Interdisciplinary clinic course

A.Y. 2019/2020
12
Max ECTS
123
Overall hours
SSD
BIO/14 MED/09 MED/10 MED/11 MED/18 MED/25 MED/35 MED/38 MED/39 MED/45
Language
Italian
Learning objectives
The aims of the course are:
- to describe diseases and traumatic injuries more frequently as a cause of disability of the internal apparatus and which are the subject of medical treatment;
- to define the main clinical characteristics for these diseases;
- to correlate these diseases with the consequent disability;
- to know the sites and methods of drug interaction with the body, the principles of pharmacokinetics and pharmacodynamics, undesirable effects and drug interactions;
- to describe what is a pharmacological treatment and what are the main classes of drugs and the possible effects that some of these may have on rehabilitation treatment;
- to describe what are the main causes of disability in children and learn how to define the main aspects;
- to define the concept of mental disorder and psychiatric therapy in its historical dimension and in the organization of psychiatric services;
- to identify the tools to understand the typical aspects of psychopathological manifestations;
- to address their relationship with the psychiatric patient in order to obtain his collaboration in the rehabilitation program.
- to give the definition of child neuropsychiatric pathology and describe the most frequent affections in this area;
- to identify the rehabilitation needs of young patients and adopt the most suitable behaviors to obtain them;
- to detect the main vital parameters;
- to identify emergency clinical situations in humans;
- to adopt the elementary first aid measures.
Expected learning outcomes
· To recognize, monitor and deal with psychiatric emergency situations
· To acquire the ability to establish relationships of help with the person affected by illness and mental health problems and his or her family or caregivers
· To acquire the knowledge and methods for the management of assistance, from a clinical-assistance and rehabilitation point of view, for the person presenting biophysiological, physiopathological, psychological and socio-cultural manifestations and signs related to disease states and neuropsychiatric disability
· To deepen the knowledge of relationship techniques with the various recipients of physiotherapy assistance, the person assisted, the family and caregivers
Course syllabus and organization

Single session

Prerequisites for admission
Having passed the exams of Anatomy and Human Physiology
Assessment methods and Criteria
Learning is verified with a written exam through multiple choice tests.
The evaluation consists of a mark expressed in thirtieths
Farmacologia
Course syllabus
1. General aspects
· Principles of drug action
- Drugs and toxic agents
- Discovery and development of new drugs
- Pharmacovigilance
- Pharmacodynamics and pharmacokinetics
Dose/response curves
Efficacy, Potency, Therapeutic index

2. Pharmacokinetics
· Routes of administration and Pharmaceutical preparations
· Absorption of drugs
· Distribution of drugs
· Biotransformation of drugs
· Elimination of drugs.
· Main pharmacokinetic parameters.
3· Variability in drug response
Pharmacogenetics
Drug-drug interactions.
Adverse reaction

