.
Rheumatology
Study Course Description
Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:19.02.2024 13:42:14
| Study Course Information | |||||||||
| Course Code: | ISK_207 | LQF level: | Level 7 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Internal Medicine | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Anda Kadiša | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Internal Diseases | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 2 Hipokrata Street, isk rsu[pnkts]lv, +371 67042338 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 1 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 2 | ||||
| Classes (count) | 10 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 30 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Basic knowledge in propedeutics, physiology, pathology, pharmacology, immunology, dermatology, pulmonology, cardiology, nephrology, biochemistry, imaging. | ||||||||
| Objective: | The aim of the course is to provide students with additional knowledge in rheumatology of major but less common rheumatic diseases: their definition, prevalence, pathogenesis, clinical picture, diagnosis and differential diagnosis, treatment and prognosis; to teach the principles of treatment of rheumatic diseases, indications of possible medications and possible side effects; be able to apply laboratory and imaging diagnostic techniques correctly; be able to develop differential diagnosis of rheumatic diseases; to teach the course of rheumatic diseases during pregnancy; to acquire knowledge of extra-articular damage in rheumatic diseases; to teach common syndromes and diseases in cardiology and rheumatology. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Application of imaging diagnostic methods in rheumatic diseases diagnosis and differential diagnosis. | Lectures | 1.00 | auditorium | |||||
| 2 | Treatment options in rheumatology. Principles of drug therapy, drug use, indications, contraindications and side effects. a) Non-steroidal anti-inflammatory drugs b) Glucocorticoids c) Synthetic disease modifying anti-rheumatic drugs d) Biologic disease modifying anti-rheumatic drugs | Classes | 1.00 | clinical base | |||||
| 3 | a. Application of laboratory methods in rheumatology. Autoantibodies: detection methods, sensitivity and specificity, diagnostic application. b. Pathological examinations and findings in rheumatological diseases: scleroderma, systemic lupus erythematosus, polymyositis / dermatomyositis, gout, inflammatory arthritis. | Classes | 1.00 | clinical base | |||||
| 4 | Differential diagnosis of acute and chronic arthritis. Differential diagnosis of back pain. | Classes | 1.00 | clinical base | |||||
| 5 | Soft tissue inflammation: tendinitis, tendovaginitis, enthesitis, bursitis: etiology, pathogenesis, clinic, diagnostics, basic principles of therapy. Congenital connective tissue and skeletal disorders: Morphan's syndrome. Elersa-Danlos Syndrome. Other joint and spine diseases: pigmented vilonodular synovitis, Paget's disease. | Classes | 1.00 | clinical base | |||||
| 6 | The course and management of rheumatological diseases during pregnancy. Heart, kidney and lung damage in rheumatic diseases. | Classes | 1.00 | clinical base | |||||
| 7 | Types of systemic rheumatoid arthritis: Felt syndrome and Stille's disease: etiology, epidemiology, pathogenesis, clinic, diagnostics, basic principles of therapy. Overview of clinical cases. | Classes | 1.00 | clinical base | |||||
| 8 | Cardiology: pericarditis, myocarditis, endocarditis. | Classes | 1.00 | clinical base | |||||
| 9 | Cardiology: heart valve disease. | Classes | 1.00 | clinical base | |||||
| 10 | Cardiovascular aspects of systemic diseases. | Classes | 1.00 | clinical base | |||||
| 11 | Final examination: written exam with 3 questions from the following sections: cardiology, basic principles of diagnosis, treatment, management of rheumatic diseases and rheumatic diseases covered during the study cycle. Assessment with a mark. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Individual work with medical literature, with a patient – history collection, interpretation of examinations, preparation of a treatment plan, formulation of a possible diagnosis. | ||||||||
| Assessment Criteria: | During the last lesson, students answer one of the following questions in writing: 1. Principles of drug therapy, drug use, indications, contraindications and side effects: a. Non-steroidal anti-inflammatory drugs b. Glucocorticoids c. Synthetic disease-modifying antirheumatic drugs d. Biological disease modifying antirheumatic drugs. 2. Application of laboratory and imaging diagnostic methods in diagnostics of rheumatic diseases and determination of differential diagnoses. 3. Differential diagnosis of acute and chronic arthritis. 4. Differential diagnosis of back pain. 5. Osteoporosis. 6. Soft tissue inflammation: tendinitis, tendovaginitis, enthesitis, bursitis: etiology, pathogenesis, clinic, diagnostics, basic principles of therapy. 7. Congenital connective tissue and skeletal disorders: Morphan's syndrome. Elers-Danlos Syndrome. Congenital skeletal systemic diseases. 8. Other joint and spine diseases: pigmented vilonodular synovitis, Paget's disease. 9. The course and management of rheumatological diseases during pregnancy. 10. Heart, kidney and lung damage in rheumatic diseases. 11. Types of systemic rheumatoid arthritis: Felty syndrome and Still's disease: etiology, epidemiology, pathogenesis, clinic, diagnostics, basic principles of therapy. 12. Pericarditis, myocarditis, endocarditis. 13. Heart valve diseases. 14. Cardiovascular aspects of systemic diseases. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Upon successful course completion student is able to recognize congenital rheumatic diseases; knows the medications used in the treatment of rheumatic diseases, their indications and possible side effects; is able to apply the most appropriate laboratory and imaging diagnostic methods for different rheumatic diseases; knows the extra-articular manifestations of rheumatic diseases; knows systemic forms of rheumatoid arthritis; has acquired course of rheumatic diseases during pregnancy; has acquired boundary conditions of cardiology and rheumatology. | ||||||||
| Skills: | As a result of the course acquisition, students will be able to communicate with patients and colleagues, determine the diseases listed in the study course description, their severity and course, differentiate them, justify the diagnosis, prescribe the necessary examination plan and evaluate their results and assign treatment to specific patients. | ||||||||
| Competencies: | As a result of the study course acquisition students will be able to apply the acquired knowledge in the diagnosis process using the latest diagnostic methods, according to the latest clinical guidelines, apply the latest treatment methods, distinguish clinical symptoms, evaluate the results of diagnostic finding in a particular patient. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | A. Lejnieks. Klīniskā medicīna. 3. grāmata. SIA Medicīnas apgāds, 2012 (akceptējams izdevums) (latviešu plūsmai) | ||||||||
| 2 | Current Diagnosis & Treatment in Rheumatology. 3rd Edition (LANGE CURRENT Series) eBook: John Imboden, David Hellmann, John Stone. 2021 | ||||||||
| 3 | The Merck Manual of diagnosis and therapy, current edition. 2018 | ||||||||
| 4 | Harrison`s Rheumatology by Anthony S. Fauci, current edition. 2016 (akceptējams izdevums) | ||||||||
| Additional Reading | |||||||||
| 1 | Marc C. Hochberg. Rheumatology, current edition. 2023 | ||||||||
| 2 | Firestein & Kelley's Textbook of Rheumatology. 2021 | ||||||||
| 3 | Oxford Textbook of Rheumatology, current edition. 2013 | ||||||||
| Other Information Sources | |||||||||
| 1 | https://www.rheumatology.org/Practice-Quality/Clinical-Supp… | ||||||||
| 2 | https://www.eular.org/Recommendations_classification_respon… | ||||||||
