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Supervisor
Jānis Gardovskis

Study Course Description

Course Description Statuss:Approved
Course Description Version:7.00
Study Course Accepted:23.08.2019
Study Course Information
Course Code:KK_013LQF level:Level 6
Credit Points:4.00ECTS:6.00
Branch of Science:Medicine; SurgeryTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Jānis Gardovskis
Study Course Implementer
Structural Unit:Department of Surgery
The Head of Structural Unit:Jānis Gardovskis
Contacts:Rīga, Pilsoņu iela 13, VSIA P.Stradiņa KUS, 24.korpuss, kkatrsu[pnkts]lv, kkatrsu[pnkts]lv, +371 67069745
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)15Lecture Length (academic hours)2Total Contact Hours of Lectures30
Classes (number)10Class Length (academic hours)5Total Contact Hours of Classes50
Total Contact Hours80
Study course description
Preliminary Knowledge:
Anatomy, physiology and pathology of the corresponding anatomic region, 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.TopicType of ImplementationNumberVenue
1Surgical diseases of adreanal glands. NET. Clinical signs, diagnostics and treatment. Breast diseases. Mastitis, mastopathies, benign tumors. Clinical signs, diagnostics, treatment.Lectures1.00auditorium
2Breast cancer. Clinical signs, diagnostics, principles of complex treatment.Lectures1.00auditorium
3Rectal diseases: haemorrhoids, fissures, paraproctitis. Pathogenesis, clinical signs and diagnostics, principles of surgical treatment.Lectures1.00auditorium
4Acute and chronic appendicitis. Clinical signs, differential diagnostics and diagnostics. Complications and treatment tactics.Lectures1.00auditorium
5Large bowel diseases. Crohn’s disease, nonspecific ulcerative colitis, diverticulosis, polyposis. Clinical signs, diagnostics, principles of surgical treatment.Lectures1.00auditorium
6Primary abdominal wall hernias. Clinical signs, differential diagnostics and diagnostics. Complications of hernias. Different options of surgical treatment methods.Lectures1.00auditorium
7Acute 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.Lectures1.00auditorium
8Peritonitis. Etiology, pathogenesis, classification, clinical signs, diagnostics, principles of complex treatment.Lectures1.00auditorium
9Liver disease (tumors, echinococcus, alveococcus). Liver cirrhosis. Portal hypertension. Clinical signs, diagnostics, treatment.Lectures1.00auditorium
10Gallstone 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.Lectures1.00auditorium
11Complications of ulcer disease (perforation, bleeding, stenosis, penetration, malignisation); clinical signs, diagnostics, differential diagnostics. Surgical treatment tactics and methods.Lectures1.00auditorium
12Surgical diseases of thyroid and parathyroid glands.Lectures1.00auditorium
13Ileus. Classification. Differential diagnosis. Principles of conservative and surgical treatment.Lectures1.00auditorium
14Incision and uncommon localisation hernias.Lectures1.00auditorium
15Mechanical jaundice. Cholangitis. Postcholecystectomy syndrome. Gallbladder and bile duct tumors. Clinical signs, diagnostics, treatment algorithm.Lectures1.00auditorium
16The 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.Classes1.00clinical base
17Complications of ulcer disease (perforation, bleeding, stenosis, penetration, malignization), diagnostics, differential diagnostics. Surgical treatment tactics and methods.Classes1.00clinical base
18Primary external abdominal wall hernias. Clinical signs, differential diagnostics and diagnostics. Complications of hernias. Different options of surgical treatment methods.Classes1.00clinical base
19Acute and chronic appendicitis. Diagnostics, differential diagnostics. Surgical treatment.Classes1.00clinical base
20Acute 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.Classes1.00clinical base
21Liver 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. Clinical signs, diagnostics, treatment algorithm.Classes1.00clinical base
22Large bowel diseases. Crohn’s disease, nonspecific ulcerative colitis, diverticulosis, polyposis. Clinical signs, diagnostics, principles of surgical treatment. Rectal diseases: haemorrhoids, fissures, paraproctitis. Pathogenesis, clinical signs and diagnostics. Principles of surgical treatment.Classes1.00clinical base
23Ileus. Classification. Differential diagnosis. Principles of conservative and surgical treatment. Preoperative and postoperative care.Classes1.00clinical base
24Breast diseases: cancer. Diagnostics, principles of complex treatment. Precancerous diseases.Classes1.00clinical base
25Surgical diseases of thyroid, parathyroid and adrenal glands.Classes1.00clinical base
Assessment
Unaided Work:
1) During the surgical cycle the students perform duty in Emergency department with description of one surgical patient. 2) Students write an academic case history.
Assessment Criteria:
Knowledge will be tested during practical classes by multiple choice test generated by "Schoolhouse test" program and by discussion of clinical cases besides the patient’s bed. During the surgical cycle the students perform duty in Emergency department with description of one surgical patient and write an academic case history.
Final Examination (Full-Time):Test (Semester)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Upon successful completion of the course, the students will have knowledge that will allow to: • list and describe urgent and elective abdominal, breast and endocrine surgical diseases, their aetiology and pathogenesis; • explain the clinical picture, diagnostics, principles of treatment and prevention of urgent and elective abdominal, breast and endocrine surgical diseases; • describe aetiology, pathogenesis, and prevention of the above mentioned diseases; recognise clinical picture and possible complications of these diseases; • describe up-to-date methods of clinical, laboratory and instrumental investigation; • discuss surgical treatment methods and their indications.
Skills:Upon successful completion of the course, the students will be able to: • do manual palpation of the breast glands; • collect patient's complaints and anamnesis; • do physical examination of the patient using palpation, percussion and auscultation; • explain the results of upper G-I.
Competencies:Upon successful completion of the course, the students will be able to: • analyse data acquired during the surgical patient examination; • prepare necessary laboratory and instrumental investigation plan for the patient; • analyse a surgical case and interpret data acquired from laboratory and instrumental investigation methods; • formulate and justify a full clinical diagnosis; • formulate indications for surgical and conservative treatment; • plan tactics dealing with the current clinical situation.
Clinical Skills:
No.SkillLevel
1Breast physical examinationB1 - Pre-clinical (training equipment)
Bibliography
No.Reference
1Lekciju materiāli e-vidē/ Lectures in E-study
2Mācību grāmata “Ķirurģija”, prof. J.Gardovska redakcijā, 2013.
3Sabiston textbook of surgery: the biological basis of modern surgical practice, 6th ed., Elsevier, 2016
1Raftery, A. T., Delbridge, M. S., Wagstaff, M. J. D. (2017). Churchill's Pocketbook of Surgery (5th ed.). Churchill Livingstone , Elsevier
2Henry, M., Thompson, J. (2012). Clinical Surgery (3rd ed.). Saunders, Elsevier
3Paterson-Brown, S. (2018). Core Topics in General & Emergency Surgery. (6th ed.). Elsevier
4Lennard, T., Lennard, T. (2013). Endocrine Surgery (5th ed.). Saunders Ltd, Elsevier
5Phillips, R., Clark, S. (2018). Colorectal Surgery (6th ed.). Elsevier
6Dixon, J. M., Garden, O. J., Paterson-Brown, S. (2018). Breast Surgery (6th ed.). Elsevier
7Garden, O. J. (2018). Hepatobiliary and Pancreatic Surgery (6th ed.). Elsevier
8Garden, O. J., Bradbury, A.W., Forsythe, J. L. R., Parks, R.W. (2017) Principles and Practice of Surgery (7th ed.). Elsevier
9Forsythe, J. (2013). Transplantation (5th ed.). Saunders Ltd., Elsevier