|
Course
|
Credits
|
Scientific Disciplinary Sector Code
|
Contact Hours
|
Exercise Hours
|
Laboratory Hours
|
Personal Study Hours
|
Type of Activity
|
Language
|
|
90255 -
Systematic pathology I
(objectives)
The aim of the course is to provide the students with the adequate knowledge about epidemiology, etiology, pathogenesis, diagnosis, prognosis and treatment of the cardiac diseases, known to be the main cause of premature deaths. All the cardiovascular diseases, whether ischemic or of different ethiologies, are responsible for reduced quality of life, reduced physical capacity, disability and eventually death. Understanding the pathology and learning how to reach a timely diagnosis will help in achieving the best form of treatment, avoiding progressive worsening of the pathology and of the symptoms. Knowledge of the main diagnostic and/or therapeutic techniques most commonly used in clinical practice completes the course.
Moreover, the course provides to the students with the knowledge of diseases related to the extreme consequences of the main pathology linked to aging, namely atherosclerosis, is central to the training of the modern health worker. In fact, it is important to keep in mind the progressive increase in the average age and the progressive growth of the diabetic "pandemic", which is one of the most serious determinants of atherosclerosis. The knowledge, therefore the prevention and treatment, of peripheral vascular diseases is able to increase the average age of the population (e.g. by preventing the rupture of aortic aneurysms) and to improve their quality of life by avoiding their disability (p. e.g. preventing cerebrovascular accidents and lower limb loss due to gangrene). In recent years, there has been a steady growth in the demand for angiological training by General Medicine, as well as in the demand for mass diagnostic tests (such as ultrasound Doppler), and vascular specialists.
Finally, at the end of the course, the students must demonstrate that they have acquired adequate knowledge of the topics covered by the study program regarding the main clinical, diagnostic and therapeutic aspects of respiratory system diseases.
LEARNING OUTCOMES
KNOWLEDGE AND UNDERSTANDING
Knowledge of the basic principles of the course, mainly focusing on the diseases, their etiology and pathogenesis, their symptoms, diagnosis and treatment. At the end of the course, the student will be able of:
• know the topics of the course
• know the principles of instrumental and differential diagnostics
• know the fundamental principles of the treatment of the pathologies studied
APPLYING KNOWLEDGE AND UNDERSTANDING
Students must be able to apply their knowledge to the understanding and resolution/management of the studied diseases, also regarding new issues and broad and interdisciplinary contexts.
COMMUNICATION SKILLS
Students must be able to communicate their conclusions, knowledge and rationale concerning the studied diseases, integrating them with scientific language properties.
MAKING JUDGEMENTS
Students must have the ability to integrate knowledge and manage complexity, as well as to make
judgments based on the acquired information, including surgical indication and decision making.
LEARNING SKILLS
Students will develop those learning skills that allow them to continue to study mostly in a self- directed and autonomous way. More specifically, they should be able to collect, organize and critically interpret new scientific knowledge from the various resources and available databases, and identify their training needs, possibly planning self-training courses.
|
|
|
-
RESPIRATORY SYSTEM DISEASES
(objectives)
The aim of the course is to provide the students with the adequate knowledge about epidemiology, etiology, pathogenesis, diagnosis, prognosis and treatment of the cardiac diseases, known to be the main cause of premature deaths. All the cardiovascular diseases, whether ischemic or of different ethiologies, are responsible for reduced quality of life, reduced physical capacity, disability and eventually death. Understanding the pathology and learning how to reach a timely diagnosis will help in achieving the best form of treatment, avoiding progressive worsening of the pathology and of the symptoms. Knowledge of the main diagnostic and/or therapeutic techniques most commonly used in clinical practice completes the course.
Moreover, the course provides to the students with the knowledge of diseases related to the extreme consequences of the main pathology linked to aging, namely atherosclerosis, is central to the training of the modern health worker. In fact, it is important to keep in mind the progressive increase in the average age and the progressive growth of the diabetic "pandemic", which is one of the most serious determinants of atherosclerosis. The knowledge, therefore the prevention and treatment, of peripheral vascular diseases is able to increase the average age of the population (e.g. by preventing the rupture of aortic aneurysms) and to improve their quality of life by avoiding their disability (p. e.g. preventing cerebrovascular accidents and lower limb loss due to gangrene). In recent years, there has been a steady growth in the demand for angiological training by General Medicine, as well as in the demand for mass diagnostic tests (such as ultrasound Doppler), and vascular specialists.
Finally, at the end of the course, the students must demonstrate that they have acquired adequate knowledge of the topics covered by the study program regarding the main clinical, diagnostic and therapeutic aspects of respiratory system diseases.
LEARNING OUTCOMES
KNOWLEDGE AND UNDERSTANDING
Knowledge of the basic principles of the course, mainly focusing on the diseases, their etiology and pathogenesis, their symptoms, diagnosis and treatment. At the end of the course, the student will be able of:
• know the topics of the course
• know the principles of instrumental and differential diagnostics
• know the fundamental principles of the treatment of the pathologies studied
APPLYING KNOWLEDGE AND UNDERSTANDING
Students must be able to apply their knowledge to the understanding and resolution/management of the studied diseases, also regarding new issues and broad and interdisciplinary contexts.
COMMUNICATION SKILLS
Students must be able to communicate their conclusions, knowledge and rationale concerning the studied diseases, integrating them with scientific language properties.
MAKING JUDGEMENTS
Students must have the ability to integrate knowledge and manage complexity, as well as to make
judgments based on the acquired information, including surgical indication and decision making.
LEARNING SKILLS
Students will develop those learning skills that allow them to continue to study mostly in a self- directed and autonomous way. More specifically, they should be able to collect, organize and critically interpret new scientific knowledge from the various resources and available databases, and identify their training needs, possibly planning self-training courses.
-
Rogliani Paola
( syllabus)
1) Introduction to pathologies of the respiratory system. Special anatomy and physiology of the respiratory system, clinical semeiotics of the main symptoms and signs of respiratory diseases: cough, dyspnoea, haemophtoe and chest pain, rales, wheezing, cyanosis, digital hippocratism. Other non-specific symptoms and signs associated with respiratory disease
2) Techniques and basic principles of interpretation of laboratory tests and respiratory physiopathology, respiratory function tests, arterial blood gas analysis and oximetry; walk test; polygraphic monitoring during sleep, clinical semiotics of the main symptoms and signs of respiratory diseases: cough, dyspnoea, haemophtoe and chest pain, rales, wheezing, cyanosis, digital hippocratism. Other non-specific symptoms and signs associated with respiratory disease
3) Respiratory infectious diseases: community acquired (CAP) and nosocomial (HAP) pneumonia, pneumonia in the immunocompromised host, aspiration pneumonia (ad ingestis), lung abscess. Definition, Epidemiology, Main Pathogens, Risk Factors, Pathophysiology, Pathological Anatomy, Clinical and Instrumental Diagnosis, Natural History, Complications and Therapy
4) Pulmonary tuberculosis. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
5) Lung Cancer: definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
6) Acute and chronic respiratory failure. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy. Oxygen therapy and non-invasive mechanical ventilation: basic principles, indications, side effects.
7) Pulmonary embolism, pulmonary arterial hypertension and other pathologies of the pulmonary circulation: definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
8) Diffuse infiltrative lung diseases: idiopathic pulmonary fibrosis, sarcoidosis and other pulmonary interstitial diseases; definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
9) Bronchial asthma and respiratory immunoallergic diseases: definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
10) Chronic obstructive pulmonary disease (COPD): definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
11) Pleural Pathology: pleurisy and pleural effusions; pneumothorax; mesothelioma. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy. Thoracentesis and management of pleurostomy.
12) Bronchiectasis. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy.
13) Obstructive sleep apnea syndrome (OSAS). Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy.
( reference books)
Harrison's Principles of Internal Medicine, 20e J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo
-
Coppola Angelo
( syllabus)
1) Introduction to pathologies of the respiratory system. Special anatomy and physiology of the respiratory system, clinical semeiotics of the main symptoms and signs of respiratory diseases: cough, dyspnoea, haemophtoe and chest pain, rales, wheezing, cyanosis, digital hippocratism. Other non-specific symptoms and signs associated with respiratory disease
2) Techniques and basic principles of interpretation of laboratory tests and respiratory physiopathology, respiratory function tests, arterial blood gas analysis and oximetry; walk test; polygraphic monitoring during sleep, clinical semiotics of the main symptoms and signs of respiratory diseases: cough, dyspnoea, haemophtoe and chest pain, rales, wheezing, cyanosis, digital hippocratism. Other non-specific symptoms and signs associated with respiratory disease
3) Respiratory infectious diseases: community acquired (CAP) and nosocomial (HAP) pneumonia, pneumonia in the immunocompromised host, aspiration pneumonia (ad ingestis), lung abscess. Definition, Epidemiology, Main Pathogens, Risk Factors, Pathophysiology, Pathological Anatomy, Clinical and Instrumental Diagnosis, Natural History, Complications and Therapy
4) Pulmonary tuberculosis. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
5) Lung Cancer: definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
6) Acute and chronic respiratory failure. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy. Oxygen therapy and non-invasive mechanical ventilation: basic principles, indications, side effects.
7) Pulmonary embolism, pulmonary arterial hypertension and other pathologies of the pulmonary circulation: definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
8) Diffuse infiltrative lung diseases: idiopathic pulmonary fibrosis, sarcoidosis and other pulmonary interstitial diseases; definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
9) Bronchial asthma and respiratory immunoallergic diseases: definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
10) Chronic obstructive pulmonary disease (COPD): definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy
11) Pleural Pathology: pleurisy and pleural effusions; pneumothorax; mesothelioma. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy. Thoracentesis and management of pleurostomy.
12) Bronchiectasis. Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy.
13) Obstructive sleep apnea syndrome (OSAS). Definition, epidemiology, risk factors, pathophysiology, pathological anatomy, clinical and instrumental diagnosis, natural history, complications and therapy.
( reference books)
Harrison's Principles of Internal Medicine, 20e J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo
|
2
|
MED/10
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
CARDIOVASCULAR SYSTEM DISEASES
(objectives)
The aim of the course is to provide the students with the adequate knowledge about epidemiology, etiology, pathogenesis, diagnosis, prognosis and treatment of the cardiac diseases, known to be the main cause of premature deaths. All the cardiovascular diseases, whether ischemic or of different ethiologies, are responsible for reduced quality of life, reduced physical capacity, disability and eventually death. Understanding the pathology and learning how to reach a timely diagnosis will help in achieving the best form of treatment, avoiding progressive worsening of the pathology and of the symptoms. Knowledge of the main diagnostic and/or therapeutic techniques most commonly used in clinical practice completes the course.
Moreover, the course provides to the students with the knowledge of diseases related to the extreme consequences of the main pathology linked to aging, namely atherosclerosis, is central to the training of the modern health worker. In fact, it is important to keep in mind the progressive increase in the average age and the progressive growth of the diabetic "pandemic", which is one of the most serious determinants of atherosclerosis. The knowledge, therefore the prevention and treatment, of peripheral vascular diseases is able to increase the average age of the population (e.g. by preventing the rupture of aortic aneurysms) and to improve their quality of life by avoiding their disability (p. e.g. preventing cerebrovascular accidents and lower limb loss due to gangrene). In recent years, there has been a steady growth in the demand for angiological training by General Medicine, as well as in the demand for mass diagnostic tests (such as ultrasound Doppler), and vascular specialists.