Drugs used for specific diseases.
Main classes of drugs, mechanisms of action, therapeutic use, side / toxic effects.
4. Autonomic nervous system
· Sympathetic and parasympathetic system. Adrenergic and cholinergic neurotransmission
· Agonist and antagonist drugs that interfere with adrenergic transmission
· Agonist and antagonist drugs that interfere with cholinergic transmission
5. Musculoskeletal system
· Nonsteroidal anti-inflammatory drugs
· Glucocorticoids.
6. Central analgesic drugs and other drugs for pain
- Anxiolytic - hypnotic drugs
- Antidepressant drugs
- Analgesic drugs
- Drugs used in Parkinson's disease
- Drugs used in Alzheimer's disease
- Antipsychotic drugs
- Antiepileptic drugs
Teaching methods
Classes
Teaching Resources
Di Giulio AM, Cella SG,Gorio A, Scaglione F, Carelli S. Farmacologia generale e Speciale. Per le lauree sanitarie. (2ed). Padova: Piccin 2018.
Rang HP, Ritter JM, Flower RJ, Henderson G. Rang & Dale La Farmacologia. Ottava Edizione . casa Editrice Masson (2017)
Clark MA, Finkel R, Rey JA, Whalen K. Le basi della Farmacologia. (2ed).
Bologna: Zanichelli editore; 2013
Medicina interna
Course syllabus
Nephrotic syndrome;
Urinary sediment,
Nephritic Syndrome,
IRA,
IRC.
Teaching methods
The program will be carried out through lectures, with the help of teaching material (slides and / or videos).
Teaching Resources
Harrison Principi di Medicina Interna
Malattie dell'apparato respiratorio
Course syllabus
GENERAL POINTS ON RESPIRATORY SYSTEM ANATOMY AND PHYSIOLOGY
DIAGNOSIS IN RESPIRATORY DISEASES: MAIN TESTS
CHRONIC OBSTRUCTIVE DISEASES
BRONCHIECTASIS, CISTIC FIBROSIS, LUNG TUMOR
RESTRICTIVE SYNDROME
PNEUMONIAE
TUBERCOLOSIS
LONG TERM OSSIGENOTHERAPY, NON INVASIVE VENTILATION, DEVICES FOR THE INHALATORY THERAPY
Teaching methods
Frontal lessons
Teaching Resources
MALATTIE RESPIRATORIE: L'ESSENZIALE. L. ALLEGRA, F. BLASI, G.W. CANONICA, S. CENTANNI, G. GIRBINO. ED ELSEVIER MASSON.
Malattie dell'apparato cardiovascolare
Course syllabus
Approach to the patient with cardiovascular disease: how to recognize the presentation syndromes of the patient with CV disease (arterial hypertension, ischemic heart disease, heart failure, main arrhythmias), how to measure heart function, which tests are useful in the diagnosis of cardiovascular diseases.
Approach to the patient with CV disease first: how to distinguish heart failure, angina pectoris, hypertensive crisis and major arrhythmia.
Principles of atherosclerosis and development of the ATS plaque
Ischemic cardiopathy
Cardiovascular prevention principles
Teaching methods
Frontal lessons, clinical case, working group
Teaching Resources
Lessons
Harrisons'
Psichiatria
Course syllabus
Introduction to mental disorders
· The interview in psychiatry and the mental state exam
· Disorders of the schizophrenic spectrum
· Mood disorders
· Anxiety disorders
· Eating behavior disorders
· Disorders from drug use and new addictions
· Psychogenic movement disorders
· Compulsory health treatment
· The organization of mental health services in Italy
Teaching methods
Frontal lessons
Teaching Resources
Compendio di psichiatria per le professioni socio-sanitarie a cura di Cesare Maria Cornaggia, Massimo Clerici, 2015, FrancoAngeli Editore.
Chirurgia generale
Course syllabus
Physiopathology and treatment of pain, principles and working mechanism of local anesthetics, post-surgery intensive care, physiotherapy and rehabilitation of patients during intensive care and after surgery.
Teaching methods
Frontal teaching
Teaching Resources
M. Richard Pino: Manuale di procedure di anestesia clinica del Massachussetts General Hospital. Antonio Delfino Editore
Malattie cutanee e veneree
Course syllabus
· Skin Infectious Diseases: parasitic, mycotic, bacterial and viral
Scabies, Dermatophyte fungal infection,Tinea versicolor, Pyodermitis, Erysipeloid
Warts, Molluscum contagiosum, Herpes simplex and Herpes zoster infections
· Psoriasis , psoriasis arthritis
· Biological effects of UV radiations: Actinic keratosis, Cutaneous carcinomas, Nevi and melanoma
· Burns: etiopathogenesis, clinical aspects, complications and rehabilitative treatments
· Concepts of anatomy and physiology of visual system
· Pathophysiological optics and refraction diseases
· Abnormal head position and ocular mobility pathology
· Ocular traumatology
Teaching methods
