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Supervisor
Haralds Plaudis

Study Course Description

Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:23.08.2019
Study Course Information
Course Code:KK_014LQF level:Level 6
Credit Points:3.00ECTS:4.50
Branch of Science:Medicine; SurgeryTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Haralds Plaudis
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)5Lecture Length (academic hours)2Total Contact Hours of Lectures10
Classes (number)10Class Length (academic hours)5Total Contact Hours of Classes50
Total Contact Hours60
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 and vascular surgical diseases their aetiology, pathogenesis, clinical picture, diagnostics, principles of treatment and prevention.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Traumatic injuries of abdominal organs (traumatic injuries of liver, spleen, pancreas, intestinal ruptures etc.).Lectures1.00auditorium
2Acute and chronic disturbances of mesenteric blood supply.Lectures1.00auditorium
3Peripheral Arterial Disease (PAD). Algorithm for Diagnosis of PAD. Basic Concepts in Vascular Surgery. Treatment of PAD. Management of intermittent claudication. Management of chronic limb-threatening ischaemia. Acute limb ischemia. Management of acute limb ischaemia. Surgical risk analysis. Assessment of the Viability of the Limb. Contraindications for surgical revascularisation. Assessment of the risk of amputation (WIFI classification). Mangled Extremity Severity Score (MESS).Lectures1.00auditorium
4Chronic pancreatitis, pancreatic tumors. Clinical signs, diagnostics, treatment.Lectures1.00auditorium
5Carotid and vertebral arterial disease. Arterial aneurysms. Abdominal aortic aneurysm. Acute aortic syndrome. Aortic dissection. Chronic venous disease. Acute and chronic deep vein thrombosis. Diseases of mesenteric arteries and veins.Lectures1.00auditorium
6Gastrointestinal bleeding. Zollinger – Allisone syndrome. Differences of the bleeding from upper and lower gastrointestinal tract.Classes1.00clinical base
7Diseases of veins and lymphatic vessels of the lower extremity. Diagnostics and treatment. Complications (thrombosis, thrombophlebitis, deep vein insufficiency, trophical ulcers). Gangrene. Diagnostics and treatment.Classes1.00clinical base
8Signs of traumatic injuries of abdomen. Possibilities of diagnostics of closed abdominal trauma, surgery tactics.Classes1.00clinical base
9Possibilities of diagnostics of opened abdominal trauma, surgeon tactic. Polytrauma.Classes1.00clinical base
10Colorectal cancer and premalignant diseases. Clinical picture and surgeon tactic dependent on colorectal cancer localization. Radical and palliative operated patient discussion.Classes1.00clinical base
11Chronic pancreatitis. Tumors of the pancreas. Clinical picture, diagnostics, treatment.Classes1.00clinical base
12Peritoneal adhesions. Intestinal fistulas. Care of the stoma patients. Clinical picture, diagnostics and surgical treatment.Classes1.00clinical base
13Gastric cancer and premalignant diseases. Diagnosis and differential diagnostics. Importance of early diagnosis. Surgery principles: radical and palliative.Classes1.00clinical base
14Spotlights in the diagnosis and treatment of peripheral artery diseases. Analysis of current international vascular surgical guidelines, using Trans-Atlantic Inter-Society Consensus (TASC) Guidelines; ESVS Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases.Classes1.00clinical base
15Spotlights in the diagnosis and treatment of brachiocephalic arteries, abdominal aortic aneurysms, venous disease and diseases of mesenteric vessels. Analysis of current international vascular surgical guidelines, using ESVS Guidelines on Management of Atherosclerotic Carotid and Vertebral Artery; ESVS Guidelines on Management of Abdominal Aortic Aneurysms; ESVS Guidelines on Management of Chronic Venous Disease; ESVS Guidelines on Management of the Diseases of Mesenteric Arteries and Veins.Classes1.00clinical base
Assessment
Unaided Work:
During the surgical cycle the students perform duty in Emergency department and write case report of one surgical patient and one non-operated patient; students write a clinical case history. Knowledge will be tested during practical classes by discussion of clinical cases besides the patient’s bed.