Finally, at the end of the course, the students must demonstrate that they have acquired adequate knowledge of the topics covered by the study program regarding the main clinical, diagnostic and therapeutic aspects of respiratory system diseases.
LEARNING OUTCOMES
KNOWLEDGE AND UNDERSTANDING
Knowledge of the basic principles of the course, mainly focusing on the diseases, their etiology and pathogenesis, their symptoms, diagnosis and treatment. At the end of the course, the student will be able of:
• know the topics of the course
• know the principles of instrumental and differential diagnostics
• know the fundamental principles of the treatment of the pathologies studied
APPLYING KNOWLEDGE AND UNDERSTANDING
Students must be able to apply their knowledge to the understanding and resolution/management of the studied diseases, also regarding new issues and broad and interdisciplinary contexts.
COMMUNICATION SKILLS
Students must be able to communicate their conclusions, knowledge and rationale concerning the studied diseases, integrating them with scientific language properties.
MAKING JUDGEMENTS
Students must have the ability to integrate knowledge and manage complexity, as well as to make
judgments based on the acquired information, including surgical indication and decision making.
LEARNING SKILLS
Students will develop those learning skills that allow them to continue to study mostly in a self- directed and autonomous way. More specifically, they should be able to collect, organize and critically interpret new scientific knowledge from the various resources and available databases, and identify their training needs, possibly planning self-training courses.
-
Prati Francesco
( syllabus)
( From the text Hurst 14th edition)
• Atherosclerosis and vulnerable plaque (Chapter 32)
• Coronary Thrombosis, Coronary Blood Flow (Chapter 33)
• Hypertension (Chapter 23)
• Cardiovascular Risk Factors: Diabetes, Hyperlipidemia, Smoking (Chapter 28-29-30)
• Evaluation and Managment of Stable Ischemic Heart Disease (Chapter 43)
• Cardiovascular Pharmacology
• Acute Coronary Syndromes: Definition, Evaluation and Management of Non-ST Segment Elevation Myocardial Infarction and ST-Segment Elevation Myocardial Infarction, Sudden Cardiac Death (Chapter 36, 37, 39, 40)
• Cardiovascular Diagnostics: electrocardiography, electrocardiographic exercise testing, echocardiography, computed tomography, magnetic resonance, cardiac catherization and cardiac angiography
• Heart Failure: pathophysiology, diagnosis and management (Chapter 68, 70, 71)
• Atrial Fibrillation, Atrial Flutter and Atrial Tachycardia (Chapter 83)
• Wolff-Parkinson-White Syndrome Ventricular Arrhythmias (Chapter 85)
• Classification of Cardiomyopathies (CMP), Dilated CMP, Hypertrophic CMP, Restrictive CMP and Arrhytmogenic CMP (Chapter 57, 58, 59, 61, 62)
• Bradyarrhythmias, Pacemakers and Defibrillators (Chapter 86, 89)
• Myocarditis and Pericardial Diseases (Chapter 63, 66)
( reference books)
Hurst’s. The Heart, 14th edition.
ESC Textbook of Cardiovacular Medicine.
|
2
|
MED/11
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
CHEST SURGERY
(objectives)
The aim of the course is to provide the students with the adequate knowledge about epidemiology, etiology, pathogenesis, diagnosis, prognosis and treatment of the cardiac diseases, known to be the main cause of premature deaths. All the cardiovascular diseases, whether ischemic or of different ethiologies, are responsible for reduced quality of life, reduced physical capacity, disability and eventually death. Understanding the pathology and learning how to reach a timely diagnosis will help in achieving the best form of treatment, avoiding progressive worsening of the pathology and of the symptoms. Knowledge of the main diagnostic and/or therapeutic techniques most commonly used in clinical practice completes the course.
Moreover, the course provides to the students with the knowledge of diseases related to the extreme consequences of the main pathology linked to aging, namely atherosclerosis, is central to the training of the modern health worker. In fact, it is important to keep in mind the progressive increase in the average age and the progressive growth of the diabetic "pandemic", which is one of the most serious determinants of atherosclerosis. The knowledge, therefore the prevention and treatment, of peripheral vascular diseases is able to increase the average age of the population (e.g. by preventing the rupture of aortic aneurysms) and to improve their quality of life by avoiding their disability (p. e.g. preventing cerebrovascular accidents and lower limb loss due to gangrene). In recent years, there has been a steady growth in the demand for angiological training by General Medicine, as well as in the demand for mass diagnostic tests (such as ultrasound Doppler), and vascular specialists.
Finally, at the end of the course, the students must demonstrate that they have acquired adequate knowledge of the topics covered by the study program regarding the main clinical, diagnostic and therapeutic aspects of respiratory system diseases.
LEARNING OUTCOMES
KNOWLEDGE AND UNDERSTANDING
Knowledge of the basic principles of the course, mainly focusing on the diseases, their etiology and pathogenesis, their symptoms, diagnosis and treatment. At the end of the course, the student will be able of:
• know the topics of the course
• know the principles of instrumental and differential diagnostics
• know the fundamental principles of the treatment of the pathologies studied
APPLYING KNOWLEDGE AND UNDERSTANDING
Students must be able to apply their knowledge to the understanding and resolution/management of the studied diseases, also regarding new issues and broad and interdisciplinary contexts.
COMMUNICATION SKILLS
Students must be able to communicate their conclusions, knowledge and rationale concerning the studied diseases, integrating them with scientific language properties.
MAKING JUDGEMENTS
Students must have the ability to integrate knowledge and manage complexity, as well as to make
judgments based on the acquired information, including surgical indication and decision making.
LEARNING SKILLS
Students will develop those learning skills that allow them to continue to study mostly in a self- directed and autonomous way. More specifically, they should be able to collect, organize and critically interpret new scientific knowledge from the various resources and available databases, and identify their training needs, possibly planning self-training courses.
-
Mercadante Edoardo
( syllabus)
• Basics of surgical anatomy of chest
• Fundamentals of diagnosis and imaging examinations in thoracic surgery
• Preoperative physiological evaluation
• Chest wall diseases: Pectus deformities, Thoracic outlet syndrome, chest wall tumors
• Pleura: Pneumothorax, Chylothorax, Empyema, Pleural effusion, Solitary fibrous tumors, Malignant pleural mesothelioma
• Trachea: tracheobronchial injuries, stenosis and fistulae, Tracheal tumors
• Mediastinum: Myasthenia gravis, Thymic tumors, Mediastinal germ cell tumors, Lymphomas, and other hematologic diseases
• Lung: Surgery for emphysema, Lung abscess, Lung cancer screening, Solitary pulmonary nodule, Staging
• lung cancer, Lung cancer, Superior sulcus tumors, Carcinoid tumors, Metastatic tumors of the lung
• Esophagus: Benign tumors, esophageal malignancies, Staging, Indications to surgery, Esophageal functional diseases, Differential diagnosis, Decision making process and Indication to surgery of functional diseases of foregut
•
( reference books)
Pocket Manual of General Thoracic Surgery. Amin Madani, Lorenzo Ferri, Andrew Seely (Eds). 2015 Edition. Springer. ISBN-13: 978-3319174969, ISBN-10: 3319174967
Decision making in Thoracic Surgery. An algorithmic approach. Wickii T Vignesvaran, John A Odell. Jaipee The Health Sciences Publisher Ltd. First Edition 2018. ISBN:978-93-5270-038-7
|
1
|
MED/21
|
10
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
VASCULAR SURGERY
(objectives)
The aim of the course is to provide the students with the adequate knowledge about epidemiology, etiology, pathogenesis, diagnosis, prognosis and treatment of the cardiac diseases, known to be the main cause of premature deaths. All the cardiovascular diseases, whether ischemic or of different ethiologies, are responsible for reduced quality of life, reduced physical capacity, disability and eventually death. Understanding the pathology and learning how to reach a timely diagnosis will help in achieving the best form of treatment, avoiding progressive worsening of the pathology and of the symptoms. Knowledge of the main diagnostic and/or therapeutic techniques most commonly used in clinical practice completes the course.
Moreover, the course provides to the students with the knowledge of diseases related to the extreme consequences of the main pathology linked to aging, namely atherosclerosis, is central to the training of the modern health worker. In fact, it is important to keep in mind the progressive increase in the average age and the progressive growth of the diabetic "pandemic", which is one of the most serious determinants of atherosclerosis. The knowledge, therefore the prevention and treatment, of peripheral vascular diseases is able to increase the average age of the population (e.g. by preventing the rupture of aortic aneurysms) and to improve their quality of life by avoiding their disability (p. e.g. preventing cerebrovascular accidents and lower limb loss due to gangrene). In recent years, there has been a steady growth in the demand for angiological training by General Medicine, as well as in the demand for mass diagnostic tests (such as ultrasound Doppler), and vascular specialists.
Finally, at the end of the course, the students must demonstrate that they have acquired adequate knowledge of the topics covered by the study program regarding the main clinical, diagnostic and therapeutic aspects of respiratory system diseases.
LEARNING OUTCOMES
KNOWLEDGE AND UNDERSTANDING
Knowledge of the basic principles of the course, mainly focusing on the diseases, their etiology and pathogenesis, their symptoms, diagnosis and treatment. At the end of the course, the student will be able of:
• know the topics of the course
• know the principles of instrumental and differential diagnostics
• know the fundamental principles of the treatment of the pathologies studied
APPLYING KNOWLEDGE AND UNDERSTANDING
Students must be able to apply their knowledge to the understanding and resolution/management of the studied diseases, also regarding new issues and broad and interdisciplinary contexts.
COMMUNICATION SKILLS
Students must be able to communicate their conclusions, knowledge and rationale concerning the studied diseases, integrating them with scientific language properties.
MAKING JUDGEMENTS
Students must have the ability to integrate knowledge and manage complexity, as well as to make
judgments based on the acquired information, including surgical indication and decision making.
LEARNING SKILLS
Students will develop those learning skills that allow them to continue to study mostly in a self- directed and autonomous way. More specifically, they should be able to collect, organize and critically interpret new scientific knowledge from the various resources and available databases, and identify their training needs, possibly planning self-training courses.
-
Martelli Eugenio
( syllabus)
1) Atherosclerosis and principles of Hemodynamics.
2) Clinical semiotics and instrumental diagnosis of vascular apparatus and pathologies
3)Peripheral vascular disease.
4) Acute limb ischemia.
5) Cerebrovascular insufficiency.
6) Celiac-mesenteric insufficiency, acute and chronic.
7) Renovascular hypertension.
8) Aortic aneurysms.
9) Peripheral aneurysms
10) Aortic dissections.
11) Vascular trauma.
12) Diseases of the venous system.
13) Diseases of the lymphatic system.
14) Thoracic outlet syndrome.
15) Vasospastic diseases.
( reference books)
Handbook of Patient Care in Vascular Diseases (6th edition), by Rasmussen/Clouse/Tonnessen.
