Surgical Diseases I

Study Course Description

Course Description Statuss:Approved

Course Description Version:5.00

Study Course Accepted:21.06.2023 11:22:13

Study Course Information
Course Code:		KK_039		LQF level:		Level 7
Credit Points:		4.00		ECTS:		6.00
Branch of Science:		Clinical Medicine; Surgery		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Jānis Gardovskis
Study Course Implementer
Structural Unit:		Department of Surgery
The Head of Structural Unit:
Contacts:		Riga, 13 Pilsoņu Street, VSIA P.Stradiņa KUS, block No 24, kkrsu[pnkts]lv, +371 67069745
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		14	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		28
Classes (count)		9	Class Length (academic hours)		4	Total Contact Hours of Classes		36
Total Contact Hours								64
Study course description
Preliminary Knowledge:
Anatomy, physiology and pathology of the abdominal cavity, breast and endocrine organs; basics of propaedeutics.
Objective:
Students will acquire knowledge of urgent and elective abdominal, breast and endocrine surgical diseases, their aetiology, pathogenesis, clinical picture, diagnostics, principles of treatment and prevention.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Breast diseases. Clinical signs, diagnostics, treatment. Breast cancer. Clinical signs, diagnostics, principles of complex treatment.			Lectures		1.00	other
2	Rectal diseases: haemorrhoids, fissures, paraproctitis. Pathogenesis, clinical signs and diagnostics, principles of surgical treatment.			Lectures		1.00	other
3	Acute and chronic appendicitis. Clinical signs, differential diagnostics and diagnostics. Complications and treatment tactics.			Lectures		1.00	other
4	Large bowel diseases. Crohn’s disease, nonspecific ulcerative colitis, diverticulosis, polyposis. Clinical signs, diagnostics, principles of surgical treatment.			Lectures		1.00	other
5	Primary abdominal wall hernias. Clinical signs, differential diagnostics and diagnostics. Complications of hernias. Different options of surgical treatment methods.			Lectures		1.00	other
6	Acute pancreatitis. Classification. Pathogenetic peculiarities in different types of patients. Basics of conservative treatment. Indications for surgical treatment, treatment tactics for different clinical forms of acute pancreatitis.			Lectures		1.00	other
7	Peritonitis. Etiology, pathogenesis, classification, clinical signs, diagnostics, principles of complex treatment.			Lectures		1.00	other
8	Liver disease (tumors, echinococcus, alveococcus). Liver cirrhosis. Portal hypertension. Clinical signs, diagnostics, treatment.			Lectures		1.00	other
9	Gallstone disease. Acute and chronic cholecystitis. Pathogenesis, clinical signs and diagnostics. Complications of gallstone disease. Treatment tactics in case of gallstone disease and different clinical forms of cholecystitis.			Lectures		1.00	other
10	Complications of ulcer disease (perforation, bleeding, stenosis, penetration, malignisation); clinical signs, diagnostics, differential diagnostics. Surgical treatment tactics and methods.			Lectures		1.00	other
11	Surgical diseases of thyroid and parathyroid glands.			Lectures		1.00	other
12	Ileus. Classification. Differential diagnosis. Principles of conservative and surgical treatment.			Lectures		1.00	other
13	Mechanical jaundice. Cholangitis. Postcholecystectomy syndrome. Gallbladder and bile duct tumours. Clinical signs, diagnostics, treatment algorithm.			Lectures		1.00	other
14	Minimally invasive surgery.			Lectures		1.00	other
15	The gallstone disease. Acute and chronic cholecystitis. Pathogenesis. Clinical picture and diagnostics. The surgical tactics in case of different forms of the disease. Complications of the gallstone disease.			Classes		1.00	clinical base
16	Liver disease (tumors, echinococcus, alveococcus). Liver cirrhosis. Portal hypertension. Clinical signs, diagnostics, treatment. Surgical diseases of spleen. Mechanical jaundice. Cholangitis. Postcholecystectomy syndrome. Gallbladder and bile duct tumors.			Classes		1.00	clinical base
17	Acute pancreatitis. Classification. Peculiarities of pathogenesis in different types of patients. Basics of conservative treatment. Indications for surgery, treatment tactics for different clinical forms of acute pancreatitis.			Classes		1.00	clinical base
18	Complications of ulcer disease (perforation, bleeding, stenosis, penetration, malignization), diagnostics, differential diagnostics.			Classes		1.00	clinical base
19	Large bowel diseases. Crohn’s disease, nonspecific ulcerative colitis, diverticulosis, polyposis. Rectal diseases: haemorrhoids, fissures, paraproctitis. Pathogenesis, clinical signs and diagnostics; surgical treatment tactics and methods.			Classes		1.00	clinical base
20	Primary external abdominal wall hernias. Clinical signs, differential diagnostics and diagnostics. Complications of hernias. Different options of surgical treatment methods.			Classes		1.00	clinical base
