Unit SYSTEMIC PATHOLOGY V

Course
Medicine and surgery
Study-unit Code
GP004561
Curriculum
In all curricula
CFU
12
Course Regulation
Coorte 2020
Offered
2023/24
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

BLOOD DISEASES - MOD. 1

Code GP004621
CFU 2
Learning activities Caratterizzante
Area Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
2
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
The myeloproliferative syndromes:
- Chronic myeloid leukemia
- Idiopathic myelofibrosis
- Polycythemia Vera
- Essential thrombocythemia

The myelodysplastic syndromes

The acute leukemias
- Acute myeloid and lymphoid leukemias
- Classification and clinical presentation.
- Key molecular alterations associated
- Examples of 'target' therapy

Chronic lymphoproliferative disorders:
- Chronic lymphocytic leukemia
- The hairy cell leukemia

The malignant lymphomas
- Hodgkin's disease
- Non-Hodgkin's Lymphoma

The monoclonal gammopathy
- MGUS
- Multiple Myeloma
- Waldenstrom's Macroglobulinemia
Reference texts
Harrison's - Principles of Internal Medicine
Hoffbrand/Moss - Essential Haematology
Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue
Avvisati – Ematologia di Mandelli
Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl)
In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
Prerequisites
In order to understand and know how to tackle the course, students must have the basic understanding on:

- Physiology of blood, features and functions of the elements of blood (leukocytes, erythrocytes and platelets)
- Anatomy, organization and functions of the lymphatic system
- Cellular and humoral immunity
- Structure of the bone marrow and hematopoiesis
- The blood count
- Principles of Serum protein electrophoresis
- The monoclonal antibodies
Teaching methods
Face to face lessons. Clinical cases discussion.
Learning verification modality
METHOD OF CONDUCTING THE EXAM: oral test (lasting about 15-20 minutes) will be assessed the acquired knowledge and the student's ability to communicate and reason confronted with a specific question. The oral exam consists of a discussion-interview on the topics covered during the course or at least in the program and in-depth texts Recommended. For Blood Diseases Teaching a topic of oncohematology and non malignant disease will be addressed.
TESTING OF CLINICAL SKILLS: interpretation of a blood count, discussion of a clinical case.
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the marks obtained in the individual disciplines
Extended program
The myeloproliferative syndromes:
- Chronic myeloid leukemia
- Idiopathic myelofibrosis
- Polycythemia Vera
- Essential thrombocythemia

The myelodysplastic syndromes

The acute leukemias
- Acute myeloid and lymphoid leukemias
- Classification and clinical presentation.
- Key molecular alterations associated
- Examples of 'target' therapy

Chronic lymphoproliferative disorders:
- Chronic lymphocytic leukemia
- The hairy cell leukemia

The malignant lymphomas
- Hodgkin's disease
- Non-Hodgkin's Lymphoma

The monoclonal gammopathy
- MGUS
- Multiple Myeloma
- Waldenstrom's Macroglobulinemia

Cognomi M-Z

CFU
2
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
The myeloproliferative syndromes:
- Chronic myeloid leukemia
- Idiopathic myelofibrosis
- Polycythemia Vera
- Essential thrombocythemia

The myelodysplastic syndromes

The acute leukemias
- Acute myeloid and lymphoid leukemias
- Classification and clinical presentation.
- Key molecular alterations associated
- Examples of 'target' therapy

Chronic lymphoproliferative disorders:
- Chronic lymphocytic leukemia
- The hairy cell leukemia

The malignant lymphomas
- Hodgkin's disease
- Non-Hodgkin's Lymphoma

The monoclonal gammopathy
- MGUS
- Multiple Myeloma
- Waldenstrom's Macroglobulinemia
Reference texts
Harrison's - Principles of Internal Medicine
Hoffbrand/Moss - Essential Haematology
Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue
Avvisati – Ematologia di Mandelli
Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl)
In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
Prerequisites
In order to understand and know how to tackle the course, students must have the basic understanding on:

- Physiology of blood, features and functions of the elements of blood (leukocytes, erythrocytes and platelets)
- Anatomy, organization and functions of the lymphatic system
- Cellular and humoral immunity
- Structure of the bone marrow and hematopoiesis
- The blood count
- Principles of Serum protein electrophoresis
- The monoclonal antibodies
Teaching methods
Face to face lessons. Clinical cases discussion.
Learning verification modality
METHOD OF CONDUCTING THE EXAM: oral test (lasting about 15-20 minutes) will be assessed the acquired knowledge and the student's ability to communicate and reason confronted with a specific question. The oral exam consists of a discussion-interview on the topics covered during the course or at least in the program and in-depth texts Recommended. For Blood Diseases Teaching a topic of oncohematology and non malignant disease will be addressed.
TESTING OF CLINICAL SKILLS: interpretation of a blood count, discussion of a clinical case.
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the marks obtained in the individual disciplines
Extended program
The myeloproliferative syndromes:
- Chronic myeloid leukemia
- Idiopathic myelofibrosis
- Polycythemia Vera
- Essential thrombocythemia

The myelodysplastic syndromes

The acute leukemias
- Acute myeloid and lymphoid leukemias
- Classification and clinical presentation.
- Key molecular alterations associated
- Examples of 'target' therapy

Chronic lymphoproliferative disorders:
- Chronic lymphocytic leukemia
- The hairy cell leukemia

The malignant lymphomas
- Hodgkin's disease
- Non-Hodgkin's Lymphoma

The monoclonal gammopathy
- MGUS
- Multiple Myeloma
- Waldenstrom's Macroglobulinemia

BLOOD DISEASES - MOD. 2

Code GP004622
CFU 1
Learning activities Caratterizzante
Area Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Maria Paola Martelli
Teachers
  • Antonio Pierini (Codocenza)
Hours
  • 12.5 ore (Codocenza) - Antonio Pierini
Language of instruction
Italian
Contents
The anemias:
- General aspects of anemia and erythropoiesis
- Classification of anemia: a. etiopathogenetic; b. morphological
- Morphological alterations of red blood cells. The smear of peripheral venous blood
- Iron deficiency anemia
- Megaloblastic Anemia and other macrocytic anemias
- Anemia of chronic disorders
- Hemolytic anemias
Hemolytic hereditary disorders
Extraglobular causes of hemolytic disorders
- Thalassemias
- Aplastic anemia and other selective cytopenias (erythroblastopenia isolated, neutropenia and
thrombocytopenia)
- Differential diagnosis of anemic syndromes. Discussion of clinical cases and diagnostic work.

