Internal Medicine
A.Y. 2020/2021
Learning objectives
The course has the objective to give students the ability to collect patient's medical history (history taking), to perform a physical examination of adults and elder elderly, of both sexes, to discuss the main diagnostic issues and to propose the more common therapies.
Presentation, symptoms, signs, diagnosis (with differential), prevention and treatment of the main clinical syndromes of the following organ and systems are discussed:
- heart and cardiovascular system,
- lung,
- gastrointestinal system,
- kidney,
- endocrinology and diabetes mellitus,
- blood,
- main neoplasms,
- immune system, connective tissue and joints,
- some infectious diseases, such as mononucleosis, viral hepatitis, infective endocarditis.
Pluripathology and frailty is considered.
The main therapies are presented, including corticosteroid therapy and first level antibiotic therapies.
There is a special focus on specific aspects of clinical presentation, diagnosis, prevention and therapy.
The course has also the objective to give the student the ability to critically evaluate laboratory tests and imaging studies. The student acquires the relational abilities that are needed when speaking with parents.
Presentation, symptoms, signs, diagnosis (with differential), prevention and treatment of the main clinical syndromes of the following organ and systems are discussed:
- heart and cardiovascular system,
- lung,
- gastrointestinal system,
- kidney,
- endocrinology and diabetes mellitus,
- blood,
- main neoplasms,
- immune system, connective tissue and joints,
- some infectious diseases, such as mononucleosis, viral hepatitis, infective endocarditis.
Pluripathology and frailty is considered.
The main therapies are presented, including corticosteroid therapy and first level antibiotic therapies.
There is a special focus on specific aspects of clinical presentation, diagnosis, prevention and therapy.
The course has also the objective to give the student the ability to critically evaluate laboratory tests and imaging studies. The student acquires the relational abilities that are needed when speaking with parents.
Expected learning outcomes
At the end of the course the student is supposed to be able to make diagnostic hypotheses for the most important diseases of each different system, to know the differential diagnosis, the diagnostic procedures, including laboratory diagnosis and imaging, to propose therapies.
Lesson period: year
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Responsible
The lessons of the first semester will take place in mixed mode:
- in presence in the classroom with a limited number of students, who have booked themselves using Google Form and at the same time in synchrony through the "Teams platform" for students not present;
- the student is obliged to wear the surgical mask for the entire duration of his stay in the classroom and to sit in the free seats respecting the alternation of one occupied seat, one free seat, one occupied seat per single row;
- the lessons will also be video-recorded to allow students unable for documented needs to follow them in sync and made available on the teacher's Ariel / Teams website;
- the lessons will take place at the Vialba center as usual
Students must enter from the main atrium of the Lita Vialba teaching pavilion and undergo body temperature measurement using a Thermo-scanner. The entry / exit routes are differentiated and marked
- in presence in the classroom with a limited number of students, who have booked themselves using Google Form and at the same time in synchrony through the "Teams platform" for students not present;
- the student is obliged to wear the surgical mask for the entire duration of his stay in the classroom and to sit in the free seats respecting the alternation of one occupied seat, one free seat, one occupied seat per single row;
- the lessons will also be video-recorded to allow students unable for documented needs to follow them in sync and made available on the teacher's Ariel / Teams website;
- the lessons will take place at the Vialba center as usual
Students must enter from the main atrium of the Lita Vialba teaching pavilion and undergo body temperature measurement using a Thermo-scanner. The entry / exit routes are differentiated and marked
Prerequisites for admission
The knowledge acquired in previous years will be useful for this course. In particular it is necessary to have acquired the knowledge of the following courses: PHARMACOLOGY, SYSTEM DISEASES, CLINICAL AND SURGICAL PATHOLOGY
Assessment methods and Criteria
At the end of the course the student is supposed to be able to make diagnostic hypotheses for the most important diseases of each different system, to know the differential diagnosis, the diagnostic procedures, including laboratory diagnosis and imaging, to propose therapies.
· Oral exam. There are no intermediate tests.
· Sessions: an exam session for each month, from September till July
· The candidate initially must evaluate and ECG, or an emogas or a panel of biochemical analyisis, and as a further step must answer to 2 open questions about the topics included in the course program.
· The knowledge of the specific topics of the course will be evaluated
· At the end of tests, the professor makes a final assessment of the student, that can include three cases:
1.the student is PASSED (the score is expressed in thirtieths, minimum score 18/30, highest score 30/30 with --honours)
2.the student is POSTPONED to the next exam date
3. the student is WITHDRAWN (The candidate has the right to withdraw from the oral exam at any time)
· The results of exams are available on the Online Services and at the place of the exam
· Books:
1. Harrison's principles of internal medicine
· 2. Rugarli Medicina Interna Sistematica
· Oral exam. There are no intermediate tests.