Assessment Criteria:
Examination: control of theoretical knowledge during practical classes of the material learned, discussion of clinical cases by which the students’ knowledge of aetiology, pathogenesis, clinical picture, diagnostics, treatment principles and prevention of surgical diseases is assessed. Examination: 1) a computerized multiple choice test: the students’ knowledge of aetiology, pathogenesis, clinical picture, diagnostics, treatment principles and prevention of surgical diseases is assessed. 2) case reports' test: the student's ability to find answers knowing the data given for different cases of surgical diseases
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:On successful completion of the course, the students will be able to: • list and describe urgent and elective abdominal and vascular surgical diseases, their aetiology and pathogenesis; • explain the clinical picture, diagnostics, principles of treatment and prevention of urgent and elective abdominal and vascular surgical diseases; • describe up-to-date methods of clinical, laboratory and instrumental investigation; • discuss surgical treatment methods and their indications.
Skills:As a result of successful completion of the course, the students will be able to: • perform physical examination of a patient using palpation, percussion and auscultation; • explain the results of upper G-I tract endoscopy; • perform investigation of the vascular system and explain treatment possibilities of vascular diseases; • perform medical care of the stoma patient.
Competencies:On successful completion of the course, the students will be able to: • analyse data of 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; • plan tactics for a surgical clinical case; • formulate indications for surgical and conservative treatment.
Bibliography
No.Reference
1Lekciju materiāli e-vidē
2Mācību grāmata “Ķirurģija”, prof. J.Gardovska redakcijā, 2013.
3Baltiņa D., Baltiņš M., Doniņa S. Klīniskā onkoloģija. - Rīga: Zvaigzne, 1999.
4Neatliekamā medicīniskā palīdzība. Traumas 1.izdevums. D.Krieviņa redakcijā, 2001, Rīga.
1Mann C.V., Russell R.C.G. Bailey & Love’s Short Practice of Surgery 27th ed. London, Champan & Hall Medical, 2018.
2Schwartz's Principles of Surgery: Single Volume 10th Revised edition Mc. Graw-Hill Medical, 2014.
3Textbook of surgery: the biological basis of modern surgical practice. - Ed. by D.C. Sabiston, Jr. - 20th ed. - Philadelphia: W.B.Saunders, 2016.
4The Cancer Handbook. Ed. by Malcolm R.Alison - 2th ed. - Wiley, 2007.
5John L. Cameron, Andrew M. Cameron. Current Surgical Therapy: Expert Consult - Online and Print 12th Revised edition. Churchill Livingstone Inc, 2017.
6Acute Care Surgery: Principles and Practice. Ed. by L.D.Britt. – Springer, 2010.
7Zollinger`s. Atlas of Surgical Operations. 10th ed. – McGraw-Hill Education – Europe, 2016.
8Laparoscopic Surgical Oncology. Ed. by Theodore T.Pappas, Emmanouel Leandros. - McGraw-Hill, 2005.
9Laparoscopic Colorectal Surgery. Ed. by Jeffrey W.Milsom, Bartholomaus Bohm, Kiyokazu Nakajama - 2th ed. - Springer, 2006.
10Laparoscopic Surgery. Ed. by Jorge Cueto-Garsia, Mosies Jakobs, Michel Gagner. - McGraw-Hill, 2003.
11Laparoscopic Surgery: Principles and Procedures Ed. by Daniel B.Jomes, Justin S.Wu, Nathaniel J.Soper - 2th ed. – Marcel Dakker, 2004.
12Imaging and Intervention in Abdominal Trauma Foreword by A.L. Baert, Edited by Robert F. Dondelinger. Springer-Verlag Berlin and Heidelberg GmbH & Co. K, 2003.
1RSU abonētās medicīnas literatūras datubāzes