Unit INTERNAL MEDICINE

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)

Canale A

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 the center of advanced medical simulation, with reservation online

Learning verification modality

An ongoing test is scheduled, whose weighted vote for the CFU in the final mark for the teaching of internal medicine; 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 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

Canale B

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)

Canale A

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 center of advanced medical simulation, with reservation online

Learning verification modality

See first part of the teaching

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
Comi
History and clinical examination of cardiovascular diseases, respiratoty diseases, rheumatic diseases, epatic diseases
peripheral Arterial Disease, kidney diseases,

Canale B

CFU

1

Teacher

Paolo Gresele

Teachers

• Paolo Gresele

Hours

• 12 ore - Paolo Gresele

Language of instruction

Italian

Contents

- General concepts in laboratory of Medicine - The autoimmune diseases - Diseases of the heart and great vessels - Interpreting the CBC - The bleeding disorders and thrombotic - 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 SEMEIOTICS MEDICAL

Code	GP004804
Location	PERUGIA
CFU	1
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

Canale A

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 :

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.

Learning verification modality

The internship is required to carry out ongoing tests

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.

Canale B

CFU

1

Teacher

Giancarlo Agnelli

Teachers

• Giancarlo Agnelli

Hours

• 25 ore - Giancarlo Agnelli