.
Differential Diagnostics and Current Issues in Treatment of Internal Diseases
Study Course Description
Course Description Statuss:Approved
Course Description Version:4.00
Study Course Accepted:04.04.2022 09:14:14
| Study Course Information | |||||||||
| Course Code: | ISK_218 | LQF level: | Level 7 | ||||||
| Credit Points: | 3.00 | ECTS: | 4.50 | ||||||
| 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) | 0 | Lecture Length (academic hours) | 0 | Total Contact Hours of Lectures | 0 | ||||
| Classes (count) | 16 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 48 | ||||
| Total Contact Hours | 48 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Preliminary knowledge of propaedeutics, pathology, pharmacology, immunology, dermatology, biochemistry. Students should know the topics of previous internal diseases courses. | ||||||||
| Objective: | Students learn the latest updates and issues of diagnosis, differential diagnosis and treatment in the field of Internal diseases. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Chronic coronary syndrome. Etiology, pathogenesis diagnostics, treatment. Acute coronary syndrome. Diagnosis, pathogenesis, treatment. Definition of myocardial infarction. Complications of acute coronary syndrome, their diagnosis, treatment, prevention, clinical case analysis. | Classes | 1.00 | clinical base | |||||
| 2 | Arterial hypertension. Etiology, pathogenesis, definition, – latest updates. Identification of risk groups, novel biomarkers. Secondary hypertension. Arterial hypertension – treatment options, tactics. Resistant hypertension. Specific cases of arterial hypertension. Clinical case assessment. | Classes | 1.00 | clinical base | |||||
| 3 | Heart rhythm disorders – role of electrocardiography. Various diagnostic options. Cardiac blockade. Atrial fibrillation and atrial undulation. Diagnostics, treatment. Recognition and reduction of risk of stroke and thromboembolism. Ventricular arrhythmias. Risk factors, identification. Implantable rhythm correction equipment – PM, ILR, ICD, CRT. Clinical case analysis. | Classes | 1.00 | clinical base | |||||
| 4 | Acute conditions in cardiology. Life-threatening arrhythmias. | Classes | 1.00 | METC | |||||
| 5 | Pulmonary embolism. Prevention, treatment approach. Risk assessment, prognosis. Clinical case assessment. | Classes | 1.00 | clinical base | |||||
| 6 | The concept of cardiomyopathy. Diagnostics, mechanisms, treatment. Chronic heart failure. Mechanisms, pathophysiology. Treatment options. Multimorbid patients, concept. Clinical case assessment. | Classes | 1.00 | clinical base | |||||
| 7 | Differential diagnosis of dyspnoea – clinical case study. | Classes | 1.00 | clinical base | |||||
| 8 | Obstructive and central sleep apnoea. Causes, pathogenesis, diagnostic and treatment options. | Classes | 1.00 | other | |||||
| 9 | Obstructive lung diseases, differential diagnosis and novelties of treatment. Hemoptysis - causes, differential diagnosis, examination and treatment. | Classes | 1.00 | clinical base | |||||
| 10 | Abdominal pain differential diagnosis (value of image techniques, nonabdominal causes of abdominal pain). Hepatobiliary and pancreatic diseases: differential diagnosis and treatment approach. | Classes | 1.00 | clinical base | |||||
| 11 | Functional gastrointestinal disorders. Differential diagnosis and treatment possibilities. Differential diagnosis and treatment approach of gut diseases. Clinical case analysis. | Classes | 1.00 | clinical base | |||||
| 12 | Urine syndromes, urine albumin excretion, differential diagnosis; diagnostic and treatment of primary and secondary glomerulopathy. Chronic kidney disease: long time observation, starting the kidney replacement therapy. | Classes | 1.00 | clinical base | |||||
| 13 | The most common disorders of acid-base balance, diagnostic approach. Renal syndromes, measures to correct. Emergency cases in kidney patients with coexisting multimorbid conditions, differential diagnosis, treatment. | Classes | 1.00 | clinical base | |||||
| 14 | Differential diagnosis of anemia, investigation and treatment plan for anemia. | Classes | 1.00 | clinical base | |||||
| 15 | Diffuse connective tissue diseases, vasculitis, diagnostic approach, clinical case analysis. | Classes | 1.00 | clinical base | |||||
| 16 | Endocrine hyper- and hypotension, emergencies. Differential diagnosis of thyroid pathology. Clinical case analysis. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Individual work with patient – history collection, interpretation of examinations, development of a treatment plan, formulation of a possible diagnosis; establishment of a patient's case under the lecturer's and physician's supervision; presentation and defence of study research work. | ||||||||
| Assessment Criteria: | According to State Exam evaluation criteria. | ||||||||
| Final Examination (Full-Time): | Test (Semester) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | The acquisition of study course results in knowledge of the most important etiology of internal diseases, pathogenesis, diagnostic criteria, differential diagnosis and treatment. Students will learn about the principles of filling medical documentation in hospital conditions. | ||||||||
