Unit SYSTEMIC PATHOLOGY I

DIAGNOSTICS IN ENDOCRINO-METABOLIC DISEASES

Code	GP005886
Location	TERNI
CFU	1
Teacher	Efisio Puxeddu
Teachers	Giovanni Luca (Codocenza) Efisio Puxeddu
Hours	3 ore (Codocenza) - Giovanni Luca 9 ore - Efisio Puxeddu
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/50
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	Biotecnologie della riproduzione Umana, 1° edizione, dicembre 2012, Carocci Editore S.p.A. Roma; ISBN 978-88-7466-669-0
Educational objectives	The program will focus to clarify molecular, etiopathogenetic, epidemiological and diagnostic aspects of II and III level of endocrine diseases relating to the male and female reproductive apparatus
Teaching methods	Conventional
Learning verification modality	By agreeing with students
Extended program	Molecular Diagnostics in Endocrine-Metabolic Diseases (Supplementary Didactic) 1) Diagnostics of II and III Level of infertility from "male factor" - seminological diagnostics; - immunological diagnostics; - microbiological diagnostics; - instrumental diagnostics; - genetic diagnostics; - cytopathological diagnostics. 2) Diagnostics of II and III Level of infertility from "female factor" - diagnosis of the ovarian reserve; - "utero-tubar" factor diagnostics; - molecular and genetic diagnostics of the female gamete.

ENDOCRINOLOGY AND METABOLISM DISEASES

Code	GP005885
Location	TERNI
CFU	2
Teacher	Riccardo Calafiore
Teachers	Riccardo Calafiore
Hours	24 ore - Riccardo Calafiore
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/13
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Illustration of general and specific principles of Endocrinology and Metabolic Disorders
Reference texts	Harrison : Principles of Internal Medicine, Section of Endocrinology and Metabolism
Educational objectives	Learning fundamentals of Endocrinology and Metabolism by the students, and subsequent projection to clinical and diagnostic applications of the learned discipline
Teaching methods	Academic lessons and interactive learning procedures
Learning verification modality	Oral exam
Extended program	Introduction to the endocrine system and its relationship with other systems (ie, nervous and immune). Hormones : classification, chemical structure, mechanisms of action at receprtor and post-receptor levels. Peripheral effects of hormones and their degradation products on the tissue targets. General classification of the endocrine and metabolic disorders. Diagnostic approach to patients affected by endocrine and metabolic disorders. Diseases of the hypotalamus and pituitary gland region : classification, ethiopatogenesis, pathophysiology, diagnostics, clinics and therapy, with special regard to anterior pituitary adonomas (GH and prolactin producing tumors). Hypopituitarism : general classification and clinical features. Endocrine dwarfisms. Diseases of the posterior pituitary gland : diabetes insipidus, with discussion on ethiopathogenesis, clinics, diagnostics and therapy. Thyroid : anatomy, physiology, biochemistry and pathophysiology. Hyperthyroidism : classification, ethiopathogenesis, clinical features, diagnostics, therapy with special regard to : Graves' disease, toxic goiter. Thyroiditis : classification and clinical features with special regard to Hashimoto thyroiditis. Hypothyroidism : classification, ethiopatogenesis, clinical features. The thyroid nodule : anatomy and pathophysiology; diagnostic flow-chart. Thyroid malignancies. Parathyroid glands and calcium-phosphorus metabolism. Hyper and hypo-parathyroidism : ethioppathogenesis and clinics. Osteoporosis . ethiopathogenesis and clinics. Adrenal glands : anatomy, physiology and biochemistry of the hormones from cortex and medulla. Pathophysiology. Hyperfunction of the adrenal cortex, with special regard to Cushing syndrome (ethiopathogenesis, clinical features, diagnostics). Hypofunction of the adrenal cortex, with special regard to Addison disease (ethiopathogenesis, clinics and diagnostics). Diseases of the adrenal medulla . pheocromocytoma (classification, clinical and diagnostic features). MEN I and II : classification, clinical features. Poly-gland autoimmune diseases : classification, pathophysiology, clinical fetaures and diagnosis. Female reproductive system. Anatomy, physiology and biochemistry of the ovary. Menstrual cycle. Amenorrhea : classification, ethiopathogenesis, clinics and diagnostics. Polycistic ovary syndrome. Menopause. Male reproductive system. Anatomy, physiology and biochemistry of the testis. general diagnostic features of testicular disorders. Male hypogonadism : congenital versus acquired. male infertility. General features of metabolic disorders. Type 1 and 2 diabetes mellitus : ethiopathogenesis, clinical features, diagnostics and therapy. Obesity : ethiopathogenesis, clinical features, diagnostics and therapy. Dyslipidemias : ethiopathogenesis, clinical features, diagnostics and therapy. Gout : ethiopathogeneisis, clinical features, diagnostics and therapy.

