Unit CLINICAL VETERINARY SURGERY I

VETERINARY ANESTEHESIOLOGY

Code	85008702
CFU	2
Teacher	Sara Nannarone
Teachers	Sara Nannarone
Hours	26 ore - Sara Nannarone
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Sector	VET/09
Type of study-unit	Obbligatorio (Required)

DIAGNOSTIC IMAGING

Code	85008903
CFU	3
Teacher	Francesca Beccati
Teachers	Francesca Beccati Antonio Di Meo (Codocenza)
Hours	35 ore - Francesca Beccati 4 ore (Codocenza) - Antonio Di Meo
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Sector	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Allow students to improve the knowledge on the diagnostic imaging, the diagnostic possibilities of different diagnostic techniques such as equine radiology, and ultrasound, MRI and scintigraphy in domestic animals.
Reference texts	Butler: Clinical Radiology of the Horse Dyson: Lameness in the horse BSAVA manual of Canine and Feline Musculoskeletal imaging Berry: Atlas of small animal imaging Barone: Anatomia comparata degli animali domestici
Educational objectives	D1 - KNOWLEDGE AND UNDERSTANDING The student must: - have knowledge of the physical principles of the main diagnostic imaging techniques that can be used in domestic animals (ultrasound, MRI, scintigraphy and fluoroscopy) and equine radiology - have knowledge of the technical aspects of ultrasound, tomographic (MRI) techniques, scintigraphic and fluoroscopic instrumentation used in veterinary medicine - have knowledge of anatomy applied to individual imaging techniques in domestic animals - have knowledge of the expression of diseases of surgical interest in the various diagnostic imaging techniques in domestic animals, including equine radiographic findings D2 - ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING At the end of the training activity the student must: - know how to choose the most appropriate diagnostic technique for the type of pathology and according to the history and clinical examination of the animal - know how to choose the best settings in the single diagnostic techniques to obtain the maximum amount of information - be able to recognize the limits of diagnostic techniques and choose the most appropriate technique or techniques for further investigations D3 - AUTONOMY OF JUDGMENT At the end of the training activity the student must be able to: - choose the most appropriate diagnostic technique according to the history and clinical findings in pathologies of surgical interest in domestic animals - be able to interpret the identified diagnostic findings in terms of significance or incidental relief - know how to recognize the limits of the techniques used and judge the choice of further investigations D4 - COMMUNICATION SKILLS At the end of the training activity the student must: - be able to describe correctly and with adequate terminology the images of the different techniques (radiograms, ultrasounds, MRI tomograms, scintigraphies) - know how to organize, prepare and present a presentation of a hypothetical clinical case motivating the choice of diagnostic imaging techniques and describing the differential diagnoses based on images and the definitive diagnosis using the knowledge of anamnesis and clinical exam - support a debate on the relevance or otherwise of the diagnostic findings identified D5 - LEARNING SKILLS At the end of the training activity the student must be able to: - consult and understand scientific texts, bibliographic updates - possess enough knowledge of the subject that allows him/her to continue professional updating throughout the profession through continuous training
Teaching methods	The course is organized as follows. Lectures on some of the topics of the module programme Tutorial in operating theaters and examination rooms of OVUD. The students according to the number are divided into groups for the practical work and for the Clinical Rotation and, possibly with the OVUD caseload, as regards the clinical routine cases while a group take place directly on the patient diagnostic procedures, another with the teacher, address conventional diagnostic procedures. Particular attention will be paid to the logical approach of the diagnostic procedure in emergency or elective cases from the referred animals until the therapy and possible discharge of the case.
Other information
Learning verification modality
Extended program	Introduction to the course of diagnostic imaging; Procedures and rules for the examination; Teaching materials; Interpretation of findings of musculoskeletal radiographic changes in the horse (60') Principles of musculoskeletal ultrasonographic findindings and sonographic artifacts (60') Resonance Imaging (CT) in small animals (90') Radiographic findings of musculoskeletal disease in the horse: developmental orthopedic disease and arthropathy (150) Radiographic findings of musculoskeletal disease in the horse: Fracture (150) Musculoskeletal ultrasound (muscles, tendons, ligaments, joint) (150'): application in the horse Ultrasound examination of the hock and knee in dogs (60') Ultrasound examination of the shoulder in dogs (60') The use of fluoroscopy (30') Abdominal ultrasound in the horse (90') Ultrasound of abdominal parenchymal organs in the horse (90') Ultrasound of umbilicus in foal (60') Thoracic ultrasound in the horse (90') Magnetic Resonance Image: general principles (300') Scintigraphy: general principles and application in the horse and small animal (60')