Wolters Kluwer (Lippincott Williams & Wilkins Handbook
|
3
|
MED/22
|
30
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
HEART SURGERY
(objectives)
The aim of the course is to provide the students with the adequate knowledge about epidemiology, etiology, pathogenesis, diagnosis, prognosis and treatment of the cardiac diseases, known to be the main cause of premature deaths. All the cardiovascular diseases, whether ischemic or of different ethiologies, are responsible for reduced quality of life, reduced physical capacity, disability and eventually death. Understanding the pathology and learning how to reach a timely diagnosis will help in achieving the best form of treatment, avoiding progressive worsening of the pathology and of the symptoms. Knowledge of the main diagnostic and/or therapeutic techniques most commonly used in clinical practice completes the course.
Moreover, the course provides to the students with the knowledge of diseases related to the extreme consequences of the main pathology linked to aging, namely atherosclerosis, is central to the training of the modern health worker. In fact, it is important to keep in mind the progressive increase in the average age and the progressive growth of the diabetic "pandemic", which is one of the most serious determinants of atherosclerosis. The knowledge, therefore the prevention and treatment, of peripheral vascular diseases is able to increase the average age of the population (e.g. by preventing the rupture of aortic aneurysms) and to improve their quality of life by avoiding their disability (p. e.g. preventing cerebrovascular accidents and lower limb loss due to gangrene). In recent years, there has been a steady growth in the demand for angiological training by General Medicine, as well as in the demand for mass diagnostic tests (such as ultrasound Doppler), and vascular specialists.
Finally, at the end of the course, the students must demonstrate that they have acquired adequate knowledge of the topics covered by the study program regarding the main clinical, diagnostic and therapeutic aspects of respiratory system diseases.
LEARNING OUTCOMES
KNOWLEDGE AND UNDERSTANDING
Knowledge of the basic principles of the course, mainly focusing on the diseases, their etiology and pathogenesis, their symptoms, diagnosis and treatment. At the end of the course, the student will be able of:
• know the topics of the course
• know the principles of instrumental and differential diagnostics
• know the fundamental principles of the treatment of the pathologies studied
APPLYING KNOWLEDGE AND UNDERSTANDING
Students must be able to apply their knowledge to the understanding and resolution/management of the studied diseases, also regarding new issues and broad and interdisciplinary contexts.
COMMUNICATION SKILLS
Students must be able to communicate their conclusions, knowledge and rationale concerning the studied diseases, integrating them with scientific language properties.
MAKING JUDGEMENTS
Students must have the ability to integrate knowledge and manage complexity, as well as to make
judgments based on the acquired information, including surgical indication and decision making.
LEARNING SKILLS
Students will develop those learning skills that allow them to continue to study mostly in a self- directed and autonomous way. More specifically, they should be able to collect, organize and critically interpret new scientific knowledge from the various resources and available databases, and identify their training needs, possibly planning self-training courses.
-
De Paulis Ruggero
( syllabus)
1) Ischemic heart diseases. Surgical therapies. Rationale and methodology
2) Valvular disease
- Main causes of valve diseases
- Congenital, Rheumatic disease, Ischemic disease, Endocarditis, Degenerative
Aortic stenosis:
- Ethiology, Physiopathology
- Diagnosis: Symptoms, Semeiotic, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, Valvuloplasty, TAVI, Surgical
Aortic insufficiency:
- Ethiology, Physiopathology
- Diagnosis: Symptoms, Semeiotic, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, TAVI, Surgical
Mitral stenosis:
- Ethiology, Physiopathology
- Diagnosis: Symptoms, Semeiotic, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, Valvuloplasty, TAMI, Surgical
Mitral insufficiency:
- Ethiology, Physiopathology
- Diagnosis: Symptoms, Physical examination, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, Percutaneous Interventional, Surgical
Tricuspid insufficiency:
- Ethiology, Physiopathology
- Diagnosis: Symptoms, Semeiotic, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, Percutaneous Interventional , Surgical
Tricuspid stenosis and pulmonary disease
- Ethiology, Physiopathology
- Diagnosis Symptoms, Semeiotic, Lab. Tests, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, Percutaneous Interventional , Surgical
Infective endocarditis
- Ethiology, Physiopathology
- Diagnosis Symptoms, Semeiotic, Lab. Tests, Ecg changes, Echocardiogram, Catheterism
- Therapy: Medical, Percutaneous Interventional , Surgical
3) Congenital disease
- Atrial septum defect (physiopathology, diagnosis and treatment)
- Ventricular septum defect (physiopathology, diagnosis and treatment)
- Tetralogy of Fallot (physiopathology, diagnosis and treatment)
- Aortic coarctation (physiopathology, diagnosis and treatment)
- Pulmonary atresia (physiopathology, diagnosis and treatment)
- Trasposizione dei grossi vasi (physiopathology, diagnosis and treatment)
( reference books)
Cardiac Surgery, Kirklin /Barrat-Boyes. Ed Churchill, Livingstone
|
2
|
MED/23
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
90291 -
Laboratory medicine
(objectives)
The integrated teaching of Laboratory Medicine is aimed at introducing the student to the logic and tools underlying the execution of the diagnostic tests of the Clinical Biochemistry, Clinical Pathology, Clinical Microbiology, Clinical Parasitology and Rheumatology. At the end of the integrated teaching, the student will be able to apply diagnostic tests in the clinical practice, and to interpret and evaluate their results.
LEARNING OUTCOMES
The learning outcomes expected from the integrated teaching of Laboratory Medicine are consistent with the provisions from the Bologna Process and are found within the Dublin descriptors as follows:
Knowledge and understanding:
At the end of the Clinical Biochemistry and Clinical Molecular Biology module, the student will demonstrate knowledge and understanding of: the basic principles to interpret laboratory data; sources of pre-analytical and analytical variation; principles of quality control; diagnostic databases and reference values; methodologies for dosing common enzyme markers and their diagnostic value, and also their use as organ biomarkers; water and electrolytes homeostasis; methods and principles for electrolytes dosing in clinical samples; methods and principles for evaluating blood gases; the impact of the acid-base equilibria in the development of pathologies.
At the end of the Clinical Pathology module, the student must: have learned the logic of the clinical use of laboratory tests, the interpretation of their results and their integration into clinical reasoning; knowing how to frame the biological marker in the context of evidence-based medicine; know the methodologies used for counting/ identifying the blood cells and investigating the most common erythocyte, platelet and leukocyte pathologies; have a notion of the mechanisms underlying the haemostatic and fibrinolytic process, as well as the main laboratory investigations used to define the patient’s hemorrhagic or thrombotic risk; know the diagnostic tests useful for evaluating the immune response or the presence of an inflammatory state in the patient, and their main clinical indications; have knowledge of laboratory investigations relating to the most common acute or chronic liver diseases; know the most frequently used methodologies to assess kidney function and know how to interpret the results of the macroscopic, microscopic and chemical-physical examination of the urine sample; understand the results of diagnostic tests aimed at determining the level of glucose or the concentration of lipids in the blood, know the reasons behind their pathological changes, and knowing how to correlate the obtained data with the risk of vascular damage ; know the markers employed to highlight the presence of a tumor or monitor its stage of progression; have notions about the typing of blood cells, and the laboratory investigations preparatory to transfusions; being able to identify the conditions in which to apply therapeutic drug monitoring and understanding the results; know the characteristics and applications of laboratory investigations aimed at ascertaining the presence and nature of a voluptuous intoxication; being able to identify and apply laboratory tests useful for monitoring the health status of individuals who perform sporting activities at different levels, disclosing any health risk factors resulting from overexertion and/or trauma.
Upon completion of the module of Clinical Microbiology, students should be able to: 1) know the relevance of an appropriate diagnosis of infections; 2) appreciate the importance of using new and updated technologies for an adequate diagnosis; 3) know the major microorganisms cause of infections in different organs and apparatuses, and how to diagnose them.
At the end of the Clinical Parasitology module, the student will know the main parasites that can infect humans, as well as the techniques used in the diagnosis of parasitic diseases and the correlation between pathogen, clinical course of the disease and treatment.
Upon completion of the module of Rheumatology, the students will be able to discuss the pathophysiology of the main rheumatic diseases, particularly autoimmune and inflammatory disorders of rheumatologic interest, and their distinctive clinical picture. They will be able to identify the indications for laboratory tests and interpret the results. The students will be able to use an appropriate language, access and evaluate medical information relevant to the topics objects of this course.
Applying knowledge and understanding:
the general objective of the integrated course of Laboratory Medicine is the critical learning of the method of dosing biomarkers which are present in human body fluids, as well as their use in the diagnosis of pathological conditions . At the end of the integrated teaching, the student will be able to evaluate the results of a laboratory medicine test, critically using the reference value databases. Starting from the knowledge of the laboratory test and its result, the student will be abe to learn how to: determine the presence of a disease or the predisposition to it; confirm the diagnosis already hypothesized through other instrumental methods and/or clinical semeiotics; define the prognosis of the disease; choose the appropriate therapy and monitor its effects.
Communication skills:
at the end of the integrated teaching, the student will be able to explain the laboratory analysis of the patient’s specimen by dividing its various phases into logical steps. Ultimately, the student will be able to correlate specific biomarkers with the presence, or with the risk of developing, a disease.
Making judgements:
at the end of the integrated teaching, the student will be able to provide evaluations of the results obtained in a clinical laboratory, and understand the factors which influence laboratory tests.
Learning skills:
at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of laboratory medicine, also through the consultation of scientific literature, databases, specialized websites.
|
|
|
-
Clinical biochemistry and clinical molecular biochemistry
(objectives)
The integrated teaching of Laboratory Medicine is aimed at introducing the student to the logic and tools underlying the execution of the diagnostic tests of the Clinical Biochemistry, Clinical Pathology, Clinical Microbiology, Clinical Parasitology and Rheumatology. At the end of the integrated teaching, the student will be able to apply diagnostic tests in the clinical practice, and to interpret and evaluate their results.
LEARNING OUTCOMES
The learning outcomes expected from the integrated teaching of Laboratory Medicine are consistent with the provisions from the Bologna Process and are found within the Dublin descriptors as follows:
Knowledge and understanding:
At the end of the Clinical Biochemistry and Clinical Molecular Biology module, the student will demonstrate knowledge and understanding of: the basic principles to interpret laboratory data; sources of pre-analytical and analytical variation; principles of quality control; diagnostic databases and reference values; methodologies for dosing common enzyme markers and their diagnostic value, and also their use as organ biomarkers; water and electrolytes homeostasis; methods and principles for electrolytes dosing in clinical samples; methods and principles for evaluating blood gases; the impact of the acid-base equilibria in the development of pathologies.
At the end of the Clinical Pathology module, the student must: have learned the logic of the clinical use of laboratory tests, the interpretation of their results and their integration into clinical reasoning; knowing how to frame the biological marker in the context of evidence-based medicine; know the methodologies used for counting/ identifying the blood cells and investigating the most common erythocyte, platelet and leukocyte pathologies; have a notion of the mechanisms underlying the haemostatic and fibrinolytic process, as well as the main laboratory investigations used to define the patient’s hemorrhagic or thrombotic risk; know the diagnostic tests useful for evaluating the immune response or the presence of an inflammatory state in the patient, and their main clinical indications; have knowledge of laboratory investigations relating to the most common acute or chronic liver diseases; know the most frequently used methodologies to assess kidney function and know how to interpret the results of the macroscopic, microscopic and chemical-physical examination of the urine sample; understand the results of diagnostic tests aimed at determining the level of glucose or the concentration of lipids in the blood, know the reasons behind their pathological changes, and knowing how to correlate the obtained data with the risk of vascular damage ; know the markers employed to highlight the presence of a tumor or monitor its stage of progression; have notions about the typing of blood cells, and the laboratory investigations preparatory to transfusions; being able to identify the conditions in which to apply therapeutic drug monitoring and understanding the results; know the characteristics and applications of laboratory investigations aimed at ascertaining the presence and nature of a voluptuous intoxication; being able to identify and apply laboratory tests useful for monitoring the health status of individuals who perform sporting activities at different levels, disclosing any health risk factors resulting from overexertion and/or trauma.
