Propedeutics, Essentials of Internal Diseases

Study Course Description

Course Description Statuss:Approved

Course Description Version:8.00

Study Course Accepted:10.04.2024 13:13:38

Study Course Information
Course Code:		ISK_036		LQF level:		Level 6
Credit Points:		3.00		ECTS:		4.50
Branch of Science:		Clinical Medicine; Internal Medicine		Target Audience:		Medical Services
Study Course Supervisor
Course Supervisor:		Jūlija Zepa
Study Course Implementer
Structural Unit:		Department of Internal Diseases
The Head of Structural Unit:
Contacts:		Riga, 2 Hipokrata Street, iskrsu[pnkts]lv, +371 67042338
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		6	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		12
Classes (count)		12	Class Length (academic hours)		3	Total Contact Hours of Classes		36
Total Contact Hours								48
Part-Time - Semester No.1
Lectures (count)		6	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		12
Classes (count)		12	Class Length (academic hours)		3	Total Contact Hours of Classes		36
Total Contact Hours								48
Study course description
Preliminary Knowledge:
Normal anatomy, physiology, biochemistry, pathology.
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 their treatment.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Principles of history taking and basics of physical examination.			Lectures		1.00	auditorium
2	A concept of symptom and syndrome, their role in a diagnosis and differential diagnosis of a disease.			Lectures		1.00	auditorium
3	Cardiovascular diseases.			Lectures		1.00	auditorium
4	Signs and methods of investigation of cardiovascular disease. Aspects of history and physical examination in cardiovascular disease.			Classes		1.00	clinical base
5	Coronary artery disease, myocardial infarction, arterial hypertension: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
6	Heart arrhythmia, valvular heart diseases, heart failure: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
7	Respiratory diseases.			Lectures		1.00	auditorium
8	Signs and investigation methods of respiratory diseases. Aspects of history and physical examination in a patient with respiratory disease.			Classes		1.00	clinical base
9	Bronchitis, pneumonia, COPD, bronchial asthma: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
10	Gastrointestinal diseases.			Lectures		0.50	auditorium
11	Clinical presentations and investigations for abdominal pathology.			Classes		1.00	clinical base
12	Gastritis, gastric ulcer, cholecystitis, pancreatitis, gastric and colorectal cancer: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
13	Urinary tract infection, glomerulonephritis, kidney stones, chronic kidney disease: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
14	Endocrine diseases.			Lectures		1.00	auditorium
15	Diabetes mellitus, thyroid pathology: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
16	Thyroid diseases. Osteoporosis.			Classes		1.00	clinical base
17	Clinical course of rheumatic diseases and therapeutic issues. The story of a patient with rheumatic disease.			Lectures		0.50	E-Studies platform
18	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.			Classes		1.00	clinical base
19	Rare rheumatic diseases. Systemic connective tissue diseases (systemic lupus erythematosus, systemic sclerosis, inflammatory myopathies), vasculitis - key aspects of the diseases. The role of nutrition in the management of rheumatic patients.			Classes		0.50	clinical base
20	Diseases of the hematopoetic system. Anemia: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		0.50	clinical base
Topic Layout (Part-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Principles of history taking and basics of physical examination.			Lectures		1.00	auditorium
2	A concept of symptom and syndrome, their role in a diagnosis and differential diagnosis of a disease.			Lectures		1.00	auditorium
3	Cardiovascular diseases.			Lectures		1.00	auditorium
4	Signs and methods of investigation of cardiovascular disease. Aspects of history and physical examination in cardiovascular disease.			Classes		1.00	clinical base
5	Coronary artery disease, myocardial infarction, arterial hypertension: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
6	Heart arrhythmia, valvular heart diseases, heart failure: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
7	Respiratory diseases.			Lectures		1.00	auditorium
8	Signs and investigation methods of respiratory diseases. Aspects of history and physical examination in a patient with respiratory disease.			Classes		1.00	clinical base
9	Bronchitis, pneumonia, COPD, bronchial asthma: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
10	Gastrointestinal diseases.			Lectures		0.50	auditorium
11	Clinical presentations and investigations for abdominal pathology.			Classes		1.00	clinical base
12	Gastritis, gastric ulcer, cholecystitis, pancreatitis, gastric and colorectal cancer: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
13	Urinary tract infection, glomerulonephritis, kidney stones, chronic kidney disease: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
14	Endocrine diseases.			Lectures		1.00	auditorium
15	Diabetes mellitus, thyroid pathology: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		1.00	clinical base
16	Thyroid diseases. Osteoporosis.			Classes		1.00	clinical base
17	Clinical course of rheumatic diseases and therapeutic issues. The story of a patient with rheumatic disease.			Lectures		0.50	E-Studies platform
18	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.			Classes		1.00	clinical base
19	Rare rheumatic diseases. Systemic connective tissue diseases (systemic lupus erythematosus, systemic sclerosis, inflammatory myopathies), vasculitis - key aspects of the diseases. The role of nutrition in the management of rheumatic patients.			Classes		0.50	Institute of Anatomy and Anthropology
20	Diseases of the hematopoetic system. Anemia: risk factors, causes, clinical presentations, treatment options, complications and prevention.			Classes		0.50	clinical base
Assessment
Unaided Work:
Individual work with medical literature. Clinical case analysis (communication with patients, history taking, physical examination, working diagnosis, diagnostic and therapeutic principles). Active participation in discussions on theoretical issues (knowledge prior to the seminar) and clinical cases. In order to evaluate the overall quality of the course, the student must fill in the course evaluation questionnaire on the Student Portal, which is anonymous.
Assessment Criteria:
Class attendance (5%); participation in discussions (5%); clinical case analysis (40%); Evaluation of answers (50%) to exam questions (a statement of the topic covered by the question, answers to all sub-questions).
Final Examination (Full-Time):		Exam (Written)
Final Examination (Part-Time):		Exam (Written)
Learning Outcomes
Knowledge:		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.
Skills:		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.
Competencies:		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.
Bibliography
No.	Reference
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
Other Information Sources
1	http://estudijas.rsu.lv/index.php