Unit INTERNAL MEDICINE

INTERNAL MEDICINE - MOD. 5

Code	50206001
Location	TERNI
CFU	2
Teacher	Stefano Coaccioli
Teachers	Stefano Coaccioli
Hours	24 ore - Stefano Coaccioli
Learning activities	Caratterizzante
Area	Clinica generale medica e chirurgica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

INTERNAL MEDICINE - MOD. 6

Code	50204002
Location	TERNI
CFU	2
Teacher	Stefano Coaccioli
Teachers	Stefano Coaccioli
Hours	24 ore - Stefano Coaccioli
Learning activities	Caratterizzante
Area	Clinica generale medica e chirurgica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

INTERNAL MEDICINE - MOD. 7

Code	50204102
Location	TERNI
CFU	2
Teacher	Stefano Coaccioli
Teachers	Stefano Coaccioli
Hours	24 ore - Stefano Coaccioli
Learning activities	Caratterizzante
Area	Clinica generale medica e chirurgica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

INTERNAL MEDICINE - MOD. 8

Code	50204202
Location	TERNI
CFU	1
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo
Hours	12 ore - Gaetano Vaudo
Learning activities	Caratterizzante
Area	Clinica generale medica e chirurgica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Cardiovascular, respiratory, gastroenterico, urological and metabolic diseases.
Reference texts	1) Harrison. Principi di medicina interna. 19a edizione. Casa Editrice Ambrosiana. 2) Goldman-Cecil. Medicina Interna. 25a edizione. Casa Editrice EDRA.
Educational objectives	To diagnose and treat cardiovascular, respiratory, gastroenterico, urological and metabolic diseases.
Prerequisites	Knowledge of the pathophysiological basis of the main internal medicine diseases.
Teaching methods	Face to face lessons.
Learning verification modality	Oral examination.
Extended program	DISEASES OF THE CARDIOVASCULAR SYSTEM Approach to the patient with possible cardiovascular disease. Biological bases of the cardiovascular system. Epidemiology of cardiovascular diseases. Objective examination of the cardiovascular system. Electrocardiography. Non-invasive cardiac imaging: echocardiography, nuclear cardiology and MR / CT imaging. Cardiac catheterization and coronary angiography. Principles of electrophysiology. Bradyarrhythmias: disorders of the sinoatrial node. Bradyarrhythmias: atrioventricular node disorders. Supraventricular tachyarrhythmias. Ventricular arrhythmias. Heart failure: pathophysiology and diagnosis. Heart failure: management. Cardiac transplantation and prolonged assisted circulation. Congenital heart disease in adults. Diseases of the aortic valve. Diseases of the mitral valve - Diseases of the tricuspid and pulmonary valves. Multiple and mixed valvulopathies. Cardiomyopathies and myocarditis. Diseases of the pericardium. Pathogenesis, prevention and treatment of atherosclerosis. Ischemic heart disease. Acute coronary syndrome (STEMI, NSTEMI and unstable angina) Percutaneous coronary interventional procedures and other interventional techniques Arterial hypertension, renovascular pathology Deep vein thrombosis and pulmonary thromboembolism Aorta diseases Peripheral arteropathies Chronic venous disease and lymphedema Pulmonary hypertension. DISEASES OF RESPIRATORY SYSTEMS Asthma. Hypersensitivity pneumonitis and pulmonary thickening with eosinophilia. Lung diseases from environmental and occupational agents. Bronchiectasis. Cystic fibrosis. Chronic obstructive pulmonary disease. Interstitial pneumopathies. Diseases of the pleura. Diseases of the mediastinum. Ventilation disorders. Sleep apnea. INTENSIVE CARE Approach to the critical patient. Acute respiratory distress syndrome. Mechanical ventilatory support. Approach to the patient in shock. Severe sepsis and septic shock. Cardiogenic shock and pulmonary edema. Cardiovascular collapse, cardiac arrest and sudden cardiac death. Coma. Patient examination in a coma. Intensive neurological therapy, hypoxic-ischemic encephalopathy and subarachnoid hemorrhage. Oncological emergencies. DISEASES OF THE KIDNEY AND URINARY WAYS Kidney adaptation to renal damage. Acute renal damage. Chronic kidney disease. Dialysis in the treatment of renal failure. Kidney transplantation in the treatment of renal failure. Glomerular diseases. Polycystic kidney disease and other hereditary changes in tubular development. Tubulointerstitial diseases of the kidney. Renal damage of vascular origin. Nephrolithiasis. Urinary tract obstruction DISEASES OF THE GASTROINTESTINAL APPARATUS, LIVER, BILARY ROUTES AND PANCREAS Approach to the patient with gastrointestinal disease. Digestive endoscopy. Diseases of the esophagus. Peptic ulcer and related diseases. Absorption disorders. Schilling test. Inflammatory bowel disease. Irritable bowel syndrome Diverticular disease and common diseases of the a-rectum. Mesenteric vascular insufficiency. Acute intestinal obstruction. Appendicitis and acute peritonitis. Approach to the patient with liver disease. Evaluation of liver function. Hyperbilirubinemie Acute viral hepatitis. Toxic and drug hepatitis. Chronic hepatitis. Alcoholic hepatopathy. Fatty liver and non-alcoholic steatohepatitis. Cirrhosis and its complications. Genetic, metabolic and infiltrative liver diseases. Liver transplantation. Diseases of the gallbladder and biliary tract. Approach to the patient with pancreatic pathology. Acute and chronic pancreatitis. DISEASES OF THE IMMUNE SYSTEM, OF THE CONNECTIVE TISSUE AND REUMATOLOGY Introduction to the immune system. Major histocompatibility complex. Diseases from primary immunodeficiencies. Primitive immunodeficiencies associated (or secondary) to other diseases. Allergy, anaphylaxis and systemic mastocytosis. Autoimmunity and autoimmune diseases. Systemic lupus erythematosus. Antiphospholipid syndrome. Rheumatoid arthritis. Acute rheumatic fever. Scleroderma. Sjögren's syndrome. Spondylarthritis. Vasculitic syndromes. Behçet syndrome. Polymyositis, dermatomyositis and inclusion body myositis. Recurrent polycondrite. Sarcoidosis. IgG4-related disease. Familial Mediterranean fever and other hereditary autoinflammatory diseases. Approach to joint diseases and the musculoskeletal system. Osteoarthritis. Gout and other crystals arthropathies. Fibromyalgia. Arthritis associated with systemic diseases and other arthropathies. Periarticular disorders of the limbs. DISEASES OF THE ENDOCRINE SYSTEM Approach to the patient with endocrine pathology. Mechanisms of action of hormones. anterior pituitary: physiology of the pituitary hormones. Hypopituitarism. Tumor diseases of the anterior pituitary. Diseases of the neurohypophysis. Thyroid diseases. Diseases of the adrenal cortex. Pheochromocytoma. Multiple endocrine neoplasms. Autoimmune polyendocrine syndromes. Menopause and postmenopausal hormonal therapy. METABOLIC DISEASES Biology of obesity. Clinical evaluation and therapy of obesity. Diabetes mellitus: diagnosis, classification and pathophysiology. Diabetes mellitus: management and therapy. Diabetes mellitus: complications. Hypoglycemia. Alterations of lipoprotein metabolism. Metabolic syndrome. Bone and normal and pathological mineral metabolism. Diseases of parathyroids and calcium homeostasis. Osteoporosis. Paget's bone disease and other bone dysplasias. Hereditary diseases of connective tissue. Hemochromatosis. Wilson's disease. Porphyria. DISEASES OF THE NERVOUS SYSTEM AND MUSCLES Approach to the patient with neurological disease. Neuroradiology in neurological diseases. Epileptic seizures and epilepsy. Cerebrovascular diseases. Migraine and other primary headaches. Alzheimer's disease and other dementias. Parkinson's disease and other movement disorders. Ataxic disorders. Classification of spinocerebellar ataxias. Amyotrophic lateral sclerosis and other motor neuron diseases. Prion diseases. Diseases of the autonomic nervous system. Trigeminal neuralgia, Bell's palsy and other cranial nerve diseases. Diseases of the spinal cord. Cerebral concussion and other cranial traumas. Multiple sclerosis and other demyelinating diseases. Peripheral neuropathies. Guillain-Barré syndrome and other immune-mediated neuropathies. Myasthenia gravis and other neuromuscular junction disorders. Muscular dystrophies and other muscle diseases. PSYCHIATRIC DISORDERS AND DEPENDENCES Biology of psychiatric disorders. Mental disorders. Alcohol and alcoholism. Opioid-related disorders. Cocaine and other common substances of abuse. Nicotine addiction. DISORDERS ASSOCIATED WITH ENVIRONMENTAL FACTORS Altitude sickness. Hyperbaric and underwater medicine. Hypothermia and freezing. Heat diseases