HUMAN GENETICS, MEDICAL AND CLINICAL - MOD. 1

Code	GP005882
Location	TERNI
CFU	2
Teacher	Antonio Orlacchio
Teachers	Antonio Orlacchio
Hours	24 ore - Antonio Orlacchio
Learning activities	Base
Area	Discipline generali per la formazione del medico
Academic discipline	MED/03
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Structural and functional organization of the human genome. DNA mutations and their correlation with: i) mode of inheritance; ii) diagnostic procedures; iii) pathogenetic role; iv) clinical manifestations. Classification of genetic diseases (Mendelian inheritance, multifactorial, chromosomal, and mitochondrial). Atypical inheritance. Imprinting defects. Taking care of the patient and/or the family with hereditary disease: "genetic counseling." General and specific criteria with reference to the different clinical conditions. Genetic counseling before and after genetic testing. The causal treatment of genetic diseases.
Reference texts	Genetica & Genomica nelle scienze mediche Authors: Strachan Tom, Goodship Judit, Chinnery Patrick Publisher: Zanichelli (1st Edition - 2016) Genetica umana e medica Authors: Neri Giovanni, Genuardi Maurizio Publisher: Edra Masson (3rd Edition - 2014) Genetica medica essenziale Authors: Dalla Piccola Bruno, Novelli Giuseppe Publisher: CIC (3rd Edition - 2012)
Educational objectives	To know the contents and methods of communication of the genetic counseling. To recognize the clinical manifestations of the major classes of genetic diseases with prenatal and post-natal care. To be able to correlate the clinical phenotype with the corresponding biological causal factors (phenotype-genotype correlation) with the following purposes: 1) setting of an analytical path, 2) identification of mutations responsible for the disease (etiologic diagnosis) and 3) interpretation of the results for diagnostic purposes, assessment of prognosis, and clinical follow-up, 4) risk assessment procreative and relatives of the proband (risk of recurrence), based on the model of inheritance; 5) planning of interventions aimed to prevention.
Prerequisites	The student must have argued with success the examination of "General Pathology". Furthermore, must have acquired a good research methodology.
Teaching methods	The teaching will be carried out with face-to-face and practical lessons that will cover the entire program of study.
Other information	Oral explanations will be coadiuvated by PowerPoint presentations. Summaries of these presentations, other additional didactic materials and possible updatings and communications, will be made available to students, in pdf format for download, through a dedicated homepage of the University of Perugia. During the whole Academic Year, students may request by e-mail personal reception to the teacher.
Learning verification modality	The examination will consist of a written test with multiple answer choices on the topics listed in the syllabus.
Extended program	- Introduction - Organization and changes in the human genome - Human Chromosomes and mechanisms of formation of chromosomal abnormalities - Methods for molecular analysis of nucleic acids - Mendelian inheritance and fundamental principles of medical genetics - Order of genes on chromosomes - Cytogenetics techniques - Multifactorial characters and epigenetic - Atypical mechanisms of inheritance - Chromosome number abnormalities - Chromosome structural abnormalities - Genetic counseling - Abnormalities of the sex chromosomes - Diseases by defects of genomic imprinting - Defects to the receptor fibroblasts growth factors - Hereditary diseases of the connective tissue - Disorders related to CFTR gene - Genetic defects of the sense organs - Inborn errors of metabolism - Disorders of sexual development - Genetics of epilepsy - Genetics of neuromuscular diseases - Genetic basis of neurodegenerative diseases (monofactorial) - Genetic basis of neurodegenerative diseases (multifactorial) - Congenital defects - Diseases by dynamic mutations - Genetics of mental retardation - Phacomatosis

