System diseases 3 (clerkship)

A.Y. 2020/2021
5
Max ECTS
125
Overall hours
SSD
MED/08 MED/12 MED/13 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
GASTROINTESTINAL DISEASES: at the end of the clerkship, students should have learned:
- how to perform a clinical examination of the abdomen (inspection, auscultation, percussion, palpation)
- how to research rebound tenderness (Blumberg's sign)
- how to research Murphy's sign
- the semeiology of ascites
- how to research signs of cirrhosis
Furthermore, they should have observed:
- how to perform upper and lower gastro-intestinal endoscopy
- how to perform an abdominal ultrasound
ENDOCRINOLOGICAL DISEASES: at the end of the clerkship, students should have learned:
- how to perform a clinical examination of the neck: inspection, thyroid palpation
- how to perform the examination of arterial pulses
- how to measure blood pressure
- how to determine blood glucose (glucometer, Homa index, )
- how to perform a physical examination of obese patients (waist circumference, )
- how to examine patients with short stature (determination of target height, growth charts, )
- how to detect hypocalcemia (Chovostek and Trousseau signs)
- how to interpret key radiological examinations (thyroid US & scintiscan, pituitary MRI, )
Course syllabus and organization

Single session

Responsible
The teaching, given the current health situation, will be carried out entirely at a distance.
Prerequisites for admission
To take the System Diseases 3 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
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, Endocrinology and Gastroenterology.
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.
Pathology
Course syllabus
Endocrinology: clinical approach to Hypothalamus and Pituitary diseases, Thyroid diseases (hypothyroidism and hyperthyroidism), Adrenal function and diseases. Neuroendocrine tumors.
Clinical approach to obesity, disorders of lipid metabolism and nutrition disorders, Diabetes Mellitus,
Hypoglycemia, Disorders of calcium homeostasis
Adrenal imaging and Pathology
Examination of laboratory tests.

Gastroenterology: clinical approach to the patient with dysphagia and gastric symptoms, patients with Gastrointestinal bleeding, stomach diseases, pancreas and liver disease (clinical consequences of Liver diseases), metabolic and toxic liver diseases, biliary tract diseases, Small and Large Intestine diseases, Appendix and the anal canal diseases.
Clinical approach to the patients with chronic diarrhea.

Examination of laboratory tests, with special reference to neoplastic markers, diagnosis of viral, fungine and bacterial diseases of gastrointestinal tract including the liver
Pathology: examination of Non-neoplastic diseases of the Gastro intestinal, tumours of the gastrointestinal tract including liver and pancreas.
Molecular pathology of tumours of the gastrointestinal tract and pathology report in gastrointestinal pathology
Teaching methods
Lectures, Clinical cases, Seminars, Grand Rounds, 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
Gastroenterology
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 Pathology.
Teaching methods
Lectures, Clinical cases, Seminars, Grand Rounds, 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
Endocrinology
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 Pathology.
Teaching methods
Lectures, Clinical cases, Seminars, Grand Rounds, 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
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 Pathology.
Teaching methods
Lectures, Clinical cases, Seminars, Grand Rounds, 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/)
· Endotext: The best Clinical Endocrinology source in the world, and FREE. (www.endotext.org)
· Sleisenger And Fordtran's Gastrointestinal And Liver Disease, 10th edition
· Essential of Radiology. F. A. Mettler. 3rd Edition. Elsevier Saunders (ebook)
· Core Radiology. J. Mandell. Cambrige University Press. (ebook)
· Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics. Burtis & Bruns, 7th Edition, Elsevier
· Robbins and Cotran. Pathologic basis of Disease (9th Edition)
· Medical Microbiology, 8th edition. P. Murray, K Rosenthal, A. Pfaller Elsevier
Endocrinology
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Clerkship (professional training): 25 hours
Shifts:
Gruppo 1
Professor: Persani Luca
Gruppo 2
Professor: Colombo Carla
Gruppo 3
Professor: Chiodini Iacopo
Gruppo 4
Professor: Bonomi Marco
Gastroenterology
MED/12 - GASTROENTEROLOGY - University credits: 2
Clerkship (professional training): 50 hours
Professor: Vecchi Maurizio
Pathology
MED/08 - PATHOLOGY - University credits: 1
Clerkship (professional training): 25 hours
Professor: Fusco Nicola
Radiology
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Clerkship (professional training): 25 hours
Professor: Messina Carmelo
Professor(s)
Reception:
Friday 14-15 (appointment requested)
IRCCS Istituto Auxologico Italiano - Ospedale San Luca (5°piano) - Piazzale Brescia 20 - 20149 Milano
Reception:
Friday 9-12 AM
Reception:
By appointment
Zoom/Teams/Skype