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Topical Issues in Differential Diagnostics of Internal Diseases
Study Course Description
Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:04.04.2022 09:01:24
| Study Course Information | |||||||||
| Course Code: | ISK_015 | 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: | Jūlija Voicehovska | ||||||||
| 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) | 8 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 16 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 4 | Total Contact Hours of Classes | 16 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Knowledge in main pathology of the internal diseases, its pathogenesis, diagnostics, treatment and prophylaxis principles. | ||||||||
| Objective: | To additionally learn differential diagnostics of internal diseases. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Gastrointestinal bleeding in internal medical praxis. | Lectures | 1.00 | clinical base | |||||
| 2 | Differential diagnosis of urine syndrome. | Lectures | 1.00 | clinical base | |||||
| 3 | Arterial blood pressure monitoring. | Lectures | 1.00 | clinical base | |||||
| 4 | Pulmanory and systemic thrombosis. | Lectures | 1.00 | clinical base | |||||
| 5 | Clinical assessment of different diet analysis. | Lectures | 1.00 | clinical base | |||||
| 6 | Oncological emergencies. | Lectures | 1.00 | clinical base | |||||
| 7 | Joints pain. | Lectures | 1.00 | clinical base | |||||
| 8 | Basics of echocardiography. | Lectures | 1.00 | clinical base | |||||
| 9 | Differential diagnosis of X-ray shadow on a lung X-ray. | Classes | 1.00 | clinical base | |||||
| 10 | Differencial diagnosis of CAD types. | Classes | 1.00 | clinical base | |||||
| 11 | Differential diagnostics of kidney pathology. | Classes | 1.00 | clinical base | |||||
| 12 | Hypophyses tumours. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Individual work with the patient – collection of anamnesis, interpretation of examinations, formulation of possible diagnosis and differential diagnosis. | ||||||||
| Assessment Criteria: | Full class attendance is mandatory. At the end of the course, the cumulative exam, taking into account the discussions in each lesson, the student's activity in it, accuracy, using the names of examinations, methodologies, indications and contraindications –30% of the total assessment. Theoretical knowledge is evaluated with the help of clinical situation tests – 70% of the total evaluation.You will be given 90 minutes to answer 10 questions, the test is passed if there are at least 55% correct answers. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | After completing the course the student will have an understanding of echocardiography, will know how to assess the clinical picture of the blood and the results of the most common biochemical tests, and will have additional knowledge on differential diagnosis in pulmonary, cardiac, renal, gastrointestinal, endocrine and joint diseases. | ||||||||
| Skills: | The skills gained during the course allow the interpretation of clinical and biochemical blood, urine analysis, coagulation rates, specific clinical situation and linking it to a common examination process; to be familiar with the protocols, indicators and interpretation of the result; to recognize the syndromes mentioned in the programme and to understand what nosologies have such problems, to differentiate them. | ||||||||
| Competencies: | The competences gained during the course allow student to put the priorities for action and to structure the terms of reference so that the execution is possible in the shortest time, by rational use of available resources, to improve the patient's health condition. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Anterior and lateral comparative percussion of lungs | A - Beginner level | |||||||
| 2 | Auscultation of lungs | C1 - High level | |||||||
| 3 | Carnett's sign (induced abdominal wall stiffness) assessment | B1 - Basic level | |||||||
| 4 | Examination of muscle-induced rigidity of the abdominal wall | A - Beginner level | |||||||
| 5 | Examination of the extension of the hip joints. | C1 - High level | |||||||
| 6 | Heart auscultation (hemodynamic order) | C1 - High level | |||||||
| 7 | Lung apex height and width assessment | B1 - Basic level | |||||||
| 8 | Palpation of the abdominal surface | A - Beginner level | |||||||
| 9 | Percussion of the kidneys | A - Beginner level | |||||||
| 10 | Posterior lungs comparative percussion | A - Beginner level | |||||||
| 11 | Right hepatic lobe palpation | B1 - Basic level | |||||||
| 12 | Topographic percussion of the lung's inferior edge | A - Beginner level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | S. Lejniece. Klīniskā hematoloģija. Nacionālais apgāds, 2020 | ||||||||
| 2 | A. Lejnieks. Klīniskā medicīna.1., 2., 3. grāmata. Medicīnas apgāds, 2010-2012. (akceptējams izdevums) | ||||||||
| 3 | A.Pētersons, E. Vēverbrands, I. Lasovskis. Kā atklāt un ārstēt nieru slimības. 1998. (akceptējams izdevums) | ||||||||
| 4 | F. Ferri. Differential Diagnosis. Mosby, 2011. (akceptējams izdevums) | ||||||||
| 5 | Harisons Principles of Internal Medicine. 21st ed., 2021. | ||||||||
| 6 | D. Kumar., M. Clark. Kumar & Clark’s clinical medicine. W. B. Sunders. 2021. | ||||||||
| 7 | W. Siegenhalter. Differential Diagnosis in Internal Medicine. Thime, 2007. (akceptējams izdevums) | ||||||||
| 8 | Ārvalstu studentiem/For International students: | ||||||||
| 9 | F. Ferri. Differential Diagnosis. Mosby, 2011. (akceptējams izdevums) | ||||||||
| 10 | Harisons Principles of Internal Medicine. 21st ed., 2021. | ||||||||
| 11 | D. Kumar., M. Clark. Kumar & Clark’s clinical medicine. W. B. Sunders. 2021. | ||||||||
| 12 | W. Siegenhalter. Differential Diagnosis in Internal Medicine. Thime, 2007. (akceptējams izdevums) | ||||||||
| Additional Reading | |||||||||
| 1 | The Washington manual nephrology subspecialty consult. Editors: Tarek Alhamad, Steven Cheng, Anitha Vijayan. 2021 | ||||||||
| 2 | Goldman-Cecil Medicine. W.B.Saunders Company, 2020, Philadelphia. | ||||||||
| 3 | Kelley’s Textbook of Rheumatology. 11th ed., 2021. | ||||||||
| 4 | Henry M. Kronenberg, Shlomo Melmed, Kenneth S. Polonsky, P. Reed Larsen. Williams Textbook of Endocrinology. 2020 | ||||||||
| Other Information Sources | |||||||||
| 1 | A. Danilāns. Gremošanas trakta augšdaļas bojājumi. Pilats. Rīga, 1999. | ||||||||
| 2 | A. Danilāns. Pa gastroenteroloģijas džungļu takām. Nacionālais apgāds, 2005. | ||||||||
| 3 | 2. tipa cukura diabēta ārstēšanas klīniskās rekomendācijas / darba grupa: Una Gailiša, Ilze Konrāde, Kristīne Geldnere, et al. 2016 | ||||||||
