Unit SYSTEMIC PATHOLOGY

GASTROENTEROLOGY - MOD. 1

Code	GP005651
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Gabrio Bassotti

Teachers

• Gabrio Bassotti

Hours

• 12.5 ore - Gabrio Bassotti

Language of instruction

Italian

Contents

Reference texts

Educational objectives

Prerequisites

Teaching methods

Other information

Learning verification modality

Extended program

Cognomi M-Z

CFU

1

Teacher

Stefano Fiorucci

Teachers

• Emanuel Cavazzoni (Codocenza)
• Stefano Fiorucci

Hours

• 5 ore (Codocenza) - Emanuel Cavazzoni
• 7.5 ore - Stefano Fiorucci

Language of instruction

Italian

Contents

Digestive and hepatic pathophysiology. Diagnosis and Therapy.
Elements of pathophysiology, clinic, diagnostics and therapy of diseases of the digestive system.
Clinical and instrumental approach to diseases of the digestive system.

Reference texts

Harrison’s Principles of Internal Medicine 19 Edizione

Educational objectives

Learn the principles of digestive pathophysiology and treatment
pharmacological and dietary diseases of the digestive system.

Prerequisites

Knowledge of human anatomy, physiology and general pathology.

Teaching methods

Frontal lessons

Other information

CONTACTS:
Gastroenterology Secretariat: Mrs. Bagianti Chiara 075/58558120
bagainti.chiara@gmail.com

Prof. Fiorucci's address: stefano.fiorucci@unipg.it- Prof. Fiorucci receives, by appointment, every day from 1pm to 2pm.
For information on teaching and lessons, visit the website:
gastroenterologia.unipg.it

Learning verification modality

Oral examination.

Extended program

Symptoms and signs of digestive system diseases.
Approach to the patient with dysphagia.
Approach to the patient with nausea and vomiting.
Approach to the patient with gastrointestinal bleeding.
Esophageal diseases.
Disorders of esophagus motility.
GE reflux disease and complications.
Neoplasms of the esophagus
Diseases of the stomach.
H. pylori infection.
Adverse effects of NSAIDs and ASAs.
Peptic ulcer.
Acute and chronic gastritis.
Gastric neoplasms
Approach the patient with diarrhea and constipation
Malabsorption syndrome.
Food intolerances and allergies. Celiac disease.
Functional syndromes of the digestive system.
Chronic and intestinal inflammatory diseases. Crohn's disease.
Chronic and intestinal inflammatory diseases. Ulcerative colitis.
Colon polyps
Colon and rectal cancer.
Approach the patient with pancreatic diseases.
Acute pancreatitis
Chronic pancreatitis.
Cancer of the pancreas
Assessment of liver function. I approach the patient with diseases
acute and chronic liver diseases. Disorders of bilirubin metabolism.
Jaundice and cholestasis.
Alcoholic and non-alcoholic liver disease (NASH)
Acute and chronic viral hepatitis


ADE
PRACTICAL APPROACH TO THE PATIENT WITH DIGESTIVE BLOODING
Acute and chronic viral hepatitis
Autoimmune liver disease
(PBC, PSC, autoimmune hepatitis)
Cirrhosis of the liver and complications
Hepatocarcinoma
Acute pancreatitis
Calculosis of the biliary tract and complications.
Cholangiocarcinoma.
Liver transplantation.

GASTROENTEROLOGY - MOD. 2

Code	GP005652
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Olivia Morelli

Teachers

• Olivia Morelli

Hours

• 12.5 ore - Olivia Morelli

Cognomi M-Z

CFU

1

Teacher

Monia Baldoni

Teachers

• Monia Baldoni
• Michele Biagioli

Hours

• 12.5 ore - Monia Baldoni
• 4 ore - Michele Biagioli

GASTROENTEROLOGY - MOD. 3

Code	GP005653
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Gabrio Bassotti

Teachers

• Gabrio Bassotti

Hours

• 12.5 ore - Gabrio Bassotti

Language of instruction

Italian

Contents

Apprendimento delle procedure per il management di un paziente con malattie dell'apparato digerente.

