Unit CLINICAL NURSING SPECIALISTIC( SPECIALITÀ-SPECIALTY

HAEMATOLOGY

Code	50098301
Location	FOLIGNO
CFU	1
Teacher	Silvio Canino
Teachers	Silvio Canino
Hours	15 ore - Silvio Canino
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/15
Type of study-unit	Obbligatorio (Required)

ONCOLOGY

Code	50097301
Location	FOLIGNO
CFU	1
Teacher	Giulio Metro
Teachers	Giulio Metro
Hours	15 ore - Giulio Metro
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Principles of epidemiology and prevention, principles of anti-cancer therapies and management of treatment-related adverse events, oncological emergencies and cancer pain
Reference texts	Teaching material provided by the professor
Educational objectives	Provide the student with knowledge on the main clinical scenarios that can occur in cancer patients
Prerequisites	Those required by the study plan
Teaching methods	Taught class
Other information	Deepening of specific topics upon request
Learning verification modality	Oral exam
Extended program	Definition of cancer; epidemiology and risk factors; primary prevention in the general population and in the population at increased risk; secondary prevention: screening test; cancer diagnosis and TNM staging; principles of locoregional therapy (surgery and radiotherapy); general concepts of systemic therapies, namely chemotherapy hormonal therapy, targeted therapy, immunotherapy; main organ toxicities deriving from systemic therapies, such as bone marrow toxicity, gastrointestinal toxicity and skin toxicity; disimmune toxicities during immunotherapy; oncological emergencies, in particular superior vena cava syndrome, spinal cord compression, brain metastases, infectious emergencies and septic shock; complications of long term central venous catheters and cytotoxic extravasation, malignant hypercalcemia; pain in cancer patients and principles of management of cancer pain with analgesics.

ORTHOPEDICS TRAUMATOLOGY AND ELEMENTS OF PHYSICAL REHABILITATION

Code	50502132
Location	FOLIGNO
CFU	2
Teacher	Giovanni Battista Mancini
Teachers	Giovanni Battista Mancini
Hours	30 ore - Giovanni Battista Mancini
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/33
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Clinical Examination and imaging Congenital and acquired pathologies of upper, lower extremities and spine Fractures and dislocations of extremities and spine
Reference texts	F. Grassi et al. :Manuale di ortopedia e traumatologia, ELSEVIER MASSON L. Molfetta: Patologie dell'apparato locomotore (manuale di ortopedia), PACINI editore
Educational objectives	Good knowledge of congenital and acquired pathologies of upper, lower extremities and spine and fractures and dislocations of extremities and spine
Prerequisites	In order to understand and use the concepts described in teaching are considered preparatory exams anatomical physiological bases of the human body, pathophysiological bases of the disease, molecular and cellular bases of life and Pharmacology and semiotics Nursing.
Teaching methods	Face to face lessons
Other information
Learning verification modality	The examination involves the carrying out of a written or oral test on the specific topic that varies in relation to the performance of the same test, the duration of 15/30 minutes
Extended program	Clinical Examination and imaging Congenital deformities: developmental hip dysplasia and dislocation, congenital clubfoot, congenital torticollis Developmental pathologies: osteochondrosis, scoliosis, kyphosis spondylolysis and spondylolisthesis, slipped capital femoral epiphysis, flat and cavus foot Degenerative and inflammatory arthropaties: osteoarthrosis (hip, knee, avascular necrosis of the hip and knee), rheumathoid arthritis, acquired joint deformities (varus and valgus knee, hallux valgus) Spinal pathologies: lumbar and cervical herniated disk, spinal stenosis Muscolar and tendineous pathologies: shoulder ( impingement syndrome, rotator cuff tears, biceps tendinopathy, calcific tendinopathy), elbow ( lateral epicondylitis, medial epicondylitis), knee and leg (patellar, quadriceps, Achilles tendinopathy), tendons rupture ( distal biceps, patellar, quadriceps, Achilles), muscolar disruptions Hand and wrist: carpal tunnel syndrome, compression of the ulnar nerve at the elbow and wrist, DJD of thumb and long fingers, trigger finger, De Quervain disease, Dupuytren's contracture, traumatic lesions of tendons TRAUMATOLOGY General principles (Classification of the fractures, bone healing, treatment and complications) Physeal injuries Fractures of upper extremity Fractures of lower extremity Fractures of the spine Dislocations and sprains of the joints

