Semiotics and pathology of systems 2 (qualifying activity)

A.Y. 2020/2021
7
Max ECTS
175
Overall hours
SSD
MED/09 MED/12 MED/13 MED/15 MED/16 MED/18
Language
Italian
Learning objectives
The course aims to teach the epidemiology, the principal pathophysiological mechanisms, the procedures for diagnosis and management of the endocrine, metabolic, gastroenterological, rheumatological and haematological diseases.
Expected learning outcomes
The students should be able to:
i) recognize and classify the clinical manifestations of the endocrine, metabolic, gastroenterological, rheumatological and haematological disorders;
ii) recognize the frequency and the main pathological mechanisms involved in these diseases;
iii) correctly employ in the right sequence the main diagnostic exams (biochemical and molecular) as well as imaging techniques;
iv) recognize the clinical methodologies to prevent and reduce acute and chronic complications of these diseases.
Course syllabus and organization

Single session

Responsible
Concerning clerkships, information will be directly given by professors during classes, following the current agreement with the San Paolo hospital concerning safety and health surveillance measures to be adopted for accessing wards, day-hospital, and laboratories.
Prerequisites for admission
Mechanisms of hormone action, Biochemistry and synthesis of steroid and thyroid hormones, Anatomy and embryological origin of endocrine system, Menstrual cycle and its alterations, Principles of oncogenesis, Mechanisms underlying the heritable diseases, Anatomy and physiology of the digestive system, mechanism of intestinal absorption, biochemistry and hepatic metabolism of carbohydrates, lipids and proteins, principles of immunology, principles of microbiology and virology
Rheumatology, pathogenesis of inflammation, joints' anatomy, biochemical properties of connective tissues
Assessment methods and Criteria
Oral exam
Gastroenterology
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Teaching methods
Frequenza nei reparti di degenza, ambulatori, day hospital, attività di pronto soccorso, discussione di casi clinici.
Teaching Resources
· Sleisenger and Fordtran's Gastrointestinal and Liver Disease, 10th edition
· Unigastro (Coordinamento Nazionale dei Docenti di Gastroenterologia): Malattie dell'Apparato Digerente-Edizione 2019-2022( also available in English version)
Endocrinology
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Teaching methods
Attendance in hospital wards, clinics, day hospitals, first aid activities, discussion of clinical cases.
Teaching Resources
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Endocrinologia Core Curriculum, Ed Faglia e Beck-Peccoz, McGraw Hill
Blood diseases
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Teaching methods
Attendance in hospital wards, clinics, day hospitals, first aid activities, discussion of clinical cases.

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Teaching Resources
· Corso di malattie del sangue e degli organi emolinfopoietici. Per gli studenti di medicina e chirurgia, scienze biologiche, biotecnologie (Italiano), Sante Tura - Esculapio Ed.
· Manuale di ematologia Edizioni, P. Corradini e R. Foà - Minerva Medica, Second Edition 2014
Rheumatology
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Teaching methods
Attendance in hospital wards, clinics, day hospitals, first aid activities, discussion of clinical cases.
Teaching Resources
· Unireuma - Reumatologia - per studenti e medici di medicina generale. Autore: Valentini - Bombardieri - Cutolo - Ferraccioli - AAVV , Editore: Idelson - Gnocchi, Edizione: II 6/2014, Volume: Unico
· EULAR Textbook on Rheumatic Diseases - Third Edition (2018) (https://ard.bmj.com/pages/eular-textbooks/)
Internal medicine
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Teaching methods
Lectures, Clinical cases, Seminars, Grand Rounds, Case studies with interactive discussion and clerckships.
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/)
General surgery
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.

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Teaching methods
Attendance in hospital wards, clinics, day hospitals, operating rooms, first aid activities, discussion of clinical cases.
Teaching Resources
1. John Bridgewater, Peter R. Galle, Shahid A. Khan, Josep M. Llovet, Joong-Won Park, Tushar Patel, Timothy M. Pawlik,, Gregory J. Gores Guidelines for the diagnosis and management of intrahepatic cholangiocarcinoma. EASL, Journal of Hepatology 2014:1-22
2. Forner A, Reig M, Bruix J. Hepatocellular carcinoma, Lancet 2018: 1-14
3. Strobel O, Hank T, Hinz U, Buckler W. Pancreatic cancer surgery. Annals of Surgery, 2017
4. Kempeneers MA1, Issa Y1, Ali UA2, Baron RD3, Besselink MG1, Büchler M4, Erkan M5, Fernandez-Del Castillo C6, Isaji S7, Izbicki J8, Kleeff J9, Laukkarinen J10, Sheel ARG11, Shimosegawa T12, Whitcomb DC13, Windsor J14, Miao Y15, Neoptolemos J4, Boermeester MA16; Working group for the International (IAP - APA - JPS - EPC) Consensus Guidelines for Chronic Pancreatitis. International consensus guidelines for surgery and the timing of intervention in chronic pancreatitis. Pancreatology 2019: 1-9
Blood diseases
MED/15 - BLOOD DISEASES - University credits: 1
Professional training: 25 hours
Professor: Tarella Corrado
Endocrinology
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Professional training: 25 hours
Shifts:
Gruppi 1-2-3
Professor: Persani Luca
Gruppi 11-12
Professor: Bonomi Marco
Gruppi 4-5-6
Professor: Folli Franco
Gruppi 9-10
Professor: Chiodini Iacopo
Gruppo 13
Professor: Vitale Giovanni
Gruppo 7
Professor: Scacchi Massimo
Gruppo 8
Professor: Fugazzola Laura
Gastroenterology
MED/12 - GASTROENTEROLOGY - University credits: 1
Professional training: 25 hours
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Professional training: 25 hours
Professor: Opocher Enrico
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 2
Professional training: 50 hours
Rheumatology
MED/16 - RHEUMATOLOGY - University credits: 1
Professional training: 25 hours
Educational website(s)
Professor(s)
Reception:
Friday 14-15 (appointment requested)
IRCCS Istituto Auxologico Italiano - Ospedale San Luca (5°piano) - Piazzale Brescia 20 - 20149 Milano