The thrombocytopenia.
- Idiopathic Thrombocytopenia Purpura
- Thrombotic thrombocytopenia purpura

Issues of general haematological interest:
- Numerical changes of blood elements:
a. differential diagnosis of erythrocytosis
b. leukopenia and leukocytosis (lymphopenia and lymphocytosis, neutropenia and neutrophilia)
c. thrombocytopenia and thrombocytosis
- Splenomegaly.
- Splenectomy. Indications in hematology and complications
- Lymphadenopathy: Differential Diagnosis
- Hematological alterations in systemic diseases
Reference texts
Harrison's - Principles of Internal Medicine
Hoffbrand/Moss - Essential Haematology
Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue
Avvisati – Ematologia di Mandelli
Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl)
In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
Prerequisites
In order to understand and know how to tackle the course, students must have the basic understanding on:

- Physiology of blood, features and functions of the elements of blood (leukocytes, erythrocytes and platelets)
- Anatomy, organization and functions of the lymphatic system
- Cellular and humoral immunity
- Structure of the bone marrow and hematopoiesis
- The blood count
- Principles of Serum protein electrophoresis
- The monoclonal antibodies
Teaching methods
Face to face lessons. Clinical cases discussion.
Learning verification modality
METHOD OF CONDUCTING THE EXAM: oral test (lasting about 15-20 minutes) will be assessed the acquired knowledge and the student's ability to communicate and reason confronted with a specific question. The oral exam consists of a discussion-interview on the topics covered during the course or at least in the program and in-depth texts Recommended. For Blood Diseases Teaching a topic of oncohematology and non malignant disease will be addressed.
TESTING OF CLINICAL SKILLS: interpretation of a blood count, discussion of a clinical case.
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the marks obtained in the individual disciplines
Extended program
The anemias:
- General aspects of anemia and erythropoiesis
- Classification of anemia: a. etiopathogenetic; b. morphological
- Morphological alterations of red blood cells. The smear of peripheral venous blood
- Iron deficiency anemia
- Megaloblastic Anemia and other macrocytic anemias
- Anemia of chronic disorders
- Hemolytic anemias
Hemolytic hereditary disorders
Extraglobular causes of hemolytic disorders
- Thalassemias
- Aplastic anemia and other selective cytopenias (erythroblastopenia isolated, neutropenia and
thrombocytopenia)
- Differential diagnosis of anemic syndromes. Discussion of clinical cases and diagnostic work.

The thrombocytopenia.
- Idiopathic Thrombocytopenia Purpura
- Thrombotic thrombocytopenia purpura

Issues of general haematological interest:
- Numerical changes of blood elements:
a. differential diagnosis of erythrocytosis
b. leukopenia and leukocytosis (lymphopenia and lymphocytosis, neutropenia and neutrophilia)
c. thrombocytopenia and thrombocytosis
- Splenomegaly.
- Splenectomy. Indications in hematology and complications
- Lymphadenopathy: Differential Diagnosis
- Hematological alterations in systemic diseases

Cognomi M-Z

CFU
1
Teacher
Maria Paola Martelli
Teachers
  • Antonio Pierini (Codocenza)
Hours
  • 12.5 ore (Codocenza) - Antonio Pierini
Language of instruction
Italian
Contents
The anemias:
- General aspects of anemia and erythropoiesis
- Classification of anemia: a. etiopathogenetic; b. morphological
- Morphological alterations of red blood cells. The smear of peripheral venous blood
- Iron deficiency anemia
- Megaloblastic Anemia and other macrocytic anemias
- Anemia of chronic disorders
- Hemolytic anemias
Hemolytic hereditary disorders
Extraglobular causes of hemolytic disorders
- Thalassemias
- Aplastic anemia and other selective cytopenias (erythroblastopenia isolated, neutropenia and
thrombocytopenia)
- Differential diagnosis of anemic syndromes. Discussion of clinical cases and diagnostic work.

The thrombocytopenia.
- Idiopathic Thrombocytopenia Purpura
- Thrombotic thrombocytopenia purpura

Issues of general haematological interest:
- Numerical changes of blood elements:
a. differential diagnosis of erythrocytosis
b. leukopenia and leukocytosis (lymphopenia and lymphocytosis, neutropenia and neutrophilia)
c. thrombocytopenia and thrombocytosis
- Splenomegaly.
- Splenectomy. Indications in hematology and complications
- Lymphadenopathy: Differential Diagnosis
- Hematological alterations in systemic diseases
Reference texts
Harrison's - Principles of Internal Medicine
Hoffbrand/Moss - Essential Haematology
Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue
Avvisati – Ematologia di Mandelli
Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl)
In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
Prerequisites
In order to understand and know how to tackle the course, students must have the basic understanding on:

- Physiology of blood, features and functions of the elements of blood (leukocytes, erythrocytes and platelets)
- Anatomy, organization and functions of the lymphatic system
- Cellular and humoral immunity
- Structure of the bone marrow and hematopoiesis
- The blood count
- Principles of Serum protein electrophoresis
- The monoclonal antibodies
Teaching methods
Face to face lessons. Clinical cases discussion.
Learning verification modality
METHOD OF CONDUCTING THE EXAM: oral test (lasting about 15-20 minutes) will be assessed the acquired knowledge and the student's ability to communicate and reason confronted with a specific question. The oral exam consists of a discussion-interview on the topics covered during the course or at least in the program and in-depth texts Recommended. For Blood Diseases Teaching a topic of oncohematology and non malignant disease will be addressed.
TESTING OF CLINICAL SKILLS: interpretation of a blood count, discussion of a clinical case.
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic average of the marks obtained in the individual disciplines
Extended program
The anemias:
- General aspects of anemia and erythropoiesis
- Classification of anemia: a. etiopathogenetic; b. morphological
- Morphological alterations of red blood cells. The smear of peripheral venous blood
- Iron deficiency anemia
- Megaloblastic Anemia and other macrocytic anemias
- Anemia of chronic disorders
- Hemolytic anemias
Hemolytic hereditary disorders
Extraglobular causes of hemolytic disorders
- Thalassemias
- Aplastic anemia and other selective cytopenias (erythroblastopenia isolated, neutropenia and
thrombocytopenia)
- Differential diagnosis of anemic syndromes. Discussion of clinical cases and diagnostic work.