The program will be carried out through lectures in classroom with the help of teaching material (slides)
Teaching Resources
· Manuale di Dermatologia Medica e Chirurgica. T.Cainelli, A. Giannetti. Mc Graw Hill 6ed
· Oftalmologia ( Toselli e Miglior); Manuale di oftamologia ( E.C. Campos et al.)
Scienze infermieristiche generali cliniche e pediatriche
Course syllabus
· Clinical and instrumental patient monitoring (detection of the main signs and symptoms / vital parameters: blood pressure, pulse, type of breath, respiratory rate, temperature, state of consciousness, glycemia, skin complexion).
· Measuring pain (instruments, risk assessment scales)
· Prevention of: infections, accidental falls and pressure injuries
· Theoretical principles of BLSD (Basic Life Support and early Defibrillation) and survival chain
· E.W.S (Early Warning Scores): causes and prevention of cardiac arrest
Teaching methods
Lessons aim to get learning activity in interactive way, with frontal lessons and exercises to experience the use of risk assessment scales.
Teaching Resources
· Sasso L, Silvestro A. Infermieristica in area critica. 2nd ed. Milano: Mc Graw Hill;2012
· Craven R.F., Hirnle C.I. Principi fondamentali dell'assistenza infermieristica: Milano Casa Editrice Ambrosiana, 2015.
Neuropsichiatria infantile
Course syllabus
- Normal child development
- intellectual disability and psychomotor retardation
- cerebral palsy: diagnosis, etiology, therapeutic approach
- autism
- mood disorders and anxiety disorders in chidren in adolescents
- childhood epilepsies
- movement disorders in children
Teaching methods
Frontal lessons
Teaching Resources
Militerni Neuropsichiatria Infantile - IDELSON GNOCCHI
Pediatria generale
Course syllabus
Newborn infant and newborn screening
Preterm Infants
Respiratory Diseases of the Newborn
Hypoxic-Ischemic Encephalopathy, Intracranial Hemorrhage, Cerebral Pulsy
Obstetric Paralysis
Pediatric Nutrition and Nutritional Disorders, Obesity
Growth and Development (normal and disorders)
Disorders of Puberty
Approach to the Dysmorphic Child and to the Congenital Malformation (Hearth Disease included)
Chromosomal and Genetic Disorders
Respiratory Tract Infection
Allergic Disorders, Asthma
Disorders of malabsorption (Cystic Fibrosis, Celiac Disease)
Fever
Seizures
Meningitis, Encephalitis
Viral rashes, Herpes Virus infections, Mononucleosis
Vaccinations
Rheumatic Diseases of Childhood (Rheumatic Fever, Juvenile Idiopathic Arthritis)
Scoliosis, Kyphosis, Dysplasia of the Hip, Congenital Bone Disorders
Teaching methods
Frontal lesson
Teaching Resources
- Nelson Manuale di Pediatria. Marcdante - Kliegman - Nelson 2019
- Manuale di Pediatria - La Pratica Clinica. GV Zuccotti - Esculapio 2016
- Ulteriore materiale didattico fornito dal docente
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 10 hours
Professor: Veronesi Paolo
Farmacologia
BIO/14 - PHARMACOLOGY - University credits: 2
Lessons: 20 hours
Professor: Di Giulio Anna Maria
Malattie cutanee e veneree
MED/35 - DERMATOLOGY AND VENEREAL DISEASES - University credits: 1
Lessons: 10 hours
Malattie dell'apparato cardiovascolare
MED/11 - CARDIOVASCULAR DISEASES - University credits: 1
Lessons: 10 hours
Shifts:
Professor: Carugo Stefano
Sezione: Don Gnocchi
Professor: Sponzilli Carlo
Sezione: San Carlo
Professor: Sponzilli Carlo
Sezione: San Paolo
Professor: Sponzilli Carlo
Malattie dell'apparato respiratorio
MED/10 - RESPIRATORY DISEASES - University credits: 1
Lessons: 10 hours
Shifts:
Sezione: San Paolo
Professor: Santus Pierachille
Sezioni: San Carlo - Don Gnocchi
Professor: Di Marco Fabiano
Medicina interna
MED/09 - INTERNAL MEDICINE - University credits: 2
Practicals: 8 hours
Lessons: 15 hours
Shifts:
Sezione: Don Gnocchi
Professor: Racca Vittorio
Sezioni: San Paolo - San Carlo
Professor: Folli Franco
Neuropsichiatria infantile
MED/39 - CHILD NEUROPSYCHIATRY - University credits: 1
Lessons: 10 hours
Professor: Vignoli Aglaia
Pediatria generale
MED/38 - PAEDIATRICS - University credits: 1
Lessons: 10 hours
Shifts:
Professor: Verduci Elvira
Sezione: Don Gnocchi
Professor: Cefalo Graziella
Sezione: San Carlo
Professor: Cefalo Graziella
Sezione: San Paolo
Professor: Cefalo Graziella
Psichiatria
MED/25 - PSYCHIATRY - University credits: 1
Lessons: 10 hours
Scienze infermieristiche generali cliniche e pediatriche
MED/45 - NURSING - University credits: 1
Lessons: 10 hours