Home Page » General Medicine. Cources » Nephrology

The goal of mastering the discipline "Nephrology" is to study the etiology, pathogenesis, clinical manifestations of major nephrological diseases.

The objectives of studying the discipline "Nephrology" are to consolidate and improve the skills in examining a therapeutic patient; to form clinical thinking, to learn how to give a differential diagnosis, to determine management tactics, to learn the modern principles of therapy, medical records keeping, emergency care methods, rehabilitation and clinical examination of nephrological patients, medical and labor expertise. 

The discipline "Nephrology" refers to the variable part of block C1 of the discipline. "Nephrology" is one of the disciplines that is interconnected with the following disciplines: anatomy; biology; biochemistry; histology, embryology, cytology; normal human physiology; propaedeutics of internal diseases, diagnostic radiology; faculty therapy, occupational diseases; public health and healthcare, healthcare economics; pharmacology.

 

The process of studying the discipline is aimed at the formation of the following competences:

 

During the study of the discipline "Nephrology" students learn the issues of normal anatomy, histology and physiology of the kidneys and urinary organs; fundamentals of topographic anatomy of the abdominal cavity and retroperitoneal space, urogenital system embryology; anatomical features of the genitourinary system in the age aspect; basics of water-electrolyte metabolism, acid-base balance, possible types of disturbances and principles in adults; indicators of homeostasis in normal state and at pathologues, clinical symptoms and pathogenesis of major kidney diseases in adults, their prevention; diagnosis and treatment, general and functional examination methods in nephrology; special examination methods in nephrology (X-ray, radiological, ultrasound, etc.); the basics of pharmacotherapy in a nephrological clinic, including the use of antibiotics and hormones, the mechanism of action of the main groups of drugs; possible complications caused by the use of drugs; features of the action of drugs in various age periods; the basics of immunology and reactivity of the body; clinical symptoms of borderline conditions in nephrology; the organization of intensive care and resuscitation services in nephrology, including the use of "artificial kidney"; the use of physiotherapy, climatotherapy and physiotherapy in a nephrological clinic, indications and contraindications for the spa treatment of nephrological patients; the principles of diet therapy for kidney diseases; dispensary observation of nephrological patients, problems of the prevention of kidney diseases. On the basis of the acquired knowledge, students obtain the abilities to correctly collect the medical history and life history of patients; to conduct a complete clinical and functional examination of the kidneys and urinary organs; to assess the severity of patient's condition; to interpret the results of various instrumental examinations: ultrasound, x-ray, radioisotope, etc.; to give a differential diagnosis of kidney diseases; to determine the scope of clinical laboratory examinations of patients with kidney diseases; to conduct adequate treatment of diseases of the kidneys and urinary organs; to evaluate the description of a radiograph (survey and excretory urography, CT of the kidneys, etc.); to fill out relevant medical records. Students develop the skills in examining nephrological patients (microscopic examinations of urine sediment, determination of daily proteinuria and glucosuria, calculation of daily proteinuria, glomerular filtration rate by endogenous creatinine clearance); assessing the presence of indications and contraindications for biopsy of a kidney, kidney transplant; determining urgent indications for hemodialysis; calculating the necessary doses of drugs, depending on the degree of chronic renal failure; providing medical aid in case of emergency in nephrology. 

 

Types of educational work: practical classes, unsupervised work. The study of the discipline ends with a pass-fail test.

Subject syllabus

Date of creation: 26.11.2019 15:41
Date of update: 19.12.2019 21:44
Number of views: 649