OPERATIVE MEDICINE

Code	GP005396
CFU	2
Teacher	Marco Pepe
Teachers	Marco Pepe
Hours	26 ore - Marco Pepe
Learning activities	Caratterizzante
Area	Discipline cliniche veterinarie
Sector	VET/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Knowdlege of the main surgical procedures in all apparatus of the domestic animals. The emphasis of this course is development of advanced understanding of relevant surgical procedures in small and large animals that lead to appropriate decision making. There will be particular attention on the principles of reconstructive surgery, intestinal surgery and determination of intestinal viability and postoperative care and complications associated with abdominal surgery. There are also an overview of upper respiratory airway, all procedures af the muscoloscheletral apparatus, uro-genital system, nervous system and eye and adenexa. The lessons will be held by the professor and, for some particular topics, by other teachers who are experts in the subject to be discussed.
Reference texts	Auer: Equine Surgery, V edition Saunders Ed. ISBN 0 7216 2860 5 Fossum: Chirurgia dei piccoli animali, Masson Ed. ISBN 88 214 2684 X Slatter: Chirurgia dei piccoli animali, III Ed., Antonio Delfino Ed. Roma ISBN 88 72873347 The topics discussed on classes will be available on unistudium platform: https://www.unistudium.unipg.it/unistudium/
Educational objectives	The course is the first dedicated to teaching all operative medicine of small and large animals. D1 - KNOWLEDGE AND UNDERSTANDING ABILITY The student must - have knowledge of surgical procedure of small and large animal . D2 - ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING D3 - AUTONOMY OF JUDGMENT The main objective of the course is to provide theoretical and practical sessions to address the knowledge and techniques of surgical instrumentation an materials, and most common procedures in domestic animals. The main focus of the knowledge gained will be mainly for the knowledge of operating rooms and surgical environments, the concepts of sterilization, antisepsis, surgical patient preparation and surgical instruments as well the knowledge of the techniques and conventional and minimally invasive surgical procedures The main skills (ie the ability to apply their knowledge) will be the acquisition by the student to know practically instrumentations and surgical procedures in small and large animals. D4 - COMMUNICATION SKILLS At the end of the training the student will be able to: - to organize, prepare and exhibit, to an audience composed of peers of equal, a presentation on a surgical pathology of pets with their own evaluations supported by appropriate arguments, - support a cross-examination with people of both equal preparation (licensed professional) and experts in different subjects, of a regulatory and scientific nature, procedural and / or technological, - demonstrate language properties in both written and oral form as well ability to employ sufficiently appropriate terminology for a correct approach to the profession, also important for the purposes of interviews of work. D5 - LEARNING SKILLS At the end of the training the student will be able to: - consult and understand scientific texts, including the innovative ones, bibliographic updates, so as to employ them in contexts not only usual for the practical profession, including research, but also originals, - possess a sufficient mastery of the topic in order to guarantee an acceptable basis to continue updating throughout his career through continuous education
Prerequisites	In order to understand and to apply the main procedures of the course, students must have passed the examinations of Patologia Chirurgica. For some topics covered in the course will require the ability to interpret the x-ray and ultrasound images in order to follow the course with profit.
Teaching methods	The course is organized as follows .. Classroom lectures on the topics of the course 18 hours Exercises in ambulatory and surgical suites of the OVUD. The students based on the number will be divided into groups and, possibly with the OVUD caseload, one group take place directly on the patient diagnostic procedures, another will be involved under the teacher supervision in the surgical procedures or therapies and critical care as appropriate. Particular attention will be focused to the logical approach of the clinical case from the referred animals until the therapy and possible discharge of the case necessary. 8 hrs student divided in small groups