Educational objectives

Inquadramento eziopatologico ed epidemiologico delle patologie, con approfondimento delle tematiche inerenti la sintomatologia ed il flusso diagnostico, e cenni di terapia medica e chirurgica.

Prerequisites

Conoscenza dell'anatomia umana, della fisiologia e della patologia generale.

Teaching methods

Lezioni frontali sugli argomenti in programma.

Learning verification modality

Esame orale. I requisiti minimi per il superamento dell'esame saranno la capacità di collegamenti critici e di sintesi, la qualità dell'esposizione e dell'organizzazione del discorso.

Extended program

Introduzione (cenni di epidemiologia, tecniche diagnostiche in gastroenterologia)
Fisiopatologia esofagea e sintomi correlati (innervazione, fisiologia sensoriale, fisiologia motoria, fisiologia della giunzione gastro-esofagea, pirosi, rigurgito, disfagia, odinofagia, bolo faringeo, dolore toracico simil-anginoso)
Disordini motori esofagei (da alterato rilasciamento sfinteriale, superiore ed inferiore; da alterazioni maggiori della peristalsi; da alterazioni minori della peristalsi)
Malattia da reflusso gastro-esofageo (fisiopatologia, aspetti clinici, diagnosi, terapia)
Esofagiti non associate a malattia da reflusso gastro-esofageo (infettive, da caustici, attinica, eosinofila)
Lesioni precancerose e neoplasie esofagee (epidemiologia, fattori di rischio, caratteristiche cliniche, iter diagnostico, terapia)
Fisiopatologia dello stomaco (motilità, secrezione)
Dispepsia (dfinizione e classificazione, epidemiologia, fisiopatologia, approccio clinico, terapia)
Infezione da Helicobacter pylori e patologie correlate (epidemiologia, vie di trasmissione, meccanismi patogenetici, gastrite crnica, ulcera peptica, neoplasie gastriche, patologie extradigestive, aspetti diagnostici, terapia)
Gastrite cronica e gastropatie da farmaci (aspetti clinici, gastrite cronica jatrogena, altre forme di gastriti croniche)
Lesioni precancerose e neoplasie gastriche (precancerosi gastriche, adenocarcinoma, neoplasie non epiteliali, classificazione neoplasie gastriche, aspetti clinici, diagnosi, terapia)
Fisiopatologia dell’intestino tenue (motilità, dinamica dei fluidi, digestione dei nutrienti, malassorbimento)
Diarree (definizione, epidemiologia, fisiopatologia, aspetti diagnostici)
Malattia celiaca(epidemiologia, fisiopatologia, aspetti diagnostici, complicanze, terapia, follow-up, sensibilità al glutine non celiaca)
Allergie ed intolleranze alimentari (classificazione, allergie IgE-mediate e non-IgE-mediate, intolleranze)
Fisiopatologia del colon (motilità, fisiopatologia)
Sindrome dell’intestino irritabile (definizione, epidemiologia, patofisiologia, aspetti diagnostici, terapia)
Stipsi (definizione, epidemiologia, stipsi acuta e cronica, stipsi funzionale, stipsi secondaria, aspetti diagnostici, terapia)
Morbo di Crohn (epidemiologia, eziopatologia, aspetti anatomo-patologici, presentazione clinica, storia naturale, aspetti diagnostici, terapia)
Colite ulcerosa (epidemiologia, eziopatologia, aspetti anatomo-patologici, presentazione clinica, storia naturale, aspetti diagnostici, terapia)
Altre coliti infiammatorie (coliti microscopiche, colite da diversione, colite segmentaria associata a malattia diverticolare, colite ischemica, colite attinica)
Malattia diverticolare del colon (definizione, epidemiologia, fisiopatologia, aspetti diagnostici, terapia)
Lesioni precancerose e neoplasie del colon-retto (polipi, lesioni non polipoidi, adenomi serrati, poliposi familiari, neoplasie maligne, fisiopatologia, aspetti diagnostici, prevenzione, terapia)
Patologie anorettali (prolasso rettale, ragade anale, ulcera solitaria del retto, proctiti ed infezioni perianali, ascessi e fistole, neoplasie anali)