Upon completion of the module of Clinical Microbiology, students should be able to: 1) know the relevance of an appropriate diagnosis of infections; 2) appreciate the importance of using new and updated technologies for an adequate diagnosis; 3) know the major microorganisms cause of infections in different organs and apparatuses, and how to diagnose them.
At the end of the Clinical Parasitology module, the student will know the main parasites that can infect humans, as well as the techniques used in the diagnosis of parasitic diseases and the correlation between pathogen, clinical course of the disease and treatment.
Upon completion of the module of Rheumatology, the students will be able to discuss the pathophysiology of the main rheumatic diseases, particularly autoimmune and inflammatory disorders of rheumatologic interest, and their distinctive clinical picture. They will be able to identify the indications for laboratory tests and interpret the results. The students will be able to use an appropriate language, access and evaluate medical information relevant to the topics objects of this course.
Applying knowledge and understanding:
the general objective of the integrated course of Laboratory Medicine is the critical learning of the method of dosing biomarkers which are present in human body fluids, as well as their use in the diagnosis of pathological conditions . At the end of the integrated teaching, the student will be able to evaluate the results of a laboratory medicine test, critically using the reference value databases. Starting from the knowledge of the laboratory test and its result, the student will be abe to learn how to: determine the presence of a disease or the predisposition to it; confirm the diagnosis already hypothesized through other instrumental methods and/or clinical semeiotics; define the prognosis of the disease; choose the appropriate therapy and monitor its effects.
Communication skills:
at the end of the integrated teaching, the student will be able to explain the laboratory analysis of the patient’s specimen by dividing its various phases into logical steps. Ultimately, the student will be able to correlate specific biomarkers with the presence, or with the risk of developing, a disease.
Making judgements:
at the end of the integrated teaching, the student will be able to provide evaluations of the results obtained in a clinical laboratory, and understand the factors which influence laboratory tests.
Learning skills:
at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of laboratory medicine, also through the consultation of scientific literature, databases, specialized websites.
-
Barbato Gaetano
( syllabus)
- Definition, limits and scope of Laboratory Medicine
- Classification of Disciplines within Laboratory Medicine
- General organization of the Laborator
- Rational behind laboratory test choice
- strategy in requesting laboratory test (screening test, individual test, organ profiling, diagnostic protocols, therapy monitoring etc.)
- Statistics
- Basic statistics recall: Frequency distribution; Population and representative sample; Probability and Probability distribution; Population dispersion and Standard Deviation
- Variation
- Sources of Variation
- impact of pre-analytical phase on variability: sample collection and transportation
- impact of analytical on variability: analytical performance and indicators
- Hierarchy of analytical methods
- Errors
- Impact of biological variation: nature of B. variation; reference values selection and use; cut-off
- Use of the laboratory data: clinical performance of tests; clinical sensitivity, clinical specificity, Receiver operating characteristic (ROC) curves; Predictive value
- Introduction to Quality Systems
- accreditation and certification
- Control of the analysis product
- Use of Diagnostic Biomarkers dosage
- Enzymatic Biomarkers : Enzyme’s role in clinical diagnosis
- Enzyme quantification in clinical chemistry; Early markers and late markers. Enzymatic dosing methodologies: Continuous and discrete measure dosing. Substrate, Product and co-factors dosing.
- Diagnostic dosing “Case Studies” in the Clinical Laboratory practice as organ markers: Creatin Kinase (CK), Lactic DeHydrogenase (LDH), Transaminases (ALT, AST), γ-Glutamyltransferase (GGT), Alkaline (ALP) and Acidic (ACP) Phosphatases, Amylase, Lipase.
- Electrolytes and Blood Gases: Colligative properties; Water Homeostasis; Specimens for Electrolyte determination; Sodium; Potassium; Chloride; Bicarbonate; Methods for determination; Electrolyte exclusion effect; Osmotic Pressure; Osmolality; determination of Plasma and Urine Osmolality; Blood gases and pH; Henderson-Hasselbalch equation in gas measurements; oxygen in blood; hemoglobin saturation/dissociation; determination of pCO2, pO2 and pH.
- Electrolites and water composition of body fluids; extracellular and intracellular compartments; acid-base balance and status; buffer systems and regulation of body fluids pH; respiratory and renal mechanisms in the regulation of acid-base balance; conditions associated with abnormal acid-base status or abnormal electrolyte composition of blood; Metabolic acidosis and alkalosis; respiratory acidosis and alkalosis.
( reference books)
- “Tietz fundamentals of Clinical Chemistry and molecular diagnostics”. 8th ed. N. Rifai, A.R. Horvath, C.T. Wittwer, Elsevier 2019. ISBN-13: 978-0323530446
- Michael Laposata. “Laboratory Medicine: the diagnosis of disease in the clinical laboratory” (3rd edition). LANGE editor
- Oxford handbook - “Infectious diseases and microbiology” – E Torok, E. Moran, F Cooke - Second edition
- Wolters Kluwer – “Color atlas and textbook of Diagnostic Microbiology” – GW Procop, DL Church, GS Hall, WM Janda, EW Konemar, PC Schreckenberger, GL Wood – Seventh Edition
- Harrison’s Rheumatology, latest edition
- Harrison’s Principle of Internal Medicine, latest edition
- Oxford Handbook of Rheumatology, latest edition
- Clinical Microbiology, Murray, Rosenthal, Pfaller, 8 Edition
|
2
|
BIO/12
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
Clinical pathology
(objectives)
The integrated teaching of Laboratory Medicine is aimed at introducing the student to the logic and tools underlying the execution of the diagnostic tests of the Clinical Biochemistry, Clinical Pathology, Clinical Microbiology, Clinical Parasitology and Rheumatology. At the end of the integrated teaching, the student will be able to apply diagnostic tests in the clinical practice, and to interpret and evaluate their results.
LEARNING OUTCOMES
The learning outcomes expected from the integrated teaching of Laboratory Medicine are consistent with the provisions from the Bologna Process and are found within the Dublin descriptors as follows:
Knowledge and understanding:
At the end of the Clinical Biochemistry and Clinical Molecular Biology module, the student will demonstrate knowledge and understanding of: the basic principles to interpret laboratory data; sources of pre-analytical and analytical variation; principles of quality control; diagnostic databases and reference values; methodologies for dosing common enzyme markers and their diagnostic value, and also their use as organ biomarkers; water and electrolytes homeostasis; methods and principles for electrolytes dosing in clinical samples; methods and principles for evaluating blood gases; the impact of the acid-base equilibria in the development of pathologies.
At the end of the Clinical Pathology module, the student must: have learned the logic of the clinical use of laboratory tests, the interpretation of their results and their integration into clinical reasoning; knowing how to frame the biological marker in the context of evidence-based medicine; know the methodologies used for counting/ identifying the blood cells and investigating the most common erythocyte, platelet and leukocyte pathologies; have a notion of the mechanisms underlying the haemostatic and fibrinolytic process, as well as the main laboratory investigations used to define the patient’s hemorrhagic or thrombotic risk; know the diagnostic tests useful for evaluating the immune response or the presence of an inflammatory state in the patient, and their main clinical indications; have knowledge of laboratory investigations relating to the most common acute or chronic liver diseases; know the most frequently used methodologies to assess kidney function and know how to interpret the results of the macroscopic, microscopic and chemical-physical examination of the urine sample; understand the results of diagnostic tests aimed at determining the level of glucose or the concentration of lipids in the blood, know the reasons behind their pathological changes, and knowing how to correlate the obtained data with the risk of vascular damage ; know the markers employed to highlight the presence of a tumor or monitor its stage of progression; have notions about the typing of blood cells, and the laboratory investigations preparatory to transfusions; being able to identify the conditions in which to apply therapeutic drug monitoring and understanding the results; know the characteristics and applications of laboratory investigations aimed at ascertaining the presence and nature of a voluptuous intoxication; being able to identify and apply laboratory tests useful for monitoring the health status of individuals who perform sporting activities at different levels, disclosing any health risk factors resulting from overexertion and/or trauma.
Upon completion of the module of Clinical Microbiology, students should be able to: 1) know the relevance of an appropriate diagnosis of infections; 2) appreciate the importance of using new and updated technologies for an adequate diagnosis; 3) know the major microorganisms cause of infections in different organs and apparatuses, and how to diagnose them.
At the end of the Clinical Parasitology module, the student will know the main parasites that can infect humans, as well as the techniques used in the diagnosis of parasitic diseases and the correlation between pathogen, clinical course of the disease and treatment.
Upon completion of the module of Rheumatology, the students will be able to discuss the pathophysiology of the main rheumatic diseases, particularly autoimmune and inflammatory disorders of rheumatologic interest, and their distinctive clinical picture. They will be able to identify the indications for laboratory tests and interpret the results. The students will be able to use an appropriate language, access and evaluate medical information relevant to the topics objects of this course.
Applying knowledge and understanding:
the general objective of the integrated course of Laboratory Medicine is the critical learning of the method of dosing biomarkers which are present in human body fluids, as well as their use in the diagnosis of pathological conditions . At the end of the integrated teaching, the student will be able to evaluate the results of a laboratory medicine test, critically using the reference value databases. Starting from the knowledge of the laboratory test and its result, the student will be abe to learn how to: determine the presence of a disease or the predisposition to it; confirm the diagnosis already hypothesized through other instrumental methods and/or clinical semeiotics; define the prognosis of the disease; choose the appropriate therapy and monitor its effects.
Communication skills:
at the end of the integrated teaching, the student will be able to explain the laboratory analysis of the patient’s specimen by dividing its various phases into logical steps. Ultimately, the student will be able to correlate specific biomarkers with the presence, or with the risk of developing, a disease.
Making judgements:
at the end of the integrated teaching, the student will be able to provide evaluations of the results obtained in a clinical laboratory, and understand the factors which influence laboratory tests.
Learning skills:
at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of laboratory medicine, also through the consultation of scientific literature, databases, specialized websites.
