Unit INTERNAL MEDICINE 1

Course
Medicine and surgery
Study-unit Code
A000364
Location
PERUGIA
Curriculum
In all curricula
CFU
3
Course Regulation
Coorte 2019
Offered
2022/23
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
  • 12.5 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
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