Unit GENERAL SURGERY 1

Course
Medicine and surgery
Study-unit Code
A000688
Location
TERNI
Curriculum
In all curricula
Teacher
Roberto Cirocchi
CFU
2
Course Regulation
Coorte 2014
Offered
2017/18
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

SURGICAL SEMEIOTICS

Code GP004679
Location TERNI
CFU 1
Teacher Roberto Cirocchi
Teachers
  • Roberto Cirocchi
Hours
  • 12 ore - Roberto Cirocchi
Learning activities Caratterizzante
Area Clinica generale medica e chirurgica
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents The aim of the course is to offer at the students a clinical summary of digestive surgery.
- The abdominal pain
- The general physical examination in surgical patients
- The examination of local swellings

Physical examination and clinical symptomatology
- Neck (thyroid evaluation)
- Arterial pulses
- Breast
- Anus
- Abdomen
• Inspection
• Palpation
• Percussion
• Auscultation
• Signs and painful points abs

Knowledge of semiological findings and their correlation with the main pathophysiological mechanisms of the following diseases:
• hernias of the abdominal viscera
• the digestive haemorrhages
• peritonitis
• bowel obstruction
• jaundice of surgical interest and portal hypertension
• anorectal diseases
• the ischemia of the lower limbs
• varicose veins of the lower limbs
Reference texts A. Amoroso, O. Riggio, S. Costantino, A. Afeltra, A. Picardi, L. Vettore. Semeiotica Pratica - II Edizione. Sussidio multimediale per l'apprendimento e la verifica
delle principali manovre semeiologiche. Edito da Antonio Delfino Editore. www.antoniodelfinoeditore.com
Educational objectives The purpose of the course is to teach students the technique of the history and methodology of the patient visit. Will be taught how to perform general physical examination and subsequently the local physical examination
Prerequisites Basic knowledge is need in anatomy, pathophysiology and surgical pathology.
Teaching methods Front-end lessons using powerpoint projections. The lesson material (except copyright-protected illustrations) is always made available to students electronically (file in pdf) the day before the lesson on the ateneum platform: https://www.unistudium.unipg.it/unistudium/login/index.php.
Other information For further reading:
- Roberto Cirocchi, Carlo Boselli, Claudio Renzi, Alessia Corsi, Lucio Cagini, Andrea Boccolini, Giuseppe Noya, Abe Fingerhut. State of the art paper - The surface landmarks of the abdominal wall: a plea for standardization. Archives of Medical Science 2014; 10, 3: 566-569.
http://www.termedia.pl/State-of-the-art-paper-The-surface-landmarks-of-the-abdominal-wall-a-plea-for-standardization,19,23021,0,1.html
Learning verification modality The exam will be performed through a written test, which will consist of 10 open-ended questions.
Extended program - The abdominal pain
- The general physical examination in surgical patients
- The examination of local swellings

Physical examination and clinical symptomatology
- Neck (thyroid evaluation)
- Arterial pulses
- Breast
- Anus
- Abdomen
• Inspection
• Palpation
• Percussion
• Auscultation
• Signs and painful points abs

Knowledge of semiological findings and their correlation with the main pathophysiological mechanisms of the following diseases:
• hernias of the abdominal viscera
• the digestive haemorrhages
• peritonitis
• bowel obstruction
• jaundice of surgical interest and portal hypertension
• anorectal diseases
• the ischemia of the lower limbs
• varicose veins of the lower limbs

PROFESSIONALISING TRAINING IN SURGICAL SEMEIOTICS

Code GP004574
Location TERNI
CFU 1
Teacher Roberto Cirocchi
Teachers
  • Roberto Cirocchi
Hours
  • 20 ore - Roberto Cirocchi
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/18
Type of study-unit Obbligatorio (Required)
Language of instruction Italian
Contents The purpose of the course is to teach students the technique of the history and methodology of the patient visit. Will be taught how to perform general physical examination and subsequently the local physical examination
Reference texts Cirocchi R, Boselli C, Noya G. Appunti di semeiotica chirurgica - Minerva Medica - 2013
Lumachi F, Norberto L, Angriman I. Semeiotica chirurgica. Unipress, 2010
Educational objectives The student must be able to exercise independently and automatically the following procedures:
- Perform complete physical examination of the abdomen
- Run the identification and delimitation of ascites
- Detecting signs of peritoneal inflammation and intestinal obstruction
- Perform maneuvers semeiological to detect the sign of Murphy, McBurney and Blumberg
- Scan for abdominal and inguinal hernias
- Perform a physical examination of the arteries
- Determine the signs of the inadequacy of the veins of the lower limbs
Prerequisites Basic knowledge is need in anatomy, pathophysiology and surgical pathology.
Teaching methods Simulation-Based Medical Education: skilllab, simulated patient and Technology Enhanced Learning:Terni site of the Master's Degree in Medicine and Surgery
Training at the bedside
Learning verification modality Interview
Extended program The student must be able to exercise independently and automatically the following procedures:
- Perform complete physical examination of the abdomen
- Run the identification and delimitation of ascites
- Detecting signs of peritoneal inflammation and intestinal obstruction
- Perform maneuvers semeiological to detect the sign of Murphy, McBurney and Blumberg
- Scan for abdominal and inguinal hernias
- Perform a physical examination of the arteries
- Determine the signs of the inadequacy of the veins of the lower limbs
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