The thrombocytopenia.
- Idiopathic Thrombocytopenia Purpura
- Thrombotic thrombocytopenia purpura

Issues of general haematological interest:
- Numerical changes of blood elements:
a. differential diagnosis of erythrocytosis
b. leukopenia and leukocytosis (lymphopenia and lymphocytosis, neutropenia and neutrophilia)
c. thrombocytopenia and thrombocytosis
- Splenomegaly.
- Splenectomy. Indications in hematology and complications
- Lymphadenopathy: Differential Diagnosis
- Hematological alterations in systemic diseases

DISEASES OF THE IMMUNE SYSTEM

Code GP005656
CFU 2
Learning activities Caratterizzante
Area Medicina delle attività motorie e del benessere
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
2
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini
Language of instruction
Italian
Contents
Physiology of the human immune system.
The immunodeficiencies:
Pathogenetic mechanisms of infectious risk and diagnostics of immunodeficiencies.
Primary immunodeficiencies:
Severe Combined Immunodeficiencies.
Antibody deficiency diseases.
Complement deficiency diseases
Immunodeficiencies due to granulocyte function deficit
New pathogenetic mechanisms of immune deficiencies and cytopenias
Secondary immunodeficiencies:
AIDS: immuno-pathogenesis, natural history of the disease, main clinical pictures.
Immunodeficiencies due to immunosuppressive and cytostatic drugs
Splenectomy
Immunodeficiencies due to neoplastic diseases
Hematopoietic cell transplantation: basic principles, donor choice,
infectious complications, tolerance and engraftment, graft versus host disease
Antibody and cellular immunotherapy
Principles of immunotherapy of neoplastic and autoimmune diseases
Checkpoint inhibitors
Cellular immunotherapy
Hypersensitivity diseases
Pathophysiology of allergic diseases: hypersensitivity types I, II, III, IV
Immediate hypersensitivity clinical syndromes: Urticaria and angiodema, Food allergies,
Allergic rhinitis, asthma, anaphylactic shock.
Immunological pathogenesis and clinical pictures of the main organ autoimmune diseases
specifications
Hashimoto's thyroiditis
Multiple sclerosis,
autoimmune cytopenias,
aplastic anemia,
Celiac disease
Immune complex diseases and vasculitis:
Purple of the Schonlein-Henoch,
serum sickness,
Cryoglobulinemias
Clinical Immunology of Vaccines
Reference texts
HARRISON " Principles of Internal Medicine"
Educational objectives
At the end of the course the student will have to be able to know and to frame, from a clinical and diagnostic point of view , the main diseases of the immunity system., pimary and secondary systemic autoimmunities and immunodeficiency. The verification of the real acquisizioneis of the student will be carried out during examination.
Prerequisites
In order to start Diseases of the Immune System lessons, the student should have good knowledge of anatomy and physiopatology and good skill in general phisical examonation of the patient.
Teaching methods
the course is organized in the following way:

lecture on all subjects of the course

practices that the students, divided in small groups, they will hold both in ambulatory that in hospital warm
Learning verification modality
The exam includes a 3 questions. Questions will cover all program topics and can be afforded with a basic knowledge of such topics. The oral exam is open to students who passed the first written test (with a score of at least 18/30) and includes wider questions aimed at evaluating theoretical and practical skills as well as deductive processes and communication. The average examination time is 20-25 minutes.
Extended program
Physiology of the human immune system.
The immunodeficiencies:
Pathogenetic mechanisms of infectious risk and diagnostics of immunodeficiencies.
Primary immunodeficiencies:
Severe Combined Immunodeficiencies.
Antibody deficiency diseases.
Complement deficiency diseases
Immunodeficiencies due to granulocyte function deficit
New pathogenetic mechanisms of immune deficiencies and cytopenias
Secondary immunodeficiencies:
AIDS: immuno-pathogenesis, natural history of the disease, main clinical pictures.
Immunodeficiencies due to immunosuppressive and cytostatic drugs
Splenectomy
Immunodeficiencies due to neoplastic diseases
Hematopoietic cell transplantation: basic principles, donor choice,
infectious complications, tolerance and engraftment, graft versus host disease
Antibody and cellular immunotherapy
Principles of immunotherapy of neoplastic and autoimmune diseases
Checkpoint inhibitors
Cellular immunotherapy
Hypersensitivity diseases
Pathophysiology of allergic diseases: hypersensitivity types I, II, III, IV
Immediate hypersensitivity clinical syndromes: Urticaria and angiodema, Food allergies,
Allergic rhinitis, asthma, anaphylactic shock.
Immunological pathogenesis and clinical pictures of the main organ autoimmune diseases
specifications
Hashimoto's thyroiditis
Multiple sclerosis,
autoimmune cytopenias,
aplastic anemia,
Celiac disease
Immune complex diseases and vasculitis:
Purple of the Schonlein-Henoch,
serum sickness,
Cryoglobulinemias
Clinical Immunology of Vaccines