| Skills: | As a result of the study course acquisition students will be able to communicate with patients and colleagues, identify the severity and course of internal diseases listed in the study course description, differentiate them, substantiate the diagnosis, prescribe the necessary examination plan and evaluate results, prescribe treatment for specific patients, draw up necessary medical documentation. | ||||||||
| Competencies: | The acquired competencies of the study course will allow purposeful and structured examination of the patient's history, assessment of the patient's vital signs (namely, patient's state of consciousness, breathing, heart rate, central and peripheral pulse, arterial blood pressure, blood oxygen saturation, body temperature, diuresis) the components and symptomatology that affect it will allow the patient's health status to be evaluated, normality and deviation interpreted, and the finding and specific situation to be attributed, and the next tactic to be decided upon. It will allow to recognize acute medical conditions, to organize timely assistance, to interpret the results of various examinations and formulate the appropriate conclusions, to plan treatment tactics. The acquired competencies will allow to perform manipulations appropriate to the respective pathological condition, to write prescriptions, to fill in medical documentation in accordance with the requirements of regulatory enactments. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Auscultation of lungs | C1 - High level | |||||||
| 2 | Detection of ascites | A - Beginner level | |||||||
| 3 | Detection of ascites (by means of palpation) | A - Beginner level | |||||||
| 4 | Heart auscultation (hemodynamic order) | C1 - High level | |||||||
| 5 | Heart auscultation (topographic order) | C1 - High level | |||||||
| 6 | Right hepatic lobe palpation | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | ESC Clinical practice guidlines | ||||||||
| 2 | Klīniskā medicīna. prof. A.Lejnieka redakcijā. Medicīnas Apgāds, 785-914, 2010 | ||||||||
| 3 | S.Lejniece. Klīniskā hematoloģija. Nacionālais Medicīnas Apgāds, 2020. | ||||||||
| 4 | S.Lejniece. Klīniskā hematoloģija. Nacionālais Medicīnas Apgāds, 2002. | ||||||||
| 5 | S.Lejniece Dzselzs deficīta anēmija. Medicīnas Apgāds, 2015. | ||||||||
| 6 | S.Lejniece, A.Lejnieks, B.Janicka-Kupra. Dzelzs deficīts. Absolūts vai funkcionāls. Medicīnas Apgāds, 2018. | ||||||||
| 7 | Conn's Current Therapy. Kellerman, Rick D. Rakel, David P. 2019, Elsevier Inc | ||||||||
| 8 | The Merc Manual | ||||||||
| 9 | A.Kalvelis. Kardioloģija. Rīga, 2018. | ||||||||
| 10 | Braunwalds Heart Disease: A textbook of cardiovascular medicine | ||||||||
| 11 | Harrison’s Principles of Internal Medicine. 19th Edition | ||||||||
| 12 | E. Vēverbrants, A. Pētersons. Nephrology in your pocket. e-textbook, iBooks Store, Apple, 2015. | ||||||||
| 13 | Oxford Textbook of Clinical Nephrology. 3rd Edition, 2005. | ||||||||
| 14 | Imboden J., Hellmann D., Stone J. Current Diagnosis & Treatment in Rheumatology. 3rd Edition (LANGE CURRENT Series) | ||||||||
| 15 | Kelley’s Textbook of Rheumatology, current edition | ||||||||
| 16 | Safron Whitehead, John Miell. „Clinical endocrinology”. Scion Publishing.com, 2013. | ||||||||
| 17 | Williams Textbook of Endocrinology. 12th Edition, 2011. | ||||||||
| 18 | J. Pokrotnieks. Gastrointestinālā endoskopija. Rīga, 2000, „Pilatus”, 144 lpp. | ||||||||
| 19 | A.Danilāns. Hroniskas aknu slimības I, II un III daļa. Medicīnas apgāds, 2009-2013. | ||||||||
| 20 | E. Vēverbrants, A. Pētersons. Nefroloģija kabatā. e-grāmata, iBooks Store, Apple, 2015. | ||||||||
| 21 | A. Pētersons, E. Vēverbrants, I. Lazovskis. „Kā atklāt un ārstēt nieru slimības”. 1998, Rīga. | ||||||||
| 22 | A.Kalvelis, A.Lejnieks. Galveno kardiovaskulāro slimību un izpausmju klīniskas formas un diagnozes formulējumi. Rīga, 2017. | ||||||||
| 23 | ESC Guidelines for the diagnosis and treatment | ||||||||
| Additional Reading | |||||||||
| 1 | Hoffbrand's Essential Haematology (Essentials). 7th Edition by A. Victor Hoffbrand and Paul A. H. Moss, Willey Blackwell, 2015. | ||||||||
| 2 | Postgraduate Haematology. A. Victor Hoffbrand and Douglas R. Higgs, 2016. | ||||||||
| 3 | Blood Cells: A Practical Guide. Barbara J. Bain. 5th Edition, Wiley Blackwell, 2015. | ||||||||
| 4 | Haematology: A Core Curriculum. 1st Edition. Barbara Jane Bain, 2010. | ||||||||
| 5 | Tytgat G.N.J., Tytgat S.H.A.J. Grading and Staging in Gastroenterology. Thieme Stuttgart. N.Y., 2009. | ||||||||
| 6 | Oxford Textbook of Rheumatology, current edition | ||||||||
| 7 | A.Kalvelis. Elektrokardioloģijas pamati. Nacionālais apgāds, 2009 | ||||||||
| 8 | Gerd Herold and colleagues. Internal Medicine. 2nd Edition | ||||||||
| 9 | Disease Management : a guide to clinical pharmacology / Michael D. Randall, Karen E. Neil. 2016 | ||||||||
| Other Information Sources | |||||||||
| 1 | EHA mājas lapa (http://www.ehaweb.org/) | ||||||||
| 2 | ASH mājas lapa (http://www.hematology.org/) | ||||||||
| 3 | Rome Fundation http://www.romecriteria.org/. | ||||||||
| 4 | First Principles of Gastroenterology | ||||||||
| 5 | World Endoscopy Organization | ||||||||
| 6 | Gastroenteroloģijas Atbalsta biedrības mājas lapa | ||||||||
