.
Propaedeutics
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:15.02.2023 10:14:47
| Study Course Information | |||||||||
| Course Code: | ISK_034 | LQF level: | Level 6 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Internal Medicine | Target Audience: | Nursing Science | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Larisa Umnova | ||||||||
| 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) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 24 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Knowledge of normal anatomy and histology, normal physiology and biochemistry, basic medical physics, and basic biology and genetics. | ||||||||
| Objective: | The objective of the course is to provide students with the knowledge and skills to be able to continuously assess a patient’s condition and describe the main clinical problems. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Principles and methods of patient examination. Patient complaints, anamnesis. Patient survey. | Lectures | 1.00 | auditorium | |||||
| 2 | General examination of the patient: characteristic external signs of diseases (changes in the physique, face, skin and nails, lymph nodes). | Lectures | 1.00 | auditorium | |||||
| 3 | The most characteristic signs of cardiovascular diseases. Signs of acute heart diseases. Principles of electrocardiography. | Lectures | 1.00 | auditorium | |||||
| 4 | The most characteristic manifestations and anamnesis of diseases of the respiratory system. | Lectures | 1.00 | auditorium | |||||
| 5 | Cardiac patient complaints, anamnesis. Arterial pulse palpation, cardiac auscultation, blood pressure measurement. | Classes | 1.00 | clinical base | |||||
| 6 | Evaluation of the main parameters of an electrocardiogram. Electrocardiographic signs of acute coronary pathologies. | Classes | 1.00 | clinical base | |||||
| 7 | Check-up and examination of a lung patient (palpation, percussion and auscultation techniques). Principles of spirometry. | Classes | 1.00 | clinical base | |||||
| 8 | Methods of examination of the digestive organ system. | Classes | 1.00 | clinical base | |||||
| 9 | Methods of kidney and urinary tract examination. The role of the GFR and the formulae for calculating it. Urine test analysis (erythrocytes, leukocytes, cylinders, bacteria). | Classes | 1.00 | clinical base | |||||
| 10 | Syndromes of endocrine diseases. | Classes | 1.00 | clinical base | |||||
| 11 | The most characteristic signs and anamnesis of musculoskeletal diseases. | Classes | 1.00 | clinical base | |||||
| 12 | Evaluation and interpretation of laboratory blood tests. Signs of diseases of the hematopoietic system (anaemias, leucosis, lymphomas). | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Nurses, in coordination with the senior nurses of the Stradiņš Clinical University Hospital wards, examine patients and, if necessary, perform procedures, accompany patients to examinations and explain the nature of the procedures. At the end of the study programme, a patient is selected to develop a care plan for. | ||||||||
| Assessment Criteria: | 50% theoretical knowledge and 50% practical skills. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | To name the subjective parts of the examination and the parameters characterising the most frequent patient complaints. To name the signs of the patient’s general condition (consciousness, nutritional state), the most frequent skin changes. To describe the relative position of organs in relation to the body surface. To name and describe the most common signs of lung, cardiovascular, digestive, excretory and haematological problems. To name the values of critical indicators of heart rate, breathing and kidney function. To describe the basic principles of load and functional testing. To name the most common functional disorders of endocrine organs, the hormone level changes that characterise them, and the most common signs of these changes. To name the indicators and normal values of glucose metabolism. To name the most commonly used tests for the clinical and biochemical composition of blood. To describe the standards, functions and roles of the nursing profession. To describe the principles and importance of drawing up a patient care plan. | ||||||||
| Skills: | To know how to question the patient about their complaints and anamnesis. To know how to assess the patient’s level of consciousness, orientation, nutritional state, fluid balance, skin and mucous membrane changes. To know how to perform basic examinations of the pulmonary, cardiovascular, digestive, excretory, endocrine and haematopoietic systems and determine the boundaries of organs. To know how to perform a muscle and joint check. To know how to perform a 12-lead ECG recording and assess its basic findings (rhythm pattern, heart rate). To be able to apply Maslow’s hierarchy of needs to formulate priority problems and draw up a care plan. | ||||||||
| Competencies: | To formulate patient problems (nursing diagnoses) by independently questioning the patient. To verify the formulated problems by performing an objective examination of the patient by organ system – pulmonary, cardiovascular, digestive, excretory and haematopoietic. By evaluating the most frequent clinical examinations – electrocardiography, spirometry, blood and biochemical tests –, to summarise the obtained results as disease syndromes. To draw up a patient care plan and set goals for solving problems. To know how to assess the signs and complications of the most common diseases. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Propedeitika. 5.izdevums, Prof. G.Orļikova redakcijā, 2014 | ||||||||
| 2 | Rudzītis Kristaps. Diagnostikas pamati un terapijas preambula. Nacionālais Apgāds, 2010 (akceptējams izdevums) | ||||||||
| 3 | Medicīniskās aprūpes rokasgrāmata, Jumava, 2001. (akceptējams izdevums) | ||||||||
| 4 | Propedeitika. Klīniskie uzdevumi. Prof. G.Orļikova redakcijā, 2004. (akceptējams izdevums) | ||||||||
| 5 | S. Lejniece. Klīniskā hematoloģija. Nacionālais Apgāds, 2020 | ||||||||
| 6 | Hutchinson's Clinical Methods. 24th edition. By Michael Swash and Michael Glynn. Saunders Ltd, 2018 | ||||||||
| 7 | A. Lejnieks . Klīniskā medicīna. Pirmā, Otrā un Trešā grāmata. Rīga: Medicīnas apgāds, 2010-2012. (akceptējams izdevums) | ||||||||
| 8 | Ārvalstu studentiem/For international students | ||||||||
| 9 | Hutchinson's Clinical Methods. 24th edition. By Michael Swash and Michael Glynn. Saunders Ltd, 2018 | ||||||||
| Additional Reading | |||||||||
| 1 | Siegenthaler W. Differential Diagnosis in Internal medicine: From Symptom to Diagnosis. NY: Thieme Medical Publishers, 2007 | ||||||||
| 2 | Duale Reihe Anamnese und Klinische Untersuchung. Middeke M, Füeßl HS. Thieme, 2010 | ||||||||
| 3 | Bates Guide to Physical Examination and History Taking. 12th edition. Lippincott Williams & Wilkins, 2017 | ||||||||
| 4 | Kalvelis A. Klīniskā elektrokardioloģija. Rīga, Nacionālais Medicīnas apgāds. 2008. | ||||||||
| 5 | Ārvalstu studentiem/For international students | ||||||||
| 6 | Duale Reihe Anamnese und Klinische Untersuchung. Middeke M, Füeßl HS. Thieme, 2010 | ||||||||
| 7 | Siegenthaler W. Differential Diagnosis in Internal medicine: From Symptom to Diagnosis. NY: Thieme Medical Publishers, 2007 | ||||||||
| 8 | Bates Guide to Physical Examination and History Taking. 12th edition. Lippincott Williams & Wilkins, 2017 | ||||||||
