Internal medicine (oncology, geriatrics, nursing, neurology)

A.Y. 2019/2020
7
Max ECTS
70
Overall hours
SSD
MED/06 MED/09 MED/26 MED/45
Language
Italian
Learning objectives
The course aims at providing the fundamental knowledge of pathologies in the field of internal medicine: the origin, the main clinical signs, the major treatments, the epidemiology and the problems connected to the management of acute and chronic pathology, especially with the elderly; specific attention is addressed to the field of oncology, geriatrics and neurology;
Expected learning outcomes
The student will be able to:
· discuss the fundamentals, the main signs and the main treatment methods of pathologies in the field of internal medicine (and in particular in oncology, geriatrics and neurology);
· discuss the most relevant epidemiological data of the current Italian population;
· discuss issues related to hospitalization / institutionalization with particular reference to the elderly person;
· discuss palliative care and cancer-related supportive therapies;
· discuss the structures of the central nervous system that control and integrate movement and sensory;
· discuss the basic aspects of neuropsychology;
· discuss the elements of first aid.
Course syllabus and organization

Single session

Prerequisites for admission
Be enrolled in the 2nd year course
(It is a basic course preliminary knowledge is not requiered)
Assessment methods and Criteria
Written and oral exam
Oncologia medica
Course syllabus
- Epidemiology and biology of cancer
- Medical cancer treatment
- Palliative care in cancer disease
Complications of cancer treatment
Teaching methods
Classroom lessons
Teaching Resources
Manuale di Oncologia medica - ed Minerva Medica - eds COMU, Collegio degli oncologi medici italiani
Medicina interna
Course syllabus
Programme:
History of Geriatrics
Epidemiology
Consequences of ageing
Ageing theories
Functional evaluation scales
Deterioration
Mental deterioration (dementia and Mild Cognitive Impairment)
Geriatric syndromes: immobility, incontinence, delirium, malnutrition, walking and balance disorders
Syncope and falls
Pathologies: cardiovascular failures, metabolic syndrome, obesity
Advance Treatment Declarations (LAW 22 December 2017, n ° 219)
Teaching methods
Classroom lessons
Teaching Resources
Note pratiche di diagnosi e terapia per l'anziano
Linee Guida delle Società Italiane di Geriatria e di Medicina Interna
"GentleCare": Chancing The Experience of Alzheimer's Disease in a Positive Way. Moyra Jones.
Neurologia
Course syllabus
Aims: to teach the anatomical-functional bases and semeiotics of the central and peripheral nervous system, as well as the physiopathological aspects of cognitive functions and the clinical syndromes connected to them. Finally the course deals with the main neurological pathologies.
Programme:
Cognitive Functions: Language and aphasia: brain areas responsible for language; language examination; clinical classification of aphasia. Apraxia: ideomotor, ideational, bucco-facial apraxia; brain areas responsible for praxic functions; examination of praxia. Memory and amnesic syndromes: short-term memory and long-term memory; retrograde memory and antegrade memory; memory exam; brain areas responsible for memory functions; amnesic syndromes disorders of thought and behavior control: the prefrontal cortex; functions performed by the prefrontal cortex: attention, cognitive flexibility, abstraction, judgment, programming, forecasting; cognitive alterations from prefrontal dysfunction and environmental addiction syndrome;
Anatomo-physio-pathological correlations: Voluntary movement: anatomo-physiological references: the pyramidal system; semeiotics: central and peripheral paralysis, reflex movement: anatomical-physiological references: osteotendinous reflexes and muscle tone; semeiotics: hyperreflexia and spasticity, hyporeflexia and flaccidity. Coordination and balance: anatomical-physiological references: the cerebellum. Cerebellar disorders. Fluidity and motor control: anatomical-physiological references: nuclei of the base and extrapyramidal system. Parkinsonisms. Involuntary movements and dystonias. Somatic sensitivity: anatomical-physiological references: the ways of superficial sensitivity and deep sensitivity. The distribution of sensory disturbance. The dissociation of sensitivities;
Main Neurological pathologies: Degenerative diseases: Alzheimer's disease, Amyotrophic Lateral Sclerosis, Parkinson's disease, Disimmune diseases: Multiple Sclerosis, Guillain Barrè's disease, Myasthenia Gravis. Vascularization of the central nervous system: anatomical references. Cerebrovascular diseases: ischemic and hemorrhagic brain stroke, neurovascular syndromes)
Teaching methods
Classroom lessons
Teaching Resources
"Adams and Victors. Principles of neurology" by Allan H. Ropper, Robert H. Brown
"Bradley's Neurology in Clinical Practice, 2-Volume Set, 7th Edition" by di Daroff, Jankovic, Mazziotta, Pomeroy , "Neurologia" by Cambier, Masson, Masson, Deher, "Neuropsicologia" by Lavadad -Berti.
Scienze infermieristiche generali, cliniche e pediatriche
Course syllabus
Vital signs (temperature°, cardiac and respiratory frequency, blood pressure): basic knowledge and techniques in monitoring these items.
Bladder catheter: basic knowledge and management.
Decubits classification and prevention techniques.
First responder: hypotension and hypertension, hypothermia and hyperthermia, foreign body inhalation. and emergency intervention (practical exercise).
Cardiopulmonary resuscitation (practical exercise).
Teaching methods
Classroom lessons / laboratory
Teaching Resources
Course slides, lecture notes
Guide lines, European Resuscitation Council 2015, italian translation by the " Italian Resuscitation Council" (https://www.ircouncil.it/)
EPUAP Guide lines - italian translation - 2016
Medicina interna
MED/09 - INTERNAL MEDICINE - University credits: 2
Lessons: 20 hours
Neurologia
MED/26 - NEUROLOGY - University credits: 3
Lessons: 30 hours
Professor: Bocci Tommaso
Oncologia medica
MED/06 - MEDICAL ONCOLOGY - University credits: 1
Lessons: 10 hours
Scienze infermieristiche generali, cliniche e pediatriche
MED/45 - NURSING - University credits: 1
Lessons: 10 hours
Professor: Carasi Francesco