Unit Medical Sciences I

CARDIOVASCULAR DISEASES

Code	50587002
CFU	2
Teacher	Erberto Carluccio
Teachers	Erberto Carluccio
Hours	12 ore - Erberto Carluccio
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	CARDIOLOGY and HEART SURGERY The valvulopathies Congenital heart disease Heart failure Arrhythmias Systemic arterial hypertension Ischemic heart disease Cardiomyopathies Myocarditis The pericarditis Endocarditis Pulmonary embolism. Pulmonary hypertension. Acute and chronic pulmonary heart Surgical and interventional treatment of heart failure and cardiomyopathies. Heart transplant
Reference texts	Cardiology. For studentis and doctors Pasquale Perrone Filardi
Educational objectives	The learning outcomes are compliant with the provisions in the didactic regulations of the degree course as published on the web site:http://www.med.unipg.it/cclIt is expected that the student acquires: - Knowledge of etiology, pathophysiology, clinical manifestations, diagnostic and laboratory tests, pathophysiological basis of therapy, principles of surgical approach to cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale - skills allowing a proper approach to patients with cardiomyopathies, heart failure, myocarditis, pericarditis, endocarditis, pulmonary embolism, pulmonary hypertension, acute and chronic cor pulmonale, and adequate understanding of the diagnostic role of imaging studies in this context
Prerequisites
Teaching methods	The course is structured in frontal lectures, that will be organized in a coordinated way among teachers responsible for the various teaching modules.In addition, the following activites may be planned:- seminars- practical interactive training sessions, with special focus on clinical evaluation of patients with cardiovascular diseases, also with the use of simulation techniques.
Other information
Learning verification modality	MODE OF CONDUCTING THE EXAMINATION: Oral test lasting about 15 min consisting of 2 questions including 1 question about the clinical presentation, semeiotics, pathophysiology, and diagnosis of major cardiovascular diseases (see syllabus) and 1 about the description of an ECGRaphic tracing of a cardiac arrhythmia. An 'additional question on the minimum essential knowledge may be asked in the case of an unsatisfactory answer to the previous 2 questions. VERIFICATION OF CLINICAL SKILLS: interpretation of an ECGraphic report and/or cardiac auscultatory finding VERIFICATION OF SKILLS ACQUIRED DURING THE INTERNSHIP: description of a cardiological diagnostic technology or procedure METHOD OF ISSUING FINAL VOTE: arithmetic mean of the grades obtained in the individual disciplines
Extended program	CARDIOLOGY and HEART SURGERY Cardiovascular instrumental investigations and clinical applications of instrumental investigations in cardiology: ECG, echocardiography, ergometric test, myocardial scintigraphy, cardiac CT, cardiac magnetic resonance. The valvulopathies Mitral stenosis; Mitral insufficiency; combined defect Aortic stenosis; Aortic insufficiency; combined defect Valve prostheses. Surgical and interventional treatment of valvulopathies: surgical and trans-catheter replacement, valvuloplasty, other techniques. Congenital heart disease Approach to congenital heart disease: embryology of the heart, situs, atrio-ventricular connections and arterial ventricle. Pathophysiology of congenital heart disease. Classification of congenital heart disease (simple and complex. Pulmonary hyper flow, pulmonary hypo afflux, duct-dependent congenital heart disease). Main congenital heart diseases: interventricular defect, atrial defect, Fallot's tetralogy, Eisenmenger's syndrome, patency of the Botallo duct and duct-dependent heart disease, pulmonary stenosis, aortic coarctation. Surgical and interventional treatment of the main congenital heart diseases Heart failure Acute and chronic heart failure. Cardiogenic pulmonary edema and cardiogenic shock. Compensation mechanisms and pathophysiological basis of therapy. Compensation with preserved systolic function. Principles of surgical and interventional treatment of heart failure and cardiomyopathies Heart transplant Arrhythmias Atrial and ventricular hyperkinetic arrhythmias: ectopic beats, paroxysmal tachycardias, fibrillation and flutter Hypokinetic arrhythmias: sino-atrial blocks, branch blocks, atrio-ventricular blocks, Morgagni-Adam-Stokes syndrome Ventricular pre-excitation syndrome Cardiac arrest: causes and treatment approach. Principles of arrhythmias’s interventional treatment : ablation, pacemaker, implantable defibrillator Systemic arterial hypertension Primary and secondary arterial hypertension; hypertensive heart disease; organ damage from systemic arterial hypertension. Ischemic heart disease Coronary atherosclerosis: epidemiology and risk factors, pathophysiological characteristics, coronary remodeling Chronic coronary syndromes: stable angina pectoris. Acute coronary syndromes: unstable angina pectoris, acute myocardial infarction Surgical and interventional treatment of ischemic heart disease: coronary angioplasty and stenting, coronary artery bypass grafting Cardiomyopathies Dilated, hypertrophic, restrictive cardiomyopathy; Arrhythmogenic right ventricular cardiomyopathy, non-myocardial compaction, takotsubo syndrome. Myocarditis Pericarditis Acute and chronic pericarditis. Pericardial effusion and cardiac tamponade. Constrictive pericarditis. Endocarditis Pulmonary embolism. Pulmonary hypertension. Acute and chronic pulmonary heart VASCULAR SURGERY Arterial aneurysms: pathophysiology and clinic. Thoracic aortic aneurysms. Abdominal aortic aneurysms. Peripheral aneurysms. Aortic dissections Cerebrovascular insufficiency. Stenosing disease of the precerebral arteries Thoracic outlet syndrome Chemodectomas Obstructive arteriopathies of the limbs. Chronic peripheral ischemia. Acute peripheral arterial ischemia and revascularization syndrome Celiac-mesenteric deficiency Renovascular hypertension Arteriovenous fistulas Chronic venous insufficiency. Varices of the lower limbs Thromboembolic disease. Superficial thrombophlebitis and deep vein thrombosis. Post-phlebitic syndrome
Obiettivi Agenda 2030 per lo sviluppo sostenibile

