Unit GENERAL SURGERY 1

Course
Medicine and surgery
Study-unit Code
A000365
Curriculum
In all curricula
CFU
2
Course Regulation
Coorte 2020
Offered
2023/24
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

SURGICAL SEMEIOTICS

Code GP004567
CFU 1
Learning activities Caratterizzante
Area Clinica generale medica e chirurgica
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Francesco Barberini
Teachers
  • Francesco Barberini
Hours
  • 12.5 ore - Francesco Barberini
Language of instruction
Italian
Contents
Surgical semeiotics of: abdomen, breast, pain, digestive tract, thyroid, tumors
Reference texts
Basile - Di Candio - Bellantone - Biondi - Dionigi - Docimo - Lombardi:Manuale di Semeiotica e Metodologia Chirurgica, Piccin Ed
Baileys: SEMEIOTICA CHIRURGICA. Piccin Ed
Sabiston: TEXTBOOK OF SURGERY.
Educational objectives
The student will be able to perform a correct anamnesis and clinical examination and specifically a surgical-oriented examination, to distinguish the signs and symptoms of the different affections.
Prerequisites
Knowledge of anatomy, surgical anatomy, phisiology and phisiopathology
Teaching methods
lectures and practical activity
Learning verification modality
oral test
Extended program
Anamnesis and general examination of surgical patient. Diagnostic procedures. Pain. Surgical semeiotic of chest, thyroid, breast, thorax, abdomen, tumors

Cognomi M-Z

CFU
1
Teacher
Roberto Cirocchi
Teachers
  • Roberto Cirocchi
Hours
  • 12.5 ore - Roberto Cirocchi
Language of instruction
Italian
Contents
The aim of the course is to offer at the students a clinical summary of digestive surgery.
- The abdominal pain
- The general physical examination in surgical patients
- The examination of local swellings

Physical examination and clinical symptomatology
- Neck (thyroid evaluation)
- Arterial pulses
- Breast
- Anus
- Abdomen
• Inspection
• Palpation
• Percussion
• Auscultation
• Signs and painful points abs

Knowledge of semiological findings and their correlation with the main pathophysiological mechanisms of the following diseases:
• hernias of the abdominal viscera
• the digestive haemorrhages
• peritonitis
Reference texts
Dionigi R: Chirurgia: basi teoriche e chirurgia generale, VI ed., Masson Ed.
Cavallaro A: Semeiotica chirurgica. L'incontro del chirurgo con il paziente- Pozzi Ed.
Educational objectives
The purpose of the course is to teach students the technique of the history and methodology of the patient visit. Will be taught how to perform general physical examination and subsequently the local physical examination
Prerequisites
Basic knowledge is need in anatomy, pathophysiology and surgical pathology.
Teaching methods
Front-end lessons using powerpoint projections. The lesson material (except copyright-protected illustrations) is always made available to students electronically (file in pdf) the day before the lesson on the ateneum platform: https://www.unistudium.unipg.it/unistudium/login/index.php.
Other information

Learning verification modality
Interview lasting approximately 15 minutes divided into 2 questions, 1 of which relating to the surface anatomy and 1 to the objective examination of the abdomen. A further question may be asked in the event of an unsatisfactory answer to the 2 previous questions.
Extended program
- The abdominal pain
- The general physical examination in surgical patients
- The examination of local swellings
Physical examination and clinical symptomatology
- Arterial pulses
- Breast
- Anus
- Abdomen
• Inspection
• Palpation
• Percussion
• Auscultation
• Signs and painful points abs

Knowledge of semiological findings and their correlation with the main pathophysiological mechanisms of the following diseases:
• hernias of the abdominal viscera
• the digestive haemorrhages
• peritonitis
• bowel obstruction
• jaundice of surgical interest and portal hypertension
• anorectal diseases
• the ischemia of the lower limbs
• varicose veins of the lower limbs

PROFESSIONALISING TRAINING IN SURGICAL SEMEIOTICS

Code GP004772
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Francesco Barberini
Teachers
  • Francesco Barberini
Hours
  • 25 ore - Francesco Barberini
Language of instruction
Italian,
Educational objectives
Students will be able to perform the complete physical examination of the abdomen
placement of gastric nose tube and bladder catheter
rectal exploration
Teaching methods
practical lessons at the department and at the simulation center
Learning verification modality
oral exam
Extended program
the topics covered in class

Cognomi M-Z

CFU
1
Teacher
Annibale Donini
Teachers
  • Annibale Donini
Hours
  • 25 ore - Annibale Donini
Language of instruction
Italian
Contents
The purpose of the course is to teach students the technique of the history and methodology of the patient visit. Will be taught how to perform general physical examination and subsequently the local physical examination
Reference texts
Cirocchi R, Boselli C, Noya G. Appunti di semeiotica chirurgica - Minerva Medica - 2013
Lumachi F, Norberto L, Angriman I. Semeiotica chirurgica. Unipress, 2010
Educational objectives
The student must be able to exercise independently and automatically the following procedures:
- Perform complete physical examination of the abdomen
- Run the identification and delimitation of ascites
- Detecting signs of peritoneal inflammation and intestinal obstruction
- Perform maneuvers semeiological to detect the sign of Murphy, McBurney and Blumberg
- Scan for abdominal and inguinal hernias
- Perform a physical examination of the arteries
- Determine the signs of the inadequacy of the veins of the lower limbs
Prerequisites
Basic knowledge is need in anatomy, pathophysiology and surgical pathology.
Teaching methods
Simulation-Based Medical Education: skilllab, simulated patient and Technology Enhanced Learning:Terni site of the Master's Degree in Medicine and Surgery
Training at the bedside
Other information

Learning verification modality
Interview regarding a clinical case
Extended program
The student must be able to exercise independently and automatically the following procedures:
- Perform complete physical examination of the abdomen
- Run the identification and delimitation of ascites
- Detecting signs of peritoneal inflammation and intestinal obstruction
- Perform maneuvers semeiological to detect the sign of Murphy, McBurney and Blumberg
- Scan for abdominal and inguinal hernias
- Perform a physical examination of the arteries
- Determine the signs of the inadequacy of the veins of the lower limbs
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