-
Barillari Giovanni
( syllabus)
- The clinical value of the laboratory
- Injury and function markers
- The blood count
- Coagulation and pathologies of the coagulation system
- Markers of inflammation and immune reactions
- Diagnosis of leukocyte pathologies
- Diagnosis of anemias
- Liver, hepatitis and cirrhosis
- Blood sugar
- Lipemia
- Functional evaluation of the kidney, urinalysis
- Tumor markers
- Immunohematology and transfusion medicine
- Laboratory evaluation of drug blood concentrations, drug abuse and doping
- The laboratory in sport activities
( reference books)
- “Tietz fundamentals of Clinical Chemistry and molecular diagnostics”. 8th ed. N. Rifai, A.R. Horvath, C.T. Wittwer, Elsevier 2019. ISBN-13: 978-0323530446
- Michael Laposata. “Laboratory Medicine: the diagnosis of disease in the clinical laboratory” (3rd edition). LANGE editor
- Oxford handbook - “Infectious diseases and microbiology” – E Torok, E. Moran, F Cooke - Second edition
- Wolters Kluwer – “Color atlas and textbook of Diagnostic Microbiology” – GW Procop, DL Church, GS Hall, WM Janda, EW Konemar, PC Schreckenberger, GL Wood – Seventh Edition
- Harrison’s Rheumatology, latest edition
- Harrison’s Principle of Internal Medicine, latest edition
- Oxford Handbook of Rheumatology, latest edition
- Clinical Microbiology, Murray, Rosenthal, Pfaller, 8 Edition
|
2
|
MED/05
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
Microbiology and clinical microbiology
(objectives)
LEARNING OBJECTIVES:
The integrated teaching of Laboratory Medicine is aimed at introducing the student to the logic and tools underlying the execution of the diagnostic tests of the Clinical Biochemistry, Clinical Pathology, Clinical Microbiology, Clinical Parasitology and Rheumatology. At the end of the integrated teaching, the student will be able to apply diagnostic tests in the clinical practice, and to interpret and evaluate their results.
LEARNING OUTCOMES
The learning outcomes expected from the integrated teaching of Laboratory Medicine are consistent with the provisions from the Bologna Process and are found within the Dublin descriptors as follows:
Knowledge and understanding:
At the end of the Clinical Biochemistry and Clinical Molecular Biology module, the student will demonstrate knowledge and understanding of: the basic principles to interpret laboratory data; sources of pre-analytical and analytical variation; principles of quality control; diagnostic databases and reference values; methodologies for dosing common enzyme markers and their diagnostic value, and also their use as organ biomarkers; water and electrolytes homeostasis; methods and principles for electrolytes dosing in clinical samples; methods and principles for evaluating blood gases; the impact of the acid-base equilibria in the development of pathologies.
At the end of the Clinical Pathology module, the student must: have learned the logic of the clinical use of laboratory tests, the interpretation of their results and their integration into clinical reasoning; knowing how to frame the biological marker in the context of evidence-based medicine; know the methodologies used for counting/ identifying the blood cells and investigating the most common erythocyte, platelet and leukocyte pathologies; have a notion of the mechanisms underlying the haemostatic and fibrinolytic process, as well as the main laboratory investigations used to define the patient’s hemorrhagic or thrombotic risk; know the diagnostic tests useful for evaluating the immune response or the presence of an inflammatory state in the patient, and their main clinical indications; have knowledge of laboratory investigations relating to the most common acute or chronic liver diseases; know the most frequently used methodologies to assess kidney function and know how to interpret the results of the macroscopic, microscopic and chemical-physical examination of the urine sample; understand the results of diagnostic tests aimed at determining the level of glucose or the concentration of lipids in the blood, know the reasons behind their pathological changes, and knowing how to correlate the obtained data with the risk of vascular damage ; know the markers employed to highlight the presence of a tumor or monitor its stage of progression; have notions about the typing of blood cells, and the laboratory investigations preparatory to transfusions; being able to identify the conditions in which to apply therapeutic drug monitoring and understanding the results; know the characteristics and applications of laboratory investigations aimed at ascertaining the presence and nature of a voluptuous intoxication; being able to identify and apply laboratory tests useful for monitoring the health status of individuals who perform sporting activities at different levels, disclosing any health risk factors resulting from overexertion and/or trauma.
Upon completion of the module of Clinical Microbiology, students should be able to: 1) know the relevance of an appropriate diagnosis of infections; 2) appreciate the importance of using new and updated technologies for an adequate diagnosis; 3) know the major microorganisms cause of infections in different organs and apparatuses, and how to diagnose them.
At the end of the Clinical Parasitology module, the student will know the main parasites that can infect humans, as well as the techniques used in the diagnosis of parasitic diseases and the correlation between pathogen, clinical course of the disease and treatment.
Upon completion of the module of Rheumatology, the students will be able to discuss the pathophysiology of the main rheumatic diseases, particularly autoimmune and inflammatory disorders of rheumatologic interest, and their distinctive clinical picture. They will be able to identify the indications for laboratory tests and interpret the results. The students will be able to use an appropriate language, access and evaluate medical information relevant to the topics objects of this course.
Applying knowledge and understanding:
the general objective of the integrated course of Laboratory Medicine is the critical learning of the method of dosing biomarkers which are present in human body fluids, as well as their use in the diagnosis of pathological conditions . At the end of the integrated teaching, the student will be able to evaluate the results of a laboratory medicine test, critically using the reference value databases. Starting from the knowledge of the laboratory test and its result, the student will be abe to learn how to: determine the presence of a disease or the predisposition to it; confirm the diagnosis already hypothesized through other instrumental methods and/or clinical semeiotics; define the prognosis of the disease; choose the appropriate therapy and monitor its effects.
Communication skills:
at the end of the integrated teaching, the student will be able to explain the laboratory analysis of the patient’s specimen by dividing its various phases into logical steps. Ultimately, the student will be able to correlate specific biomarkers with the presence, or with the risk of developing, a disease.
Making judgements:
at the end of the integrated teaching, the student will be able to provide evaluations of the results obtained in a clinical laboratory, and understand the factors which influence laboratory tests.
Learning skills:
at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of laboratory medicine, also through the consultation of scientific literature, databases, specialized websites.
-
Perno Carlo Federico
( syllabus)
- Principles of medical microbiology and immunology
- Principles of diagnostic microbiology
◦ Tests used
◦ Appropriate biological samples
◦ How to get and store biological samples
◦ Interpretation of microbiological results
- Elements of Diagnostic Microbiology: Direct and indirect tests, Microbial isolation, selection of the appropriate biological samples, antibiogram (Principles, purposes and interpretation)
- Elements of Diagnostic Virology: Direct and indirect tests, Viral isolation, Selection of the biological samples and their preservation and storage
- Elements of the diagnostic Mycology, biological isolation, selection of the biological samples; modern molecular and antigenic tests
- Main etiological agents of the infections of the Nervous System; Characteristics of the cerebrospinal fluid. Samples to be used, how to get them, storage, interpretation of the results
- Main etiological agents of the infections of the Upper and Lower Respiratory Tracts. Samples to be used, how to get them, storage, interpretation of the results
- Main etiological agents of the infections of the Gastrointestinal System. Food-related infections. Samples to be used, how to get them, storage, interpretation of the results
- Main etiological agents of the infections of the Urinary Tract. Samples to be used, how to get them, storage, interpretation of the results
- Systemic infections: How to use and interpret the Haemoculture. Infections of the cardio-vascular apparatus
- Main etiological agents of the infections of the Genital Tract. Infections during pregnancy. Samples to be used, how to get them, storage, interpretation of the results
- Sexually transmitted diseases. Main etiological agents, samples to be used, how to get them, storage, interpretation of the results
- Diagnosis of HIV and viral hepatitis
- Hospital infections: Main etiological agents and their modern diagnosis. Microbiological control of the hospital infections
- Infections in the immunocompromised host; Etiological agents, Modern diagnosis, Samples used, how to get them, storage, interpretation of the results
- Microbiota: Structure, clinical relevance, diagnostic methodologies
- General information about the rapid diagnosis of malaria
( reference books)
- “Tietz fundamentals of Clinical Chemistry and molecular diagnostics”. 8th ed. N. Rifai, A.R. Horvath, C.T. Wittwer, Elsevier 2019. ISBN-13: 978-0323530446
- Michael Laposata. “Laboratory Medicine: the diagnosis of disease in the clinical laboratory” (3rd edition). LANGE editor
- Oxford handbook - “Infectious diseases and microbiology” – E Torok, E. Moran, F Cooke - Second edition
- Wolters Kluwer – “Color atlas and textbook of Diagnostic Microbiology” – GW Procop, DL Church, GS Hall, WM Janda, EW Konemar, PC Schreckenberger, GL Wood – Seventh Edition
- Harrison’s Rheumatology, latest edition
- Harrison’s Principle of Internal Medicine, latest edition
- Oxford Handbook of Rheumatology, latest edition
- Clinical Microbiology, Murray, Rosenthal, Pfaller, 8 Edition
|
| 1
|
MED/07
|
10
|
-
|
-
|
-
|
Core compulsory activities
|
| 1
|
MED/07
|
10
|
-
|
-
|
-
|
Core compulsory activities
|
|
ENG |
|
-
Clinical parasitology
(objectives)
The integrated teaching of Laboratory Medicine is aimed at introducing the student to the logic and tools underlying the execution of the diagnostic tests of the Clinical Biochemistry, Clinical Pathology, Clinical Microbiology, Clinical Parasitology and Rheumatology. At the end of the integrated teaching, the student will be able to apply diagnostic tests in the clinical practice, and to interpret and evaluate their results.
LEARNING OUTCOMES
The learning outcomes expected from the integrated teaching of Laboratory Medicine are consistent with the provisions from the Bologna Process and are found within the Dublin descriptors as follows:
Knowledge and understanding:
At the end of the Clinical Biochemistry and Clinical Molecular Biology module, the student will demonstrate knowledge and understanding of: the basic principles to interpret laboratory data; sources of pre-analytical and analytical variation; principles of quality control; diagnostic databases and reference values; methodologies for dosing common enzyme markers and their diagnostic value, and also their use as organ biomarkers; water and electrolytes homeostasis; methods and principles for electrolytes dosing in clinical samples; methods and principles for evaluating blood gases; the impact of the acid-base equilibria in the development of pathologies.
At the end of the Clinical Pathology module, the student must: have learned the logic of the clinical use of laboratory tests, the interpretation of their results and their integration into clinical reasoning; knowing how to frame the biological marker in the context of evidence-based medicine; know the methodologies used for counting/ identifying the blood cells and investigating the most common erythocyte, platelet and leukocyte pathologies; have a notion of the mechanisms underlying the haemostatic and fibrinolytic process, as well as the main laboratory investigations used to define the patient’s hemorrhagic or thrombotic risk; know the diagnostic tests useful for evaluating the immune response or the presence of an inflammatory state in the patient, and their main clinical indications; have knowledge of laboratory investigations relating to the most common acute or chronic liver diseases; know the most frequently used methodologies to assess kidney function and know how to interpret the results of the macroscopic, microscopic and chemical-physical examination of the urine sample; understand the results of diagnostic tests aimed at determining the level of glucose or the concentration of lipids in the blood, know the reasons behind their pathological changes, and knowing how to correlate the obtained data with the risk of vascular damage ; know the markers employed to highlight the presence of a tumor or monitor its stage of progression; have notions about the typing of blood cells, and the laboratory investigations preparatory to transfusions; being able to identify the conditions in which to apply therapeutic drug monitoring and understanding the results; know the characteristics and applications of laboratory investigations aimed at ascertaining the presence and nature of a voluptuous intoxication; being able to identify and apply laboratory tests useful for monitoring the health status of individuals who perform sporting activities at different levels, disclosing any health risk factors resulting from overexertion and/or trauma.
