Propaedeutics

Study Course Description

Course Description Statuss:Approved

Course Description Version:5.00

Study Course Accepted:07.03.2023 11:44:27

Study Course Information
Course Code:		LF_319		LQF level:		Level 5
Credit Points:		4.00		ECTS:		6.00
Branch of Science:		Clinical Medicine; Health Care		Target Audience:		Medicine
Study Course Supervisor
Course Supervisor:		Inga Petermane
Study Course Implementer
Structural Unit:		RSU Liepāja Branch
The Head of Structural Unit:
Contacts:		Liepaja, Riņķu Street 24/26, lfrsu[pnkts]lv, +371 63442118, +371 63442119, +371 63484632
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		12	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		24
Classes (count)		20	Class Length (academic hours)		2	Total Contact Hours of Classes		40
Total Contact Hours								64
Study course description
Preliminary Knowledge:
Physiology, anatomy, Latin, biology, genetics, female physiology and pathology.
Objective:
To acquire knowledge and skills in the examination and assessment of patients of different ages.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Introduction. Patient examination scheme. Subjective examination of the patient – anamnesis. Basic methods of objective examination of the patient.			Lectures		1.00	auditorium
2	Basic and additional methods of objective examination of the patient.			Classes		1.00	auditorium
3	General examination and assessment of the patient.			Lectures		1.00	auditorium
				Classes		1.00	auditorium
4	Examination and assessment of the patient’s body systems, identification of health disorders: (respiratory, circulatory, digestive, uropoietic, endocrine, bone-joint, haematopoietic, nervous systems).			Lectures		2.00	auditorium
				Classes		7.00	auditorium
5	Child development, endogenous and exogenous factors influencing it. Periods of development.			Lectures		1.00	auditorium
				Classes		1.00	auditorium
6	Scheme of paediatric examination, specifics of paediatric examination methods. Conditions of examination of paediatric patients, principles of making contact.			Classes		1.00	auditorium
7	The structural and functional specifics of the child’s body systems at different ages and the basic principles of examination thereof.			Lectures		3.00	auditorium
				Classes		4.00	auditorium
8	Examination methods in gynaecology.			Lectures		2.00	auditorium
				Classes		2.00	auditorium
9	Objective examination of pregnant women.			Lectures		1.00	auditorium
				Classes		2.00	auditorium
10	Gynaecological examination of children and adolescents.			Lectures		1.00	auditorium
				Classes		1.00	auditorium
Assessment
Unaided Work:
To get acquainted with the recommended and suggested reading for each class. Taking anamnesis and preparing and presenting the examination method. Practical work on models.
Assessment Criteria:
Class attendance, multiple-choice test results and practical skills tests. An exam at the end of the course.
Final Examination (Full-Time):		Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		After successful fulfilment of the study course requirements, the student will have acquired the knowledge to: describe the basic principles of patient examination, describe examination methods, explain the results obtained in patient examination by systems, identify pathological conditions.
Skills:		As a result of completing the study course, the student will be able to take anamnesis, apply examination methods in the examination of patients of different ages and evaluate the results obtained.
Competencies:		As a result of completing the study course, the student will be able to examine patients of different ages and analyse the results.
Clinical Skills:
No.	Skill					Level
1	-					A - Beginner level
2	-					A - Beginner level
3	Ankle joint mobility test.					A - Beginner level
4	Anterior and lateral comparative percussion of lungs					A - Beginner level
5	Anterior and lateral fremitus pectoralis					A - Beginner level
6	Apex beat mobility test					A - Beginner level
7	Appendix palpation					A - Beginner level
8	Auscultation of lungs					A - Beginner level
9	Bimanual pelvic (gynaecological) examination					A - Beginner level
