Unit SYSTEMIC PATHOLOGY VI

GASTROENTEROLOGY - MOD. 1

Code	50207201
Location	TERNI
CFU	1
Teacher	Gabrio Bassotti
Teachers	Gabrio Bassotti
Hours	12 ore - Gabrio Bassotti
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	pathophysiology and therapy of gut diseases
Reference texts	PA Testoni, M Colombo and UNIGASTRO. Handbook of gastroenterology and liver disease. Edizioni Minerva Medica-EGI, 2016
Educational objectives	knowledge of the main diseases of the gut, learning of diagnostic and therapeutic aspects
Prerequisites	Anatomy and physiology of the digestive system
Teaching methods	face-to-face lessons
Learning verification modality	Oral exam
Extended program	Clinical, diagnostic and therapeutic aspects of diseases of: esophagus stomach small bowel colon liver biliary tree pancreas

GASTROENTEROLOGY - MOD. 2

Code	50207301
Location	TERNI
CFU	1
Teacher	Gabrio Bassotti
Teachers	Gabrio Bassotti
Hours	12 ore - Gabrio Bassotti
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	pathophysiology and therapy of gut diseases
Reference texts	PA Testoni, M Colombo and UNIGASTRO. Handbook of gastroenterology and liver disease. Edizioni Minerva Medica-EGI, 2016
Educational objectives	knowledge of the main diseases of the gut, learning of diagnostic and therapeutic aspects
Prerequisites	Anatomy and physiology of the digestive system
Teaching methods	face-to-face lessons
Learning verification modality	Oral exam
Extended program	Clinical, diagnostic and therapeutic aspects of diseases of: esophagus stomach small bowel colon liver biliary tree pancreas

GASTROENTEROLOGY - MOD. 3

Code	50207401
Location	TERNI
CFU	1
Teacher	Stefano Fiorucci
Teachers	Stefano Fiorucci
Hours	12 ore - Stefano Fiorucci
Learning activities	Caratterizzante
Area	Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)

MEDICAL ONCOLOGY

Code	50545202
Location	TERNI
CFU	2
Teacher	Anna Marina Liberati
Teachers	Anna Marina Liberati
Hours	24 ore - Anna Marina Liberati
Learning activities	Caratterizzante
Area	Clinica delle specialità medico-chirurgiche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN GASTROENTEROLOGY

Code	50545801
Location	TERNI
CFU	1
Teacher	Stefano Fiorucci
Teachers	Stefano Fiorucci
Hours	20 ore - Stefano Fiorucci
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/12
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN ONCOLOGY

Code	50698001
Location	TERNI
CFU	1
Teacher	Anna Marina Liberati
Teachers	Anna Marina Liberati
Hours	20 ore - Anna Marina Liberati
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)

PROFESSIONALISING TRAINING IN UROLOGY

Code	50545601
Location	TERNI
CFU	1
Teacher	Antonella Giannantoni
Teachers	Elisabetta Costantini (Codocenza)
Hours	20 ore (Codocenza) - Elisabetta Costantini
Learning activities	Altro
Area	Tirocini formativi e di orientamento
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The program will deepen some of the aspects discussed in the Urology characterizing course. In particular, the male and female urogenital pathologies most frequently observed in the urology clinic and the surgeries will be discussed. In particular, the diagnostic and therapeutic aspects of urological disorders with greater clinical impact will be thoroughly investigated.
Reference texts	1. Trattato di Medicina Interna, foundend by Paolo Larizza. Malattie del rene, dell'apparato urinario e genitale maschile. A.Albertazzi, M.Porena, Ed. Piccin 2. E.Costantini , F.Natale , A.Carbone, A.L.Pastore, G.Palleschi. Pelvic Organ Prolapse. in Heesakkers, J., Chapple, C., De Ridder, D., Farag, F. Practical Functional Urology, pag. 153-238, 2016 ISBN 978-3-319-25430-2, ISBN 978-3-319-25428-9 ISBN 978-3-319-25430-2 (eBook), Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com) DOI 10.1007/978-3-319-25430-2
Educational objectives	To know mainly from a clinical and diagnostic point of view the main urological and uroginecological affections
Prerequisites	It would be advisable to have already passed pathological anatomy and Imaging diagnostic
Teaching methods	The course will have a part of frontal teaching with a limited number of hours and instead a series of traineeships that will affect the lane, outpatient clinics and the operating theater
Learning verification modality	Oral test consists on an interview of about 15 minutes long aiming to ascertain the knowledge level and the understandi capability acquired by the student on theoretical and methodological contents as indicated on the program. The oral exam will also test the student communication skills, his autonomy in the organizazion and exposure of the treated practical topics, his capacity of clinical reasoning obtained after the professionalism training
Extended program	It will include part of the Urology program on the basis of the clinical cases dealt with in the internship

