FISIOPATOLOGIA, SEMEIOTICA E METODOLOGIA CLINICA - channel 6

8 CFU - 2° Semester

Teaching Staff

SALVATORE PIRO - Module Internal Medicine - MED/09 - 4 CFU
MASSIMILIANO VEROUX - Module Surgical Semeiotics and Physiopathology - MED/18 - 4 CFU

Learning Objectives

Internal Medicine
The main objectives of the course are as follows:

-To provide essential knowledge on the physiopathology of the acute and chronic diseases (e.g. chronic intestinal disease, autoimmune diseases, diabetes, pancreatitis) and to identify their relationship and inter-dependency.

-To apply these skills to the full spectrum of diseases in human.

-To develop the transferable skills on acute and chronic diseases (including physiopathology, oral communication with patients, team work, decision making during diseases) between students and patients.
Surgical Semeiotics and Physiopathology
At the end of this course, the student should be able to successfully compile a medical record, collecting the medical history and the signs and symptoms of the patient, correlating them with the clinical picture. The student should be able to carry out a complete clinical examination of the thorax, abdomen and limbs, using all the possible tools and maneuvers to highlight a pathological process. The student, therefore, should be able to recognize a sign or a symptom and correlate them to a possible clinical diagnosis with a careful attention on the organ or apparatus likely affected. The student, moreover, should known the principles and possible applications of common imaging diagnostic techniques and their use as a useful tool to make a precise diagnosis.

Course Structure

Internal Medicine
Learning assessment may also be carried out on line, should the conditions require it.
Surgical Semeiotics and Physiopathology
Lessons

Detailed Course Content

Internal Medicine
Diabete, pancreatiti acute pancreatiti croniche celiachia malattie acute renali malattie croniche renali malattie intestinali croniche (morbo di Crohn e rettocolite ulcerosa) - diabete mellito e inquadramento delle patologie su base autoimmune - distinzione tra malattie croniche e malattie acute in medicina interna; malattie croniche intestinali (morbo di Crohn e retto-colite ulcerosa) - celiachia e malattie da malassorbimento - insufficienza renale acuta e cronica - pancreatite acuta e cronica - cirrosi epatica
Surgical Semeiotics and Physiopathology
- Clinical record and medical history
- Semeiotics of oesophagus and main symptoms of oesophageal diseases. Imaging diagnostic modialities for the diagnosis of oesophageal diseases.
- Semeiotics of portal hypertension. Physiopathology of portal hypertension. Clinical signs and symptoms of liver failure and portal hypertension. Esophageal varices.
- Semeiotics of the abdomen. Clinical examination of abdomen. Trigger points of abdomen. Hernias and laparoceles.
- Acute abdomen. Physiopathology and semeiotics of acute abdomen. Intestinal perforation. Gastric and Duodenal ulcer. Disease of the gallbladder and biliar ducts. Imaging diagnostic modalities of liver and biliar duct diseases.
- Acute Abdomen. Semeiotic of intestinal infarction. Acute appendicitis and differential diagnosis. Acute diverticolitis.
- Semeiotics and Physiopathology of intestinal occlusion. Semeiotics of Colon cancer. Imaging modalities for the colo-rectal diseases.
- Semeiotics of obstructive itterus. Benign and malignant diseases of bile ducts: semeiotics and physiopathology.
- Semeiotics of the Breast. Clinical examination and main imaging diagnostic modalities.
- Semeiotics of principal vascular disease of surgical interest
- Semeiotics of thyroid

Textbook Information

Internal Medicine
Testo consigliato: RUGARLI MEDICINA INTERNA SISTEMATICA,

Rugarli C., Nuti R., Caligaris Cappio F., Cantalamessa L., Cappelli G., Cappellini M.D., CavalloPerin P., Corazza G. R., Craxì A., Crea F., Fabbri L., Ferraccioli G., Giustina A., Lazzarin A., Stella A.P.

Elsevier-Masson Editore
Surgical Semeiotics and Physiopathology
Schwartz's Principles of Surgery, mandatory

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