Funzione epatica e meccanismi di danno epatico acuto e cronico (anatomia micro- e macroscopica, funzione epatica, meccanismi acuti e cronici di danno epatocellulare)
Storia naturale della malattia epatica (epidemiologia, epatite acuta, epatite cronica B,C,D,E, steatosi epatica non alcoolica)
Diagnostica epatologica (test epatici di routine, esami diagnostici)
Epatiti virali (epatiti acute, epatiti croniche, aspetti diagnostici e terapeutici)
Epatopatia alcool-relata (epidemiologia, patofisiologia, aspetti diagnostici, terapia)
Steatosi ed epatopatia non alcool-relata (definizione, aspetti eziopatogenetici, epidemiologia, storia naturale, aspetti genetici, aspetti diagnostici, complicanze epatiche ed extra-epatiche, terapia)
Malattie epatiche autoimmuni (epidemiologia, fisiopatologia, aspetti clinici, aspetti diagnostici, variante colestatica e sindrome da overlap, manifestazioni extraepatiche, terapia)
Malattie epatiche da accumulo (malattia di Wilson, emocromatosi)
Epatopatie da farmaci e da tossici (epidemiologia, fisiopatologia, aspetti clinici, aspetti diagnostici, terapia)
Cirrosi epatica e complicanze (epidemiologia, fisiopatologia, aspetti clinici, complicanze, storia naturale, terapia)
Neoplasie epatocellulari e vascolari (epatocarcinoma, neoplasie benigne)
Trapianto di fegato (indicazoini, selezione dei candidati, considerazioni chirurgiche, rigetto acuto e cronico, terapia immunosoppressiva, complicanze, risultati)
Fisiopatologia delle vie biliari (anatomia, shunt cole-epatico, circolo enteroepatico dei sali biliari, microbiota e recettori nucleari, secrezoine bilare di fosfolipidi e colesterolo, circolazione enteroepatica del colesterolo, secrezione e circolazione enteroepatica della bilirubina)
Ittero e colestasi (definizione, classificazione, fisiopatologia, aspetti eziopatogenetici, approccio clinico, approccio diagnostico)
Malattie colestatiche croniche (colangite biliare primitiva, colangite sclerosante primitiva, colangite associata ad IgG4)
Litiasi biliare e patologie della papilla di Vater (classificazione, fisiopatologia, epidemiologia, aspetti clinici, aspetti diagnostici)
Neoplasie delle vie biliari (classificazoine, neoplasie della colecisti, neoplasie delle vie biliari intra- ed extraepatiche, aspetti clinici, aspetti diagnostici, terapia)
Fisiopatologia pancreatica (anatomia, fisiopatologia della secrezione esocrina ed endoscrina)
Pancreatite acuta (definizione, classificazione, epidemiologia, aspetti eziopatogenetici, fattori di rischio, aspetti clinici, aspetti laboratoristici, ruolo dell’imaging, aspetti diagnostici, storia naturale, complicanze, gestione clinica, terapia)
Pancreatite cronica (definizione, classificazione, epidemiologia, aspetti eziopatogenetici, fattori di rischio, aspetti clinici, aspetti laboratoristici, ruolo dell’imaging, aspetti diagnostici, storia naturale, complicanze, gestione clinica, terapia)
Lesioni precancerose e neoplasie del pancreas (adenocarcinoma, neoplasie cistiche, aspetti epidemiologici, clinici, diagnostici e terapeutici)
Neoplasie neuroendocrine gastrointestinali (diagnosi e definizione anatomo-patologica, distinzione per sede, aspetti clinici e diagnostici, terapia)
Emorragie digestive (definizione, epidemiologia, aspetti ed inquadramento clinico, localizzazione delle sedi di sanguinamento, emorragie superiori ed inferiori acute e croniche, aspetti clinici, aspetti diagnostici, terapia)
Insufficienza epatica acuta (definizione, epidemiologia, fisiopatologia, aspetti ed inquadramento clinico, terapia)
Addome acuto (fisiopatiologia, epidemiologia, inquadramento clinico, aspetti diagnostici)

