.
Propaedeutics
Study Course Description
Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:07.03.2023 11:44:27
Study Course Information | |||||||||
Course Code: | LF_319 | LQF level: | Level 5 | ||||||
Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
Branch of Science: | Clinical Medicine; Health Care | Target Audience: | Medicine | ||||||
Study Course Supervisor | |||||||||
Course Supervisor: | Inga Petermane | ||||||||
Study Course Implementer | |||||||||
Structural Unit: | RSU Liepāja Branch | ||||||||
The Head of Structural Unit: | |||||||||
Contacts: | Liepaja, Riņķu Street 24/26, lf@rsu.lv, +371 63442118, +371 63442119, +371 63484632 | ||||||||
Study Course Planning | |||||||||
Full-Time - Semester No.1 | |||||||||
Lectures (count) | 12 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 24 | ||||
Classes (count) | 20 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 40 | ||||
Total Contact Hours | 64 | ||||||||
Study course description | |||||||||
Preliminary Knowledge: | |||||||||
Physiology, anatomy, Latin, biology, genetics, female physiology and pathology. | |||||||||
Objective: | |||||||||
To acquire knowledge and skills in the examination and assessment of patients of different ages. | |||||||||
Topic Layout (Full-Time) | |||||||||
No. | Topic | Type of Implementation | Number | Venue | |||||
1 | Introduction. Patient examination scheme. Subjective examination of the patient – anamnesis. Basic methods of objective examination of the patient. | Lectures | 1.00 | auditorium | |||||
2 | Basic and additional methods of objective examination of the patient. | Classes | 1.00 | auditorium | |||||
3 | General examination and assessment of the patient. | Lectures | 1.00 | auditorium | |||||
Classes | 1.00 | auditorium | |||||||
4 | Examination and assessment of the patient’s body systems, identification of health disorders: (respiratory, circulatory, digestive, uropoietic, endocrine, bone-joint, haematopoietic, nervous systems). | Lectures | 2.00 | auditorium | |||||
Classes | 7.00 | auditorium | |||||||
5 | Child development, endogenous and exogenous factors influencing it. Periods of development. | Lectures | 1.00 | auditorium | |||||
Classes | 1.00 | auditorium | |||||||
6 | Scheme of paediatric examination, specifics of paediatric examination methods. Conditions of examination of paediatric patients, principles of making contact. | Classes | 1.00 | auditorium | |||||
7 | The structural and functional specifics of the child’s body systems at different ages and the basic principles of examination thereof. | Lectures | 3.00 | auditorium | |||||
Classes | 4.00 | auditorium | |||||||
8 | Examination methods in gynaecology. | Lectures | 2.00 | auditorium | |||||
Classes | 2.00 | auditorium | |||||||
9 | Objective examination of pregnant women. | Lectures | 1.00 | auditorium | |||||
Classes | 2.00 | auditorium | |||||||
10 | Gynaecological examination of children and adolescents. | Lectures | 1.00 | auditorium | |||||
Classes | 1.00 | auditorium | |||||||
Assessment | |||||||||
Unaided Work: | |||||||||
To get acquainted with the recommended and suggested reading for each class. Taking anamnesis and preparing and presenting the examination method. Practical work on models. | |||||||||
Assessment Criteria: | |||||||||
Class attendance, multiple-choice test results and practical skills tests. An exam at the end of the course. | |||||||||
Final Examination (Full-Time): | Exam (Written) | ||||||||
Final Examination (Part-Time): | |||||||||
Learning Outcomes | |||||||||
Knowledge: | After successful fulfilment of the study course requirements, the student will have acquired the knowledge to: describe the basic principles of patient examination, describe examination methods, explain the results obtained in patient examination by systems, identify pathological conditions. | ||||||||
Skills: | As a result of completing the study course, the student will be able to take anamnesis, apply examination methods in the examination of patients of different ages and evaluate the results obtained. | ||||||||
Competencies: | As a result of completing the study course, the student will be able to examine patients of different ages and analyse the results. | ||||||||
Clinical Skills: | |||||||||
No. | Skill | Level | |||||||
1 | - | A - Beginner level | |||||||
2 | - | A - Beginner level | |||||||
3 | Ankle joint mobility test. | A - Beginner level | |||||||
4 | Anterior and lateral comparative percussion of lungs | A - Beginner level | |||||||
5 | Anterior and lateral fremitus pectoralis | A - Beginner level | |||||||
6 | Apex beat mobility test | A - Beginner level | |||||||
7 | Appendix palpation | A - Beginner level | |||||||
8 | Auscultation of lungs | A - Beginner level | |||||||
9 | Bimanual pelvic (gynaecological) examination | A - Beginner level | |||||||
