Unit INTERNAL MEDICINE 1
- Course
- Medicine and surgery
- Study-unit Code
- A000364
- Location
- PERUGIA
- Curriculum
- In all curricula
- CFU
- 3
- Course Regulation
- Coorte 2017
- Offered
- 2020/21
- Type of study-unit
- Obbligatorio (Required)
- Type of learning activities
- Attività formativa integrata
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 ore - Leonella Pasqualini
- 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
Cognomi M-Z
- CFU
- 1
- Teacher
- Giancarlo Agnelli
- Teachers
- Giancarlo Agnelli
- Hours
- 12 ore - Giancarlo Agnelli
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 ore - Leonella Pasqualini
- Language of instruction
- Italian
- Contents
- CLINICAL MANIFESTATIONS OF DISEASE
DISEASES
Hematology
infectious Diseases
septic shock
cardiovascular
respiratory system
Nephrology
Gastroenterology
Endocrinology - 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
- See first part of the teaching
- Teaching methods
- Face-to-face lessons and theoretical-practical lessons in groups at the 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
- CLINICAL MANIFESTATIONS OF DISEASE
dyspnea
Cough and hemoptysis
Edema and effusion
Disorders of appetite, nausea and vomiting
Diarrhea and constipation
Fever and FUO
Abdominal pain and chest pain
Syncope and dizziness
Gastrointestinal bleeding
jaundice
Anemia and poliglobulie
Lymph adenomegalie and splenomegaly
Obesity and thinness
Coma
History and clinical examination of cardiovascular diseases, respiratoty diseases, rheumatic diseases, epatic diseases
peripheral Arterial Disease, kidney diseases,
Cognomi M-Z
- CFU
- 1
- Teacher
- Paolo Gresele
- Teachers
- Paolo Gresele
- Hours
- 12 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
- Language of instruction
- Italian
- Contents
- Obtain a history. Perform and the 'general physical examination
Examination of the chest , heart, abdomen (inspection, palpation, percussion and auscultation)
Measure heart rate and blood pressure
Detecting pulses and describe the features
Clinical cases of particular semeiological interest :
Testi di riferimento TESTI_RIF Sì Vedi modulo semeiotica I e II see semeiotic module I and II
Obiettivi formativi OBIETT_FORM Sì Acquisizione delle principali abilità cliniche per l'esecuzione dell'anamnesi e dell'esame obiettivo. Acquisition of the main clinical skills for clinical examination (hystori and physical examination)
Prerequisiti PREREQ Sì vedi Modulo I e II see semeiotic module I and II
Metodi didattici METODI_DID Sì Frequenza in piccoli gruppi dei reparti clinici accompagnati da un tutor Frequency of clinical departments in small groups accompanied by a tutor
Altre informazioni ALTRO Sì Consigliata la frequenza delle lezioni dei moduli di semeiotica medica I e II prima della frequenza del tirocinio. The frequency of the lessons of medical semeiotics I and II is recommended before the training period.
Modalità di verifica dell'apprendimento MOD_VER_APPR Sì Lo svolgimento del tirocinio è richiesto per poter svolgere prova in itinere The internship is required to carry out ongoing tests
Programma esteso PROGR_EST Sì Attività in reparto:
Accogliere un paziente in reparto o in ambulatorio e relazionarsi con esso
Raccogliere l'anamnesi; Eseguire l' esame obiettivo generale
Effettuare l'esame obiettivo del torace, cuore, addome (ispezione, palpazione e auscultazione)
Misurare la frequenza cardiaca centrale e periferica, misurare correttamente la pressione arteriosa
Rilevare il polso centrale ed i polsi periferici e descriverne le caratteristiche
Verranno inoltre illustrati casi clinici di particolare interesse semeiologico:
ITTERO, BRONCOSTENOSI, VERSAMENTI PLEURICI, VERSAMENTI PERICARDICI, POLMONITI, DISPNEA, EMBOLIA POLMONARE, ISCHEMIE ACUTE E CRONICHE DEGLI ARTI, DOLORI ADDOMINALI
SANGUINAMENTI, ALTERAZIONI DEL SENSORIO; COMI SCALA DI GLASGOW Ward activities:
Accommodate a patient on the ward or in the clinic and relate to it
Obtain a history. Perform the 'general physical examination
Examination of the chest , heart, abdomen (inspection, palpation, percussion and auscultation)
Measure heart rate and blood pressure
Detecting pulses and describe the features
Clinical cases of particular semeiological interest :
jaundice, bronchoconstriction, pleural effusion, pericardial effusion, pneumonia, dyspnea, pulmonary embolism, acute and chonic ischemia of the limb, abdominal pain, bleeding. - Reference texts
- see semeiotic module I and II
- Educational objectives
- Acquisition of the main clinical skills for clinical examination (hystori and physical examination)
- Prerequisites
- see semeiotic module I and II
- Teaching methods
- Frequency of clinical departments in small groups accompanied by a tutor
- Other information
- The frequency of the lessons of medical semeiotics I and II is recommended before the training period.
The internship is required to carry out ongoing tests - Learning verification modality
- The progress and profit of the internship period is certified online.
- Extended program
- Ward activities:
Accommodate a patient on the ward or in the clinic and relate to it
Obtain a history. Perform the 'general physical examination
Examination of the chest , heart, abdomen (inspection, palpation, percussion and auscultation)
Measure heart rate and blood pressure
Detecting pulses and describe the features
Clinical cases of particular semeiological interest :
jaundice, bronchoconstriction, pleural effusion, pericardial effusion, pneumonia, dyspnea, pulmonary embolism, acute and chonic ischemia of the limb, abdominal pain, bleeding.
Cognomi M-Z
- CFU
- 1
- Teacher
- Giancarlo Agnelli
- Teachers
- Giancarlo Agnelli
- Hours
- 25 ore - Giancarlo Agnelli