Cognomi M-Z

CFU

1

Teacher

Patrizia Ricci

Teachers

• Patrizia Ricci

Hours

• 12.5 ore - Patrizia Ricci

MEDICAL ONCOLOGY

Code	GP004619
Location	PERUGIA
CFU	2
Teacher	Ettore Mearini
Teachers	Fausto Roila (Codocenza)
Hours	25 ore (Codocenza) - Fausto Roila
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Principles of ethical in the clinical practice and the clinical research: Conflicts of interest of the single physician; conflicts of interest and: - clinical research, - regulatory agencies, - scientific journals, - continuous medical education; - scientific associations, - patients associations. Communication with patients and their family. Principles of medical therapy in oncology. Carcinomas: - colorectal, - lung , - esophagus, - gastric, - breast, - ovarian, - pancreatic, - prostate, - kidney, - bladder, - testicle, - mesotelioma, - melanoma, - cutaneous non melanoma, - brain, - hepatocarcinoma. Hereditary cancer. Emergencies in oncology. Supportive therapy and palliative care. Immunotherapy toxicity. Febrile neutropenia, deep venous thrombosis and thromboembolism, neoplastic pain, prevention of nausea and vomiting-induced by chemotherapy and radiotherapy.
Reference texts	Frontal lessons with interactive Q&A sessions. Textbook of Medical Oncology written by COMU members AIOM Guidelines, ESMO Guidelines.
Educational objectives	At the end of the course, students will be familiar with theoretical and practical elements that guide the diagnosis and therapy of the main tumors. Students will have the main elements that guide supportive therapy and major emergencies in oncology. Finally, students will navigate in clinical cancer management by applying the main knowledge for an integrated cancer approach
Prerequisites	Anatomy, physiology and physiopathology, general pathology, fundamental principles of pharmacology and internal medicine
Teaching methods	Frontal interactive lessons
Other information	Interactive pratical lessons on the following issues: - Psycooncology - Medical genetics - Medical statistics - Nutrition of oncological patient.
Learning verification modality	Oral exam The average duration of each exam is approximately 20 minutes
Extended program	Principles of ethical in the clinical practice and the clinical research with particular attention to the authorship problems, to the methodology of randomized clinical studies and to the best way to read and to understand a clinical trial. Conflicts of interest of the single physician (physicians payment of consultancies, meals, travels, etc.; conflicts of interest and: - clinical research, - regulatory agencies, - scientific journals, - continuous medical education; - scientific associations, - patients associations. Communication with patients and their family with particular attention to the way in which communication is carried out and how benefits and harms of new drugs are reported (always in absolute terms and not in relative terms with respect to standard treatment). Principles of medical therapy in oncology (pharmacokinetics, pharmacodinamics of chemo, hormonal, targeted and immuno-therapy). Prognostic factors, histotypes, natural history, symptoms and diagnosis of the followiong cancers: - colorectal, - lung , - esophagus, - gastric, - breast, - ovarian, - pancreatic, - prostate, - kidney, - bladder, - testicle, - mesotelioma, - melanoma, - cutaneous non melanoma, - brain, - hepatocarcinoma. Hereditary cancer syndromes. Emergencies in oncology (superior vena cava syndrome, spinal cord compression, hypercalcemia, hyponatremia, febrile neutropenia, deep venous thrombosis and thromboembolism, intracranial hypertension, anaphylactic reactions by chemotherapy, tumor lysis syndrome). Supportive therapy (chemotherapy nausea and vomiting prevention, infections, diarrea, stipsis, mucositis, dysphagia, neoplastica fever, drug-induced fever, treatment of pleural, peritoneal and pericardial effusions) and palliative care (cancer pain, dyspnoea, anorexia, cachexia, fatigue, weight loss). Immunotherapy toxicity.

