Unit INTERNAL MEDICINE 1

MEDICAL SEMEIOTICS - MOD. 1

Code	GP004793
Location	PERUGIA
CFU	1
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Leonella Pasqualini

Teachers

• Leonella Pasqualini

Hours

• 12.5 ore - Leonella Pasqualini

Cognomi M-Z

CFU

1

Teacher

Paolo Gresele

Teachers

• Paolo Gresele

Hours

• 12.5 ore - Paolo Gresele

Language of instruction

Italian

Contents

Meeting with the patient. Clinical syndromes of the major organs and systems

Reference texts

Dioguardi-Sanna: Moderni aspetti di Semeiotica medica. Società Editrice Universo

Educational objectives

The learning outcomes are compliant with the provisions in the didactic regulations of the degree course as published on the web site:http://www.med.unipg.it/ccl

Prerequisites

Knowledge of physiology and general pathology

Teaching methods

8 hours of face-to-face lessons and 4 hours of theoretical-practical lessons in groups at internal medicine wards and at the center of advanced medical simulation,

Learning verification modality

To verify the learning of the module there is a partial test with online verbalization
The test is usually carried out in written and oral form; if in telematic form, the exam is carried out only in oral form.
the test consists of written test consisting of 30 multiple choice questions (one exact), exceeded if up to 3 errors are committed
Oral exam with 1-2 questions lasting 15-30 minutes.

Extended program

Meeting with the patient: medical history; general and special physical xamination; case report
Skin Clinical signs relevant in internal medicine: jaundice, cyanosis, pallor.
Pain: somatic and visceral pain; headache, thoracic and abdominal pain. Osteoarticular pain and syndromes
Respiratory system and mediastinal signs: dyspnea, cyanosis,
Respiratory and mediastinal syndrome: inspection, palpation, percussion, auscultation
Pulmonary disorders: pneumonia, pleural effusion, emphysema, pneumothorax, pulmonary embolism, mediastinal syndrome, hemoptysis; clinical case studies and instrumental semiotics

MEDICAL SEMEIOTICS - MOD. 2

Code	GP004794
Location	PERUGIA
CFU	1
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Leonella Pasqualini

Teachers

• Leonella Pasqualini

Hours

• 12.5 ore - Leonella Pasqualini

Cognomi M-Z

CFU

1

Teacher

Paolo Gresele

Teachers

• Paolo Gresele

Hours

• 12.5 ore - Paolo Gresele

Language of instruction

Italian

Contents

- General concepts in Laboratory Medicine - The autoimmune diseases - Diseases of the heart and great vessels - Interpreting the CBC - The bleeding and thrombotic disorders - Laboratory markers in the disorders of the kidney and urinary tract- Cutaneous manifestations in internal medicine

Reference texts

Michael Laposata. Laboratory Medicine - The diagnosis of disease in the Clinical Laboratory, Ed. McGraw Hill (2010) Frada' e Frada'. Semeiotica medica nell'adulto e nell'anziano. Piccin Editore (2009)

Educational objectives

Through the formal activity and practical exercises, the student will be able to detect and interpret in a pathophysiologic way the main symptoms and signs of illness and laboratory indicators related to several major groups of diseases (markers of autoimmune diseases, diseases of the the heart and great vessels, hematologic, bleeding and thrombotic disorders, gastroenterologic diseases, liver and pancreas diseases, endocrine disorders and cancer).

Prerequisites

Physiopathology, general pathology

Teaching methods

Face to face

Other information

It is strongly recommended required the attendance at least 80%) of the lessons in order to allow a good understanding of the arguments in the absence of a reference textbook. Materials presented during classes will be made available after the lessons.

Learning verification modality

Oral examination

Extended program

- Concepts in Laboratory Medicine - Clinical Laboratory Reference Values - The concept of diagnostic cut-off - The concept of sensitivity, specificity, positive and negative predictive value, prevalence, incidence. - The concept of precision and accuracy in laboratory tests - Preanalytical variables and accuracy in laboratory tests - Preanalytical variables and interfering factors - Rational use of laboratory tests in clinical diagnostics: the use of screening tests, second and third level tests- Autoimmune connective tissue disorders - LES, Sjogren's syndrome, scleroderma, mixed connective tissue disease, rheumatoid arthritis, cryoglobulinemia, immune deficiencies, vasculitis. - Diseases of heart and great vessels - The laboratory in the differential diagnosis of chest pain - Biomarkers in the prognostic evaluation of cardiac damage - Congestive heart failure, laboratory markers - Atherosclerosis as a systemic disease - Atherosclerosis and inflammation - Risk factors for atherosclerosis - Laboratory tests in the assessment of cardiovascular risk: their use in combination with clinical and instrumental evaluation - Dysliplidemias- Hypertension: the laboratory in differential diagnosis - Blood count abnormalities and their clinical interpretation- Anemias - Erythrocytosis - Thrombocytopenia: clinical manifestations, laboratory diagnosis - Thrombocytosis and Thrombocytopenia - Leukopenias- Neoplastic and reactive leukocytosis - Haemorragic and thrombotic disorder- Clinical and laboratory approach in the patient with bleeding diathesis - Inherited defects of haemostasis, clinical manifestations and laboratory diagnosis - Acquired defects in hemostasis, clinical and laboratory approach - Hemostatic defects from functional alterations of platelets - Laboratory diagnosis of venous thromboembolism - Inherited and acquired thrombophilia

PROFESSIONALISING TRAINING IN MEDICAL SEMEIOTICS

Code	GP004602
Location	PERUGIA
CFU	1
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Leonella Pasqualini

Teachers

• Leonella Pasqualini

Hours

• 25 ore - Leonella Pasqualini

Cognomi M-Z

CFU

1

Teacher

Cecilia Becattini

Teachers

• Cecilia Becattini

Hours

• 25 ore - Cecilia Becattini