Unit SYSTEMIC PATHOLOGY II

Course
Medicine and surgery
Study-unit Code
GP005551
Curriculum
In all curricula
CFU
8
Course Regulation
Coorte 2020
Offered
2022/23
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

VASCULAR SURGERY

Code GP005635
CFU 1
Teacher Enrico Cieri
Teachers
  • Enrico Cieri
  • Vanessa Bianconi
Hours
  • 12.5 ore - Enrico Cieri
  • 4 ore - Vanessa Bianconi
Learning activities Caratterizzante
Area Clinica delle specialità medico-chirurgiche
Academic discipline MED/22
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Reference texts Chirurgia Vascolare -Carlo Setacci
II Edizione a cura della SICVE
Edizioni Minerva Medica
Educational objectives The student will have knowledge and understanding of the etiopathogenesis, pathofisiology, clinical manifestations, laboratory imaging, principles of surgical therapy of the arterial and venous diseases.
Teaching methods Frontal lessons
Practical training
Theoretical lessons and practical imaging
Seminars
Laboratory
Learning verification modality The learning outcomes are compliant with the provisions in the didactic regulations of the degree course
Extended program • Laboratory imaging: ecocolor doppler

. Arterial Aneurysms: pathophysiology and clinical

• Aneurysms of the thoracic aorta

• Abdominal aortic aneurysms

• Peripheral aneurysms

• Aortic dissections

• The cerebrovascular insufficiency

. Epiaortic trunk disease

• Thoracic outlet syndrome

. Chemodectomas

• Peripheral artery disease

• Peripheral chronic ischemia

• Thromboembolic disease

• The acute ischemia and peripheral revascularization syndrome

. Celiac mesenteric insufficiency

• Renovascular hypertension

. The arteriovenous fistulae

. Chronic venous insufficiency

• Varicose veins of the lower limbs

• The superficial phlebitis and deep venous thrombosis

• DVT and postphlebitic syndrome

CARDIOVASCULAR DISEASES - MOD. 1

Code GP005632
CFU 2
Teacher Giuseppe Ambrosio
Teachers
  • Giuseppe Ambrosio
  • Erberto Carluccio (Codocenza)
Hours
  • 12.5 ore - Giuseppe Ambrosio
  • 12.5 ore (Codocenza) - Erberto Carluccio
Learning activities Caratterizzante
Area Clinica delle specialità medico-chirurgiche
Academic discipline MED/11
Type of study-unit Obbligatorio (Required)
Language of instruction italian
Contents CARDIOLOGY and HEART SURGERY
The valvulopathies
Congenital heart disease
Heart failure
Arrhythmias
Systemic arterial hypertension
Ischemic heart disease
Cardiomyopathies
Myocarditis
The pericarditis
Endocarditis
Pulmonary embolism.
Pulmonary hypertension.
Acute and chronic pulmonary heart
Surgical and interventional treatment of heart failure and cardiomyopathies.
Heart transplant
Reference texts Harrison. Principles of Internal Medicine. Last available edition
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/cclIt is expected that the student acquires:
- Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of therapy, principles of surgical approach to cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale
- skills allowing a proper approach to patients with cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale, and adequate understanding of the diagnostic role of imaging studies in this context
Prerequisites
Teaching methods The course is structured in frontal lectures, that will be organized in a coordinated way among teachers responsible for the various teaching modules.In addition, the following activites may be planned:- seminars- practical interactive training sessions, with special focus on clinical evaluation of patients with cardiovascular diseases, also with the use of simulation techniques.
Other information
Learning verification modality Oral exam
Extended program CARDIOLOGY and HEART SURGERY