PROFESSIONALISING TRAINING IN GASTROENTEROLOGY

Code	GP005655
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Gabrio Bassotti

Teachers

• Gabrio Bassotti

Hours

• 25 ore - Gabrio Bassotti

Language of instruction

Italian

Contents

Apprendimento delle procedure per il management di un paziente con malattie dell'apparato digerente.

Educational objectives

Inquadramento eziopatologico ed epidemiologico delle patologie, con approfondimento delle tematiche inerenti la sintomatologia ed il flusso diagnostico, e cenni di terapia medica e chirurgica.

Prerequisites

Conoscenza dell'anatomia umana, della fisiologia e della patologia generale.

Extended program

Introduzione (cenni di epidemiologia, tecniche diagnostiche in gastroenterologia)
Fisiopatologia esofagea e sintomi correlati (innervazione, fisiologia sensoriale, fisiologia motoria, fisiologia della giunzione gastro-esofagea, pirosi, rigurgito, disfagia, odinofagia, bolo faringeo, dolore toracico simil-anginoso)
Disordini motori esofagei (da alterato rilasciamento sfinteriale, superiore ed inferiore; da alterazioni maggiori della peristalsi; da alterazioni minori della peristalsi)
Malattia da reflusso gastro-esofageo (fisiopatologia, aspetti clinici, diagnosi, terapia)
Esofagiti non associate a malattia da reflusso gastro-esofageo (infettive, da caustici, attinica, eosinofila)
Lesioni precancerose e neoplasie esofagee (epidemiologia, fattori di rischio, caratteristiche cliniche, iter diagnostico, terapia)
Fisiopatologia dello stomaco (motilità, secrezione)
Dispepsia (dfinizione e classificazione, epidemiologia, fisiopatologia, approccio clinico, terapia)
Infezione da Helicobacter pylori e patologie correlate (epidemiologia, vie di trasmissione, meccanismi patogenetici, gastrite crnica, ulcera peptica, neoplasie gastriche, patologie extradigestive, aspetti diagnostici, terapia)
Gastrite cronica e gastropatie da farmaci (aspetti clinici, gastrite cronica jatrogena, altre forme di gastriti croniche)
Lesioni precancerose e neoplasie gastriche (precancerosi gastriche, adenocarcinoma, neoplasie non epiteliali, classificazione neoplasie gastriche, aspetti clinici, diagnosi, terapia)
Fisiopatologia dell’intestino tenue (motilità, dinamica dei fluidi, digestione dei nutrienti, malassorbimento)
Diarree (definizione, epidemiologia, fisiopatologia, aspetti diagnostici)
Malattia celiaca(epidemiologia, fisiopatologia, aspetti diagnostici, complicanze, terapia, follow-up, sensibilità al glutine non celiaca)
Allergie ed intolleranze alimentari (classificazione, allergie IgE-mediate e non-IgE-mediate, intolleranze)
Fisiopatologia del colon (motilità, fisiopatologia)
Sindrome dell’intestino irritabile (definizione, epidemiologia, patofisiologia, aspetti diagnostici, terapia)
Stipsi (definizione, epidemiologia, stipsi acuta e cronica, stipsi funzionale, stipsi secondaria, aspetti diagnostici, terapia)
Morbo di Crohn (epidemiologia, eziopatologia, aspetti anatomo-patologici, presentazione clinica, storia naturale, aspetti diagnostici, terapia)
Colite ulcerosa (epidemiologia, eziopatologia, aspetti anatomo-patologici, presentazione clinica, storia naturale, aspetti diagnostici, terapia)
Altre coliti infiammatorie (coliti microscopiche, colite da diversione, colite segmentaria associata a malattia diverticolare, colite ischemica, colite attinica)
Malattia diverticolare del colon (definizione, epidemiologia, fisiopatologia, aspetti diagnostici, terapia)
Lesioni precancerose e neoplasie del colon-retto (polipi, lesioni non polipoidi, adenomi serrati, poliposi familiari, neoplasie maligne, fisiopatologia, aspetti diagnostici, prevenzione, terapia)
Patologie anorettali (prolasso rettale, ragade anale, ulcera solitaria del retto, proctiti ed infezioni perianali, ascessi e fistole, neoplasie anali)
Funzione epatica e meccanismi di danno epatico acuto e cronico (anatomia micro- e macroscopica, funzione epatica, meccanismi acuti e cronici di danno epatocellulare)
Storia naturale della malattia epatica (epidemiologia, epatite acuta, epatite cronica B,C,D,E, steatosi epatica non alcoolica)
Diagnostica epatologica (test epatici di routine, esami diagnostici)