INTERNAL MEDICINE - MOD. 9

Code	50206201
Location	TERNI
CFU	1
Teacher	Stefano Coaccioli
Teachers	Stefano Coaccioli
Hours	12 ore - Stefano Coaccioli
Learning activities	Caratterizzante
Area	Farmacologia, tossicologia e principi di terapia medica
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN INTERNAL MEDICINE - I

Code	50998202
Location	TERNI
CFU	2
Teacher	Stefano Coaccioli
Teachers	Stefano Coaccioli
Hours	40 ore - Stefano Coaccioli
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN INTERNAL MEDICINE - II

Code	50998102
Location	TERNI
CFU	2
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo
Hours	40 ore - Gaetano Vaudo
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Main internal medicine diseases.
Reference texts	1) Harrison. Principi di medicina interna. 19a edizione. Casa Editrice Ambrosiana. 2) Goldman-Cecil. Medicina Interna. 25a edizione. Casa Editrice EDRA.
Educational objectives	To train to clinical approach to internal diseases.
Prerequisites	Knowledge of medical semeiology.
Teaching methods	Clinical visit.
Learning verification modality	Practical examination.
Extended program	Clinical visit, diagnostic and therapeutic approach to internal diseases.

PROFESSIONALISING TRAINING IN INTERNAL MEDICINE - III

Code	50996301
Location	TERNI
CFU	1
Teacher	Giacomo Pucci
Teachers	Giacomo Pucci
Hours	20 ore - Giacomo Pucci
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)