UROLOGY - MOD. 1

Code	50204502
Location	TERNI
CFU	2
Teacher	Antonella Giannantoni
Teachers	Elisabetta Costantini (Codocenza)
Hours	26 ore (Codocenza) - Elisabetta Costantini
Learning activities	Caratterizzante
Area	Discipline ostetrico-ginecologiche, medicina della riproduzione e sessuologia medica
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The program spans the entire urological field with topics of both medical and surgical type. Pathologies of the male and female urogenital systems include, in fact, many high prevalence disorders in the elderly population such as urinary incontinence, prolapse, prostate hypertrophy and prostate cancer. However, in urology, there is no lack of problems affecting both sexes and all ages, such as urinary infections (second only to lung infections), lithiasis (now treated by over 90% from urologists), malformations.
Reference texts	1. Trattato di Medicina Interna, founded by Paolo Larizza. Malattie del rene, dell'apparato urinario e genitale maschile. A.Albertazzi, M.Porena, Ed. Piccin 2. E.Costantini , F.Natale , A.Carbone, A.L.Pastore, G.Palleschi. Pelvic Organ Prolapse. in Heesakkers, J., Chapple, C., De Ridder, D., Farag, F. Practical Functional Urology, pag. 153-238, 2016 ISBN 978-3-319-25430-2, ISBN 978-3-319-25428-9 ISBN 978-3-319-25430-2 (eBook), Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com) DOI 10.1007/978-3-319-25430-2
Educational objectives	The course aims to provide all the information useful to the knowledge of theurology, a fundamental branch of both medical and surgical features. Urology treats pathologies with significant clinical and especially high prevalence in the population such as prostate hypertrophy, lithiasis, urinary infections, as well as treating oncologic pathologies with the highest prevalence in the male: prostatic and vesical cancer
Prerequisites	It would be advisable to have already passed pathological anatomy and Imaging diagnostic
Teaching methods	The course is organized as frontal lessons on the topics of the program. During the training the students will attend the warn, the outpatient clinic and the operating theatre. Seminars will be organized on variable topics
Learning verification modality	Oral test consists on an interview of about 15 minutes long aiming to ascertain the knowledge level and the understandi capability acquired by the student on theoretical and methodological contents as indicated on the program. The oral exam will also test the student communication skills and his autonomy in the organizazion and exposure of the theroretical topics, particularcy the capacity of clinical reasoning obtained after professionalism training
Extended program	• Urological clinical and instrumental semeiotics • Prostate cancer • Renal cell carcinoma • Bladder cancer and upper urinary tract urothelial cell carcinoma • Testicular cancer and penile cancer • Benign prostatic diseases • Urinary tract infections • Urolithiasis • Female and male urinary incontinence • Pelvic organ prolapse • Erectile dysfunction and Induratio penis plastic • Male infertility and ejaculation dysfunction • Congenital urogenital abnormalities • Urological trauma