Cognomi M-Z

CFU
2
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini
Language of instruction
Italian
Contents
Physiology of the human immune system.
The immunodeficiencies:
Pathogenetic mechanisms of infectious risk and diagnostics of immunodeficiencies.
Primary immunodeficiencies:
Severe Combined Immunodeficiencies.
Antibody deficiency diseases.
Complement deficiency diseases
Immunodeficiencies due to granulocyte function deficit
New pathogenetic mechanisms of immune deficiencies and cytopenias
Secondary immunodeficiencies:
AIDS: immuno-pathogenesis, natural history of the disease, main clinical pictures.
Immunodeficiencies due to immunosuppressive and cytostatic drugs
Splenectomy
Immunodeficiencies due to neoplastic diseases
Hematopoietic cell transplantation: basic principles, donor choice,
infectious complications, tolerance and engraftment, graft versus host disease
Antibody and cellular immunotherapy
Principles of immunotherapy of neoplastic and autoimmune diseases
Checkpoint inhibitors
Cellular immunotherapy
Hypersensitivity diseases
Pathophysiology of allergic diseases: hypersensitivity types I, II, III, IV
Immediate hypersensitivity clinical syndromes: Urticaria and angiodema, Food allergies,
Allergic rhinitis, asthma, anaphylactic shock.
Immunological pathogenesis and clinical pictures of the main organ autoimmune diseases
specifications
Hashimoto's thyroiditis
Multiple sclerosis,
autoimmune cytopenias,
aplastic anemia,
Celiac disease
Immune complex diseases and vasculitis:
Purple of the Schonlein-Henoch,
serum sickness,
Cryoglobulinemias
Clinical Immunology of Vaccines
Reference texts
HARRISON " Principles of Internal Medicine"
Educational objectives
At the end of the course the student will have to be able to know and to frame, from a clinical and diagnostic point of view , the main diseases of the immunity system., pimary and secondary systemic autoimmunities and immunodeficiency. The verification of the real acquisizioneis of the student will be carried out during examination.
Prerequisites
In order to start Diseases of the Immune System lessons, the student should have good knowledge of anatomy and physiopatology and good skill in general phisical examonation of the patient.
Teaching methods
the course is organized in the following way:

lecture on all subjects of the course

practices that the students, divided in small groups, they will hold both in ambulatory that in hospital warm
Learning verification modality
The exam includes a 3 questions. Questions will cover all program topics and can be afforded with a basic knowledge of such topics. The oral exam is open to students who passed the first written test (with a score of at least 18/30) and includes wider questions aimed at evaluating theoretical and practical skills as well as deductive processes and communication. The average examination time is 20-25 minutes.
Extended program
Physiology of the human immune system.
The immunodeficiencies:
Pathogenetic mechanisms of infectious risk and diagnostics of immunodeficiencies.
Primary immunodeficiencies:
Severe Combined Immunodeficiencies.
Antibody deficiency diseases.
Complement deficiency diseases
Immunodeficiencies due to granulocyte function deficit
New pathogenetic mechanisms of immune deficiencies and cytopenias
Secondary immunodeficiencies:
AIDS: immuno-pathogenesis, natural history of the disease, main clinical pictures.
Immunodeficiencies due to immunosuppressive and cytostatic drugs
Splenectomy
Immunodeficiencies due to neoplastic diseases
Hematopoietic cell transplantation: basic principles, donor choice,
infectious complications, tolerance and engraftment, graft versus host disease
Antibody and cellular immunotherapy
Principles of immunotherapy of neoplastic and autoimmune diseases
Checkpoint inhibitors
Cellular immunotherapy
Hypersensitivity diseases
Pathophysiology of allergic diseases: hypersensitivity types I, II, III, IV
Immediate hypersensitivity clinical syndromes: Urticaria and angiodema, Food allergies,
Allergic rhinitis, asthma, anaphylactic shock.
Immunological pathogenesis and clinical pictures of the main organ autoimmune diseases
specifications
Hashimoto's thyroiditis
Multiple sclerosis,
autoimmune cytopenias,
aplastic anemia,
Celiac disease
Immune complex diseases and vasculitis:
Purple of the Schonlein-Henoch,
serum sickness,
Cryoglobulinemias
Clinical Immunology of Vaccines

MOLECULAR MEDICINE

Code GP004623
CFU 1
Learning activities Caratterizzante
Area Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica
Academic discipline MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 12.5 ore - Roberta La Starza
Language of instruction
Italian
Contents
Technological approaches for genome study: cytogenetics, molecular cytogenetics, microarrays, NGS, WET. Leukemic and cancer stem cells, multistep process of oncogenesis; mechanisms of deregulation of oncogenes, oncosuppressors, repair genes and check-point genes.
Hematopietic clonality and pathogenesis of leukemias. Pathogenesis models of congenital and acquired bone marrow failures. Patterns of pathogenesis of acute leukemias. Function of tyrosine kinases. Models of pathogenesis of lymphoproliferative disorders. Models of pathogenesis of myeloma. Patterns of pathogenesis of solid tumors (central nervous system).
Reference texts
The material will be provided by professor
Educational objectives
The course aims to cover the basics of understanding bio-molecular aspects of medicine: mechanisms of gene deregulation, role/function of oncogenes and oncosuppressors, cell cycle, DNA repair mechanisms, germline or acquired alterations, clonal hematopoiesis, preneoplastic clonality
Prerequisites
none
Teaching methods
Frontal lessons
Seminars
Learning verification modality
written exam with 15 multiple choice questions; duration 20 minutes
VOTE: Arithmetic mean of grades in individual modules
Extended program
Technological approaches for genome study: conventional cytogenetics, fluorescence in situ hybridization (interphase, metaphase, on tissue), multi-FISH, arrays on DNA and RNA, NGS targets.
Characteristics of leukemic and cancer stem cell
Study of the multistep process of oncogenesis, mechanisms of alteration of oncogenes, oncosuppressors, repair genes and check-point genes.
Oncogenes and oncosuppressors: role and type of deregulation
Patterns of pathogenesis of congenital and acquired bone marrow failure.
Patterns of pathogenesis of Acute and chronic Leukemias. Function and involvement of tyrosine kinases in human neoplasms.
Pathogenesis models of Multiplo Myeloma and Lymphomas.
Patterns of pathogenesis of solid tumors (central nervous system).
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - Health and welfare