HUMAN GENETICS, MEDICAL AND CLINICAL - MOD. 2

Code	GP005883
Location	TERNI
CFU	1
Teacher	Antonio Orlacchio
Teachers	Antonio Orlacchio
Hours	12 ore - Antonio Orlacchio
Learning activities	Caratterizzante
Area	Discipline pediatriche
Academic discipline	MED/03
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Structural and functional organization of the human genome. DNA mutations and their correlation with: i) mode of inheritance; ii) diagnostic procedures; iii) pathogenetic role; iv) clinical manifestations. Classification of genetic diseases (Mendelian inheritance, multifactorial, chromosomal, and mitochondrial). Atypical inheritance. Imprinting defects. Taking care of the patient and/or the family with hereditary disease: "genetic counseling." General and specific criteria with reference to the different clinical conditions. Genetic counseling before and after genetic testing. The causal treatment of genetic diseases.
Reference texts	Genetica & Genomica nelle scienze mediche Authors: Strachan Tom, Goodship Judit, Chinnery Patrick Publisher: Zanichelli (1st Edition - 2016) Genetica umana e medica Authors: Neri Giovanni, Genuardi Maurizio Publisher: Edra Masson (3rd Edition - 2014) Genetica medica essenziale Authors: Dalla Piccola Bruno, Novelli Giuseppe Publisher: CIC (3rd Edition - 2012)
Educational objectives	To know the contents and methods of communication of the genetic counseling. To recognize the clinical manifestations of the major classes of genetic diseases with prenatal and post-natal care. To be able to correlate the clinical phenotype with the corresponding biological causal factors (phenotype-genotype correlation) with the following purposes: 1) setting of an analytical path, 2) identification of mutations responsible for the disease (etiologic diagnosis) and 3) interpretation of the results for diagnostic purposes, assessment of prognosis, and clinical follow-up, 4) risk assessment procreative and relatives of the proband (risk of recurrence), based on the model of inheritance; 5) planning of interventions aimed to prevention.
Prerequisites	The student must have argued with success the examination of "General Pathology". Furthermore, must have acquired a good research methodology.
Teaching methods	The teaching will be carried out with face-to-face and practical lessons that will cover the entire program of study.
Other information	Oral explanations will be coadiuvated by PowerPoint presentations. Summaries of these presentations, other additional didactic materials and possible updatings and communications, will be made available to students, in pdf format for download, through a dedicated homepage of the University of Perugia. During the whole Academic Year, students may request by e-mail personal reception to the teacher.
Learning verification modality	The examination will consist of a written test with multiple answer choices on the topics listed in the syllabus.
Extended program	- Introduction - Organization and changes in the human genome - Human Chromosomes and mechanisms of formation of chromosomal abnormalities - Methods for molecular analysis of nucleic acids - Mendelian inheritance and fundamental principles of medical genetics - Order of genes on chromosomes - Cytogenetics techniques - Multifactorial characters and epigenetic - Atypical mechanisms of inheritance - Chromosome number abnormalities - Chromosome structural abnormalities - Genetic counseling - Abnormalities of the sex chromosomes - Diseases by defects of genomic imprinting - Defects to the receptor fibroblasts growth factors - Hereditary diseases of the connective tissue - Disorders related to CFTR gene - Genetic defects of the sense organs - Inborn errors of metabolism - Disorders of sexual development - Genetics of epilepsy - Genetics of neuromuscular diseases - Genetic basis of neurodegenerative diseases (monofactorial) - Genetic basis of neurodegenerative diseases (multifactorial) - Congenital defects - Diseases by dynamic mutations - Genetics of mental retardation - Phacomatosis

