.
Basics of Paediatrics I
Study Course Description
Course Description Statuss:Approved
Course Description Version:8.00
Study Course Accepted:20.07.2023 10:05:52
| Study Course Information | |||||||||
| Course Code: | PEK_049 | LQF level: | Level 7 | ||||||
| Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
| Branch of Science: | Clinical Medicine | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Valda Staņēviča | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Paediatrics | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 45 Vienības gatve, pk rsu[pnkts]lv, +371 67621730 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 9 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 18 | ||||
| Classes (count) | 16 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 48 | ||||
| Total Contact Hours | 66 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Preclinical theoretical knowledge of the structure and function of the human body (disciplines of the 1st, 2nd, 3rd year of studies), clinical medicine: For students of the 4th year of studies – a course of propaedeutics. | ||||||||
| Objective: | To provide students with knowledge of structural and functional features of the child’s body, growth and development from birth to 18 years at different stages of the child’s development, as well as frequent childhood illnesses, as well as to develop the necessary skills and attitudes in the work of a doctor with children. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Paediatrics as a medical field. Early stages of human development, their peculiarities and course. Description of childhood periods. Healthy child and criteria of development of a healthy child. Peculiarities of examination of a child by organ systems at different ages. Neonatal screening. Early diagnosis of metabolic disorders. Children’s state of health in Latvia. Ethics of child healthcare. The concept of paediatric palliative care. | Lectures | 1.00 | auditorium | |||||
| 2 | Newborn baby – a full term child, preterm birth, post-term birth, the characteristics and the associated complications. Assessment of a newborn according to the gestational age. Description of the newborn period and adaptation period and clinical manifestations. Clinical manifestations of newborn disorders. | Lectures | 1.00 | auditorium | |||||
| 3 | Anatomical physiological features of the respiratory system in different age groups of children. Bronchial asthma. Cystic fibrosis. | Lectures | 1.00 | auditorium | |||||
| 4 | Anatomically functional features of the digestive organ system. Malabsorption syndrome (cow’s milk protein allergy, celiac disease, cystic fibrosis). Differential diagnosis of vomiting and abdominal pain (colic, constipation, functional abdominal pain). | Lectures | 1.00 | auditorium | |||||
| 5 | Cardiovascular and ECG peculiarities in children. The most common rhythm disorders in children. | Lectures | 1.00 | auditorium | |||||
| 6 | The most common hemato-oncological diseases in children and description thereof. Peculiarities of leucosis in children. | Lectures | 1.00 | auditorium | |||||
| 7 | The most common urinary tract diseases in children and differential diagnosis thereof. Glomerulonephritis with nephritic and nephrotic syndrome in children. Acute renal failure. Chronic kidney disease. Pediatric hypertension. | Lectures | 1.00 | auditorium | |||||
| 8 | Peculiarities of the endocrine system in different age groups. Specifics of hormonal analyses evaluation. Evaluation of children's bone health.; | Lectures | 1.00 | auditorium | |||||
| 9 | Possibilities and peculiarities of radiological examination of children. | Lectures | 1.00 | auditorium | |||||
| 10 | Conversation and contact with the child, for parents of the child – understanding the anamnesis, evaluation of the obtained data. Practical skills of child examination by organ system. | Classes | 1.00 | clinical base | |||||
| 11 | Peculiarities of diagnostic laboratory tests in children of different age groups. | Classes | 1.00 | clinical base | |||||
| 12 | Child feeding principles up to 18 years. Overweight, obesity. Vitamin deficiency in children. | Classes | 1.00 | clinical base | |||||
| 13 | Child growth and development: physical, motor, sexual development. Period of puberty. | Classes | 1.00 | clinical base | |||||
| 14 | Newborn period – clinical examination and evaluation of a newborn by the time of birth, weight / height, establishing the gestational age, manifestations of the adaptation period. Newborn reflexes. Most common disorders of the newborn period (disorders of bilirubin metabolism, hemorrhagic disease, hyaline membrane disease). | Classes | 1.00 | clinical base | |||||
| 15 | Anatomically functional features of the hematopoietic system. Peculiarities of blood count in different age groups of children. Iron deficiency anaemia, aetiology, pathogenesis clinical peculiarities at different ages, diagnostics, differential diagnosis, treatment and prevention. | Classes | 1.00 | clinical base | |||||
| 16 | Perinatal asphyxia, resuscitation measures. Posthypoxic perinatal encephalopathy and differential diagnosis with postpartum traumatic injury. Other birth injuries. | Classes | 1.00 | clinical base | |||||
| 17 | Acute bronchitis, bronchitis with wheezing. Terms - wheezing and stridor, causes in children (acquired and congenital). Community-acquired pneumonia in children | Classes | 1.00 | clinical base | |||||
| 18 | Acyanotic congenital heart diseases: Atrial septal defect (ASD), ventricular septal defect (VSD), atrioventricular septal defect (AVSD), patent ductus arteriosus (PDA), coarctation of the aorta (CoA). | Classes | 1.00 | clinical base | |||||
| 19 | Cyanotic congenital heart diseases: Tetralogy of Fallot, transposition of the great vessels, hypoplastic left heart syndrome. | Classes | 1.00 | clinical base | |||||
| 20 | Cardiomyopathies. Acute and chronic heart failure in children. Peculiarities of taking blood pressure in children. Description of arterial hypertension (AH). Features of ECG. | Classes | 1.00 | clinical base | |||||
| 21 | Growth disorders in children. Vitamin D deficiency. Rickets differential diagnosis. | Classes | 1.00 | clinical base | |||||
| 22 | Thyroid pathologies in children. | Classes | 1.00 | clinical base | |||||
