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
2.
Lecture
Off site
E-Studies platform
2
  1. Pulmonology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
2.
Lecture
Off site
E-Studies platform
2
  1. Introduction to clinic: Definition of communication, clinics and department rules, doctor’s image (a role play). Ethical issues. Deontology. Academic honesty. Doctor-patient relationships, rules, legal issues, doctor’s office design, role of an assistant, medical documentation, Historia morbi (subjective part), “first patient” (a role play).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Basic methods of patient general examination. Blood pressure measurement, pulse measurement, auscultation, percussion, palpation. Practice with patient simulator, group colleagues. Historia morbi (objective part).

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Cardiology: principles of propaedeutic, methods of examination. Heart auscultation. Practice with patient simulator, group colleagues.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Cardiology: cardiovascular risks, arterial hypertension, hypertensive crises, acute coronary syndrome, myocardial infarction. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Cardiology: arrhythmias, acute and chronic heart failure, infective endocarditis, the role of dental and tonsilar infections in cardiovascular system diseases, the role of medications (anticoagulants, diuretics, etc.) in oral pathology, diseases manifestations in the oral cavity and maxillo-facial region. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Pulmonology: principles of propaedeutics, methods of examination. Lung auscultation. Practice with patient simulator, group colleagues.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Pulmonology: functional examination of respiratory system; respiratory failure, bronchial asthma, asthma attack, chronic obstructive pulmonary disease, bronchitis, pneumonias, pleurisy, diseases manifestations in the oral cavity and maxillo-facial region. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
Total ECTS (Creditpoints):
3.00
Contact hours:
33 Academic Hours
Final Examination:
Test (Semester)
Semester 2
  1. Gastroenterology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Endocrinology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Nephrology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Rheumatology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Hematology

EventType
Modality
Location
Contact hours
1.
Lecture
Off site
E-Studies platform
2
  1. Gastroenterology: principles of propaedeutic, methods of examination, diseases of the cholangiopancreatic zone, biliary colic, jaundices. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Gastroenterology: gastritis, gastric and duodenal ulcer, gastrointestinal bleeding; enterocolitis, Crohn’s disease; manifestations in the oral cavity and maxillo-facial region. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Gastroenterology: instrumental methods of examination – videogastro-, videocolonoscopy, US-examination.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
-
3
  1. Endocrinology: principles of propedeutics, methods of examination, diabetes mellitus, comas, metabolic syndrome, hypothyroidism, hyperthyroidism, osteoporosis; manifestations in the oral cavity and maxillofacial region. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Nephrology: principles of propaedeutic, methods of examination, nephrolithiasis, renal colic, nephrotic syndrome, acute and chronic renal failure, hemodialysis, peritoneal dialysis, kidney transplantation. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Rheumatology: principles of propaedeutic, methods of examination, rheumatoid arthritis, systemic lupus erythematosis, systemic sclerosis; vasculitis: Wegener’s granulomatosis, Churg-Strauss syndrome, temporal (giant cell) arteritis, Takayasu’s arteritis, Henoch-Schonlein purpura, Sjögren's syndrome; metabolic arthropathy: gout; manifestations in the oral cavity and maxillo-facial region. Visit to clinic.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
  1. Hematology: principles of propaedeutic, methods of examination, acute and chronic leukemias, anemia (B12 and iron-deficiency), coagulopathy, hemorrhagic diathesis, haemophilia, thrombocytopenia, trombocytopenic purpura; manifestations in the oral cavity and maxillo-facial region.

EventType
Modality
Location
Contact hours
1.
Class/Seminar
On site
Specialized room
3
Total ECTS (Creditpoints):
3.00
Contact hours:
31 Academic Hours
Final Examination:
Exam (OSCE)

Bibliography

Required Reading

1.

Lejnieks A. Klīniskā medicīna. SIA Medicīnas Apgāds. Rīga 2010, 2012. (akceptējams izdevums)

2.

Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2010 (akceptējams izdevums)

3.

Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2017

Additional Reading

1.

Allen JF. Health law & medical ethics for healthcare professionals. Boston: Pearson, 2012.

2.

Back A, Arnold R, Tulsky J. Mastering communication with seriously ill patients. Cambridge University Press, 2009.

3.

Goldman-Cecil Medicine. W.B.Saunders Company, 2020

4.

Kumar P, Clark M. Kumar and Clark's Clinical Medicine. A Textbook for Medical Students and Doctors. W.B.Saunders, London. 10th Edition, 2021

5.

Lloyd M, Bor R. Clinical Communication Skills for Medicine. 4th Edition. Churchill Livingstone, 2018.

Other Information Sources

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