Cognomi M-Z

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 12.5 ore - Roberta La Starza
Language of instruction
Italian
Contents
Technological approaches for genome study: cytogenetics, molecular cytogenetics, microarrays, NGS, WET. Leukemic and cancer stem cells, multistep process of oncogenesis; mechanisms of deregulation of oncogenes, oncosuppressors, repair genes and check-point genes.
Hematopietic clonality and pathogenesis of leukemias. Pathogenesis models of congenital and acquired bone marrow failures. Patterns of pathogenesis of acute leukemias. Function of tyrosine kinases. Models of pathogenesis of lymphoproliferative disorders. Models of pathogenesis of myeloma. Patterns of pathogenesis of solid tumors (central nervous system).
Reference texts
The material will be provided by professor
Educational objectives
The course aims to cover the basics of understanding bio-molecular aspects of medicine: mechanisms of gene deregulation, role/function of oncogenes and oncosuppressors, cell cycle, DNA repair mechanisms, germline or acquired alterations, clonal hematopoiesis, preneoplastic clonality
Prerequisites
none
Teaching methods
Frontal lessons
Seminars
Learning verification modality
written exam with 15 multiple choice questions; duration 20 minutes
VOTE: Arithmetic mean of grades in individual modules
Extended program
Technological approaches for genome study: conventional cytogenetics, fluorescence in situ hybridization (interphase, metaphase, on tissue), multi-FISH, arrays on DNA and RNA, NGS targets.
Characteristics of leukemic and cancer stem cell
Study of the multistep process of oncogenesis, mechanisms of alteration of oncogenes, oncosuppressors, repair genes and check-point genes.
Oncogenes and oncosuppressors: role and type of deregulation
Patterns of pathogenesis of congenital and acquired bone marrow failure.
Patterns of pathogenesis of Acute and chronic Leukemias. Function and involvement of tyrosine kinases in human neoplasms.
Pathogenesis models of Multiplo Myeloma and Lymphomas.
Patterns of pathogenesis of solid tumors (central nervous system).
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - Health and welfare

REUMATHOLOGY

Code GP005657
CFU 2
Learning activities Caratterizzante
Area Clinica delle specialità medico-chirurgiche
Academic discipline MED/16
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
2
Teacher
Roberto Gerli
Teachers
  • Roberto Gerli
  • Giacomo Cafaro (Codocenza)
Hours
  • 20 ore - Roberto Gerli
  • 5 ore (Codocenza) - Giacomo Cafaro
Language of instruction
ITALIAN
Contents
Classification, epidemiology and pathogenesis of rheumatic disease. Clinical features of most common acute and chronic osteoarticular disease, inflammatory and not, of extra-articular rheumatism, of systemic autoimmunitary disease and of systemic vasculitides.
Reference texts
REUMATOLOGIA per studenti e Medici di a cura di UNIREUMA. IDELSON GNOCCHI IV Ed. 2022.
HARRISON et al. Principles of Internal Medicine XX Ed. 2021
McGraw Hill Ed.
Educational objectives
At the end of the Course students are expected to recognize and define the peculiar features of the most common chronic articular conditions, both inflammatory and degenerative, extra-articular rheumatic diseases, systemic autoimmune diseases and systemic vasculitis, from an etiologic, pathogenic and, most importantly, clinical point of view. In addition, the students are asked to prove the ability to recognize and interpret the laboratory tests specific for the aforementioned conditions and the most common instrumental procedures employed in rheumatology clinics. The students’ diagnostic approach based on signs and symptoms will also be evaluated.
Prerequisites
In order to start Rheumatology lessons, the student should have good knowledge of anatomy and physiopathology and good skill in general phisical examination of the patient.
Teaching methods
The Course includes 25 hours with 14 theoretical hours and 11 hours of practical skills and practical training or seminars.
Other information
secretariat Sezione of Reumatologia:

email: sezione.reumatologia@unipg.it

telephone: 075 578.3436 -.3975
Learning verification modality
The oral exam includes wider questions aimed at evaluating theoretical and practical skills as well as deductive processes and communication. The average examination time is 20-30 minutes.
Extended program
1. Definition, classification and epidemiology of rheumatic diseases
2. The musculoskeletal system: anatomic and functional elements
3. Etiopathogenic mechanisms of rheumatic diseases
4. Signs and syntoms of rheumatic diseases
5. Laboratory and imaging diagnosis and synovial fluid analysis
6. Inflammatory joint diseases
a) Rheumatoid arthritis and other related joint diseases
b) Spondyloarthritis
i. Ankylosing Spondylitis
ii. Reactive arthritis
iii. Psoriatic arthritis
iv. Enteropathic arthritis
c. Polymyalgia rheumatica

7. Connective tissue diseases
a) Systemic lupus erythematosus
b) Antiphospholipid syndrome
c) Systemic sclerosis
d)Polymyositis/Dermatomyositis/Inflammatory myopathies/Anti-synthetasis antibody syndrome
e) Sjögren's syndrome
f) Overlap syndromes, included mixed connective tissue disesase
g) Undifferentiated connective tissue diseases (UCTD)

8. Primary systemic vasculitides
a) Large size-arteries: Takayasu arteritis, Horton arteritis
b) Medium-size arteries: polyarteritis nodosa
c) Medium and small-size vessels ANCA-associated (micropolyangioitis, granulomatosis with polyangioitis - Wegener's granulomatosis, with eosinophilic granulomatosis with polyangioitis - Churg-Strauss syndrome)
9. Small-size vessels
a) Behçet's disease
b) cryoglobulinemia
c) IgA vasculitis - Schönlein-Henoch purpura