Learning verification modality	The exam includes an oral test and a possible reading test of medical images (practice). The assessment tests are carried out through: A single examination The test lasts about 30-60 minutes. The goal of the test is to identify the capacity of the student in identifying the diagnostic path to find causes and the therapeutic approaches of the main surgical diseases Oral examination The oral exam consists in the discussion of clinical cases or topics related to the teaching modules or topics of surgery of small and large animals, anesthesiology and diagnostic imaging with a discussion on the programs carried out in class and indicated in the reference texts. The oral exam will also allow students to verify the student's communication skills with language properties and autonomous organization of the exposition of the same topics with theoretical content as well as to verify the medical terminology and the ability to connect with other clinical subjects. The practical test consists in evaluating the basic interpretative abilities of some diagnostic cases (X-ray ultrasound and diagnostic level examinations) observed and carried out by the student during the practical exercises of the course. At this point it is run an average of 3 votes which constitute the final score of the candidate The final examination is oral Student do not have limit at the attempts for examination of this course Students have to successfully complete preceding examinations/subjects before starting this subject Anyone wishing to improve their marks may sit the oral exam with the examination commettee. For information on support services for students with disabilities and / or DSA visit the page http://www.unipg.it/disabilita-e-dsa Evaluation criteria: Below 18/30 Lack of possession of minimum knowledge of the subject, of detectable skills and abilities, difficulty in focusing the requested topic and bumpy exposure. 18-20/30 Inaccurate focus of the requested topic. Fragmentary knowledge. Uncertain exposure. 20-22/30 Identification of the topic. Essential knowledge. Correct exposure. 22-24/30 Identification of the topic, good interdisciplinary links. Neat and correct topic exposure 24-26/30 Good knowledge of the subject, contextualization and good interdisciplinary connections. Ability to make logical deductions and to argue effectively. 26 28/30 Good knowledge of the subject, ability of interdisciplinary and / or multidisciplinary connections. Ability to study in depth and personal contributions. 28 30/30 Excellent knowledge of the subject of the exam, high ability of interdisciplinary connections, precision and linguistic richness, exhibition originality
Extended program	Modalities and rules for the exam session; teaching material Introduction to the surgery Surgery facilities sterilization, Antisepsis Preparation on the surgical patient sepsis; Sterilization; Post Operative management (1 hr) Shock Patient with trauma Endotoxiemia (1 Hr) Biomaterials Surgical theatre (1 Hr) Surgical instrumentations Surgical techniques Suture Materials and patterns surgical techniques, (1 Hr) Surgical implants and instruments Laser in veterinary surgery Wound management and repair Surgical site infection and treatment Drains, Bandages, External Coaptation (1 Hr) Musculoskeletal surgical techniques: method of internal and external fracture fixation (1 Hr) Gastrointestinal surgical techniques: surgery of oral cavity, oesophagus, salivary glands, stomach, intestine, rectum and anus, liver and biliary system (2 Hr) Respiratory surgical techniques: upper and lower respiratory tract in large and small animals (3 Hr) Urinary and reproductive system surgical techniques: surgery of kidneys, bladder, urethra, in small and large animals testicles, ovarian and perineum Laparoscopy (1 Hr) Opthalmic surgery (1 Hr) Arthroscopy, tenoscopy, concept of joint treatments (1 Hr) Rectal and rectovaginal tears (1 Hr) Knee elbow and ankle disease small animals Equine hoof diseases (1 Hr) Tendons and Ligament diseases (1 Hr) Angular limb Deformity (1 Hr)