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Supervisor
Sergejs Babikovs

Study Course Description

Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:30.08.2019
Study Course Information
Course Code:ISK_199LQF level:Level 6
Credit Points:2.00ECTS:3.00
Branch of Science:Medicine; Internal MedicineTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Sergejs Babikovs
Study Course Implementer
Structural Unit:Department of Internal Diseases
The Head of Structural Unit:Aivars Lejnieks
Contacts:Rīga, Hiprokrāta iela 2, iskatrsu[pnkts]lv, iskatrsu[pnkts]lv, +371 67042338
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)4Lecture Length (academic hours)2Total Contact Hours of Lectures8
Classes (number)11Class Length (academic hours)3Total Contact Hours of Classes33
Total Contact Hours41
Study course description
Preliminary Knowledge:
Student has attended at least 5 Medical Communication classes before starting current course. Normal anatomy, histology, normal physiology, biochemistry and principles of medical physics, biology and basics of genetics. Normal hematopoesis. Normal blood counts. Normal blood coagulation/hemostasis.
Objective:
Introduction to Clinical Medicine: 1. Instruct students on medical history documentation – chief complaint, history of present illness, past medical history. 2. Develop bedside physical examination skills according to the clinical case – the interview, inspection, palpation, percussion, auscultation. 3. Teach the ways of combining patient subjective experience in an illness with the data from physical examination and come to a possible diagnosis. Hematology: 1. Learn about hematological patients examination methods. Learn to recognise and define changes in red blood cells, white blood cells and platelets. 2. Learn to define anemia, recognise symptoms and signs of anemia. Learn laboratory diagnostic of anemia, laboratory classification of anemia. 3. Learn types of bleeding disorders, symptoms and signs, laboratory diagnostic methods.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Introduction to Clinical Medicine. From symptom to syndrome.Lectures1.00auditorium
2Pulmonology patient: approach to chest examination. Principles of chest auscultation.Lectures1.00auditorium
3Pulmonary function tests. COPD vs Bronchial Asthma.Lectures1.00auditorium
4Abdominal patient: approach to abdominal examination.Lectures1.00auditorium
5General medical examination. Basic clinical skills.Classes1.00clinical base
6Extremities: Peripheral Vascular System and Lymph Nodes.Classes1.00clinical base
7Thorax and The Lungs. Hands-on examination.Classes1.00clinical base
8Clinical cases with pulmonary function tests.Classes1.00clinical base
9Upper abdominal examination: hands-on at the RUQ and LUQ.Classes1.00clinical base
10Lower abdominal examination: hands-on at the RLQ and LLQ.Classes1.00clinical base
11General examination of the renal excretory system.Classes1.00clinical base
12Assessment of the Patient. Group Work.Classes1.00clinical base
13Symptoms and signs of hematological diseases. Examination methods of hematological patients. Changes in blood counts.Classes1.00clinical base
14Symptoms and signs of anemia. Laboratory diagnostic and laboratory clasification of anemia.Classes1.00clinical base
15Types of bleeding disorders. Symptoms and signs of bleeding disorders. Laboratory analyses for bleeding disorders.Classes1.00clinical base
Assessment
Unaided Work:
Students are required to individually look up latest information on patient physical examination methods, both theoretical basis and hands-on, clinical manipulations from the source of their choosing. For each class students prepare for the multiple choice question test (MCQ) or open questions according to the topic to be ready to successfully write a test during the class.
Assessment Criteria:
Introduction to Clinical Medicine: Pass/Fail for weekly tests is registered in the e-studies Grade Book. Course is considered as passed if the 3 criteria are met: 1. Present or has retaken each mandatory class 2. Completed a class test - MCQ or open questions 3. Student is active in the class and is able to demonstrate a correct way to perform a clinical manipulation Haematology cycle : 1. Tests during the lessons; 2. Situation tasks during the lessons; 3. Written examination (test questions, at least 75% of correct).
Final Examination (Full-Time):Test (Semester)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:On course completion, the students will know how to: • structurally interview and record patient medical history; • perform clinical examination according to presented disease/condition; • objectivize pacient's subjective experience with a condition; • explain terminology used in the clinical setting.
Skills:Upon successful completion of the course, students will be able to: • communicate with patients, their relatives, colleagues, other persons involved in the process of health care; • specify the complaints, medical history, structurally interviewing and recording history data; • perform components of physical examination – inspection, palpation, percussion, auscultation; • interpret lung functional testing – spirometry.
Competencies:1. Evaluate symptoms, reveal interconnections between pathologies. 2. Analyse situations, substantiate, logically formulate and explain their opinion. 3. Evaluate lung functional examination data, relate it to the certain clinical case. 4. Evaluate blood test results, recognise main hematology disorders, attribute to a specific clinical case and general examination data.
Clinical Skills:
No.SkillLevel
1-A - Theoretical
2-A - Theoretical
3-A - Theoretical
4-A - Theoretical
5-A - Theoretical
6-A - Theoretical
7-A - Theoretical
8-A - Theoretical
9-A - Theoretical
10-A - Theoretical
11-A - Theoretical
12-A - Theoretical
13-A - Theoretical
14-A - Theoretical
15-A - Theoretical
16-A - Theoretical
17-A - Theoretical
18-A - Theoretical
Bibliography
No.Reference
1Bates’ guide to physical examination and history taking / Lynn S. Bickley, Peter G. Szilagyi.
2The Merck Manual of Patient Symptoms: A Concise, Practical Guide to Etiology, Evaluation, and Treatment 1st Edition
3Hutchison’s clinical methods : an integrated approach to clinical practice.
4Macleod’s clinical examination / edited by Graham Douglas, Fiona Nicol, Colin Robertson ; illustrated by Robert Britton, Ethan Danielson.
5Klīniskā hematoloģija / Sandra Lejniece.
1Propedeitika. G.Orļikova un Pičkura redakcijā. RSU, 2006.
2Oxford Handbook of Clinical Haematology. Oxford University Press, 1999.
3Wintrobe’s Atlas of Clinical Hematology. Douglas C. Tkachuk, Jan Hirschmann. Lippincott Williams& Wilkins, 2007.
4Disorders of Iron Homeostasis, Erythrocytes, Erythropoiesis. Handbook. European School of Haematology, 2006.
5Scott H. Goodnight, William E. Hathaway. Disorders of Hemostasis and Thrombosis. A Clinical Guide. The McGraw-Hill Companies, 2001, p.1-314.
6Williams Manual of Hematology. Sixth edition, McGraw-Hill Medical Publishing Division, 2003.
7Bleeding Disorders by D.Green, C.A.Ludlam. Health Press, 2004
8Marshall A.Lichtman, Ernest Beutler, Thomas J.Kipps, Uri Seligsohn, Kenneth Kaushansky, Josef T. Prchal. Williams Hematology. Seventh edition. 2006.
9S.M. Lewis, B.J. Bain, I. Bates. Dacie and Lewis Practical Haematology. Churchill Livingstone, 2002.
10Hoffman A.V., Moss P.A.H. Essential Haematology. 6th edition.Wuiley- Blackwell, 2011.