INTERNAL MEDICINE

Code	50587007
CFU	7
Teacher	Matteo Pirro
Teachers	Matteo Pirro
Hours	42 ore - Matteo Pirro
Language of instruction	Italian
Contents	Internal medicine
Reference texts	Harrison's Principles of Internal Medicine, McGraw-Hill, ultima edizione/last edition
Educational objectives	The course teaches to dentistry students a correct information on the most important internal pathologies, with particular attention to those of greatest interest and most frequent in dental clinical practice.
Prerequisites	The student must have passed the Pathological Anatomy exam and the Internal Medicine Internship exam
Teaching methods	The teaching method adopted, useful for achieving the expected qualifying characteristics, provides for the horizontal and vertical integration of the knowledge acquired in the training course and is mainly centered on the ability to solve problems and make decisions, on early contact with the patient, on the acquisition of good clinical skills and in the human relationship with the patient. This teaching method uses lectures and professional training.
Other information
Learning verification modality	METHOD OF CONDUCTING THE EXAM: Oral test lasting approximately 15-20 minutes divided into at least 2 questions, 1 of which relating to the diagnosis of internal diseases (see programme) and 1 relating to therapy. A further question on the minimum necessary knowledge may be asked in the event of an unsatisfactory answer to the 2 previous questions. VERIFICATION OF CLINICAL SKILLS: interpretation of a radiological, instrumental specialist, laboratory report VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of a technology or diagnostic process relevant to internal medicine METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic or weighted average of the marks obtained in the individual disciplines, as established by the degree course
Extended program	Semeiology of the respiratory system and mediastinum: inspection, palpation, percussion, auscultation and instrumental semiology. Fundamental pulmonary conditions and related therapy notes: pneumonia, pleural effusion, COPD, pulmonary embolism, pneumothorax. Semeiology of the cardiovascular system: inspection, palpation, percussion, auscultation and instrumental semiology. Fundamental cardiovascular conditions and related notes on therapy: arterial hypertension, atherosclerotic vasculopathy, myocardial infarction, pericarditis, endocarditis, heart failure. Semeiology of the abdomen: inspection, palpation, percussion, auscultation and instrumental semiology. Fundamental abdominal conditions: intestinal obstruction, perforation, ascites, meteorism, abdominal masses, portal hypertension, renal lithiasis, acute abdomen, liver cirrhosis. Clinical classification of sepsis and related therapy notes Clinical classification of anemia and related notes on therapy Clinical classification of thrombocytopenia and related notes on therapy Clinical classification of diabetes mellitus and related treatment notes Indications and management of antithrombotic therapy
Obiettivi Agenda 2030 per lo sviluppo sostenibile	3

CFU

4

Teacher

Matteo Pirro

CFU

3

Teacher

Matteo Pirro