· Sessions: an exam session for each month, from September till July
· The candidate initially must evaluate and ECG, or an emogas or a panel of biochemical analyisis, and as a further step must answer to 2 open questions about the topics included in the course program.
· The knowledge of the specific topics of the course will be evaluated
· At the end of tests, the professor makes a final assessment of the student, that can include three cases:
1.the student is PASSED (the score is expressed in thirtieths, minimum score 18/30, highest score 30/30 with --honours)
2.the student is POSTPONED to the next exam date
3. the student is WITHDRAWN (The candidate has the right to withdraw from the oral exam at any time)
· The results of exams are available on the Online Services and at the place of the exam
· Books:
1. Harrison's principles of internal medicine
· 2. Rugarli Medicina Interna Sistematica
Internal medicine
Course syllabus
· Heart and cardiovascular system,
· lung,
· gastrointestinal system,
· kidney,
· endocrinology and diabetes mellitus,
· blood,
· main neoplasms,
· immune system, connective tissue and joints,
· some infectious diseases, such as mononucleosis, viral hepatitis, infective endocarditis.
· lung,
· gastrointestinal system,
· kidney,
· endocrinology and diabetes mellitus,
· blood,
· main neoplasms,
· immune system, connective tissue and joints,
· some infectious diseases, such as mononucleosis, viral hepatitis, infective endocarditis.
Teaching methods
Frontal lectures
Clinical cases
Clinical cases
Teaching Resources
1. Harrison's principles of internal medicine
2. Rugarli Medicina Interna Sistematica
3. le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL
2. Rugarli Medicina Interna Sistematica
3. le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL
Medical oncology
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 Internal medicine.
Teaching methods
Frontal lectures
Clinical cases
Clinical cases
Teaching Resources
1. Harrison's principles of internal medicine
2. Rugarli Medicina Interna Sistematica
3. le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL
2. Rugarli Medicina Interna Sistematica
3. le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL
Infectious 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 Internal medicine.
Teaching methods
Frontal lectures
Clinical cases
Clinical cases
Teaching Resources
1. Harrison's principles of internal medicine
2. Rugarli Medicina Interna Sistematica
3. le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL
2. Rugarli Medicina Interna Sistematica
3. le diapositive delle lezioni più rilevanti vengono caricate sul sito ARIEL
Methods and teaching of motor activities
Course syllabus
· Exercise and Sport Medicine: definitions, differences and clinical importance
· Health, Wellbeing, Prevention and Lifestyle Medicine
· Effects of lifestyle interventions on main etiopathogenetic mechanisms of chronic non communicable diseases: a translational approach
· Importance of exercise medicine in chronic non communicable disease (cardiometabolic diseases, cancer, functional syndromes, etc)
· Cardiometabolic risk and lifestyle assessment
· Patient's assessment in order to prescribe lifestyle intervention programs (with particular focus on physical exercise and nutrition)
· Definition of specific clinical goals and personalized medicine in lifestyle interventions
· Exercise prescription
· Nutrition program prescription
· Health, Wellbeing, Prevention and Lifestyle Medicine
· Effects of lifestyle interventions on main etiopathogenetic mechanisms of chronic non communicable diseases: a translational approach
· Importance of exercise medicine in chronic non communicable disease (cardiometabolic diseases, cancer, functional syndromes, etc)
· Cardiometabolic risk and lifestyle assessment
· Patient's assessment in order to prescribe lifestyle intervention programs (with particular focus on physical exercise and nutrition)
· Definition of specific clinical goals and personalized medicine in lifestyle interventions
· Exercise prescription
· Nutrition program prescription
Teaching methods
Interactive lectures, Discussion on clinical cases
Clinical clerkship will be possible participating in the specific elective course
Clinical clerkship will be possible participating in the specific elective course
Teaching Resources
ACSM's Guidelines for Exercise Testing and Prescription. 2018, 10th edition
Up to Date-Evidence based clinical decision support resources
Up to Date-Evidence based clinical decision support resources
Infectious diseases
MED/17 - INFECTIOUS DISEASES - University credits: 1
Lessons: 12 hours
Professor:
Galli Massimo
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 4
Lessons: 48 hours
Medical oncology
MED/06 - MEDICAL ONCOLOGY - University credits: 1
Lessons: 12 hours
Professor:
Siena Salvatore
Methods and teaching of motor activities
M-EDF/01 - PHYSICAL TRAINING SCIENCES AND METHODOLOGY - University credits: 1
Lessons: 12 hours
Professor:
Lucini Daniela
Professor(s)
Reception:
On appointment (send an email)
Exercise Medicine Units, IRCCS Istituto Auxologico Italiano, via Pier Lombardo 22
Reception:
by appointment +39 02 6444.2291
Grande Ospedale Metropolitano Niguarda, Piazza Ospedale Maggiore 3,Milano