Upon completion of the module of Clinical Microbiology, students should be able to: 1) know the relevance of an appropriate diagnosis of infections; 2) appreciate the importance of using new and updated technologies for an adequate diagnosis; 3) know the major microorganisms cause of infections in different organs and apparatuses, and how to diagnose them.
At the end of the Clinical Parasitology module, the student will know the main parasites that can infect humans, as well as the techniques used in the diagnosis of parasitic diseases and the correlation between pathogen, clinical course of the disease and treatment.
Upon completion of the module of Rheumatology, the students will be able to discuss the pathophysiology of the main rheumatic diseases, particularly autoimmune and inflammatory disorders of rheumatologic interest, and their distinctive clinical picture. They will be able to identify the indications for laboratory tests and interpret the results. The students will be able to use an appropriate language, access and evaluate medical information relevant to the topics objects of this course.
Applying knowledge and understanding:
the general objective of the integrated course of Laboratory Medicine is the critical learning of the method of dosing biomarkers which are present in human body fluids, as well as their use in the diagnosis of pathological conditions . At the end of the integrated teaching, the student will be able to evaluate the results of a laboratory medicine test, critically using the reference value databases. Starting from the knowledge of the laboratory test and its result, the student will be abe to learn how to: determine the presence of a disease or the predisposition to it; confirm the diagnosis already hypothesized through other instrumental methods and/or clinical semeiotics; define the prognosis of the disease; choose the appropriate therapy and monitor its effects.
Communication skills:
at the end of the integrated teaching, the student will be able to explain the laboratory analysis of the patient’s specimen by dividing its various phases into logical steps. Ultimately, the student will be able to correlate specific biomarkers with the presence, or with the risk of developing, a disease.
Making judgements:
at the end of the integrated teaching, the student will be able to provide evaluations of the results obtained in a clinical laboratory, and understand the factors which influence laboratory tests.
Learning skills:
at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of laboratory medicine, also through the consultation of scientific literature, databases, specialized websites.
-
Putignani Lorenza
( syllabus)
- Concepts of ecology applied to parasitism
- General clinical parasitology principles regarding transmission routes, zoonosis, anthropozoonosis
- Medically important Parasites belonging to Nematodes and Cestodes. Laboratory diagnosis of parasitic diseases, clinical symptoms and treatment
( reference books)
- “Tietz fundamentals of Clinical Chemistry and molecular diagnostics”. 8th ed. N. Rifai, A.R. Horvath, C.T. Wittwer, Elsevier 2019. ISBN-13: 978-0323530446
- Michael Laposata. “Laboratory Medicine: the diagnosis of disease in the clinical laboratory” (3rd edition). LANGE editor
- Oxford handbook - “Infectious diseases and microbiology” – E Torok, E. Moran, F Cooke - Second edition
- Wolters Kluwer – “Color atlas and textbook of Diagnostic Microbiology” – GW Procop, DL Church, GS Hall, WM Janda, EW Konemar, PC Schreckenberger, GL Wood – Seventh Edition
- Harrison’s Rheumatology, latest edition
- Harrison’s Principle of Internal Medicine, latest edition
- Oxford Handbook of Rheumatology, latest edition
- Clinical Microbiology, Murray, Rosenthal, Pfaller, 8 Edition,
|
1
|
VET/06
|
10
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
-
Rheumatology
(objectives)
The integrated teaching of Laboratory Medicine is aimed at introducing the student to the logic and tools underlying the execution of the diagnostic tests of the Clinical Biochemistry, Clinical Pathology, Clinical Microbiology, Clinical Parasitology and Rheumatology. At the end of the integrated teaching, the student will be able to apply diagnostic tests in the clinical practice, and to interpret and evaluate their results.
LEARNING OUTCOMES
The learning outcomes expected from the integrated teaching of Laboratory Medicine are consistent with the provisions from the Bologna Process and are found within the Dublin descriptors as follows:
Knowledge and understanding:
At the end of the Clinical Biochemistry and Clinical Molecular Biology module, the student will demonstrate knowledge and understanding of: the basic principles to interpret laboratory data; sources of pre-analytical and analytical variation; principles of quality control; diagnostic databases and reference values; methodologies for dosing common enzyme markers and their diagnostic value, and also their use as organ biomarkers; water and electrolytes homeostasis; methods and principles for electrolytes dosing in clinical samples; methods and principles for evaluating blood gases; the impact of the acid-base equilibria in the development of pathologies.
At the end of the Clinical Pathology module, the student must: have learned the logic of the clinical use of laboratory tests, the interpretation of their results and their integration into clinical reasoning; knowing how to frame the biological marker in the context of evidence-based medicine; know the methodologies used for counting/ identifying the blood cells and investigating the most common erythocyte, platelet and leukocyte pathologies; have a notion of the mechanisms underlying the haemostatic and fibrinolytic process, as well as the main laboratory investigations used to define the patient’s hemorrhagic or thrombotic risk; know the diagnostic tests useful for evaluating the immune response or the presence of an inflammatory state in the patient, and their main clinical indications; have knowledge of laboratory investigations relating to the most common acute or chronic liver diseases; know the most frequently used methodologies to assess kidney function and know how to interpret the results of the macroscopic, microscopic and chemical-physical examination of the urine sample; understand the results of diagnostic tests aimed at determining the level of glucose or the concentration of lipids in the blood, know the reasons behind their pathological changes, and knowing how to correlate the obtained data with the risk of vascular damage ; know the markers employed to highlight the presence of a tumor or monitor its stage of progression; have notions about the typing of blood cells, and the laboratory investigations preparatory to transfusions; being able to identify the conditions in which to apply therapeutic drug monitoring and understanding the results; know the characteristics and applications of laboratory investigations aimed at ascertaining the presence and nature of a voluptuous intoxication; being able to identify and apply laboratory tests useful for monitoring the health status of individuals who perform sporting activities at different levels, disclosing any health risk factors resulting from overexertion and/or trauma.
Upon completion of the module of Clinical Microbiology, students should be able to: 1) know the relevance of an appropriate diagnosis of infections; 2) appreciate the importance of using new and updated technologies for an adequate diagnosis; 3) know the major microorganisms cause of infections in different organs and apparatuses, and how to diagnose them.
At the end of the Clinical Parasitology module, the student will know the main parasites that can infect humans, as well as the techniques used in the diagnosis of parasitic diseases and the correlation between pathogen, clinical course of the disease and treatment.
Upon completion of the module of Rheumatology, the students will be able to discuss the pathophysiology of the main rheumatic diseases, particularly autoimmune and inflammatory disorders of rheumatologic interest, and their distinctive clinical picture. They will be able to identify the indications for laboratory tests and interpret the results. The students will be able to use an appropriate language, access and evaluate medical information relevant to the topics objects of this course.
Applying knowledge and understanding:
the general objective of the integrated course of Laboratory Medicine is the critical learning of the method of dosing biomarkers which are present in human body fluids, as well as their use in the diagnosis of pathological conditions . At the end of the integrated teaching, the student will be able to evaluate the results of a laboratory medicine test, critically using the reference value databases. Starting from the knowledge of the laboratory test and its result, the student will be abe to learn how to: determine the presence of a disease or the predisposition to it; confirm the diagnosis already hypothesized through other instrumental methods and/or clinical semeiotics; define the prognosis of the disease; choose the appropriate therapy and monitor its effects.
Communication skills:
at the end of the integrated teaching, the student will be able to explain the laboratory analysis of the patient’s specimen by dividing its various phases into logical steps. Ultimately, the student will be able to correlate specific biomarkers with the presence, or with the risk of developing, a disease.
Making judgements:
at the end of the integrated teaching, the student will be able to provide evaluations of the results obtained in a clinical laboratory, and understand the factors which influence laboratory tests.
Learning skills:
at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of laboratory medicine, also through the consultation of scientific literature, databases, specialized websites.
-
Priori Roberta
( syllabus)
- Classification of rheumatic diseases
- Autoimmune and inflammatory disorders of rheuatologic interest: pathogenesis, clinical presentation, epidemiology, course, basic management and prognosis
- The role of laboratory investigations for the diagnosis of rheumatic diseases
- Sjogren’s syndrome
- Systemic Lupus Erythematosus
- Systemic sclerosis
- Mixed connective tissue disease
- Undifferentiated connective tissue disease
- Antiphospholipid antibodies syndrome
- Idiopatic Inflammatory myopathies
- Systemic Vasculitis
- Autoinflammatory diseases
- Introduction to rheumatoid arthritis
( reference books)
- “Tietz fundamentals of Clinical Chemistry and molecular diagnostics”. 8th ed. N. Rifai, A.R. Horvath, C.T. Wittwer, Elsevier 2019. ISBN-13: 978-0323530446
- Michael Laposata. “Laboratory Medicine: the diagnosis of disease in the clinical laboratory” (3rd edition). LANGE editor
- Oxford handbook - “Infectious diseases and microbiology” – E Torok, E. Moran, F Cooke - Second edition
- Wolters Kluwer – “Color atlas and textbook of Diagnostic Microbiology” – GW Procop, DL Church, GS Hall, WM Janda, EW Konemar, PC Schreckenberger, GL Wood – Seventh Edition
- Harrison’s Rheumatology, latest edition
- Harrison’s Principle of Internal Medicine, latest edition
- Oxford Handbook of Rheumatology, latest edition
- Clinical Microbiology, Murray, Rosenthal, Pfaller, 8 Edition
|
1
|
MED/16
|
10
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
90315 -
Clinical semeiotics
(objectives)
Aim of the course is to provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover general information concerning surgical approach will be explained. These objectives will be achieved through frontal lectures and interactive teaching activities, designed to facilitate learning and improve the ability to address and solve the main questions of a surgical patient. Student will be asked to recognise main signs and symptoms, diagnostic flow chart, risk and complication of an emergency surgical patient; to describe surgery principles and techniques. Also, the course will provide the student with the necessary skills to perform a proper general clinical examination of the patient; these skills will be acquired through the learning of methodologies 1) of approach to the patient (communication); 2) collection of the previous and next clinical history (history); 3) execution of the general and systematic objective examination in the medical and surgical field.
LEARNING OUTCOMES
Knowledge and understanding
At the end of the course the student should know physiopathology, functional semeiotic and general surgery concerning his scope and expertise. Also, he/she must be able to compile a complete report (problem-oriented or analogous clinical record) containing complete data concerning the patient’s clinical history and to perform a general clinical examination of the patient, identifying the alterations relevant to the clinical diagnosis or further diagnostic-therapeutic process to be undertaken.
Communication skills
At the end of the course, the student should know :
• Use specific scientific terminology in an appropriate manner.
Applying knowledge and understanding
At the end of the course the student will be able to:
- To use the acquired knowledge for the autonomous deepening of aspects related to the specific field to which the student will devote himself within the professional activity;
Making judgements
At the end of the course, the student should know:
• carry out general assessments of the topics covered.
Learning skills:
• at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of the course, also through the consultation of scientific literature, databases, specialized websites.
|
|
|
-
General surgery
(objectives)
Aim of the course is to provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover general information concerning surgical approach will be explained. These objectives will be achieved through frontal lectures and interactive teaching activities, designed to facilitate learning and improve the ability to address and solve the main questions of a surgical patient. Student will be asked to recognise main signs and symptoms, diagnostic flow chart, risk and complication of an emergency surgical patient; to describe surgery principles and techniques. Also, the course will provide the student with the necessary skills to perform a proper general clinical examination of the patient; these skills will be acquired through the learning of methodologies 1) of approach to the patient (communication); 2) collection of the previous and next clinical history (history); 3) execution of the general and systematic objective examination in the medical and surgical field.
