System diseases 1 (clerkship)

A.Y. 2019/2020
3
Max ECTS
75
Overall hours
SSD
MED/11 MED/14 MED/36
Language
Italian
Learning objectives
Practical activities will be used, through simulation or 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:
- 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)
At the end of the Cardiovascular clerkship, students should be able to:
- perform an ECG recording
- describe ECG recordings: depicit pathological signs
At the end of the Nephrology clerkship, students should be able to:
- describe and analyse blood gas analysis
- describe and analyse urinary sediment
- describe how to perform a renal ultrasound assessment
- describe how the different radiologic examination are obtained
- use the imaging based diagnostic thinking which will guide successful therapeutic interventions
Course syllabus and organization

Single session

Prerequisites for admission
To take the System Diseases 1 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).
Assessment 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, Cardiovascular Diseases, Nephrology.
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.
Cardiovascular diseases
Course syllabus
Diagnostic Imaging. Sonography, Computerized Tomography - CT, Magnetic Resonance Imaging - MRI.

Cardiology. ECG: normal, Arrhythmias Ischemic heart disease
Clinical approach to Valvular heart disease , Pericarditis and endocarditis, Heart failure, Pulmonary hypertension
Diagnostic Cardiac and Cardiovascular imaging
Examination of laboratory tests

Nephrology. Clinical approach to patients with urinary tract and renal infection, acute kidney injury / acute renal failure, chronic kidney disease, renal vascular diseases
Management of artificial kidney
Diagnostic kidney imaging
Examination of laboratory tests, analysis of the urinary sediment
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· 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/)
· Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Bates' Guide to Physical Examination and History Taking, Lynn S. Bickley
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders. (e book)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Nephrology textbooks and resources:
o Edinburgh Renal Education Pages Textbook. Free textbook available at http://www.edrep.org/pages/textbook.php
o Robert W. Schrier. Manual of Nephrology. Wolters Kluwer Health, 2014
· JOVE Clinical Skills - Digital library of the University of Milano
Nephrology
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 Cardiovascular diseases.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· 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/)
· Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Bates' Guide to Physical Examination and History Taking, Lynn S. Bickley
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders. (e book)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Nephrology textbooks and resources:
o Edinburgh Renal Education Pages Textbook. Free textbook available at http://www.edrep.org/pages/textbook.php
o Robert W. Schrier. Manual of Nephrology. Wolters Kluwer Health, 2014
· JOVE Clinical Skills - Digital library of the University of Milano
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 Cardiovascular diseases.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· 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/)
· Goldman's Cecil Medicine L. Goldman, A. I. Schafer, 25th ed., Elsevier, 2015
· Making Sense of Exercise Texting, R. B. Schoene, H. T. Robertson, CRC Press, 2019
· Bates' Guide to Physical Examination and History Taking, Lynn S. Bickley
· Robbins and Cotran. Pathologic Basis Of Disease (9th Edition)
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders. (e book)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Nephrology textbooks and resources:
o Edinburgh Renal Education Pages Textbook. Free textbook available at http://www.edrep.org/pages/textbook.php
o Robert W. Schrier. Manual of Nephrology. Wolters Kluwer Health, 2014
· JOVE Clinical Skills - Digital library of the University of Milano
Cardiovascular diseases
MED/11 - CARDIOVASCULAR DISEASES - University credits: 1
Clerkship (professional training): 25 hours
Professors: Agostoni Piergiuseppe, Vignati Carlo
Shifts:
Group 1
Professor: Agostoni Piergiuseppe
Group 2
Professor: Vignati Carlo
Nephrology
MED/14 - NEPHROLOGY - University credits: 1
Clerkship (professional training): 25 hours
Professors: Cozzolino Mario Gennaro, Gallieni Maurizio Alberto, Messa Piergiorgio
Shifts:
Group 1
Professor: Messa Piergiorgio
Group 2
Professor: Cozzolino Mario Gennaro
Group 3
Professor: Cozzolino Mario Gennaro
Group 4
Professor: Gallieni Maurizio Alberto
Radiology
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Clerkship (professional training): 25 hours
Professor: Vanzulli Angelo
Professor(s)
Reception:
For an appointment please send an email
Nephrology and Dialysis Units of Sacco hospital or Fatebenefratelli hospital