1. Introductory first lecture
The assistant to chair of the general
practice therapy with a course of
family medicine Kurenkeeva A.K.

2. Changes
The name «Urinogenital system» is renamed on «Urinary excretion system»;
Questions of a part of normal and topographical anatomy (topography of the testicle covers, perirectal fat; operative accesses and operations on kidneys), andrology (spermatogenesis), geriatric urology (a syndrome sexual disfunctions) are transferred on module "Reproduction“ ;
Reinforcement methods of urinary tract system visualisation (beam diagnostics + radial urology);
Interpretation of questions: development of urinary tract system and development anomalies differencing depend on faculty (pediatric or medical);
Management of oncological patients is transferred on an older years;
The syndrome nephritic eclampsy is transferred on a 4-year where it is included as a complication of the acute glomerulonephritis disease;

3. Clinical skills: To selection of syndromes
Communication (complaints, anamnesis);
General examination (visual inspection, palpation, percussion, auscultation);
To selection of syndromes
Lab tests;
Instrumental tests;
To confirmation of syndromes

4. Syndromes:
Urinary tract infection (obstructive and non-obstructive forms);
Isolated urinary syndrome;
Nephrotic and acute nephritic;
Acute and chronic renal failure;
renal arterial hipertensive and renal eclampsia.

5. Problem №1
Patient M., 36 yrs, two weeks ago had tonsillitis after that noted change of urine color to reddish, headache, edema of face and lower extremities, backache.
By examination: pale skin, edema of legs. By auscultation: harsh breathe, no crepitation. Beat tones are subdued, rhythmic, HB=80/min. Arterial BP=160/100mmHg. Abdomen―painless, no spasm. Kidneys aren’t palpated.

8. Oedema of ankles

9. ASCITES

10. hemodialysis

14. Student has to know: Anatomy Topography of the UES Histology
Microbiology
Biochemistry
Radial diagnostic
Normal physioilogy
Pathological physiology

15. Student has to know:
Localization, topography, fixing apparatus, structure of the kidneys;
Structure of the nephron;
Filtration, reabsorbtion, secretion, excration;
Primary, secondary urine chemical composition;
Metabolism, pH, proteinuria;
Investigation of the uroinfections;
Kinds of the urography, pyolography, CT, US et al.

16. Kinds of estimated activity
Written examination (by means of questionnaires);
Practical examination (on a concrete example (work with the real patient) or for the decision of a situational problem);
The general estimation (group activity = a group estimation);
Self-estimation (possibility to make own representation about level of the readiness);
Oral presentation (communicative skills);
The report (ability to document profession of a physician).

17. Questions of the knowledge level (test):
Renal and extra renal complaints of the patient with urinary tract pathology;
Features of the anamnesis of patients with urinary tract pathology;
Mechanisms of a renal hypertension and renal hypostases (edema) formation;
Rules of arterial pressure measurement;
Criterias of: dis-, poly-, oligo-, an-, ish-, strung-, nockt-, pollakiuria;
Technique of the physical inspections of patients with urinary tract pathology;
Indicators of the general urine analysis: protein-, hemat-, leicocyt-, cast-, bacteriuria;
Tests: glomerular filtration rate, Zimnitsky, Nechiporenco;
Data of biochemical analyses of blood and urine;
Technique of the X-ray, ultrasonic investigations of the kidneys;
Criteria of syndromes at diseases of urinary system: pain, urinary, disuric, nephrotic, nephritic, acute and chronic renal failure, a renal arterial hypertension, an urinary tract infection syndromes.

18. Card of the patient with urinary tract pathology
Syndrome;
Definition, process localisation, criteria;
Etiology, pathogenesis, pathomorphology;
Clinical displays;
Diagnostics methods (laboratory with interpretation of microbiological and biochemical changes, instrumental tests);
Features of display of the given syndrome at children
The resume (outcome)