UROLOGY - MOD. 2

Code	50207501
Location	TERNI
CFU	1
Teacher	Giovanni Cochetti
Teachers	Giovanni Cochetti
Hours	12 ore - Giovanni Cochetti
Learning activities	Caratterizzante
Area	Discipline ostetrico-ginecologiche, medicina della riproduzione e sessuologia medica
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Benign and malignant prostate disease, kidney and bladder disease, urinary tract obstruction
Reference texts	- Malattie del rene, delle vie urinarie e dell'apparato genitale maschile. Edizioni Piccin. -Audiovisual materials showed during lessons -Urologia di Campbell. Verduci Editore -Collegio dei Professori di Prima Fascia di Urologia in Ruolo e Fuori Ruolo: Manuale di Urologia e Andrologia - Pacini Editore Medicina
Educational objectives	AIMS OF KNOWLEDGE (to know) To acquire the basic knowledge about the epidemiology, prevention, etiology, pathophysiology, pathological anatomy, the clinical features, clinical, instrumental and differential diagnosis, complications, pharmacologic therapy and surgical treatment of the main urinary tumors (prostate, Kidney and bladder cancer) and urinary tract obstructions. Further aim is to achieve essential knowledge of rarer disease, concerning more specialistic field or that will be discussed in following courses. To know the biotechnological and instrumental innovations, their application in urological clinical practice and the possibilities for development. Monothematic seminars will also be organized in order to facilitate achievement of these objectives.AIMS OF INTERACTIVE EDUCATION The interactive education will be carried out in order to transmit the students a methodological approach to the main uro-logic diseases. Objective will be to develop the ability to recognize the signs and symptoms of various urological diseases, to identify etiopathogenesis and their clinical value in order to formulate the diagnostic hypothesis. We will provide the knowledge needed to identify more suitable diagnostic tests (laboratory and instrumental) to understand the results together with the specialist to improve the diagnostic and therapeutic strategy. A further objective of interactive education is to enable students to critically assess and correlate symptoms, physical signs, any functional alterations, instrumental examinations and hystological features of main andrological and urological diseases. Finally, the student will acquire the knowledge of the basic therapeutic treatments of urologicl diseases including also relevant behavior, prevention, rehabilitation and diet. ABILITIES (skills) We consider as preliminary and acquired the following abilities: • to achieve accurately medical history and symptoms, • to know the most common laboratory tests, to identify biochemical profile’s major alterations and to understand of their clinical significance • to know the main maneuvers of general physical examination (inspection, palpation, percussion and auscultation of the chest and abdomen). Aims of gestural skills include:  -the bimanual palpation of the kidney and pelvis-ureter points ;  -specialist manovre such physical examination of male and female genital identifying their functional and morphological alterations;  -digital rectal examination identifying the neurophysiological and morphological features of the pelvic. RELATIONAL OBJECTIVES (interpersonal skills) Relational purpose include to transmit students the value of the relationship between physician and patient, highlighting the ethical and psychological aspects. Another aim will be to make the student able to evaluate the psychological, sociological and cultural aspects of the patient in order to adapt the language and improve the understanding of the interview. We will also provide the tools to be able to communicate to the patient the clinical diagnosis and prognosis in order to share the therapeutic strategy and to obtain informed consent. At the end of the course students will have the theoretical and practical bases for suitable clinical management of main urological diseases, especially in terms of recognition of the pathological state and appropriate therapy.
Prerequisites	Knowledge of the anatomy and physiology of the urinary and male genital system are indispensable in order to understand the topics of the lessons. Fundamentals of pharmacology and oncology seem very useful to achieve the objectives of the interdisciplinary course.
Teaching methods	-Seminar lectures with audiovisual material-Presentation of clinical cases-Presentations of video about the main surgical strategies-Monothematic seminars
Other information	Attendance: Mandatory. At least 60% of lessons
Learning verification modality	The assessment includes progress hands-on test, final written and oral exam. The practical test is carried out on the patient during the course; it has a duration lower than 15 minutes and it is aimed to assess the "ability", ie the student's ability to apply the knowledge. The final valutation of the student’s "knowledge" consists of a written exam with closed stimulation and closed answer, in preparation for the oral examination. The written exam consists of 15 multiple choice and has a maximum duration of 20 minutes. Each correct answer has a score of 2. Access to the oral test is allowed for scores equal to or upper than 18. The final oral exam is characterized by an open stimulation with open answer; it consists of two questions and has a duration lower than 15 minutes. The final vote is in 30/30.
Extended program	-Introduction to urological glossary -Semeiotics of Kidney, urinary tract and the male genitalia -Upper and lower urinary tract obstruction: etiology, pathogenesis, clinical features, diagnosis and therapy. - Upper urinary tract disease: epidemiology, etiology, clinical features, diagnosis, medical therapy and surgery of stenosis of pelvis-ureter junction, retroperitoneal fibrosis and ureteral stenosis. -Benign prostatic hyperplasia: epidemiology, etiology, molecular biology and pathogenesis, clinical presentation, diagnosis, pharmacologic therapy and surgery. -Hematuria: etiology, diagnostic and therapeutic work-up. -Prostate cancer: epidemiology, etiology, pathogenesis and genomics, clinical features, diagnosis, PSA and new markers, pharmacologic therapy and surgery. -Kidney cancer: epidemiology, etiology, pathogenesis and genomics, clinical features, diagnosis, pharmacologic therapy and surgery. -Bladder cancer: epidemiology, etiology, pathogenesis and genomics, clinical features, diagnosis, pharmacologic therapy and surgery. -Urinary derivations and their management - Minimally invasive surgery: indications, advantages and disadvantages, applications in urology