10. Septic and post-infective arthritis (rheumatic fever)

11. Microcrystal arthropaties (Gout, Calcium pyrophosphate dihydrate and hydroxyapatite deposition disorders)

12. Osteoarthritis

13. Localized and generalized extra-articular rheumatic diseases and fibromyalgia

14. Neurovascular and neurologic syndrome
a) Raynaud 's phenomenon
b) Carpal tunnel syndrome

15. Autoinflammatory disorders
a. Adult Still disease

16. Miscellaneous disorders associated with rheumatologic manifestations
a. Sarcoidosis

Cognomi M-Z

CFU
2
Teacher
Roberto Gerli
Teachers
  • Elena Bartoloni Bocci (Codocenza)
Hours
  • 25 ore (Codocenza) - Elena Bartoloni Bocci
Language of instruction
ITALIAN
Contents
Classification, epidemiology and pathogenesis of rheumatic disease. Clinical features of most common acute and chronic osteoarticular disease, inflammatory and not, of extra-articular rheumatism, of systemic autoimmunitary disease and of systemic vasculitides.
Reference texts
REUMATOLOGIA per studenti e Medici di a cura di UNIREUMA. IDELSON GNOCCHI IV Ed. 2022.
HARRISON et al. Principles of Internal Medicine XX Ed. 2021.
McGraw Hill Ed.
Educational objectives
At the end of the Course students are expected to recognize and define the peculiar features of the most common chronic articular conditions, both inflammatory and degenerative, extra-articular rheumatic diseases, systemic autoimmune diseases and systemic vasculitis, from an etiologic, pathogenic and, most importantly, clinical point of view. In addition, the students are asked to prove the ability to recognize and interpret the laboratory tests specific for the aforementioned conditions and the most common instrumental procedures employed in rheumatology clinics. The students’ diagnostic approach based on signs and symptoms will also be evaluated.
Prerequisites
In order to start Rheumatology lessons, the student should have good knowledge of anatomy and physiopathology and good skill in general phisical examination of the patient.
Teaching methods
The Course includes 25 hours with 14 theoretical hours and 11 hours of practical skills and practical training or seminars.
Other information
secretariat Sezione of Reumatologia:

email: sezione.reumatologia@unipg.it

telephone: 075 578.3436 -.3975
Learning verification modality
EXAM CONDUCTION METHOD: oral test, lasting on average approximately 15-20 minutes, divided into 2-3 questions relating to topics covered duirng frontal lessons.
TESTING OF CLINICAL SKILLS: the questions are aimed at evaluating theoretical and practical knowledge, as well as reasoning and communication skills.
VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: a question will concern the differential diagnosis of a clinical rheumatologic condition through the simulation of a clinical case.
METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic mean of the marks obtained in the individual disciplines.

For information on support services for students with disabilities and/or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Extended program
1. Definition, classification and epidemiology of rheumatic diseases
2. The musculoskeletal system: anatomic and functional elements
3. Etiopathogenic mechanisms of rheumatic diseases
4. Signs and syntoms of rheumatic diseases
5. Laboratory and imaging diagnosis and synovial fluid analysis
6. Inflammatory joint diseases
a) Rheumatoid arthritis and other related joint diseases
b) Spondyloarthritis
i. Ankylosing Spondylitis
ii. Reactive arthritis
iii. Psoriatic arthritis
iv. Enteropathic arthritis
c. Polymyalgia rheumatica

7. Connective tissue diseases
a) Systemic lupus erythematosus
b) Antiphospholipid syndrome
c) Systemic sclerosis
d)Polymyositis/Dermatomyositis/Inflammatory myopathies/Anti-synthetasis antibody syndrome
e) Sjögren's syndrome
f) Overlap syndromes, included mixed connective tissue disesase
g) Undifferentiated connective tissue diseases (UCTD)

8. Primary systemic vasculitides
a) Large size-arteries: Takayasu arteritis, Horton arteritis
b) Medium-size arteries: polyarteritis nodosa
c) Medium and small-size vessels ANCA-associated (micropolyangioitis, granulomatosis with polyangioitis - Wegener's granulomatosis, with eosinophilic granulomatosis with polyangioitis - Churg-Strauss syndrome)
9. Small-size vessels
a) Behçet's disease
b) cryoglobulinemia
c) IgA vasculitis - Schönlein-Henoch purpura

10. Septic and post-infective arthritis (rheumatic fever)

11. Microcrystal arthropaties (Gout, Calcium pyrophosphate dihydrate and hydroxyapatite deposition disorders)

12. Osteoarthritis

13. Localized and generalized extra-articular rheumatic diseases and fibromyalgia

14. Neurovascular and neurologic syndrome
a) Raynaud 's phenomenon
b) Carpal tunnel syndrome

15. Autoinflammatory disorders
a. Adult Still disease

16. Miscellaneous disorders associated with rheumatologic manifestations
a. Sarcoidosis
b. IgG4-related disease

PROFESSIONALISING TRAINING IN BLOOD DISEASES

Code GP004624
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
Activities in the outpatient and clinic department with the specialist:
General approach to the patient with alteration of CBC
Discussion of normal and abnormal blood counts:
anemia and erythrocytosis
leucopenie and leukocytosis
thrombocytopenia and thrombocytosis
pancytopenia
General approach to the patient with lymphadenopathy
General approach to the patient with splenomegaly
- Execution, staining and reading the smear of peripheral venous blood (SVP)
- Vision and participation in the examination of the bone marrow: bone marrow aspiration and biopsy procedures
Reference texts
Harrison's - Principles of Internal Medicine
Hoffbrand/Moss - Essential Haematology
Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue
Avvisati – Ematologia di Mandelli
Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl)
In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
The main skills that will be acquired:
- Analyze a CBC
- Identify the diagnostic procedure for alterations in the numbers of blood elements
- Identify the diagnostic procedure in case of lymphadenopathy
- Identify the diagnostic procedure in case of splenomegaly
Prerequisites
Blood Diseases course attendance
Teaching methods
Clinic department and laboratory attendance
Other information
Hematology Department / Day Hospital - Santa Maria della Misericordia Hospital –Perugia
Learning verification modality
Clinical case discussion. Practice test in the department. Discussion on differential diagnosis paths
Extended program
Activities in the outpatient and clinic department with the specialist:
General approach to the patient with alteration of CBC
Discussion of normal and abnormal blood counts:
anemia and erythrocytosis
leucopenie and leukocytosis
thrombocytopenia and thrombocytosis
pancytopenia
General approach to the patient with lymphadenopathy
General approach to the patient with splenomegaly
- Execution, staining and reading the smear of peripheral venous blood (SVP)
- Vision and participation in the examination of the bone marrow: bone marrow aspiration and biopsy procedures