HUMAN GENETICS, MEDICAL AND CLINICAL - MOD. 3

Code	GP005884
Location	TERNI
CFU	1
Teacher	Antonio Orlacchio
Teachers	Antonio Orlacchio
Hours	12 ore - Antonio Orlacchio
Learning activities	Caratterizzante
Area	Discipline pediatriche
Academic discipline	MED/03
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Structural and functional organization of the human genome. DNA mutations and their correlation with: i) mode of inheritance; ii) diagnostic procedures; iii) pathogenetic role; iv) clinical manifestations. Classification of genetic diseases (Mendelian inheritance, multifactorial, chromosomal, and mitochondrial). Atypical inheritance. Imprinting defects. Taking care of the patient and/or the family with hereditary disease: "genetic counseling." General and specific criteria with reference to the different clinical conditions. Genetic counseling before and after genetic testing. The causal treatment of genetic diseases.
Reference texts	Genetica & Genomica nelle scienze mediche Authors: Strachan Tom, Goodship Judit, Chinnery Patrick Publisher: Zanichelli (1st Edition - 2016) Genetica umana e medica Authors: Neri Giovanni, Genuardi Maurizio Publisher: Edra Masson (3rd Edition - 2014) Genetica medica essenziale Authors: Dalla Piccola Bruno, Novelli Giuseppe Publisher: CIC (3rd Edition - 2012)
Educational objectives	To know the contents and methods of communication of the genetic counseling. To recognize the clinical manifestations of the major classes of genetic diseases with prenatal and post-natal care. To be able to correlate the clinical phenotype with the corresponding biological causal factors (phenotype-genotype correlation) with the following purposes: 1) setting of an analytical path, 2) identification of mutations responsible for the disease (etiologic diagnosis) and 3) interpretation of the results for diagnostic purposes, assessment of prognosis, and clinical follow-up, 4) risk assessment procreative and relatives of the proband (risk of recurrence), based on the model of inheritance; 5) planning of interventions aimed to prevention.
Prerequisites	The student must have argued with success the examination of "General Pathology". Furthermore, must have acquired a good research methodology.
Teaching methods	The teaching will be carried out with face-to-face and practical lessons that will cover the entire program of study.
Other information	Oral explanations will be coadiuvated by PowerPoint presentations. Summaries of these presentations, other additional didactic materials and possible updatings and communications, will be made available to students, in pdf format for download, through a dedicated homepage of the University of Perugia. During the whole Academic Year, students may request by e-mail personal reception to the teacher.
Learning verification modality	The examination will consist of a written test with multiple answer choices on the topics listed in the syllabus.
Extended program	- Introduction - Organization and changes in the human genome - Human Chromosomes and mechanisms of formation of chromosomal abnormalities - Methods for molecular analysis of nucleic acids - Mendelian inheritance and fundamental principles of medical genetics - Order of genes on chromosomes - Cytogenetics techniques - Multifactorial characters and epigenetic - Atypical mechanisms of inheritance - Chromosome number abnormalities - Chromosome structural abnormalities - Genetic counseling - Abnormalities of the sex chromosomes - Diseases by defects of genomic imprinting - Defects to the receptor fibroblasts growth factors - Hereditary diseases of the connective tissue - Disorders related to CFTR gene - Genetic defects of the sense organs - Inborn errors of metabolism - Disorders of sexual development - Genetics of epilepsy - Genetics of neuromuscular diseases - Genetic basis of neurodegenerative diseases (monofactorial) - Genetic basis of neurodegenerative diseases (multifactorial) - Congenital defects - Diseases by dynamic mutations - Genetics of mental retardation - Phacomatosis

NEPHROLOGY

Code	GP005887
Location	TERNI
CFU	2
Teacher	Giuseppe Quintaliani
Teachers	Giuseppe Quintaliani
Hours	24 ore - Giuseppe Quintaliani
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/14
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN ENDOCRINOLOGY AND METABOLIC DISEASES

Code	GP005888
Location	TERNI
CFU	1
Teacher	Riccardo Calafiore
Teachers	Riccardo Calafiore
Hours	25 ore - Riccardo Calafiore
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/13
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Reference texts	None
Educational objectives	Acquisition by the students of practical methodology for correct clinical approach to patients with endocrine disorders , including diagnostics and therapeutic patterns.
Teaching methods	Practical training at the Ambulatory Care Units of Endocrinology, Andrology and Diabetology with presentation and discussion of clinical cases and relative diagnostic and therapeutic patterns
Learning verification modality	Discussion on the examined clinical cases
Extended program	12 hours of training per student at the University Hosptal “S. Maria” at Terni

PROFESSIONALISING TRAINING IN NEPHROLOGY

Code	GP005889
Location	TERNI
CFU	1
Teacher	Gianpaolo Reboldi
Teachers	Gianpaolo Reboldi
Hours	25 ore - Gianpaolo Reboldi
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/14
Type of study-unit	Obbligatorio (Required)