Cardiovascular instrumental investigations and clinical applications of instrumental investigations in cardiology: ECG, echocardiography, ergometric test, myocardial scintigraphy, cardiac CT, cardiac magnetic resonance.
The valvulopathies
Mitral stenosis; Mitral insufficiency; combined defect
Aortic stenosis; Aortic insufficiency; combined defect
Valve prostheses. Surgical and interventional treatment of valvulopathies: surgical and trans-catheter replacement, valvuloplasty, other techniques.
Congenital heart disease
Approach to congenital heart disease: embryology of the heart, situs, atrio-ventricular connections and arterial ventricle. Pathophysiology of congenital heart disease. Classification of congenital heart disease (simple and complex. Pulmonary hyper flow, pulmonary hypo afflux, duct-dependent congenital heart disease).
Main congenital heart diseases: interventricular defect, atrial defect, Fallot's tetralogy, Eisenmenger's syndrome, patency of the Botallo duct and duct-dependent heart disease, pulmonary stenosis, aortic coarctation.
Surgical and interventional treatment of the main congenital heart diseases
Heart failure
Acute and chronic heart failure. Cardiogenic pulmonary edema and cardiogenic shock. Compensation mechanisms and pathophysiological basis of therapy. Compensation with preserved systolic function.
Principles of surgical and interventional treatment of heart failure and cardiomyopathies
Heart transplant
Arrhythmias
Atrial and ventricular hyperkinetic arrhythmias: ectopic beats, paroxysmal tachycardias, fibrillation and flutter
Hypokinetic arrhythmias: sino-atrial blocks, branch blocks, atrio-ventricular blocks, Morgagni-Adam-Stokes syndrome
Ventricular pre-excitation syndrome
Cardiac arrest: causes and treatment approach.
Principles of arrhythmias’s interventional treatment : ablation, pacemaker, implantable defibrillator
Systemic arterial hypertension
Primary and secondary arterial hypertension; hypertensive heart disease; organ damage from systemic arterial hypertension.
Ischemic heart disease
Coronary atherosclerosis: epidemiology and risk factors, pathophysiological characteristics, coronary remodeling
Chronic coronary syndromes: stable angina pectoris.
Acute coronary syndromes: unstable angina pectoris, acute myocardial infarction
Surgical and interventional treatment of ischemic heart disease: coronary angioplasty and stenting, coronary artery bypass grafting
Cardiomyopathies
Dilated, hypertrophic, restrictive cardiomyopathy; Arrhythmogenic right ventricular cardiomyopathy, non-myocardial compaction, takotsubo syndrome.
Myocarditis
Pericarditis
Acute and chronic pericarditis. Pericardial effusion and cardiac tamponade. Constrictive pericarditis.
Endocarditis
Pulmonary embolism. Pulmonary hypertension. Acute and chronic pulmonary heart

VASCULAR SURGERY
Arterial aneurysms: pathophysiology and clinic. Thoracic aortic aneurysms. Abdominal aortic aneurysms. Peripheral aneurysms.
Aortic dissections
Cerebrovascular insufficiency. Stenosing disease of the precerebral arteries
Thoracic outlet syndrome
Chemodectomas
Obstructive arteriopathies of the limbs. Chronic peripheral ischemia. Acute peripheral arterial ischemia and revascularization syndrome
Celiac-mesenteric deficiency
Renovascular hypertension
Arteriovenous fistulas
Chronic venous insufficiency. Varices of the lower limbs
Thromboembolic disease. Superficial thrombophlebitis and deep vein thrombosis. Post-phlebitic syndrome

CARDIOVASCULAR DISEASES - MOD. 2

Code GP005633
CFU 1
Teacher Isabella Tritto
Teachers
  • Isabella Tritto
Hours
  • 12.5 ore - Isabella Tritto
Learning activities Caratterizzante
Area Clinica delle specialità medico-chirurgiche
Academic discipline MED/11
Type of study-unit Obbligatorio (Required)
Language of instruction italian
Contents CARDIOLOGY and HEART SURGERY
The valvulopathies
Congenital heart disease
Heart failure
Arrhythmias
Systemic arterial hypertension
Ischemic heart disease
Cardiomyopathies
Myocarditis
The pericarditis
Endocarditis
Pulmonary embolism.
Pulmonary hypertension.
Acute and chronic pulmonary heart
Surgical and interventional treatment of heart failure and cardiomyopathies.
Heart transplant
Reference texts Harrison. Principles of Internal Medicine. Last available edition
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/cclIt is expected that the student acquires:
- Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of therapy, principles of surgical approach to cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale
- skills allowing a proper approach to patients with cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale, and adequate understanding of the diagnostic role of imaging studies in this context
Prerequisites
Teaching methods The course is structured in frontal lectures, that will be organized in a coordinated way among teachers responsible for the various teaching modules.In addition, the following activites may be planned:- seminars- practical interactive training sessions, with special focus on clinical evaluation of patients with cardiovascular diseases, also with the use of simulation techniques.
Other information
Learning verification modality Oral exam
Extended program CARDIOLOGY and HEART SURGERY