| 23 | Anatomical physiological features of the urinary tract system. Urinary tract infections (complicated, uncomplicated). | Classes | 1.00 | clinical base | |||||
| 24 | Child abuse as a problem in medicine. Shaken baby syndrome. Sudden infant death syndrome. | Classes | 1.00 | clinical base | |||||
| 25 | Anatomical and physiological properties of child’s skin and subcutaneous layer. Atopic and seborrheic dermatitis. Local infections during neonatal period (skin, umbilicus, eyes). | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | The knowledge acquired in the course is tested using multiple-choice tests, which students complete in the e-study environment in each lesson. Before each lesson, the student prepares and familiarizes himself with the current material, using the self-control questions available in the e-environment for each lesson. The student familiarizes himself with the clinical cases sent by the lecturer before the lesson. Using the available literature, prepare answers in the form of a presentation to the questions of a clinical case. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal. | ||||||||
| Assessment Criteria: | Test performance is automatically graded in the e-study environment and constitutes 50% of the daily lesson grade. The other half of the grade (50%) is made up of the students' involvement in the lesson - the ability to answer the questions asked by the lecturer + analyzes of clinical cases. The final assessment is automatically posted to the student if a grade of 4 or higher is received in each lesson. A student who in the 4th academic year in the course "Fundamentals of Pediatrics I" has obtained a rating of 7 or higher ((lecture test + average grade of classes)/2) automatically gets the opportunity to try to obtain an "automatic" at the end of the course in the course "Fundamentals of Pediatrics II" in the following academic year. | ||||||||
| Final Examination (Full-Time): | Test (Semester) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | The acquired knowledge will enable students to characterise the features of healthy children, newborns and the newborn period, cardiovascular, digestive, respiratory, renal and urinary systems, endocrine, hematopoietic characteristics in different age groups, to name and characterise the most common risk factors, aspects of primary prevention, morphology, aetiology, pathology, diagnosis and treatment, including clinical pharmacology, rehabilitation, psychotherapy, intensive care, and secondary prevention in paediatrics. | ||||||||
| Skills: | Will be able to: • to find out the patient’s complaints and medical history; • to perform physical examination of the patient by palpation, percussion and auscultation method; • to perform peripheral pulse, heart rate, respiratory rate, and blood pressure measurements, assign them to a specific clinical situation and link them to the overall examination process; • to apply knowledge of reasoning, logic and rhetoric to analyse practical situations, discuss, explain one’s views, and contribute in a constructive way to the achievement of professional goals and specific tasks; • to be able to communicate with patients, their relatives, colleagues, other people involved in healthcare; • to plan continuous improvement of one’s communication skills, respecting the different levels of knowledge, experience, traditions, culture and other individual characteristics of other people. | ||||||||
| Competencies: | Will be able to: • to interpret clinical test results, relate them to a specific clinical situation and link them to the overall examination process; • to compare pathological features with normal morphology and homeostasis parameters using integrative thinking, recognise disease symptoms, explain pathology, formulate diagnosis and differentiate it from other diagnoses, check for the most common complications, predict the course and consequences of the pathological process. | ||||||||
| Clinical Skills: | |||||||||
| No. | Skill | Level | |||||||
| 1 | Assessment of the health condition of the newborn | A - Beginner level | |||||||
| 2 | Assessment of the health condition of the newborn | B1 - Basic level | |||||||
| 3 | Collection of structured medical history (anamnesis) | A - Beginner level | |||||||
| 4 | Collection of structured medical history (anamnesis) | B1 - Basic level | |||||||
| 5 | Evaluation of children's electrocardiograms | A - Beginner level | |||||||
| 6 | Evaluation of children's electrocardiograms | B1 - Basic level | |||||||
| 7 | Evaluation of different scales of children's health status (physical development, adiposity, head, chest, arterial pressure) | A - Beginner level | |||||||
| 8 | Evaluation of different scales of children's health status (physical development, adiposity, head, chest, arterial pressure) | B1 - Basic level | |||||||
| 9 | Evaluation of newborn reflexes | A - Beginner level | |||||||
| 10 | Evaluation of newborn reflexes | B1 - Basic level | |||||||
| 11 | Evaluation of puberty period scales (Tanner, sexual development). | B1 - Basic level | |||||||
| 12 | Peculiarities of arterial pressure measurement in children | A - Beginner level | |||||||
| 13 | Peculiarities of arterial pressure measurement in children | B1 - Basic level | |||||||
| 14 | Peculiarities of cardiac auscultation in children | A - Beginner level | |||||||
| 15 | Peculiarities of cardiac auscultation in children | B1 - Basic level | |||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | E - studijās ievietotie mācību materiāli./E - learning materials placed in the studios. | ||||||||
| 2 | Kliegman, Robert M., St Geme, Joseph W., Blum, Nathan J., et.al. Nelson Textbook of Pediatrics. 2020, Elsevier Inc. | ||||||||
| 3 | RSU tiešsaistes datu bāzes: brīvpieejas datubāzes (PubMed), uz pierādījumiem balstītas medicīnas datubāzes- ClinicalKEY, DynaMedPlus./RSU online databases: open access databases (PubMed), evidence-based medical databases - ClinicalKEY, DynaMedPlus. | ||||||||
| Additional Reading | |||||||||
| 1 | Kliegman, Robert M., Lye, Patricia S., Bordini, Brett J., et.al. Nelson Pediatric Symptom-Based Diagnosis. 2022, Elsevier, Inc. | ||||||||
| 2 | Marcdante, Karen J., Kliegman, Robert M. Nelson Essentials of Pediatrics. 2023, Elsevier, Inc. | ||||||||