LEARNING OUTCOMES
Knowledge and understanding
At the end of the course the student should know physiopathology, functional semeiotic and general surgery concerning his scope and expertise. Also, he/she must be able to compile a complete report (problem-oriented or analogous clinical record) containing complete data concerning the patient’s clinical history and to perform a general clinical examination of the patient, identifying the alterations relevant to the clinical diagnosis or further diagnostic-therapeutic process to be undertaken.
Communication skills
At the end of the course, the student should know :
• Use specific scientific terminology in an appropriate manner.
Applying knowledge and understanding
At the end of the course the student will be able to:
- To use the acquired knowledge for the autonomous deepening of aspects related to the specific field to which the student will devote himself within the professional activity;
Making judgements
At the end of the course, the student should know:
• carry out general assessments of the topics covered.
Learning skills:
• at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of the course, also through the consultation of scientific literature, databases, specialized websites.
-
Lombardi Celestino Pio
( syllabus)
- Neck
Thyroid, parathyroid glands and clinical manifestation. Simple goiter, hyperthyroidism, hypothyroidism, complicated goiter, thyroid cancer.
Hyperparathyroidism. The importance of anamnesis and objective exam. Nosological framework. Signs and symptoms.
Laboratory tests and instrumental techniques. Clinical and instrumental differential diagnostic orientation. Surgery
- Breast
The importance of anamnesis and objective exam. Identification of a pathological mass. Exploration of the axillary region and other sites of tumor spread.
Setting of a correct clinical and instrumental differential diagnostic orientation between malignant and benign pathology. Surgery. Integrated treatments.
- Digestive system
Nosological framework of functional and organic diseases: esophagus, stomach, duodenum, jejunum, small intestine, colon, rectum.
Setting of a correct diagnostic procedure. Surgery.
- Kidney and bladder
- Adrenal
- Digestive bleeding
Physiopathology and clinical manifestation of superior and inferior grastroenteric tract bleedings.
Nosological framework, classification, haematemesis, melaena, enterorrhagia, rectorrhagia, hematochemia, hemobil. Bleeding shock.
The importance of anamnesis and objective exam. Sign and symptoms. Laboratory test. Non invasive and invasive instrumental diagnostic techniques.
Clinical and instrumental differential diagnostic orientation. Treatment principle.
- Liver, gallbaldder and biliar duct
Definition and anamnesis of obstructive jundice. Knowledge of liver and biliar duct topographic anatomy.
Differential characteristics and laboratory tests. The importance of objective exam in malignant and benign diseases.
Bloodless and invasive instrumental diagnostic techniques. Surgical treatment principles.
- Acute abdomen
- Bowel obstruction
Definition and classification of bowel obstruction. Topographic anatomy knowledge of digestive system.
How to recognize a bowel obstruction through the anamnesis, the laboratory and the objective exam.
Setting of a proper clinical and instrumental differential diagnostic orientation. Principles of surgical treatment.
- Peritonitis
Definition of acute abdomen and classification of peritonitis. Topographic anatomy knowledge of intra-abdominal organs.
The importance of an immediate diagnosis through the anamnesis, the objective exam and the critical interpretation of laboratory report.
Setting of a proper clinical and instrumental differential diagnostic orientation. Principles of surgical treatment.
- Shock
Homeostasis, compensation mechanism, nosological setting. Sympthoms and objective exams. Functional and intrumental techniques.
- Groin
Abdomen hernies and internal hernies. Nosological framework. Classification. Neck, sac and hernial ring. Complications. Nosological framework.
The importance of anamnesis and objective exam. Signs and symptoms. Laboratory tests. Non invasive and invasive instrumental diagnostic techniques.
Clinical and instrumental differential diagnostic orientation. Surgical treatment principles.
- Plevic floor
Physical and instrumental semeiotics of perineum and anal canal. Hemorrhoids, fissures, abscesses, fistulas, anus cancer, rectocele, cystocele, recto-cystocele.
Nosological framework. Classification. Complications. The importance of anamnesis and physical examination. Signs and symptoms.
Non-invasive and invasive instrumental diagnostic techniques. Clinical and instrumental differential diagnostic orientation. Surgery.
- Abscess, phlegmon, wound
Skin and soft tissues. Objective and functional alterations in the presence of lesions and phlogistic and inflammatory phenomena.
-Polytrauma
Trauma of the skull, chest and abdomen. Diagnostic timing. Treatment principles.
( reference books)
Title: Essentials of General Surgery
Authors: M.D. Lawrence
• DeGowin’s Diagnostic Examination, 11e, Publisher: MCGRAW-HILL 2020
• Manish Suneja, Joseph F. Szot, Richard F. LeBlond, Donald D. Brown, Dioguardi - Sanna . Moderni aspetti di semeiotica medica - Segni sintomi e malattie.
Editor Seu
• R.Dionigi: Chirurgia, Ed. Elsevier,2017
• Symptom to Diagnosis An Evidence Based Guide, Fourth Edition (4th ed.), Scott D.C. Stern, Adam S. Cifu, Diane Altkorn, McGraw-Hill Education; November 2019
• Handbook of Signs & Symptoms, Author Andrea Borchers, Argomenti Medicina Medicina interna Semeiotica medica, Editor Lippincott Williams and Wilkins, 2015
• Symptoms and Diagnosis: A Storytelling Medical Book that May Save Your Life Paperback – January 19, by Nabin Sapkota MD (Author), MedTale Publishing,
Omaha, NE, 2016
• Symptom Analysis For Medical Students 4th/2018, Author : Rema Pai, ISBN : 9789386480293, Publisher : Paras Medical Books, Edition : 4th, Year : 2018
• The Merck Manual of Diagnosis and Therapy, Robert S. Porter, Merck, 2018
• Macleod's Clinical Examination, 14e by J. Alastair Innes BSc PhD FRCP Ed, Anna R Dover PhD FRCP(Ed), et al. 11 Jun 2018
• Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice, 24e Paperback – 31 May 2017 by Michael Glynn MA MD FRCP FHEA (Editor),
William M Drake DM FRCP (Editor)
• Bates' Guide To Physical Examination and History Taking, 13e by Lynn S Bickley MD FACP 25 Sep 2020
• Oxford Handbook of Clinical and Laboratory Investigation (Oxford Medical Handbooks) Flexibound – Illustrated, 15 Feb. 2018 by Drew Provan (Editor)
• Oxford Handbook of Clinical Diagnosis 3e (Flexicover) (Oxford Medical Handbooks) Flexibound – Illustrated, 18 Sept. 2014 by Huw Llewelyn (Author), Hock Aun Ang
• Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2), Authors J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser,
Dan L. Longo, Joseph Loscalzo, Editor McGraw Hill Higher Education - 2018, ISBN 9781259644030, McGraw Hill
• Lange A. Anamnesi ed esame obiettivo Masson Editore
• Frada' e Frada' Semeiotica medica nell'adulto e nell'anziano Piccin Editore
• Amoroso Costantino Afeltra Picardi Vettore, Semeiotica pratica sussidio multimediale per l'apprendimento e la verifica delle principali manovre semeiologiche,
centro Scientifico Editore.
• MODERNI ASPETTI DI SEMEIOTICA MEDICA, Dioguardi-Sanna, Società Editrice Universo
• METODOLOGIA CLINICA, Nuti-Caniggia, Edizioni Minerva Medica
• Bates' Guide to Physical Examination and History Taking 13th Edition (available also on Amazon in the version for Kindle)
• Macleod's Clinical Examination 13th Edition (available also on Amazon in the version for Kindle)
On line and videos:
• FOAM is a good website – you need to register to see what there is
• https://www.ficm.ac.uk/free-open-access-medical-education-foamed
• I like ‘life in the fast lane’
• There are thousands of videos mostly on youtube. Type in for example: ‘how to examine the chest’ and you will get lots of examples eg
• https://www.youtube.com/watch?v=gRWSyqatWQQ
|
| 2
|
MED/18
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
| 2
|
MED/18
|
20
|
-
|
-
|
-
|
Core compulsory activities
|
|
ENG |
|
-
Internal medicine
(objectives)
Aim of the course is to provide students with knowledge of surgical diseases. In addition, general knowledge on diagnostic approaches is required. Moreover general information concerning surgical approach will be explained. These objectives will be achieved through frontal lectures and interactive teaching activities, designed to facilitate learning and improve the ability to address and solve the main questions of a surgical patient. Student will be asked to recognise main signs and symptoms, diagnostic flow chart, risk and complication of an emergency surgical patient; to describe surgery principles and techniques. Also, the course will provide the student with the necessary skills to perform a proper general clinical examination of the patient; these skills will be acquired through the learning of methodologies 1) of approach to the patient (communication); 2) collection of the previous and next clinical history (history); 3) execution of the general and systematic objective examination in the medical and surgical field.
LEARNING OUTCOMES
Knowledge and understanding
At the end of the course the student should know physiopathology, functional semeiotic and general surgery concerning his scope and expertise. Also, he/she must be able to compile a complete report (problem-oriented or analogous clinical record) containing complete data concerning the patient’s clinical history and to perform a general clinical examination of the patient, identifying the alterations relevant to the clinical diagnosis or further diagnostic-therapeutic process to be undertaken.
Communication skills
At the end of the course, the student should know :
• Use specific scientific terminology in an appropriate manner.
Applying knowledge and understanding
At the end of the course the student will be able to:
- To use the acquired knowledge for the autonomous deepening of aspects related to the specific field to which the student will devote himself within the professional activity;
Making judgements
At the end of the course, the student should know:
• carry out general assessments of the topics covered.
Learning skills:
• at the end of the integrated teaching, the student will acquire skills useful to deepen and expand their knowledge in the field of the course, also through the consultation of scientific literature, databases, specialized websites.
