System diseases 2 (clerkship)

A.Y. 2019/2020
4
Max ECTS
100
Overall hours
SSD
MED/10 MED/15 MED/36
Language
English
Learning objectives
Practical activities will be organized, through simulation or at the bedside in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Expected learning outcomes
At the end of the practical activities, students should be able to:
- take the history of the patient
- perform a clinical examination of the thorax: inspection, palpation, percussion, auscultation
- perform a clinical examination of the precordial region: palpation, auscultation
- examine the arterial pulses
- measure blood pressure
- perform a clinical examination of the abdomen: inspection, auscultation, percussion, palpation (liver, spleen)
- examine and interpret the results of blood gas analysis
- examine and interpret the results of laboratory assessment (interpretation of a full blood count, look at a peripheral blood or bone marrow smear)
- observe the execution of a bone marrow aspirate or trephine
Course syllabus and organization

Unique edition

Prerequisites for admission
To take the System Diseases 2 exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Assessement methods and criteria
Student assessment is based on a combination of written and oral examinations.
The written exam is a multiple choice test focused on the topics of the modules: Clinical Biochemistry, Microbiology, Pathology (10 questions for each subject). Only students who successfully pass the written tests of all subjects (threshold 7/10) are allowed to take the oral examination, focused on the modules: Diagnostic Imaging, Respiratory Diseases and Blood Diseases.
The oral examination must be passed in the same session as the written examination.
The students must undergo both written and oral examination on the same day. If the student does not pass successfully the oral examination, the positive result at the written test is valid only within the same session.
The final mark is the average of the marks obtained in the three oral examinations weighted for the number of credits of each discipline.
The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
Registration to the exam through SIFA is mandatory.
Respiratory diseases
Course syllabus
Pneumology: Pulmonary function tests and imaging
Clinical approach to: Chronic Obstructive Pulmonary Disease, Asthma, Diffuse parenchymal lung diseases, Obstructive and Restrictive lung diseases, Respiratory infections, Pleural diseases, Acute and chronic respiratory failure (RF)
Examination of laboratory tests

Hematology: clinical approach to bleeding syndromes, thrombotic disorders and thrombotic microangiopathies, hemoglobinopathies, red cell disorders, myeloproliferative syndromes, acute myeloid and lymphoid leukemias, myelodysplastic and bone marrow failure syndromes,
Clinical approach to lymphadenopathies and splenomegaly and hematological emergencies
Examination of laboratory tests

Imaging of thrombosis and pulmonary thromboembolism and related interventional procedures - intravascular thrombolysis, vena cava filters
PET in the staging and restaging of lymphomas
Teaching methods
Lectures, Clinical cases, Case studies. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Bibliography
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Hematology Pathophysiology, Diagnosis and Treatment. Tura, Cavo, Zinzani. Società Editrice Esculapio 2018
· Teaching material from the individual lectures
· Website: www.uptodate.com
Blood diseases
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Respiratory diseases.
Teaching methods
Lectures, Clinical cases, Case studies. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Bibliography
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Hematology Pathophysiology, Diagnosis and Treatment. Tura, Cavo, Zinzani. Società Editrice Esculapio 2018
· Teaching material from the individual lectures
· Website: www.uptodate.com
Radiology
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Respiratory diseases.
Teaching methods
Lectures, Clinical cases, Case studies. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Bibliography
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Hematology Pathophysiology, Diagnosis and Treatment. Tura, Cavo, Zinzani. Società Editrice Esculapio 2018
· Teaching material from the individual lectures
· Website: www.uptodate.com
Blood diseases
MED/15 - BLOOD DISEASES - University credits: 2
Clerkship (professional training): 50 hours
Shifts:
Group 1
Professor: Corradini Paolo
Group 2
Professor: Onida Francesco
Group 3
Professor: Federici Augusto Bramante
Radiology
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Clerkship (professional training): 25 hours
Professor: Messina Carmelo
Respiratory diseases
MED/10 - RESPIRATORY DISEASES - University credits: 1
Clerkship (professional training): 25 hours
Shifts:
Group 1
Professor: Santus Pierachille
Group 2
Professor: Centanni Stefano
Group 3
Professors: Aliberti Stefano, Mantero Marco
Professor(s)
Reception:
To be arranged by e-mail
Pad. Granelli, CTMO, Fondazione Ospedale Maggiore Policlinico, Milan