Cardiovascular instrumental investigations and clinical applications of instrumental investigations in cardiology: ECG, echocardiography, ergometric test, myocardial scintigraphy, cardiac CT, cardiac magnetic resonance.
The valvulopathies
Mitral stenosis; Mitral insufficiency; combined defect
Aortic stenosis; Aortic insufficiency; combined defect
Valve prostheses. Surgical and interventional treatment of valvulopathies: surgical and trans-catheter replacement, valvuloplasty, other techniques.
Congenital heart disease
Approach to congenital heart disease: embryology of the heart, situs, atrio-ventricular connections and arterial ventricle. Pathophysiology of congenital heart disease. Classification of congenital heart disease (simple and complex. Pulmonary hyper flow, pulmonary hypo afflux, duct-dependent congenital heart disease).
Main congenital heart diseases: interventricular defect, atrial defect, Fallot's tetralogy, Eisenmenger's syndrome, patency of the Botallo duct and duct-dependent heart disease, pulmonary stenosis, aortic coarctation.
Surgical and interventional treatment of the main congenital heart diseases
Heart failure
Acute and chronic heart failure. Cardiogenic pulmonary edema and cardiogenic shock. Compensation mechanisms and pathophysiological basis of therapy. Compensation with preserved systolic function.
Principles of surgical and interventional treatment of heart failure and cardiomyopathies
Heart transplant
Arrhythmias
Atrial and ventricular hyperkinetic arrhythmias: ectopic beats, paroxysmal tachycardias, fibrillation and flutter
Hypokinetic arrhythmias: sino-atrial blocks, branch blocks, atrio-ventricular blocks, Morgagni-Adam-Stokes syndrome
Ventricular pre-excitation syndrome
Cardiac arrest: causes and treatment approach.
Principles of arrhythmias’s interventional treatment : ablation, pacemaker, implantable defibrillator
Systemic arterial hypertension
Primary and secondary arterial hypertension; hypertensive heart disease; organ damage from systemic arterial hypertension.
Ischemic heart disease
Coronary atherosclerosis: epidemiology and risk factors, pathophysiological characteristics, coronary remodeling
Chronic coronary syndromes: stable angina pectoris.
Acute coronary syndromes: unstable angina pectoris, acute myocardial infarction
Surgical and interventional treatment of ischemic heart disease: coronary angioplasty and stenting, coronary artery bypass grafting
Cardiomyopathies
Dilated, hypertrophic, restrictive cardiomyopathy; Arrhythmogenic right ventricular cardiomyopathy, non-myocardial compaction, takotsubo syndrome.
Myocarditis
Pericarditis
Acute and chronic pericarditis. Pericardial effusion and cardiac tamponade. Constrictive pericarditis.
Endocarditis
Pulmonary embolism. Pulmonary hypertension. Acute and chronic pulmonary heart

VASCULAR SURGERY
Arterial aneurysms: pathophysiology and clinic. Thoracic aortic aneurysms. Abdominal aortic aneurysms. Peripheral aneurysms.
Aortic dissections
Cerebrovascular insufficiency. Stenosing disease of the precerebral arteries
Thoracic outlet syndrome
Chemodectomas
Obstructive arteriopathies of the limbs. Chronic peripheral ischemia. Acute peripheral arterial ischemia and revascularization syndrome
Celiac-mesenteric deficiency
Renovascular hypertension
Arteriovenous fistulas
Chronic venous insufficiency. Varices of the lower limbs
Thromboembolic disease. Superficial thrombophlebitis and deep vein thrombosis. Post-phlebitic syndrome

CARDIOVASCULAR DISEASES - MOD. 3

Code GP005634
CFU 1
Teacher Ketty Savino
Teachers
  • Ketty Savino
Hours
  • 12.5 ore - Ketty Savino
Learning activities Caratterizzante
Area Clinica delle specialità medico-chirurgiche
Academic discipline MED/11
Type of study-unit Obbligatorio (Required)

PROFESSIONALISING TRAINING IN VASCULAR SURGERY

Code GP005637
CFU 1
Teacher Enrico Cieri
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/22
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Enrico Cieri
Teachers
  • Enrico Cieri
Hours
  • 25 ore - Enrico Cieri
Language of instruction
Italian
Contents
Clinical activities at the Unit of Vascular Surgery of the Azienda Ospedaliera di Perugia

Cognomi M-Z

CFU
1
Teacher
Enrico Cieri
Teachers
  • Enrico Cieri
Hours
  • 25 ore - Enrico Cieri
Language of instruction
Italian
Contents
Clinical activities at the Unit of Vascular Surgery of the Azienda Ospedaliera di Perugia

PROFESSIONALISING TRAINING IN CARDIOVASCULAR DISEASES I

Code GP005636
CFU 1
Teacher Giuseppe Ambrosio
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/11
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Giuseppe Ambrosio
Teachers
  • Giuseppe Ambrosio
Hours
  • 25 ore - Giuseppe Ambrosio