Cognomi M-Z

CFU
1
Teacher
Maria Paola Martelli
Teachers
  • Maria Paola Martelli
Hours
  • 25 ore - Maria Paola Martelli
Language of instruction
Italian
Contents
Activities in the outpatient and clinic department with the specialist:
General approach to the patient with alteration of CBC
Discussion of normal and abnormal blood counts:
anemia and erythrocytosis
leucopenie and leukocytosis
thrombocytopenia and thrombocytosis
pancytopenia
General approach to the patient with lymphadenopathy
General approach to the patient with splenomegaly
- Execution, staining and reading the smear of peripheral venous blood (SVP)
- Vision and participation in the examination of the bone marrow: bone marrow aspiration and biopsy procedures
Reference texts
Harrison's - Principles of Internal Medicine
Hoffbrand/Moss - Essential Haematology
Bosi, De Stefano, Di Raimondo, La Nasa – Manuale di Malattie del Sangue
Avvisati – Ematologia di Mandelli
Hoffman - Hematology basic principles and practice
Educational objectives
The learning outcomes are compliant with the provisions in the didactic published at: http: //www.med.unipg.it/ccl (http://www.med.unipg.it/ccl)
In detail, the general objective of education is to provide students with the foundation to address the study of blood diseases (either malignant or not).
The main skills that will be acquired:
- Analyze a CBC
- Identify the diagnostic procedure for alterations in the numbers of blood elements
- Identify the diagnostic procedure in case of lymphadenopathy
- Identify the diagnostic procedure in case of splenomegaly
Prerequisites
Blood Diseases course attendance
Teaching methods
Clinic department and laboratory attendance
Other information
Hematology Department / Day Hospital - Santa Maria della Misericordia Hospital –Perugia
Learning verification modality
Clinical case discussion. Practice test in the department. Discussion on differential diagnosis paths
Extended program
Activities in the outpatient and clinic department with the specialist:
General approach to the patient with alteration of CBC
Discussion of normal and abnormal blood counts:
anemia and erythrocytosis
leucopenie and leukocytosis
thrombocytopenia and thrombocytosis
pancytopenia
General approach to the patient with lymphadenopathy
General approach to the patient with splenomegaly
- Execution, staining and reading the smear of peripheral venous blood (SVP)
- Vision and participation in the examination of the bone marrow: bone marrow aspiration and biopsy procedures

PROFESSIONALISING TRAINING IN DISEASES OF THE IMMUNE SYSTEM

Code GP005658
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini
Language of instruction
Italian
Contents
clinical activity with the specialist, in the allogeneic bone marrow transplant department, and allows you to have an almost complete view of infectious complications caused by immunodeficiency states
Reference texts
HARRISON " Principles of Internal Medicine
Educational objectives
Results based on check of the acquired ability, on the verification of knowledge from a clinical and diagnostic point of view of the main infectious complications caused by states of Immunodeficiencie
Prerequisites
For the purpose of learning, the student should have good knowledge of anatomy and physiopathology and good skill in general phisical examination of the patient
Teaching methods
Participation in hospital ward activities
Learning verification modality
For the professionalizing intership, there is no a specific exam, but this included in the final oral exam.
Extended program
clinical activity with the specialist, in the allogeneic bone marrow transplant department, and allows you to have an almost complete view of infectious complications caused by immunodeficiency states

Cognomi M-Z

CFU
1
Teacher
Antonio Pierini
Teachers
  • Antonio Pierini
Hours
  • 25 ore - Antonio Pierini
Language of instruction
Italian
Contents
clinical activity with the specialist, in the allogeneic bone marrow transplant department, and allows you to have an almost complete view of infectious complications caused by immunodeficiency states
Reference texts
HARRISON "TRATTATO DI MEDICINA INTERNA"
Educational objectives
Results based on check of the acquired ability, on the verification of knowledge from a clinical and diagnostic point of view of the main infectious complications caused by states of Immunodeficiencie
Prerequisites
For the purpose of learning, the student should have good knowledge of anatomy and physiopathology and good skill in general phisical examination of the patient.
Teaching methods
Participation in hospital ward activities
Learning verification modality
For the professionalizing intership, there is no a specific exam, but this included in the final oral exam.
Extended program
clinical activity with the specialist, in the allogeneic bone marrow transplant department, and allows you to have an almost complete view of infectious complications caused by immunodeficiency states

PROFESSIONALISING TRAINING IN MOLECULAR MEDICINE

Code GP004625
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/15
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 25 ore - Roberta La Starza
Language of instruction
Italian
Contents
Technological approaches to genome surveys. Protocols and their applications.
Educational objectives
Ability to address diagnostic investigations and optimize procedures.
Prerequisites
Knowledge of the genetic basis of tumors.
Teaching methods
Tutor system in working groups.
Learning verification modality
Verification of learning is done during the internship with questions and direct interaction with the student
Extended program
Conventional cytogenetics. FISH, PCR, sequencing. Telomeres, Chromosomal instability test. Test on paraffin sections. Nucleic acids, separation. Microarrays.
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - health and welfare

Cognomi M-Z

CFU
1
Teacher
Roberta La Starza
Teachers
  • Roberta La Starza
Hours
  • 25 ore - Roberta La Starza
Language of instruction
Italian
Contents
Technological approaches to genome surveys. Protocols and their applications.
Educational objectives
Ability to address diagnostic investigations and optimize procedures.
Prerequisites
Knowledge of the genetic basis of tumors.
Teaching methods
Tutor system in working groups
Learning verification modality
Verification of learning is done during the internship with questions and direct interaction with the student
Extended program
Conventional cytogenetics. FISH, PCR, sequencing. Telomeres, Chromosomal instability test. Test on paraffin sections. Nucleic acids, separation. Microarrays.
Obiettivi Agenda 2030 per lo sviluppo sostenibile
3 - health and welfare

PROFESSIONALISING TRAINING IN REUMATHOLOGY

Code GP005659
CFU 1
Learning activities Altro
Area Tirocini formativi e di orientamento
Academic discipline MED/16
Type of study-unit Obbligatorio (Required)