10 | Bimanual pelvic (gynaecological) examination | B1 - Basic level | |||||||
11 | Bimanual uterine examination | A - Beginner level | |||||||
12 | Bimanual uterine examination | B1 - Basic level | |||||||
13 | Bimanual uterine examination | B2 - Intermediate level | |||||||
14 | Blumberg's symptom | A - Beginner level | |||||||
15 | Bronchophonia on the back | A - Beginner level | |||||||
16 | Caecum palpation | A - Beginner level | |||||||
17 | Colon descendens palpation | A - Beginner level | |||||||
18 | Detection of ascites | A - Beginner level | |||||||
19 | Detection of ascites (by means of palpation) | A - Beginner level | |||||||
20 | Detection of gallbladder projection site | A - Beginner level | |||||||
21 | Determination of the amount of deferral. | A - Beginner level | |||||||
22 | Determination of the amount of lateral tilt of the spine. | A - Beginner level | |||||||
23 | Determination of the chauffard's triangle | A - Beginner level | |||||||
24 | Determination of the differential feature | A - Beginner level | |||||||
25 | Determination of the left border of heart relative dullness | A - Beginner level | |||||||
26 | Determination of the right border of the heart relative dullness | A - Beginner level | |||||||
27 | Determination of the superior border of heart relative dullness | A - Beginner level | |||||||
28 | Determination of thoracolumbal rotation. | A - Beginner level | |||||||
29 | Due date estimation | A - Beginner level | |||||||
30 | Due date estimation | B1 - Basic level | |||||||
31 | Due date estimation | B2 - Intermediate level | |||||||
32 | Elbow joint palpation | A - Beginner level | |||||||
33 | Evaluation of epigastric pulsation | A - Beginner level | |||||||
34 | Examination of knee flexion. | A - Beginner level | |||||||
35 | Examination of the elbow joint active flexion | A - Beginner level | |||||||
36 | Examination of the elbow joint extension | A - Beginner level | |||||||
37 | Examination of the elbow joint passive flexion | A - Beginner level | |||||||
38 | Examination of the elbow joint pronation | A - Beginner level | |||||||
39 | Examination of the elbow joint supination | A - Beginner level | |||||||
40 | Examination of the extent of knee extension. | A - Beginner level | |||||||
41 | Examination of the hip joint testing active abduction | A - Beginner level | |||||||
42 | Examination of the hip joint testing external rotation | A - Beginner level | |||||||
43 | Examination of the hip joint testing flexion | A - Beginner level | |||||||
44 | Examination of the hip joint testing internal rotation | A - Beginner level | |||||||
45 | Examination of the hip joint testing passive abduction | A - Beginner level | |||||||
46 | Examination of the lumbar and intestinal joints. | A - Beginner level | |||||||
47 | Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes | A - Beginner level | |||||||
48 | Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes | B1 - Basic level | |||||||
49 | Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes | B2 - Intermediate level | |||||||
50 | Fundus uteri identification | A - Beginner level | |||||||
51 | Fundus uteri identification | B1 - Basic level | |||||||
52 | Fundus uteri identification | B2 - Intermediate level | |||||||
53 | Gallbladder palpation - checking for Volsky's symptom | A - Beginner level | |||||||
54 | Gallbladder palpation - examination of a svirksic symptom | A - Beginner level | |||||||
55 | Gallbladder palpation - examination of Courvoisier's symptom | A - Beginner level | |||||||
56 | Gallbladder palpation - examination of the saccharine symptom | A - Beginner level | |||||||
57 | Greater curvature of stomach palpation with compression | A - Beginner level | |||||||
58 | Heart auscultation (hemodynamic order) | A - Beginner level | |||||||
59 | Heart auscultation (topographic order) | A - Beginner level | |||||||
60 | Heart auscultation (traditional) | A - Beginner level | |||||||
61 | Height of lung's apex in the front | A - Beginner level | |||||||
62 | Height of the lung's apex on the backside | A - Beginner level | |||||||
63 | Indirect (relative) measurement of the central venous pressure (by von Recklinghausen) | A - Beginner level | |||||||
64 | Insertion of vaginal specula and PAP smear performance | A - Beginner level | |||||||
65 | Insertion of vaginal specula and PAP smear performance | B1 - Basic level | |||||||
66 | Leopold maneuvers | A - Beginner level | |||||||
67 | Leopold maneuvers | B1 - Basic level | |||||||
68 | Leopold maneuvers | B2 - Intermediate level | |||||||
69 | Liver percussion | A - Beginner level | |||||||
70 | Mayo-Robson's point detection | A - Beginner level | |||||||
71 | Measurement of arterial pulse | A - Beginner level | |||||||
72 | Measurement of the arterial pressure | A - Beginner level | |||||||