Cognomi M-Z

CFU

1

Teacher

Stefano Fiorucci

PROFESSIONALISING TRAINING IN MEDICAL ONCOLOGY

Code	GP004620
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Fausto Roila

Teachers

• Fausto Roila

Hours

• 25 ore - Fausto Roila

Language of instruction

Italian

Contents

Physical examination
Management of cancer patients in ambulatory setting. Multidisciplinary discussions. Management of hospitalized cancer patients

Reference texts

Textbook of medical oncology edited by COMU
AIOM and ESMO guidelines

Educational objectives

Principles of doctor-patient relationship and communication with patients and their family.

Management of cancer patients under treatment and during follow-up in the outpatient setting

Management of hospitalized cancer patients: main notions of supportive and palliative care

Prerequisites

Medical semeiotic

General pathology. Physiopathology

Main basic notions of internal medicine.

Teaching methods

Practical experience with the support by dedicated professors as well as tutors both in the ambulatory and in the ward setting

Other information

Interactions with experts in the field and in-depth discussion of topics that have been addressed during the internship

Learning verification modality

Clinical cases evaluation.

Daily discussion and at the end of internship to verify both the learning in ambulatory activity and in the ward setting.

Extended program

General physical examination for the clinical management of cancer patients.

Communication of the diagnosis, prognosis and therapeutic strategy

Management of ambulatory cancer patient.
Practical experience focusing on the clinical management of patients affected by different solid tumors.

Participation in multidisciplinary team discussion.

Management of hospitalized patients with a peculiar interest on supportive and palliative care.

Cognomi M-Z

CFU

1

Teacher

Mario Mandala'

Teachers

• Mario Mandala'

Hours

• 25 ore - Mario Mandala'

Language of instruction

Italian

Contents

Physical examination

Management of cancer patients in ambulatory setting

Multidisciplinary discussions: experience with different teams

Management of hospitalized cancer patients

Reference texts

Textbook of medical oncology edited by COMU
AIOM and NICSO guidelines

Educational objectives

Principles of doctor-patient relationship

Management of cancer patients under treatment and during follow-up in the outpatient setting

Management of hospitalized cancer patients: main notions of supportive and palliative care

Prerequisites

Medical semeiotic

General pathology

Physiopathology

Main, basic notions of internal medicine

Teaching methods

Practical experience with the support by dedicated professors as well as tutors both in the ambulatory and in the ward setting

Other information

Interactions with experts in the field and in-depth discussion of topics that have been addressed during the internship

Learning verification modality

Indexed clinical case

Feedback on specific main issues both in ambulatory and in the ward setting

Extended program

General physical examination
Clinical management of cancer patients
Communication of the diagnosis, prognosis and therapeutic strategy
Management of ambulatory cancer patient
Practical experience focusing on the clinical management of patients affected by different solid tumors
Participation in multidisciplinary team discussion
Management of hospitalized patients with a peculiar interest on supportive and palliative care

PROFESSIONALISING TRAINING IN UROLOGY

Code	GP005654
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Ettore Mearini

Teachers

• Ettore Mearini

Hours

• 25 ore - Ettore Mearini

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

"Testo di Chirurgia Specialistica"
Capitoli di Urologia
Editore: Zanichelli CEA
www.zanichelli.it