-
Moriconi Luca
( syllabus)
- Medical anamnesis and its importance in medicine
- Vital signs and their clinical significance
- Physical examination of the main body districts: chest, abdomen, head and neck, skin, limbs and peripheral vascular system, joints, nodes, breast. Neurological examination. Nutritional status evaluation and nutritional markers. Main semeiological signs and manoeuvres
- How to approach the patient with: head pain, back pain, chest pain, abdominal pain, astenia, insomnia, alterations of appetite or thirst, alterations of void or diuresis, hematuria, menorrhagia o metrorrhagia, jaundice, diarrhoea, stipsis, nausea, vomiting, regurgitation, hiccup, dysphagia, digestive haemorrage (hematemesis, melena, hematochetia, rectal bleeding), haemophtisis, cough, dyspnea, palpitations, syncope or lipotimia, arterial hypertension, arterial hypotension, itch, fever, cianosis, edema, acute mental confusion, coma, persistant vegetative state, vertigo, trauma. How to approach a patient with multimorbidity. Overview on the main neurological signs and symptoms
- How to interpret the main clinical laboratory tests: blood count, glycemia, uricemia, lipid metabolism, markers of kidney injury and function, sodiemia, potassiemia, calcemia, fosforemia, magnesiemia, arterial blood gas analysis, markers of liver function, markers of myocardial damage, haemostasis and coagulation tests, inflammatory indexes, hormones, autoantibodies, standard urine test, 24-hour urinary collection, proteinuria, tests on effusions, fecal analysis, microbiological analyses, principles of transfusion medicine. Acid-base metabolism alterations: metabolic acidosis and alkalosis, respiratory acidosis and alkalosis
- Semeiotics of the main clinical syndromes in internal medicine: acute myocardial infarction, heart failure, acute pulmonary edema, atrial fibrillation, cardiac valve diseases, pneumonia, pleural effusion, COPD, pneumothorax, acute abdomen, cirrhosis, acute pancreatitis, mechanic and functional ileus, nephrotic syndrome, nephritic syndrome, renal colic, urinary tract infections, sepsis, shock, deep venous thrombosis and acute pulmonary thromboembolism, hypo- and hyperthyroidism, stroke, meningitis
- Instrumental semeiotics: clinical imaging and functional tests in heart, vascular, respiratory, kidney, gastroenteric, articular and nervous diseases
- Normal ranges of the main laboratory tests used in clinical practice
- Knowledge of the basic characteristics of EKG recordings in: healthy subjects, acute myocardial infarction, pulmonary embolism, atrial fibrillation, atrial flutter, ventricular and atrial tachicardia, extrasystolia, atrioventricular blocks, alterations induced by electrolyte inbalances
( reference books)
Title: Essentials of General Surgery
Authors: M.D. Lawrence
• DeGowin’s Diagnostic Examination, 11e, Publisher: MCGRAW-HILL 2020
• Manish Suneja, Joseph F. Szot, Richard F. LeBlond, Donald D. Brown, Dioguardi - Sanna . Moderni aspetti di semeiotica medica - Segni sintomi e malattie.
Editor Seu
• R.Dionigi: Chirurgia, Ed. Elsevier,2017
• Symptom to Diagnosis An Evidence Based Guide, Fourth Edition (4th ed.), Scott D.C. Stern, Adam S. Cifu, Diane Altkorn, McGraw-Hill Education; November 2019
• Handbook of Signs & Symptoms, Author Andrea Borchers, Argomenti Medicina Medicina interna Semeiotica medica, Editor Lippincott Williams and Wilkins, 2015
• Symptoms and Diagnosis: A Storytelling Medical Book that May Save Your Life Paperback – January 19, by Nabin Sapkota MD (Author), MedTale Publishing,
Omaha, NE, 2016
• Symptom Analysis For Medical Students 4th/2018, Author : Rema Pai, ISBN : 9789386480293, Publisher : Paras Medical Books, Edition : 4th, Year : 2018
• The Merck Manual of Diagnosis and Therapy, Robert S. Porter, Merck, 2018
• Macleod's Clinical Examination, 14e by J. Alastair Innes BSc PhD FRCP Ed, Anna R Dover PhD FRCP(Ed), et al. 11 Jun 2018
• Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice, 24e Paperback – 31 May 2017 by Michael Glynn MA MD FRCP FHEA (Editor),
William M Drake DM FRCP (Editor)
• Bates' Guide To Physical Examination and History Taking, 13e by Lynn S Bickley MD FACP 25 Sep 2020
• Oxford Handbook of Clinical and Laboratory Investigation (Oxford Medical Handbooks) Flexibound – Illustrated, 15 Feb. 2018 by Drew Provan (Editor)
• Oxford Handbook of Clinical Diagnosis 3e (Flexicover) (Oxford Medical Handbooks) Flexibound – Illustrated, 18 Sept. 2014 by Huw Llewelyn (Author), Hock Aun Ang
• Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2), Authors J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser,
Dan L. Longo, Joseph Loscalzo, Editor McGraw Hill Higher Education - 2018, ISBN 9781259644030, McGraw Hill
• Lange A. Anamnesi ed esame obiettivo Masson Editore
• Frada' e Frada' Semeiotica medica nell'adulto e nell'anziano Piccin Editore
• Amoroso Costantino Afeltra Picardi Vettore, Semeiotica pratica sussidio multimediale per l'apprendimento e la verifica delle principali manovre semeiologiche,
centro Scientifico Editore.
• MODERNI ASPETTI DI SEMEIOTICA MEDICA, Dioguardi-Sanna, Società Editrice Universo
• METODOLOGIA CLINICA, Nuti-Caniggia, Edizioni Minerva Medica
• Bates' Guide to Physical Examination and History Taking 13th Edition (available also on Amazon in the version for Kindle)
• Macleod's Clinical Examination 13th Edition (available also on Amazon in the version for Kindle)
On line and videos:
• FOAM is a good website – you need to register to see what there is
• https://www.ficm.ac.uk/free-open-access-medical-education-foamed
• I like ‘life in the fast lane’
• There are thousands of videos mostly on youtube. Type in for example: ‘how to examine the chest’ and you will get lots of examples eg
• https://www.youtube.com/watch?v=gRWSyqatWQQ
-
Tarasi Agapito
( syllabus)
- Medical anamnesis and its importance in medicine
- Vital signs and their clinical significance
- Physical examination of the main body districts: chest, abdomen, head and neck, skin, limbs and peripheral vascular system, joints, nodes, breast. Neurological examination. Nutritional status evaluation and nutritional markers. Main semeiological signs and manoeuvres
- How to approach the patient with: head pain, back pain, chest pain, abdominal pain, astenia, insomnia, alterations of appetite or thirst, alterations of void or diuresis, hematuria, menorrhagia o metrorrhagia, jaundice, diarrhoea, stipsis, nausea, vomiting, regurgitation, hiccup, dysphagia, digestive haemorrage (hematemesis, melena, hematochetia, rectal bleeding), haemophtisis, cough, dyspnea, palpitations, syncope or lipotimia, arterial hypertension, arterial hypotension, itch, fever, cianosis, edema, acute mental confusion, coma, persistant vegetative state, vertigo, trauma. How to approach a patient with multimorbidity. Overview on the main neurological signs and symptoms
- How to interpret the main clinical laboratory tests: blood count, glycemia, uricemia, lipid metabolism, markers of kidney injury and function, sodiemia, potassiemia, calcemia, fosforemia, magnesiemia, arterial blood gas analysis, markers of liver function, markers of myocardial damage, haemostasis and coagulation tests, inflammatory indexes, hormones, autoantibodies, standard urine test, 24-hour urinary collection, proteinuria, tests on effusions, fecal analysis, microbiological analyses, principles of transfusion medicine. Acid-base metabolism alterations: metabolic acidosis and alkalosis, respiratory acidosis and alkalosis
- Semeiotics of the main clinical syndromes in internal medicine: acute myocardial infarction, heart failure, acute pulmonary edema, atrial fibrillation, cardiac valve diseases, pneumonia, pleural effusion, COPD, pneumothorax, acute abdomen, cirrhosis, acute pancreatitis, mechanic and functional ileus, nephrotic syndrome, nephritic syndrome, renal colic, urinary tract infections, sepsis, shock, deep venous thrombosis and acute pulmonary thromboembolism, hypo- and hyperthyroidism, stroke, meningitis
- Instrumental semeiotics: clinical imaging and functional tests in heart, vascular, respiratory, kidney, gastroenteric, articular and nervous diseases
- Normal ranges of the main laboratory tests used in clinical practice
- Knowledge of the basic characteristics of EKG recordings in: healthy subjects, acute myocardial infarction, pulmonary embolism, atrial fibrillation, atrial flutter, ventricular and atrial tachicardia, extrasystolia, atrioventricular blocks, alterations induced by electrolyte inbalances
( reference books)
Title: Essentials of General Surgery
Authors: M.D. Lawrence
• DeGowin’s Diagnostic Examination, 11e, Publisher: MCGRAW-HILL 2020
• Manish Suneja, Joseph F. Szot, Richard F. LeBlond, Donald D. Brown, Dioguardi - Sanna . Moderni aspetti di semeiotica medica - Segni sintomi e malattie.
Editor Seu
• R.Dionigi: Chirurgia, Ed. Elsevier,2017
• Symptom to Diagnosis An Evidence Based Guide, Fourth Edition (4th ed.), Scott D.C. Stern, Adam S. Cifu, Diane Altkorn, McGraw-Hill Education; November 2019
• Handbook of Signs & Symptoms, Author Andrea Borchers, Argomenti Medicina Medicina interna Semeiotica medica, Editor Lippincott Williams and Wilkins, 2015
• Symptoms and Diagnosis: A Storytelling Medical Book that May Save Your Life Paperback – January 19, by Nabin Sapkota MD (Author), MedTale Publishing,
Omaha, NE, 2016
• Symptom Analysis For Medical Students 4th/2018, Author : Rema Pai, ISBN : 9789386480293, Publisher : Paras Medical Books, Edition : 4th, Year : 2018
• The Merck Manual of Diagnosis and Therapy, Robert S. Porter, Merck, 2018
• Macleod's Clinical Examination, 14e by J. Alastair Innes BSc PhD FRCP Ed, Anna R Dover PhD FRCP(Ed), et al. 11 Jun 2018
• Hutchison's Clinical Methods: An Integrated Approach to Clinical Practice, 24e Paperback – 31 May 2017 by Michael Glynn MA MD FRCP FHEA (Editor),
William M Drake DM FRCP (Editor)
• Bates' Guide To Physical Examination and History Taking, 13e by Lynn S Bickley MD FACP 25 Sep 2020
• Oxford Handbook of Clinical and Laboratory Investigation (Oxford Medical Handbooks) Flexibound – Illustrated, 15 Feb. 2018 by Drew Provan (Editor)
• Oxford Handbook of Clinical Diagnosis 3e (Flexicover) (Oxford Medical Handbooks) Flexibound – Illustrated, 18 Sept. 2014 by Huw Llewelyn (Author), Hock Aun Ang
• Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2), Authors J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser,
Dan L. Longo, Joseph Loscalzo, Editor McGraw Hill Higher Education - 2018, ISBN 9781259644030, McGraw Hill
• Lange A. Anamnesi ed esame obiettivo Masson Editore
• Frada' e Frada' Semeiotica medica nell'adulto e nell'anziano Piccin Editore
• Amoroso Costantino Afeltra Picardi Vettore, Semeiotica pratica sussidio multimediale per l'apprendimento e la verifica delle principali manovre semeiologiche,
centro Scientifico Editore.
• MODERNI ASPETTI DI SEMEIOTICA MEDICA, Dioguardi-Sanna, Società Editrice Universo
• METODOLOGIA CLINICA, Nuti-Caniggia, Edizioni Minerva Medica
• Bates' Guide to Physical Examination and History Taking 13th Edition (available also on Amazon in the version for Kindle)
• Macleod's Clinical Examination 13th Edition (available also on Amazon in the version for Kindle)
On line and videos:
• FOAM is a good website – you need to register to see what there is
• https://www.ficm.ac.uk/free-open-access-medical-education-foamed
• I like ‘life in the fast lane’
• There are thousands of videos mostly on youtube. Type in for example: ‘how to examine the chest’ and you will get lots of examples eg
• https://www.youtube.com/watch?v=gRWSyqatWQQ
|
4
|
MED/09
|
40
|
-
|
-
|
-
|
Core compulsory activities
|
ENG |
|
90300 -
Electives
|
3
|
|
30
|
-
|
-
|
-
|
Elective activities
|
ENG |