Cognomi A-L

CFU
1
Teacher
Roberto Gerli
Teachers
  • Roberto Gerli
Hours
  • 25 ore - Roberto Gerli
Language of instruction
Italian
Contents
Clinical activity with Rheumatologist, included clinical history, physical examination, diagnosis and therapeutic intervention; infusion of biotechnological agents; instrumental diagnosis by ultrasound evaluation of muscle-skeletal areas and ultrasound-driven interventions for joints, tendons, ...; diagnosis of microcirculation disorders by videocapillaroscopic examination; evaluations of foot and posture disorders.
Reference texts
REUMATOLOGIA per studenti e Medici a cura di UNIREUMA. IDELSON GNOCCHI IV Ed. 2022.
HARRISON et al. Principles of Internal Medicine XX Ed. 2021
McGraw Hill Ed.
Educational objectives
Results based on check of the acquired ability, behavior and interaction degree of the student.
Prerequisites
For the purpose of learning, the student should have good knowledge of anatomy and physiopathology and good skill in general phisical examination of the patient.
Teaching methods
Partecipation to the above described activities
Other information
secretariat Sezione of Reumatologia:

email: sezione.reumatologia@unipg.it

telephone: 075 578.3436 -.3975
Learning verification modality
For the professionalizing intership, there is no a specific exam, but this included in the final oral exam.
Extended program
1. Definition, classification and epidemiology of rheumatic diseases
2. The musculoskeletal system: anatomic and functional elements
3. Etiopathogenic mechanisms of rheumatic diseases
4. Signs and syntoms of rheumatic diseases
5. Laboratory and imaging diagnosis and synovial fluid analysis
6. Inflammatory joint diseases
a) Rheumatoid arthritis and other related joint diseases
b) Spondyloarthritis
i. Ankylosing Spondylitis
ii. Reactive arthritis
iii. Psoriatic arthritis
iv. Enteropathic arthritis
c. Polymyalgia rheumatica

7. Connective tissue diseases
a) Systemic lupus erythematosus
b) Antiphospholipid syndrome
c) Systemic sclerosis
d)Polymyositis/Dermatomyositis/Inflammatory myopathies/Anti-synthetasis antibody syndrome
e) Sjögren's syndrome
f) Overlap syndromes, included mixed connective tissue disesase
g) Undifferentiated connective tissue diseases (UCTD)

8. Primary systemic vasculitides
a) Large size-arteries: Takayasu arteritis, Horton arteritis
b) Medium-size arteries: polyarteritis nodosa
c) Medium and small-size vessels ANCA-associated (micropolyangioitis, granulomatosis with polyangioitis - Wegener's granulomatosis, with eosinophilic granulomatosis with polyangioitis - Churg-Strauss syndrome)
9. Small-size vessels
a) Behçet's disease
b) cryoglobulinemia
c) IgA vasculitis - Schönlein-Henoch purpura

10. Septic and post-infective arthritis (rheumatic fever)

11. Microcrystal arthropaties (Gout, Calcium pyrophosphate dihydrate and hydroxyapatite deposition disorders)

12. Osteoarthritis

13. Localized and generalized extra-articular rheumatic diseases and fibromyalgia

14. Neurovascular and neurologic syndrome
a) Raynaud 's phenomenon
b) Carpal tunnel syndrome

15. Autoinflammatory disorders
a. Adult Still disease

16. Miscellaneous disorders associated with rheumatologic manifestations
a. Sarcoidosis

Cognomi M-Z

CFU
1
Teacher
Elena Bartoloni Bocci
Teachers
  • Elena Bartoloni Bocci
Hours
  • 25 ore - Elena Bartoloni Bocci
Language of instruction
Italian
Contents
Clinical activity with Rheumatologist, included clinical history, physical examination, diagnosis and therapeutic intervention; infusion of biotechnological agents; instrumental diagnosis by ultrasound evaluation of muscle-skeletal areas and ultrasound-driven interventions for joints, tendons, ...; diagnosis of microcirculation disorders by videocapillaroscopic examination; evaluations of foot and posture disorders.
Reference texts
REUMATOLOGIA per studenti e Medici a cura di UNIREUMA. IDELSON GNOCCHI IV Ed. 2022. HARRISON et al. Principles of Internal Medicine XX Ed. 2021 McGraw Hill Ed.
Educational objectives
Results based on check of the acquired ability, behavior and interaction degree of the student.
Prerequisites
For the purpose of learning, the student should have good knowledge of anatomy and physiopathology and good skill in general phisical examination of the patient.
Teaching methods
Partecipation to the above described activities.
Other information
secretariat Sezione of Reumatologia: email: sezione.reumatologia@unipg.it telephone: 075 578.3436 -.3975
Learning verification modality
For the professionalizing intership, there is no a specific exam, but this included in the final oral exam.
Extended program
1. Definition, classification and epidemiology of rheumatic diseases
2. The musculoskeletal system: anatomic and functional elements 3. Etiopathogenic mechanisms of rheumatic diseases
4. Signs and syntoms of rheumatic diseases
5. Laboratory and imaging diagnosis and synovial fluid analysis
6. Inflammatory joint diseases
a) Rheumatoid arthritis and other related joint diseases
b) Spondyloarthritis
i. Ankylosing Spondylitis ii. Reactive arthritis iii. Psoriatic arthritis iv. Enteropathic arthritis
c. Polymyalgia rheumatica
7. Connective tissue diseases
a) Systemic lupus erythematosus b) Antiphospholipid syndrome
c) Systemic sclerosis d)Polymyositis/Dermatomyositis/Inflammatory myopathies/Anti-synthetasis antibody syndrome
e) Sjögren's syndrome
f) Overlap syndromes, included mixed connective tissue disesase g) Undifferentiated connective tissue diseases (UCTD)
8. Primary systemic vasculitides
a) Large size-arteries: Takayasu arteritis, Horton arteritis
b) Medium-size arteries: polyarteritis nodosa
c) Medium and small-size vessels ANCA-associated (micropolyangioitis, granulomatosis with polyangioitis - Wegener's granulomatosis, with eosinophilic granulomatosis with polyangioitis - Churg-Strauss syndrome)
9. Small-size vessels a) Behçet's disease b) cryoglobulinemia c) IgA vasculitis - Schönlein-Henoch purpura
10. Septic and post-infective arthritis (rheumatic fever)
11. Microcrystal arthropaties (Gout, Calcium pyrophosphate dihydrate and hydroxyapatite deposition disorders)
12. Osteoarthritis
13. Localized and generalized extra-articular rheumatic diseases and fibromyalgia
14. Neurovascular and neurologic syndrome a) Raynaud 's phenomenon b) Carpal tunnel syndrome
15. Autoinflammatory disorders
a. Adult Still disease
16. Miscellaneous disorders associated with rheumatologic manifestations
a. Sarcoidosis
b. IgG4 related disease
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