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

- INTRODUZIONE E TERMINOLOGIA UROLOGICA.
- Semeiotica del rene, delle vie urinarie e dell'apparato genitale maschile - Cateterismo vescicale: tipologie di catetere vescicale, indicazioni cliniche, complicanze. Indagini strumentali e funzionali della Specialità Urologica (Ecografia urologica, endoscopia della via escretrice, urodinamica, endourologia diagnostica strumentale invasiva)
- Ematuria: eziologia e work-up diagnostico-terapeutico.
-Uropatia ostruttiva alta e bassa: eziologia, patogenesi, quadro clinico, diagnosi e terapia.
- Malformazioni dell'apparato urinario e genitale maschile: epidemiologia, il quadro clinico, percorsi diagnostici e terapeutici.
-Patologia dell'alta via escretrice: epidemiologia, eziopatogenesi, inquadramento clinico e diagnostico, terapia farmacologica e chirurgica della sindrome del giunto pieloureterale e delle stenosi ureterali.
-Carcinoma del rene: epidemiologia, eziologia, cenni di genomica e patogenesi, quadro clinico, diagnosi, cenni di terapia farmacologica, trattamento chirurgico.
- Iperplasia prostatica benigna: epidemiologia, eziologia, cenni di biologia molecolare, patogenesi, quadro clinico, diagnosi, terapia farmacologica e chirurgica.
- Carcinoma prostatico: epidemiologia, eziologia, cenni di genomica e patogenesi, quadro clinico, diagnosi, PSA e nuovi marcatori, terapia farmacologica e chirurgica.
- Carcinoma della vescica: epidemiologia, eziologia, cenni di genomica e patogenesi, quadro clinico, diagnosi, cenni di terapia farmacologica, trattamento chirurgico.
- Derivazioni urinarie: classificazioni, indicazioni, gestione e complicanze Carcinoma testicolare: epidemiologia, eziologia, patogenesi, quadro clinico, diagnosi, cenni di chemioterapia e terapia chirurgica.
- Carcinoma del pene: epidemiologia, eziologia, patogenesi, quadro clinico, diagnosi, cenni di terapia chirurgica e fisica.
-Traumi dell'apparato urogenitale: classificazioni, principali quadri clinici, diagnosi, terapia chirurgica -Infezioni urinarie: epidemiologia, eziologia, patogenesi, diagnosi, cenni di terapia farmacologica, gestione delle complicanze.
-Litiasi urinaria: epidemiologia, eziologia, patogenesi, quadro clinico, diagnosi, terapia farmacologica, idropinica, dietetica, fisica e chirurgica.
-Vescica neurologica: principali fattori eziologici, patogenesi, principali quadri clinici, principi di diagnosi e terapia farmacologica e riabilitativa.
-Incontinenza urinaria: epidemiologia, classificazione, eziologia, patogenesi, quadro clinico, diagnosi, cenni di terapia farmacologica e chirurgica. Prolasso genito-urinario: epidemiologia, classificazione, eziologia, patogenesi, quadro clinico, diagnosi, terapia riabilitativa e chirurgica.

- ARGOMENTI DI ANDROLOGIA
- Disfunzione erettile, incurvamento penieno congenito ed acquisito, priapismo, scroto acuto (torsione del testicolo e orchiepididimite), e varicocele.
- Particolare attenzione verrà data all'importanza di una corretta gestione delle problematiche uro-andrologiche anche per il significativo impatto sui costi sociali e sulla qualità della vita.

Cognomi M-Z

CFU

1

Teacher

Ettore Mearini

Teachers

• Ettore Mearini

Hours

• 25 ore - Ettore Mearini

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

"Testo di Chirurgia Specialistica"
Capitoli di Urologia
Editore: Zanichelli CEA
www.zanichelli.it

