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Neurology
Study Course Description
Course Description Statuss:Approved
Course Description Version:6.00
Study Course Accepted:11.03.2024 11:41:00
| Study Course Information | |||||||||
| Course Code: | NUNK_011 | LQF level: | Level 6 | ||||||
| Credit Points: | 3.00 | ECTS: | 4.50 | ||||||
| Branch of Science: | Clinical Medicine; Neurology | Target Audience: | Rehabilitation | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Iveta Haritončenko | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Neurology and Neurosurgery | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 37; 2 Hipokrata Street, Unit No. 7, Room No. 901, neuro rsu[pnkts]lv, +371 67069653; +371 67536540 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 4 | Total Contact Hours of Lectures | 16 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 32 | ||||
| Total Contact Hours | 48 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Preliminary theoretical knowledge in anatomy and physiology of the nervous system. | ||||||||
| Objective: | To facilitate the acquisition of knowledge about the pathogenesis of the main diseases of the nervous system, clinical manifestations thereof, the basic principles of treatment and the objectives of rehabilitation in the care. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction. Tasks of the neurology discipline. Structure and clinical anatomy of the nervous system. Tasks and stages of neurological care. Additional examinations in neurology. | Lectures | 1.00 | clinical base | |||||
| 2 | Cerebral circulation disorders: types, risk factors and prevention, clinical manifestations. Operational principles and tasks of a stroke unit. Rehabilitation tasks at different stages of stroke care. | Lectures | 1.00 | clinical base | |||||
| 3 | Peripheral nervous system diseases, types and manifestations thereof. Tasks of care for patients with diseases of the peripheral nervous system, prevention of these diseases. Causes and prevention of back pain. Neurological aspects of spinal diseases. Tactics and methods of treatment of back pain, tasks of patient care. | Lectures | 1.00 | clinical base | |||||
| 4 | Causes, types and clinical signs of neural infections. Sequelae of neural infections, tasks of care and prevention. Demyelinating diseases of the nervous system – multiple sclerosis, course and manifestations thereof, aspects of rehabilitation. | Lectures | 1.00 | clinical base | |||||
| 5 | Structure of the motor unit, motion control centres. Neural regulation of the locomotor act and movement disorder syndromes. Paresis and paralysis, their signs. Care and rehabilitation tasks for patients with active movement and mobility impairments. | Classes | 1.00 | clinical base | |||||
| 6 | Functional anatomy of the sensory system. Symptoms of sensory system impairment, neurological examination thereof. Peripheral sensory disturbances and pain. Principles and tasks of care and rehabilitation in case of sensory impairment. | Classes | 1.00 | clinical base | |||||
| 7 | Anatomy of the cranial nerves and brain stem. Cranial nerve disorders, assessment thereof and tasks of care. Basic principles of clinical manifestations of brain stem lesion syndromes. | Classes | 1.00 | clinical base | |||||
| 8 | Anatomy of the cerebellum and vestibular system. Balance and coordination disorders: ataxias and vertigo. Neurological examination for balance and coordination disorders. Care and rehabilitation tasks for patients with coordination and balance impairments. Anatomy of the extrapyramidal system. Extrapyramidal movement disorder syndromes: Parkinson’s disease and hyperkinesis. Care and rehabilitation tasks in case of Parkinsonism and hyperkinesia patients. | Classes | 1.00 | clinical base | |||||
| 9 | Anatomy of the cerebral hemispheres. Cerebral hemisphere damage symptoms. Dementias and other higher-order function disorders. Assessment of patients with higher nervous system disorders and preparation of rehabilitation tasks. | Classes | 1.00 | clinical base | |||||
| 10 | Neurodegenerative diseases. Amyotrophic lateral sclerosis. Paroxysmal conditions: epileptic and non-epileptic seizures. Care and treatment principles, emergency assistance during a seizure. | Classes | 1.00 | clinical base | |||||
| 11 | Structure of the spinal cord. Transverse spinal cord lesion syndromes, neurological examination thereof. Specifics of patient care and rehabilitation tasks in case of spinal cord injury. Head and spinal cord injury. Unconsciousness and assessment of coma level. | Classes | 1.00 | clinical base | |||||