21	Acute and chronic appendicitis. Clinical presentation, diagnosis and differential diagnosis. Complications and treatment tactics.			Classes		1.00	clinical base
22	Breast diseases: cancer. Diagnostics, principles of complex treatment. Precancerous diseases.			Classes		1.00	clinical base
23	Surgical diseases of thyroid, parathyroid and adrenal glands.			Classes		1.00	clinical base
Assessment
Unaided Work:
- While preparing for the class, student must complete self-control task - clinical case - available under each topic in E-studies. - After each class student completes the control test (quiz) about the corresponding topic. - During the surgical cycle the students hand-in description of one surgical patient (patient examination protocol) (if possible due to the epidemiological situation in hospitals; information will be given during the surgery cycle). - Student writes an academic case report (if possible due to the epidemiological situation in hospitals; information will be given during the surgery cycle). 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.
Assessment Criteria:
To receive the final examination of the course, student must watch all lectures and attend all classes. The final grade is calculated from the following: - After-class control test results (25%) - Patient examination protocol grade (25%) - Academic case report grade (50%)
Final Examination (Full-Time):		Test (Semester)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		After successfully completing the study course, the student will have acquired knowledge and will be able to describe the etiology, pathogenesis, prevention of surgical diseases discussed in lectures and classes, recognize the clinical picture and possible complications of these diseases, list modern clinical, laboratory and instrumental examination methods, as well as describe the surgical treatment of these diseases methods and indications for their application.
Skills:		Upon successful completion of the course students will be able to: - collect patient's complaints and anamnesis; - perform physical examination of the patient using palpation, percussion and auscultation; - perform breast physical examination
Competencies:		Upon successful completion of the course students will be able to: - analyse a surgical case; - prepare laboratory and instrumental investigation plan for the patient; interpret and analyse data acquired during the surgical patient examination; - formulate and justify a full clinical diagnosis; - prepare treatment plan for the specific clinical case; - formulate indications for surgical and conservative treatment.
Clinical Skills:
No.	Skill					Level
1	Breast physical examination					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Lekciju materiāli e-vidē/ Lectures in E-study
2	Gardovskis, J. 2013. Ķirurģija. 2.izd. Rīga: Rīgas Stradiņa universitāte.
3	Townsend, C.M. 2022. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st ed. Elsevier.
4	Zollinger, R.M., Ellison, E.C. 2011. Zollinger's Atlas of Surgical Operations. 11th ed. New York: Mc Graw Hill. (akceptējams izdevums)
5	Ārvalstu studentiem/For international students:
6	Townsend, C.M. 2022. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 21st ed. Elsevier.
7	Zollinger, R.M., Ellison, E.C. 2011. Zollinger's Atlas of Surgical Operations. 11th ed. New York: Mc Graw Hill. (akceptējams izdevums)
Additional Reading
1	Raftery, A.T., Delbridge, M.S., Wagstaff, M.J.D. 2017. Churchill's Pocketbook of Surgery. 5th ed. Churchill Livingstone , Elsevier
2	Henry, M., Thompson, J. 2012. Clinical Surgery. 3rd ed. Saunders, Elsevier
3	Paterson-Brown, S. 2019. Core Topics in General & Emergency Surgery. 6th ed. Elsevier
4	Lennard, T., Lennard, T. 2013. Endocrine Surgery. 5th ed. Saunders Ltd, Elsevier
5	Phillips, R., Clark, S. 2019. Colorectal Surgery. 6th ed. Elsevier
6	Dixon, J.M., Garden, O.J., Paterson-Brown, S. 2019. Breast Surgery. 6th ed. Elsevier
7	Garden, O.J. 2010. Hepatobiliary and Pancreatic Surgery. 6th ed. Elsevier
8	Garden, O.J., Bradbury, A.W., Forsythe, J.L.R., Parks, R.W. 2022. Principles and Practice of Surgery. 7th ed. Elsevier
9	Brunicardi, F., et al. 2019. Schwartz's Principles of Surgery, 11th ed. McGraw-Hill.
10	Bittner, R., et al. 2018. Laparo-endoscopic Hernia Surgery, Evidence Based Clinical Practice. Springer.
11	Campanelli, G. 2018. The Art of Hernia Surgery, A Step-by-Step Guide. Springer.
12	Campanelli, G. 2017. Inguinal Hernia Surgery. Springer
13	Davis, S.S., Dakin, G., Bates, A. 2019. The SAGES Manual of Hernia Surgery. Springer.
14	Mulholland, M.W., Lillemoe, K.D., Doherty, G.M., Maier, R.V., Upchurch, G.R. 2017. Greenfield's Surgery: Scientific Principles & Practice. 6th ed. Lippincott Williams & Wilkins.
15	Docherty, G.M. 2020. Current Diagnosis & Treatment: Surgery, 15th ed. McGraw-Hill Education.
16	Novitsky, Yuri W. 2016. Hernia Surgery: Current Principles. Springer.
17	Hope, W.W., Cobb, W.S., Adrales, G. L. 2017. Textbook of Hernia. Springer.