At the end of the module, the student will develop the cognitive, clinical judgment and communication skills necessary to take charge of the person with health problems that require urological competence treatments, in an elective and urgent regime, selected on the basis of their relevance epidemiological and exemplarity. He will also have acquired the knowledge, on urological problems, on etiopathogenesis, epidemiology (in particular old age) and clinical aspects, and primary and secondary prevention, with elements that allow the cultural and operational sharing of the ' use of technologies in the diagnostic-therapeutic process. Problems treated: Urinary tract infections, Pathophysiology of urination (problems of filling and emptying of the bladder), neoplasms of urological relevance, general post-operative management of the urological patient in the short and long term. With respect to the selected clinical situations of surgical interest, the student must be able to: Acquire knowledge on surgical and endoscopic procedures of: Kidney, upper urinary tract, bladder, and prostate. Identify the main problems of the person undergoing surgery in the perioperative phase such as: cystoclysis management, catheter management, urostomy management, support for functional recovery and rehabilitation and related nursing interventions, all based on scientific evidence. In addition, he must be able to identify educational interventions aimed at people who need to continue treatment at home or continue self-management of the disease.
1) Theoretical lectures and meetings with inclusion of clinical and methodological workup based on pathophysiology of differnt diseases and different clinical cases.
2) Presentation of true clinical cases , if possible particular or common and frequent cases using also pictures and patients’s data and also intraoperative pictures.
3) Preseantation of movies concerning surgical procedures to show and discuss also diagnostic workup
4) By need and request : Tutored Practice at the Emergency dept.or surgical Unit at the Cannizzaro Hospital.
pratical course
1) Hernias and incisional hernia : General aspects and knowledge Classification and treatment
2)Biliary diseases , gallstones , jaundice : General aspects, classification and treatment
3) Surgical diseases of the oesophagus . GERD
4) Bowel Obstruction
5) Abdominal stomas
6) Acute Pancreatitis General aspects and pathophysiology
7) Shock : Hypovolemic and septic – General aspects ,causes and tratment
8) Tumural diseases of the digestive tract : General aspects and symptoms.
9) Bleedings syndroms of digestive tract dell’apparato digerente (portal hypertension, esofageal varices, melena, rettal bleeding
10) Appendicitis, diverticolitis, colecistitis e peritonitis
11) Diverticular disease of the colon
13) Politrauma and abdominal trauma. Generalità , definizioni complicazioni gestione pre ed itraospedaliera
14) Drains, Nasogastric tube, catheters
Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.
1) CHIRURGIA di RENZO DIONIGI - Edi: Elsevier
2) ANY ACTUAL BOOK (> 2010) CONCERNING SURGERY FOR MEDICAL STUDENTS or NURSES
F. Porpiglia, I edizione (2015), Minerva Medica Editore