| 12 | Neuromuscular diseases. Myasthenia gravis, muscular dystrophies, myopathies – aetiology, pathogenesis, clinic, examination, treatment options and rehabilitation principles. Examination of the nervous system in children. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | 1. To assess and interpret the patient’s neurological condition. 2. To prepare theoretically for practical classes. 3. To work independently with literature on neurology. | ||||||||
| Assessment Criteria: | • Active participation in classes, participation in discussions, quality of oral answers; • Quality of tests, test works during the cycle on covered topics; • Ability to perform a neurological examination, to interpret symptoms; Examination method: Oral and written examination in the 2th year of studies – student knowledge is tested on topical diagnosis in neurology, the aetiology of neurological diseases, pathogenesis, clinic, basic treatment principles and rehabilitation objectives. | ||||||||
| Final Examination (Full-Time): | Exam (Written) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | As a result of completing the study course, the student is able to do the following: • to tell how to assess a neurological patient; • to list and describe the aetiology, pathogenesis and clinical picture of the most common neurological diseases; • to describe and justify rehabilitation objectives and explain the use of orthoses in the rehabilitation and care stages of different neurological diseases or syndromes; • to set and justify rehabilitation objectives for patients with neurological disorders. | ||||||||
| Skills: | As a result of completing the study course, the student will be able: • to perform and assess the patient’s neurological condition; • to apply the acquired knowledge in topical diagnosis to recognise and clarify the localisation of neurological lesions and the main syndromes; • to identify rehabilitation tasks; • to draw up a rehabilitation plan for patients with a neurological disease and its sequelae; • to predict the likely outcome of the disease and treatment. | ||||||||
| Competencies: | As a result of successfully completing the study course, the student is able: • to recognise the symptoms of the most common neurological diseases, differentiate between them, substantiate and logically explain the neurological diagnosis; • to develop rehabilitation objectives and basic tasks appropriate for the specific neurological clinical situation. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Mattle H., Mumenthaler M. Fundamentals of Neurology - an illustrated guide, 2nd edit. 2017. Thieme. Stuttgart. | ||||||||
| 2 | Fuller G. – Neurological Examination Made Easy, Ch. Livingstone, Elsevier, Edinburg, London, N-Y, 2020 | ||||||||
| 3 | Weiner W.J., Goltz C.G., Neurology for the non-neurologist, 2010, J.B.Lippincott Co, Phyl. (akceptējams izdevums) | ||||||||
| 4 | Gārša I. – Ievads neiroķirurģijā, Nac. medicīnas apgāds, 2008. (akceptējams izdevums) | ||||||||
| 5 | I.Logina, E.Smeltere. Neiroloģija shēmās// Avots: 2009. (akceptējams izdevums) | ||||||||
| Additional Reading | |||||||||
| 1 | Bērziņš J., Logina I., Pilmane M., Vītols E. Neiromuskulārās slimības. 2007. Rīga | ||||||||
| 2 | Metodiskās rekomendācijas studentiem // RSU | ||||||||
| 3 | Gehlen W., Delank H-W. Neurologie, 12th edit. 1988. Thieme. Stuttgart. | ||||||||
| 4 | Kendall F.P., Kendall McCreary E., Provance P.G., Muscles: Testing and Testing and Function with Posture and Pain Fifth North American Edition 2010. | ||||||||
| Other Information Sources | |||||||||
| 1 | Ķīse L., Logina I., Kamša I., Krieviņa I., Millers A. Vestibulārā reiboņa cēloņi un asociētās slimības. 2013. Rīga | ||||||||
| 2 | Kamša I., Logina I., Raumane D. ,Krieviņa I., Millers A. Reiboņa aprūpes taktika: izmeklēšana un diagnostika. 2012. Rīga | ||||||||
| 3 | The international Headache Classification, 3rd Edition | ||||||||
| 4 | Gudreniece A, Karelis G., Minibajeva O., Gulbe G. , Kalniņa Z. Alcheimera slimības, vaskulaŗas demences, Levī ķermenīšu demences un frontotemporālas demences klīniskās vadlīnijas. 2017. Rīga | ||||||||
| 5 | Minibajeva O., Karelis G., Gudreniece A., Gūtmane E., Žīgure I., Korogodovs S. Parkinsona slimības un parkinsona plus-sindromu klīniskās vadlīnijas. 2018. Rīga | ||||||||
| 6 | Gintere S., Logina I., Kozlovska L., Bērziņa G., Pūcīte E. Klīniskās vadlīnijas - Muguras lejas daļas sāpes primārajā veselības aprūpē. 2016. Rīga. | ||||||||
| 7 | Millers A., Miglāne E., Logina I., Ķēniņa V. Cerebrāla infarkta prehospitālās aprūpes, diagnostikas un akūtas ārstēšanas klīniskās vadlīnijas. 2013. Rīga. | ||||||||
| 8 | http://www.merckmanuals.com/professional/ | ||||||||
| 9 | http://emedicine.medscape.com | ||||||||