10	Bimanual pelvic (gynaecological) examination					B1 - Basic level
11	Bimanual uterine examination					A - Beginner level
12	Bimanual uterine examination					B1 - Basic level
13	Bimanual uterine examination					B2 - Intermediate level
14	Blumberg's symptom					A - Beginner level
15	Bronchophonia on the back					A - Beginner level
16	Caecum palpation					A - Beginner level
17	Colon descendens palpation					A - Beginner level
18	Detection of ascites					A - Beginner level
19	Detection of ascites (by means of palpation)					A - Beginner level
20	Detection of gallbladder projection site					A - Beginner level
21	Determination of the amount of deferral.					A - Beginner level
22	Determination of the amount of lateral tilt of the spine.					A - Beginner level
23	Determination of the chauffard's triangle					A - Beginner level
24	Determination of the differential feature					A - Beginner level
25	Determination of the left border of heart relative dullness					A - Beginner level
26	Determination of the right border of the heart relative dullness					A - Beginner level
27	Determination of the superior border of heart relative dullness					A - Beginner level
28	Determination of thoracolumbal rotation.					A - Beginner level
29	Due date estimation					A - Beginner level
30	Due date estimation					B1 - Basic level
31	Due date estimation					B2 - Intermediate level
32	Elbow joint palpation					A - Beginner level
33	Evaluation of epigastric pulsation					A - Beginner level
34	Examination of knee flexion.					A - Beginner level
35	Examination of the elbow joint active flexion					A - Beginner level
36	Examination of the elbow joint extension					A - Beginner level
37	Examination of the elbow joint passive flexion					A - Beginner level
38	Examination of the elbow joint pronation					A - Beginner level
39	Examination of the elbow joint supination					A - Beginner level
40	Examination of the extent of knee extension.					A - Beginner level
41	Examination of the hip joint testing active abduction					A - Beginner level
42	Examination of the hip joint testing external rotation					A - Beginner level
43	Examination of the hip joint testing flexion					A - Beginner level
44	Examination of the hip joint testing internal rotation					A - Beginner level
45	Examination of the hip joint testing passive abduction					A - Beginner level
46	Examination of the lumbar and intestinal joints.					A - Beginner level
47	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					A - Beginner level
48	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B1 - Basic level
49	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B2 - Intermediate level
50	Fundus uteri identification					A - Beginner level
51	Fundus uteri identification					B1 - Basic level
52	Fundus uteri identification					B2 - Intermediate level
53	Gallbladder palpation - checking for Volsky's symptom					A - Beginner level
54	Gallbladder palpation - examination of a svirksic symptom					A - Beginner level
55	Gallbladder palpation - examination of Courvoisier's symptom					A - Beginner level
56	Gallbladder palpation - examination of the saccharine symptom					A - Beginner level
57	Greater curvature of stomach palpation with compression					A - Beginner level
58	Heart auscultation (hemodynamic order)					A - Beginner level
59	Heart auscultation (topographic order)					A - Beginner level
60	Heart auscultation (traditional)					A - Beginner level
61	Height of lung's apex in the front					A - Beginner level
62	Height of the lung's apex on the backside					A - Beginner level
63	Indirect (relative) measurement of the central venous pressure (by von Recklinghausen)					A - Beginner level
64	Insertion of vaginal specula and PAP smear performance					A - Beginner level
65	Insertion of vaginal specula and PAP smear performance					B1 - Basic level
66	Leopold maneuvers					A - Beginner level
67	Leopold maneuvers					B1 - Basic level
68	Leopold maneuvers					B2 - Intermediate level
69	Liver percussion					A - Beginner level
70	Mayo-Robson's point detection					A - Beginner level
71	Measurement of arterial pulse					A - Beginner level
