Provide the theoretical and practical tools to recognize the main pathologies typical of Emergency Medicine. Of each will be discussed pathophysiology, symptoms and the diagnostic and decision processes of their figure of majoring in obstetrics. The most common therapeutic protocols, both to deal with and manage autonomously will be presented and discussed, and those to be made on the recommendation / prescription and alongside with medical doctor
The first part of the present course will provide students to acquire knowledge about basic principles in Pharmacology, such as pharmacokinetics and pharmacodynamics, drugs mechanisms, signal transduction pathways, adverse drug reactions. In the second part, an overview of major drug classes used in obstetrics and during pregnancy will be presented.
The aim of the course is to provide information and knowledge about workplace-related pathologies (accidents and illnesses) as well as to become familiar with prevention principles, with particular reference to risk assessment and preventive measure adoption.
Students will have to learn methods and techniques to collect work history, identify environmental and occupational risks and possible relationships with genetic, demographic, socio-economic, psychological and cultural factors, related to health or illness statuses, as well as to look into the possible non-specific effects of occupational risk factors, especially for degenerative chronic diseases.
The main etiologically diagnostic aspects of occupational medicine will be dealt with, and so will the epidemiology of con-causally work-related diseases. Also, the most frequent professional diseases and work accidents will be classified. The main analysis method and work risk assessment instruments will be provided, that is limit exposure levels, environmental/biological monitoring and healthcare surveillance. Also, occupational risk in/formation, safety and health law guidelines in work places, primary and secondary prevention of occupational diseases, role and duties of the competent physician will be discussed.
Blood chemistry indices of liver function
Role of insulin in glucose metabolism, lipid, protein
The beta-islet cells and insulin secretion
Insulin and its biological effect: the receptor and post-receptor events
Diagnosis of Diabetes Mellitus: blood glucose, oral glucose load curve, curve oral glucose, glycosylated hemoglobin, microalbuminuria
Classification of diabetes mellitus: type 1, type 2, gestational, being endocrinopathies
Genetics of Diabetes Mellitus
Vascular complications (micro- and macroangiopathy)
Diabetic comas: pathophysiology, clinical, treatment elements
Hypertension: classification, etiology, prevention, clinical, complications, pharmacological and non-pharmacological treatment elements; The hypertensive crisis
Vein thrombosis (TV): etiology, symptoms, complications, non-pharmacological therapy and drug therapy nods
Classification, signs and symptoms of anemia
Cardiopulmonary arrest (ACR):
- Elements of Basic Life Support (BLS)
- Management of the patient
Systemic Inflammatory Response Syndrome (SIRS)
Multiple Organ Dysfunction Syndrome (MODS)
Pre-eclampsia and eclapsia
Acute pulmonary edema
Acute Respiratory Distress Syndrome (ARDS)
The diabetes and its acute and chronic complications:
- The diabetic comas
Acute and chronic hepatitis and liver cirrhosis
Acute fatty liver of pregnancy
Hepatic involvement in eclapsia
History and evolution of Occupational Medicine: prevention service legislation and organization; work accidents and professional diseases insurance practices. Risk assessment procedure; exposure times and limit levels/values.
Primary and secondary prevention principles. Healthcare surveillance and duties of competent physician. Biological monitoring procedures. General and individual preventive practices and first aid action organization. Biological risk and vaccinations. Physical risks: noise, vibrations, ionizing-non-ionizing radiations, microclimate and compressed atmosphere. Ergonomy principles: postures and work. Workstation, shift and night work risks. Assessment of risks in manual loads handling and in repetitive movements of upper limbs with associated pathologies. Organizational wellness and its associated work stress. Health promotion in working places.
Main dust/fibre and professional allergene exposure–related pathologies; indoor and outdoor pollutants. Exposure risks to chemical, mutagen and carcenogenic agents.
Principles of Industrial Hygiene and hints of Statistics. Risks in the main working cycles. Guidelines on safety and health in working places.
Medicina di Emergenza e di Pronto soccorso
Mario G. Balzanelli – Antonino Gullo. CIC Edizioni Internazionali
Autore: Massini Renato; Izzi Donatello; Marchetti Patrizia; Passeretti Francesca; Recine Umberto, Editore: McGraw-Hill Italia