UROLOGY

Code	50144001
Location	FOLIGNO
CFU	1
Teacher	Michele Del Zingaro
Teachers	Michele Del Zingaro
Hours	15 ore - Michele Del Zingaro
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The main topics of the urological and andrological semeiotics will be discussed.The main diagnostic and therapeutic instruments used in urological and andrological diseases will also be presented.
Reference texts	Malattie del rene, delle vie urinarie e dell'apparato genitale maschile. Edizioni Piccin.Materiale audiovisivo presentato durante le lezioniUrologia di Campbell. Verduci EditoreCollegio dei Professori di Prima Fascia di Urologia in Ruolo e Fuori Ruolo: Manuale di Urologia e Andrologia - Pacini Editore Medicina Malattie del rene, delle vie urinarie e dell'apparato genitale maschile. Edizioni Piccin.Audiovisual materials showed during the lessonsUrologia di Campbell. Verduci EditoreCollegio dei Professori di Prima Fascia di Urologia in Ruolo e Fuori Ruolo: Manuale di Urologia e Andrologia - Pacini Editore Medicina
Educational objectives	AIMS OF INTERACTIVE EDUCATION The interactive education will be carried out in order to transmit the students a methodological approach to the main uro-andrology diseases. Objective will be to develop the ability to recognize the signs and symptoms of various urological diseases, to identify etiopathogenesis and their clinical value in order to formulate the diagnostic hypothesis. We will provide the knowledge needed to identify more suitable diagnostic tests (laboratory and instrumental) to understand the results together with the specialist to improve the diagnostic and therapeutic strategy. A further objective of interactive education is to enable students to critically assess and correlate symptoms, physical signs, any functional alterations, instrumental examinations and hystological features of main andrological and urological diseases. Finally, the student will acquire the knowledge of the basic therapeutic treatments of uro-andrological diseases including also relevant behavior, prevention, rehabilitation and diet. ABILITIES (skills) Aims of gestural skills include: -the bimanual palpation of the kidney and pelvis-ureter points ; -specialist manovre such physical examination of male and female genital identifying their functional and morphological alterations; -digital rectal examination identifying the neurophysiological and morphological features of the pelvic. For this purpose, hand-on training will be organized for the management of urinary catheter and urostomy. RELATIONAL OBJECTIVES (interpersonal skills) Relational purpose include to transmit students the value of the relationship between physician and patient, highlighting the ethical and psychological aspects. Another aim will be to make the student able to evaluate the psychological, sociological and cultural aspects of the patient in order to adapt the language and improve the understanding of the interview. We will also provide the tools to be able to communicate to the patient the clinical diagnosis and prognosis in order to share the therapeutic strategy and to obtain informed consent. Expected outcomes At the end of the course students will have the theoretical and practical bases for suitable clinical management of main urological and andrological diseases, especially in terms of recognition of the pathological state and appropriate therapy.
Prerequisites	We consider as preliminary and acquired the following abilities: • to achieve accurately medical history and symptoms, • to know the most common laboratory tests, to identify biochemical profile’s major alterations and to understand of their clinical significance • to know the main maneuvers of general physical examination (inspection, palpation, percussion and auscultation of the chest and abdomen).
Teaching methods	Attendance at division, (from Monday to Friday, from 8,00 a.m. to 14,00) outpatient services (on Wednesday and Friday from 8.30 am to 14.00) and operating room (on Monday, Tuesday and Thursday from 8.00 am to 14.00) of the S.C. di Chirurgia Urologica, Andrologica e Tecniche Mini-invasive, Terni. These activities are facultative for all students to learn the medical and surgical management of the urologic patient. - Seminar on the management of urostomy and urinary catheterSupporting tutors in: - patient history collection -physical examination of the urinary system, male and female genital -presentation and discussion of clinical cases -presentation of instrumental tests in urologic outpatient services - Presentation of surgical interventions in the operating theater For the hands-on activities, the students are divided into groups including 5 people; each group will go into the operating room at least once from 8.00 to 14.00 only on Wednesday, Thursday and Friday, into the division and outpatient services from Monday to Friday from 8.00 to 14.00
Other information	Attendance:Mandatory. At least 60% of lessons
Learning verification modality	The practical exam is carried out on the patient during the course; it has a duration lower than 15 minutes and it is aimed to assess the "ability", ie the student's ability to apply the knowledge.
Extended program	Semeiotics of Kidney and urinary tract -Semeiotics of the male genitalia -Vesical catheter: classifications, main types of urinary catheter, clinical indications, technique of positioning, complications. Urinary Tract Ultrasound: indications and methods - Scrotal Ultrasound: indications and methods -Transrectal ultrasound of prostate: indications and method -Multiparametric Prostate RM: indications and methods -Urethrocystoscopy: instrumentations, indications, methods and complications -Urinary cytology: indications, diagnostic accuracy and limits -Uroflowmetry: indications and method -Urodynamic examination: indications and method -Lithotripsy: indications and main techniques - Urologic Endoscopy: instrumentations and main surgical techniques -Urological laparoscopic surgery: instrumentations and main surgical techniques -Urological Robotic Surgery: instrumentations and main surgical techniques