72	Measurement of the arterial pressure					A - Beginner level
73	Measurement of the radial pulse tension					A - Beginner level
74	Movement test in the subtalar joint.					A - Beginner level
75	Non-invasive (indirect) measurement of the central venous pressure					A - Beginner level
76	Orthner symptom					A - Beginner level
77	Palpation of apex beat					A - Beginner level
78	Palpation of apex beat					A - Beginner level
79	Palpation of caput pancreatis					A - Beginner level
80	Palpation of colon transversum					A - Beginner level
81	Palpation of corpus pancreatis					A - Beginner level
82	Palpation of spleen					A - Beginner level
83	Palpation of the ankle joint					A - Beginner level
84	Palpation of the ascending intestine/colon ascendens palpation					A - Beginner level
85	Palpation of the kidneys					A - Beginner level
86	Palpation of the liver					A - Beginner level
87	Palpation of the terminal ileum					A - Beginner level
88	Pap smear performance (cervix cytology smear)					A - Beginner level
89	Pap smear performance (cervix cytology smear)					B1 - Basic level
90	Pap smear performance (cervix cytology smear)					B2 - Intermediate level
91	Percussion and palpation of bladder					A - Beginner level
92	Percussion of spleen					A - Beginner level
93	Percussion of the kidneys					A - Beginner level
94	Pleural and intercostal pains					A - Beginner level
95	Posterior fremitus pectoralis					A - Beginner level
96	Posterior lungs comparative percussion					A - Beginner level
97	Schober’s symptom					A - Beginner level
98	Shoulder joint examination abduction					A - Beginner level
99	Shoulder joint examination active extension					A - Beginner level
100	Shoulder joint examination active abduction					A - Beginner level
101	Shoulder joint examination active external rotation					A - Beginner level
102	Shoulder joint examination active flexion					A - Beginner level
103	Shoulder joint examination active internal rotation					A - Beginner level
104	Shoulder joint examination passive abduction					A - Beginner level
105	Shoulder joint examination passive extension					A - Beginner level
106	Shoulder joint examination passive external rotation					A - Beginner level
107	Shoulder joint examination passive flexion					A - Beginner level
108	Shoulder joint examination passive internal rotation					A - Beginner level
109	Sigmoid colon (colon sigmoideum) palpation					A - Beginner level
110	Testing the fist symptom					A - Beginner level
111	The width of the apices of the lungs					A - Beginner level
112	Tomayer’s symptom					A - Beginner level
113	Topographic percussion of the lung's inferior edge					A - Beginner level
114	Triangle symptom					A - Beginner level
115	Wrist movement test.					A - Beginner level
Bibliography
No.	Reference
Required Reading
1	Propedeitika. Prof. G. Orļikova redakcija, 2014
2	Geske R. Bērna bioloģiskā attīstība. – Rīga: RaKa, 2005 (akceptējams izdevums)
3	Valtneris A. Bērnu un pusaudžu fizioloģija. - Rīga: Zvaigzne ABC, 2001 (akceptējams izdevums)
4	Капитан Т.В. Пропедевтика детских болезнеи с уходом за детьми. Учебник для вузов, 5-е издание, дополненное – Москва: МЕДпресс информ, 2004 (akceptējams izdevums)
5	Auziņa I., Bērnu un pusaudžu ginekoloģija, Apgāds “Rasa ABC”, SIA, 2004. (akceptējams izdevums)
6	Auziņa I., Andrējeva S., Baidekalna I., Baltiņa D., Barkāne E., Ginekoloģija, SIA Medicīnas apgāds, Rīga, 2013.
7	Dzemdniecība. Rīga, Daces Rezenbergas redakcijā, 2016
Additional Reading
1	Medicīniskās aprūpes rokasgrāmata / Zin. redakt. Paudere I. – SIA „J.L.V.”, izdevums latviešu val., 2001
2	Dobelis J. Bērnu uroloģija. – Rīga, 2003
3	Krūmiņa Dž., Kokare I. Latvijas bērnu fiziskās attīstības normatīvi. Rīga: SIA Nacionālais apgāds, 2005.
4	Mantle I., Haslam J., Barton S., Cardozo L., Physiotherapy in Obstetrics and Gynaecology, Butterworth Heinemann, 2004.
5	Fleminga I. Zīdaiņa attīstība un attīstības traucējumi – Rīga: Zvaigzne, 1999
6	Patricia C. Wilson., Common Gynaecological Conditions, Blackwell Science, 2002.
Other Information Sources
1	Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā www.ginasoc.lv
2	www.pubmed.com
3	Lekciju materiāli