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Internal Diseases and Propaedeutics

Study Course Description

Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:29.07.2020
Study Course Information
Course Code:ISK_063LQF level:Level 7
Credit Points:4.00ECTS:6.00
Branch of Science:Medicine; Internal MedicineTarget Audience:Dentistry
Study Course Supervisor
Course Supervisor:Vladimirs Voicehovskis
Study Course Implementer
Structural Unit:Department of Internal Diseases
The Head of Structural Unit:Aivars Lejnieks
Contacts:Rīga, Hipokrāta iela 2, isk@rsu.lv, +371 67042338
Study Course Planning
Full-Time - 1. Semester No.
Lectures (count)6Lecture Length (academic hours)2Total Contact Hours of Lectures12
Classes (count)7Class Length (academic hours)3Total Contact Hours of Classes21
Total Contact Hours33
Lectures (count)5Lecture Length (academic hours)2Total Contact Hours of Lectures10
Classes (count)7Class Length (academic hours)3Total Contact Hours of Classes21
Total Contact Hours31
Study course description
Preliminary Knowledge:
Basic knowledge of medical ethics, history, legislation, human anatomy and pathological anatomy, physiology, pathological physiology, biochemistry, microbiology, and pharmacology.
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.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Basic principles of doctor’s professional communicationLectures1.00auditorium
2PropaedeuticsLectures1.00auditorium
3CardiologyLectures2.00auditorium
4PulmonologyLectures2.00auditorium
5GastroenterologyLectures1.00auditorium
6EndocrinologyLectures1.00auditorium
7NephrologyLectures1.00auditorium
8RheumatologyLectures1.00auditorium
9HematologyLectures1.00auditorium
10Introduction 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).Classes1.00clinical base
11Basic methods of patient general examination. Blood pressure measurement, pulse measurement, auscultation, percussion, palpation. Practice with patient simulator, group colleagues. Historia morbi (objective part).Classes1.00clinical base
12Cardiology: principles of propaedeutic, methods of examination. Heart auscultation. Practice with patient simulator, group colleagues.Classes1.00clinical base
13Cardiology: cardiovascular risks, arterial hypertension, hypertensive crises, acute coronary syndrome, myocardial infarction. Visit to clinic.Classes1.00clinical base
14Cardiology: 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.Classes1.00clinical base
15Pulmonology: principles of propaedeutics, methods of examination. Lung auscultation. Practice with patient simulator, group colleagues.Classes1.00clinical base
16Pulmonology: 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.Classes1.00clinical base
17Gastroenterology: principles of propaedeutic, methods of examination, diseases of the cholangiopancreatic zone, biliary colic, jaundices. Visit to clinic.Classes1.00clinical base
18Gastroenterology: gastritis, gastric and duodenal ulcer, gastrointestinal bleeding; enterocolitis, Crohn’s disease; manifestations in the oral cavity and maxillo-facial region. Visit to clinic.Classes1.00clinical base
19Gastroenterology: instrumental methods of examination – videogastro-, videocolonoscopy, US-examination.Classes1.00METC
20Endocrinology: 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.Classes1.00clinical base
21Nephrology: principles of propaedeutic, methods of examination, nephrolithiasis, renal colic, nephrotic syndrome, acute and chronic renal failure, hemodialysis, peritoneal dialysis, kidney transplantation. Visit to clinic.Classes1.00clinical base
22Rheumatology: 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.Classes1.00clinical base
23Hematology: 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.Classes1.00clinical base
Assessment
Unaided 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.
Assessment Criteria:
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.
Final Examination (Full-Time):Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Students will have acquired the knowledge and competence 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:The students will have acquired skills to diagnose the studied diseases, to evaluate severity, pattern, prophylaxis and treatment before the dentistry manipulations.
Competencies:The students will be able to analyse the situation, to demonstrate individual therapeutical relationship with the patient in every clinical case.
Bibliography
No.Reference
Required Reading
1Bickley L.S., Szilagyi P.G. Bates' Guide to Physical Examination and History Taking. Lippincott Williams&Wilkins, 2008.
2Kalvelis A. Kardioloģija. Informācijas materiāli, RSU 2010.
3Kalvelis A. Pulmonoloģija. Informācijas materiāli, RSU 2010.
4Lejniece S. Klīniskā hematoloģija. Nacionālais Medicīnas Apgāds 2005.
5Lejnieks A. Klīniskā medicīna. SIA Medicīnas Apgāds. Rīga 2010, 2012.
6Lejnieks A, et al. ,,Osteoporozes diagnostikas, profilakses un ārstēšanas vadlīnijas” Rīga 2005.
7Purviņš I. Praktiskā farmakoloģija,3.izd., 2002.
8Rudzītis K. Diagnostikas pamati un terapijas preambula. Rīga: Nacionālais apgāds, 2005.
Additional Reading
1Allen JF. Health law & medical ethics for healthcare professionals. Boston: Pearson, 2012.
2Back A, Arnold R, Tulsky J. Mastering communication with seriously ill patients. Cambridge University Press, 2009.
3Cecil Textbook of Medicine. W.B.Saunders Company, 2006.
4Kumar P, Clark M. Clinical Medicine. A Textbook for Medical Students and Doktors. W.B.Saunders, London, 6th., 2005.
5Lloyd M, Bor R. Communication Skills for Medicine (3rd Edition). Churchill Livingstone, 2009.
Other Information Sources
1http://estudijas.rsu.lv/index.php