Cognomi M-Z

CFU
1
Teacher
Giuseppe Ambrosio
Teachers
  • Giuseppe Ambrosio
Hours
  • 25 ore - Giuseppe Ambrosio

PROFESSIONALISING TRAINING IN CARDIOVASCULAR DISEASES II

Code GP005638
CFU 1
Teacher Isabella Tritto
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/11
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Isabella Tritto
Teachers
  • Isabella Tritto
Hours
  • 25 ore - Isabella Tritto
Language of instruction
Italian
Contents
Acute and chronic heart failure; cardiogenic pulmonary edema; cardiogenic shock. Cardiomyopathies. Principles of surgical and

interventional treatment of heart failure and cardiomyopathies. Heart transplantationMyocarditis. Pericarditis. Cardiac

tamponade. EndocarditisPulmonary embolism. Pulmonary hypertension . Acute and chronic cor pulmonale
Reference texts
Harrison. Principles of Internal Medicine. Last available edition
Educational objectives
Risultati d'apprendimento previsti:

Results based on testing of acquired skills, behavior, grade student interaction

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

It is expected that the student acquires:

- Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of

therapy, principles of surgical approach to cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary

embolism, pulmonary hypertension, acute and chronic cor pulmonale

- skills allowing a proper approach to patients with cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis,

pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale, and adequate understanding of the diagnostic

role of imaging studies in this context
Prerequisites

Teaching methods
Attendance at the Cardiology Clinic of PerugiaHospital In addition, the following activites may be planned: - seminars - practical interactive training sessions, with special focus on clinical evaluation of patients with cardiovascular diseases, also with the use of simulation techniques
Other information

Learning verification modality
oral exam
Extended program
Acute and chronic heart failure; cardiogenic pulmonary edema; cardiogenic shock. Pathophysiological basis of heart failure

therapy. Heart failure with preserved ejection fraction.

Cardiomyopathies: dilated, hypertrophic, restrictive cardiomyopathies; arrhythmogenic right ventricular dysplasia, myocardial

non compaction, acute stress cardiomyopathy.

Principles of surgical and interventional treatment of heart failure and cardiomyopathies. Heart transplantation

Myocarditis. Acute and chronic pericarditis . Pericardial effusion and cardiac tamponade. Constrictive pericarditis. Endocarditis

Pulmonary embolism. Pulmonary hypertension . Acute and chronic cor pulmonale

Cognomi M-Z

CFU
1
Teacher
Isabella Tritto
Teachers
  • Isabella Tritto
Hours
  • 25 ore - Isabella Tritto
Language of instruction
Italian
Contents
Acute and chronic heart failure; cardiogenic pulmonary edema; cardiogenic shock. Cardiomyopathies. Principles of surgical and

interventional treatment of heart failure and cardiomyopathies. Heart transplantationMyocarditis. Pericarditis. Cardiac

tamponade. EndocarditisPulmonary embolism. Pulmonary hypertension . Acute and chronic cor pulmonale
Reference texts
Harrison. Principles of Internal Medicine. Last available edition
Educational objectives
Risultati d'apprendimento previsti:

Results based on testing of acquired skills, behavior, grade student interaction

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

It is expected that the student acquires:

- Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of

therapy, principles of surgical approach to cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary

embolism, pulmonary hypertension, acute and chronic cor pulmonale

- skills allowing a proper approach to patients with cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis,

pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale, and adequate understanding of the diagnostic

role of imaging studies in this context
Prerequisites

Teaching methods
Attendance at the Cardiology Clinic of PerugiaHospital In addition, the following activites may be planned: - seminars - practical interactive training sessions, with special focus on clinical evaluation of patients with cardiovascular diseases, also with the use of simulation techniques
Other information

Learning verification modality
oral exam
Extended program
Acute and chronic heart failure; cardiogenic pulmonary edema; cardiogenic shock. Pathophysiological basis of heart failure

therapy. Heart failure with preserved ejection fraction.

Cardiomyopathies: dilated, hypertrophic, restrictive cardiomyopathies; arrhythmogenic right ventricular dysplasia, myocardial

non compaction, acute stress cardiomyopathy.

Principles of surgical and interventional treatment of heart failure and cardiomyopathies. Heart transplantation

Myocarditis. Acute and chronic pericarditis . Pericardial effusion and cardiac tamponade. Constrictive pericarditis. Endocarditis

Pulmonary embolism. Pulmonary hypertension . Acute and chronic cor pulmonale
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