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

- INTRODUZIONE E TERMINOLOGIA UROLOGICA.
- Semeiotica del rene, delle vie urinarie e dell'apparato genitale maschile - Cateterismo vescicale: tipologie di catetere vescicale, indicazioni cliniche, complicanze. Indagini strumentali e funzionali della Specialità Urologica (Ecografia urologica, endoscopia della via escretrice, urodinamica, endourologia diagnostica strumentale invasiva)
- Ematuria: eziologia e work-up diagnostico-terapeutico.
-Uropatia ostruttiva alta e bassa: eziologia, patogenesi, quadro clinico, diagnosi e terapia.
- Malformazioni dell'apparato urinario e genitale maschile: epidemiologia, il quadro clinico, percorsi diagnostici e terapeutici.
-Patologia dell'alta via escretrice: epidemiologia, eziopatogenesi, inquadramento clinico e diagnostico, terapia farmacologica e chirurgica della sindrome del giunto pieloureterale e delle stenosi ureterali.
-Carcinoma del rene: epidemiologia, eziologia, cenni di genomica e patogenesi, quadro clinico, diagnosi, cenni di terapia farmacologica, trattamento chirurgico.
- Iperplasia prostatica benigna: epidemiologia, eziologia, cenni di biologia molecolare, patogenesi, quadro clinico, diagnosi, terapia farmacologica e chirurgica.
- Carcinoma prostatico: epidemiologia, eziologia, cenni di genomica e patogenesi, quadro clinico, diagnosi, PSA e nuovi marcatori, terapia farmacologica e chirurgica.
- Carcinoma della vescica: epidemiologia, eziologia, cenni di genomica e patogenesi, quadro clinico, diagnosi, cenni di terapia farmacologica, trattamento chirurgico.
- Derivazioni urinarie: classificazioni, indicazioni, gestione e complicanze Carcinoma testicolare: epidemiologia, eziologia, patogenesi, quadro clinico, diagnosi, cenni di chemioterapia e terapia chirurgica.
- Carcinoma del pene: epidemiologia, eziologia, patogenesi, quadro clinico, diagnosi, cenni di terapia chirurgica e fisica.
-Traumi dell'apparato urogenitale: classificazioni, principali quadri clinici, diagnosi, terapia chirurgica -Infezioni urinarie: epidemiologia, eziologia, patogenesi, diagnosi, cenni di terapia farmacologica, gestione delle complicanze.
-Litiasi urinaria: epidemiologia, eziologia, patogenesi, quadro clinico, diagnosi, terapia farmacologica, idropinica, dietetica, fisica e chirurgica.
-Vescica neurologica: principali fattori eziologici, patogenesi, principali quadri clinici, principi di diagnosi e terapia farmacologica e riabilitativa.
-Incontinenza urinaria: epidemiologia, classificazione, eziologia, patogenesi, quadro clinico, diagnosi, cenni di terapia farmacologica e chirurgica. Prolasso genito-urinario: epidemiologia, classificazione, eziologia, patogenesi, quadro clinico, diagnosi, terapia riabilitativa e chirurgica.

- ARGOMENTI DI ANDROLOGIA
- Disfunzione erettile, incurvamento penieno congenito ed acquisito, priapismo, scroto acuto (torsione del testicolo e orchiepididimite), e varicocele.
- Particolare attenzione verrà data all'importanza di una corretta gestione delle problematiche uro-andrologiche anche per il significativo impatto sui costi sociali e sulla qualità della vita.

UROLOGY - MOD. 1

Code	GP004617
Location	PERUGIA
CFU	2
Teacher	Ettore Mearini
Learning activities	Caratterizzante
Area	Discipline ostetrico-ginecologiche, medicina della riproduzione e sessuologia medica
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

2

Teacher

Ettore Mearini

Teachers

• Ettore Mearini

Hours

• 25 ore - Ettore Mearini

Cognomi M-Z

CFU

2

Teacher

Ettore Mearini

Teachers

• Ettore Mearini

Hours

• 25 ore - Ettore Mearini

UROLOGY - MOD. 2

Code	GP004618
Location	PERUGIA
CFU	1
Teacher	Ettore Mearini
Learning activities	Caratterizzante
Area	Discipline ostetrico-ginecologiche, medicina della riproduzione e sessuologia medica
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)

Cognomi A-L

CFU

1

Teacher

Giovanni Cochetti

Teachers

• Giovanni Cochetti

Hours

• 12.5 ore - Giovanni Cochetti

Language of instruction

Italian

Cognomi M-Z

CFU

1

Teacher

Giovanni Cochetti

Teachers

• Giovanni Cochetti

Hours

• 12.5 ore - Giovanni Cochetti

Language of instruction

Italian