73 | Measurement of the radial pulse tension | A - Beginner level | |||||||
74 | Movement test in the subtalar joint. | A - Beginner level | |||||||
75 | Non-invasive (indirect) measurement of the central venous pressure | A - Beginner level | |||||||
76 | Orthner symptom | A - Beginner level | |||||||
77 | Palpation of apex beat | A - Beginner level | |||||||
78 | Palpation of apex beat | A - Beginner level | |||||||
79 | Palpation of caput pancreatis | A - Beginner level | |||||||
80 | Palpation of colon transversum | A - Beginner level | |||||||
81 | Palpation of corpus pancreatis | A - Beginner level | |||||||
82 | Palpation of spleen | A - Beginner level | |||||||
83 | Palpation of the ankle joint | A - Beginner level | |||||||
84 | Palpation of the ascending intestine/colon ascendens palpation | A - Beginner level | |||||||
85 | Palpation of the kidneys | A - Beginner level | |||||||
86 | Palpation of the liver | A - Beginner level | |||||||
87 | Palpation of the terminal ileum | A - Beginner level | |||||||
88 | Pap smear performance (cervix cytology smear) | A - Beginner level | |||||||
89 | Pap smear performance (cervix cytology smear) | B1 - Basic level | |||||||
90 | Pap smear performance (cervix cytology smear) | B2 - Intermediate level | |||||||
91 | Percussion and palpation of bladder | A - Beginner level | |||||||
92 | Percussion of spleen | A - Beginner level | |||||||
93 | Percussion of the kidneys | A - Beginner level | |||||||
94 | Pleural and intercostal pains | A - Beginner level | |||||||
95 | Posterior fremitus pectoralis | A - Beginner level | |||||||
96 | Posterior lungs comparative percussion | A - Beginner level | |||||||
97 | Schober’s symptom | A - Beginner level | |||||||
98 | Shoulder joint examination abduction | A - Beginner level | |||||||
99 | Shoulder joint examination active extension | A - Beginner level | |||||||
100 | Shoulder joint examination active abduction | A - Beginner level | |||||||
101 | Shoulder joint examination active external rotation | A - Beginner level | |||||||
102 | Shoulder joint examination active flexion | A - Beginner level | |||||||
103 | Shoulder joint examination active internal rotation | A - Beginner level | |||||||
104 | Shoulder joint examination passive abduction | A - Beginner level | |||||||
105 | Shoulder joint examination passive extension | A - Beginner level | |||||||
106 | Shoulder joint examination passive external rotation | A - Beginner level | |||||||
107 | Shoulder joint examination passive flexion | A - Beginner level | |||||||
108 | Shoulder joint examination passive internal rotation | A - Beginner level | |||||||
109 | Sigmoid colon (colon sigmoideum) palpation | A - Beginner level | |||||||
110 | Testing the fist symptom | A - Beginner level | |||||||
111 | The width of the apices of the lungs | A - Beginner level | |||||||
112 | Tomayer’s symptom | A - Beginner level | |||||||
113 | Topographic percussion of the lung's inferior edge | A - Beginner level | |||||||
114 | Triangle symptom | A - Beginner level | |||||||
115 | Wrist movement test. | A - Beginner level | |||||||
Bibliography | |||||||||
No. | Reference | ||||||||
Required Reading | |||||||||
1 | Propedeitika. Prof. G. Orļikova redakcija, 2014 | ||||||||
2 | Geske R. Bērna bioloģiskā attīstība. – Rīga: RaKa, 2005 (akceptējams izdevums) | ||||||||
3 | Valtneris A. Bērnu un pusaudžu fizioloģija. - Rīga: Zvaigzne ABC, 2001 (akceptējams izdevums) | ||||||||
4 | Капитан Т.В. Пропедевтика детских болезнеи с уходом за детьми. Учебник для вузов, 5-е издание, дополненное – Москва: МЕДпресс информ, 2004 (akceptējams izdevums) | ||||||||
5 | Auziņa I., Bērnu un pusaudžu ginekoloģija, Apgāds “Rasa ABC”, SIA, 2004. (akceptējams izdevums) | ||||||||
6 | Auziņa I., Andrējeva S., Baidekalna I., Baltiņa D., Barkāne E., Ginekoloģija, SIA Medicīnas apgāds, Rīga, 2013. | ||||||||
7 | Dzemdniecība. Rīga, Daces Rezenbergas redakcijā, 2016 | ||||||||
Additional Reading | |||||||||
1 | Medicīniskās aprūpes rokasgrāmata / Zin. redakt. Paudere I. – SIA „J.L.V.”, izdevums latviešu val., 2001 | ||||||||
2 | Dobelis J. Bērnu uroloģija. – Rīga, 2003 | ||||||||
3 | Krūmiņa Dž., Kokare I. Latvijas bērnu fiziskās attīstības normatīvi. Rīga: SIA Nacionālais apgāds, 2005. | ||||||||
4 | Mantle I., Haslam J., Barton S., Cardozo L., Physiotherapy in Obstetrics and Gynaecology, Butterworth Heinemann, 2004. | ||||||||
5 | Fleminga I. Zīdaiņa attīstība un attīstības traucējumi – Rīga: Zvaigzne, 1999 | ||||||||
6 | Patricia C. Wilson., Common Gynaecological Conditions, Blackwell Science, 2002. | ||||||||
Other Information Sources | |||||||||
1 | Latvijas ginekologu un dzemdību speciālistu asociācijas vadlīnijas mājas lapā www.ginasoc.lv | ||||||||
2 | www.pubmed.com | ||||||||
3 | Lekciju materiāli |